SSM Health · Flora, IL
30
In-network payers
227
Disclosed rate categories
20
Beds
3
Care quality
Clay County Hospital is a 20-bed government - local hospital in Flora, IL, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 227 disclosed rate categories.
CCN (Medicare provider number)
141351
NPI
1184655136
Type
Critical Access Hospital
Ownership
Government - Local
Beds
20
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Clay County Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$900 - $5,361
from 4 insurers · median $5,098
Typical for a hospital with this service line
CT imaging
CPT 70450
$900 - $1,936
from 4 insurers · median $1,841
Typical for a hospital with this service line
CT imaging
CPT 74176
$900 - $4,293
from 4 insurers · median $4,082
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$198 - $2,690
from 4 insurers · median $2,558
Typical for a hospital with this service line
MRI imaging
CPT 70553
$471 - $4,205
from 4 insurers · median $3,999
Typical for a hospital with this service line
CT imaging
CPT 71260
$900 - $2,498
from 4 insurers · median $2,376
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$440 - $6,282
from 4 insurers · median $5,973
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45385
$2,026 - $3,286
from 3 insurers · median $3,286
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,259 - $3,112
from 3 insurers · median $3,112
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,225 - $2,247
from 3 insurers · median $2,247
Typical for a hospital with this service line
Mammography
CPT 77067
$130 - $371
from 4 insurers · median $337
Typical for a hospital with this service line
MRI imaging
CPT 72148
$691 - $3,345
from 4 insurers · median $3,181
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,380 - $5,762
from 4 insurers · median $5,480
Hospital reports pet scan services to CMS
MRI imaging
CPT 70551
$695 - $3,154
from 4 insurers · median $2,999
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $346
from 4 insurers · median $326
Typical for a hospital with this service line
Ultrasound
CPT 76705
$90 - $1,034
from 4 insurers · median $984
Typical for a hospital with this service line
MRI imaging
CPT 73721
$298 - $2,998
from 4 insurers · median $2,851
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,026 - $2,621
from 3 insurers · median $2,621
Typical for a hospital with this service line
Ultrasound
CPT 76856
$108 - $1,088
from 4 insurers · median $1,035
Typical for a hospital with this service line
Ultrasound
CPT 76830
$104 - $934
from 4 insurers · median $888
Typical for a hospital with this service line
Ultrasound
CPT 76642
$70 - $671
from 4 insurers · median $638
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,251 - $4,979
from 3 insurers · median $4,979
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$134 - $709
from 4 insurers · median $674
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$39 - $540
from 4 insurers · median $514
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 873% | 9 | 6 |
| Insurer B* | 24 | 709% | 18 | 0 |
| Insurer C* | 24 | 709% | 18 | 0 |
| Insurer D* | 24 | 124% | 12 | 7 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Clay County Hospital.
911 Stacy Burk Drive, Flora, IL 62839
(618) 662-2131
The nearest hospitals of similar type and size. Their rates are compared with Clay County Hospital for the same insurers and services above.
Fairfield Memorial Hospital
▲ Rates typically 375% higher than Clay County Hospital (23 services)
Salem Township Hospital
▼ Rates typically 22% lower than Clay County Hospital (23 services)
Fayette County Hospital
▼ Rates typically 13% lower than Clay County Hospital (24 services)
Hamilton Memorial Hospital
▼ Rates typically 54% lower than Clay County Hospital (22 services)
Wabash General Hospital
▼ Rates typically 20% lower than Clay County Hospital (21 services)
Lawrence County Memorial Hospital
▼ Rates typically 57% lower than Clay County Hospital (18 services)
Washington County Hospital
Pinckneyville Community Hospital
Rochelle Community Hospital
Red Bud Regional Hospital
About Clay County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clay County Hospital range from $471 to $4,205 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $3,792. The median at nearby comparable hospitals is $2,737. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Clay County Hospital range from $900 to $5,361 across 4 insurers. Aetna's rate is $900. The median at nearby comparable hospitals is $2,840. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Clay County Hospital range from $2,026 to $3,286 across 3 insurers. Aetna's rate is $2,026. The median at nearby comparable hospitals is $376. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clay County Hospital range from $130 to $371 across 4 insurers. UnitedHealthcare's rate is $341. The median at nearby comparable hospitals is $284. What a patient pays depends on their plan's deductible, coinsurance and network status.
Clay County Hospital has 20 beds. Facility type: Critical Access Hospital.
Clay County Hospital is located at 911 Stacy Burk Drive, Flora, IL 62839. Its main phone number is (618) 662-2131.
Clay County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141351.
The National Provider Identifier (NPI) on file for Clay County Hospital is 1184655136.
Clay County Hospital is affiliated with SSM Health.
Clay County Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
227 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers