CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$275 - $2,200
from 4 insurers · median $1,534
Typical for a hospital with this service line
Henrietta, TX
31
In-network payers
174
Disclosed rate categories
25
Beds
Clay County Memorial Hospital is a 25-bed government - local hospital in Henrietta, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 174 disclosed rate categories.
CCN (Medicare provider number)
451362
NPI
1437156361
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
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 Memorial 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
$275 - $2,200
from 4 insurers · median $1,534
Typical for a hospital with this service line
CT imaging
CPT 74176
$162 - $1,864
from 4 insurers · median $1,300
Typical for a hospital with this service line
CT imaging
CPT 70450
$94 - $528
from 4 insurers · median $365
Typical for a hospital with this service line
CT imaging
CPT 71275
$224 - $1,558
from 4 insurers · median $1,087
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$745 - $1,781
from 4 insurers · median $1,237
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$745 - $2,081
from 3 insurers · median $1,081
Typical for a hospital with this service line
MRI imaging
CPT 70553
$283 - $1,160
from 4 insurers · median $889
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$695 - $890
from 4 insurers · median $751
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,917 - $3,787
from 4 insurers · median $3,454
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$745 - $1,272
from 4 insurers · median $1,038
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $1,488
from 4 insurers · median $1,214
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,612 - $2,063
from 4 insurers · median $1,693
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$352 - $598
from 4 insurers · median $417
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $744
from 4 insurers · median $607
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $92
from 4 insurers · median $64
Typical for a hospital with this service line
MRI imaging
CPT 72148
$169 - $744
from 4 insurers · median $516
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$518 - $879
from 4 insurers · median $613
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$4 - $89
from 4 insurers · median $41
Typical for a hospital with this service line
Ultrasound
CPT 76705
$69 - $186
from 4 insurers · median $135
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,737 - $3,787
from 2 insurers · median $2,762
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$190 - $663
from 4 insurers · median $541
Typical for a hospital with this service line
Urology
CPT 50590
$3,244 - $3,787
from 2 insurers · median $3,516
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,332 - $1,705
from 4 insurers · median $1,541
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,787
negotiated rate
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* | 21 | 272% | 11 | 10 |
| Insurer B* | 23 | 231% | 1 | 13 |
| Insurer C* | 24 | 104% | 6 | 6 |
| Insurer D* | 20 | 78% | 3 | 14 |
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 Memorial Hospital.
310 West South Street, Henrietta, TX 76365
(940) 538-5621
About Clay County Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clay County Memorial Hospital range from $283 to $1,160 across 4 insurers. Cigna's rate is $986. The median at nearby comparable hospitals is $892. 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 Memorial Hospital range from $275 to $2,200 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $1,873. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Clay County Memorial Hospital range from $745 to $1,781 across 4 insurers. Blue Cross Blue Shield's rate is $1,781. The median at nearby comparable hospitals is $775. What a patient pays depends on their plan's deductible, coinsurance and network status.
Clay County Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Clay County Memorial Hospital is located at 310 West South Street, Henrietta, TX 76365. Its main phone number is (940) 538-5621.
Clay County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451362.
The National Provider Identifier (NPI) on file for Clay County Memorial Hospital is 1437156361.
Clay County Memorial Hospital lists 31 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.
174 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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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