PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Critical Access HospitalGovernment - Local

Clay County Memorial Hospital

Henrietta, TX

310 West South Street, Henrietta, TX 76365(940) 538-5621

31

In-network payers

174

Disclosed rate categories

25

Beds

About this hospital

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 Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

Prices for common services

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

CT abdomen and pelvis with contrast

CPT 74177

$275 - $2,200

from 4 insurers · median $1,534

Aetna$275
Insurer A*$1,410
Insurer B*$1,659
Insurer C*est.$2,200
Medicare $356Nearby hospitals $1,87318% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$162 - $1,864

from 4 insurers · median $1,300

Aetna$162
Insurer A*$1,194
Insurer B*$1,405
Insurer C*est.$1,864
Medicare $244Nearby hospitals $1,59519% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$94 - $528

from 4 insurers · median $365

Aetna$94
Insurer A*$281
Insurer B*$449
Insurer C*$528
Medicare $107Nearby hospitals $28628% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$224 - $1,558

from 4 insurers · median $1,087

Aetna$224
Insurer A*$999
Insurer B*$1,175
Insurer C*est.$1,558
Medicare $179Nearby hospitals $1,28716% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$745 - $1,781

from 4 insurers · median $1,237

Blue Cross$1,781
Insurer A*$745
Insurer B*$1,081
Insurer C*$1,392
Medicare $1,223Nearby hospitals $77560% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$745 - $2,081

from 3 insurers · median $1,081

Blue Cross$2,081
Insurer A*$745
Insurer B*$1,081
Medicare $1,223Nearby hospitals $1,93144% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$283 - $1,160

from 4 insurers · median $889

Cigna$986
Insurer A*$283
Insurer B*$792
Insurer C*$1,160
Medicare $356Nearby hospitals $892In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$695 - $890

from 4 insurers · median $751

Blue Cross$890
Insurer A*$695
Insurer B*$745
Insurer C*$756
Medicare $927Nearby hospitals $1,03928% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$2,917 - $3,787

from 4 insurers · median $3,454

Blue Cross$3,734
Insurer A*$2,917
Insurer B*$3,174
Insurer C*$3,787
Medicare $6,176Nearby hospitals $8,36659% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$745 - $1,272

from 4 insurers · median $1,038

Blue Cross$1,272
Insurer A*$745
Insurer B*$994
Insurer C*$1,081
Medicare $950Nearby hospitals $78233% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$824 - $1,488

from 4 insurers · median $1,214

Cigna$1,265
Insurer A*$824
Insurer B*$1,163
Insurer C*$1,488
Medicare $356Nearby hospitals $1,40113% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,612 - $2,063

from 4 insurers · median $1,693

Blue Cross$2,063
Insurer A*$1,612
Insurer B*$1,632
Insurer C*$1,754
Medicare $2,358Nearby hospitals $3,56753% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$352 - $598

from 4 insurers · median $417

Aetna$352
Insurer A*$383
Insurer B*$451
Insurer C*est.$598
Medicare $107Nearby hospitals $49015% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$387 - $744

from 4 insurers · median $607

Cigna$632
Insurer A*$387
Insurer B*$581
Insurer C*$744
Medicare $244Nearby hospitals $1,23751% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$26 - $92

from 4 insurers · median $64

Cigna$59
Insurer A*$26
Insurer B*$69
Insurer C*est.$92
Medicare $89Nearby hospitals $13352% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$169 - $744

from 4 insurers · median $516

Cigna$632
Insurer A*$169
Insurer B*$400
Insurer C*$744
Medicare $244Nearby hospitals $499In line with nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$518 - $879

from 4 insurers · median $613

Aetna$518
Insurer A*$563
Insurer B*$663
Insurer C*est.$879
Medicare $244Nearby hospitals $6719% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$4 - $89

from 4 insurers · median $41

UnitedHealthcare$4
Insurer A*$7
Insurer B*$76
Insurer C*$89
Medicare $11Nearby hospitals $2377% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$69 - $186

from 4 insurers · median $135

Aetna$69
Insurer A*$112
Insurer B*$158
Insurer C*$186
Medicare $107Nearby hospitals $18025% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$1,737 - $3,787

from 2 insurers · median $2,762

UnitedHealthcare$3,787
Insurer A*$1,737
Medicare $6,176Nearby hospitals $1,80053% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of blood vessels in both sides of the neck

CPT 93880

$190 - $663

from 4 insurers · median $541

Aetna$518
Insurer A*$190
Insurer B*$563
Insurer C*$663
Medicare $244Nearby hospitals $5126% above nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$3,244 - $3,787

from 2 insurers · median $3,516

Cigna$3,244
Insurer A*$3,787
Medicare $3,601Nearby hospitals $3,500In line with nearby hospitals

Typical for a hospital with this service line

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,332 - $1,705

from 4 insurers · median $1,541

UnitedHealthcare$1,632
Insurer A*$1,332
Insurer B*$1,449
Insurer C*$1,705
Medicare $3,307Nearby hospitals $4,57166% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$3,787

negotiated rate

UnitedHealthcare$3,787
Medicare $10,860

Typical for a hospital with this service line

How the insurers pay at Clay County Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
272%
1110
Insurer B*23
231%
113
Insurer C*24
104%
66
Insurer D*20
78%
314

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.

Location

310 West South Street, Henrietta, TX 76365

(940) 538-5621

Get directions

Frequently asked questions

About Clay County Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Clay County Memorial Hospital?

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.

How much does a CT scan cost at Clay County Memorial Hospital?

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.

How much does a colonoscopy cost at Clay County Memorial Hospital?

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.

How many beds does Clay County Memorial Hospital have?

Clay County Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Clay County Memorial Hospital and what is its phone number?

Clay County Memorial Hospital is located at 310 West South Street, Henrietta, TX 76365. Its main phone number is (940) 538-5621.

What is Clay County Memorial Hospital's CCN (Medicare provider number)?

Clay County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451362.

What is Clay County Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Clay County Memorial Hospital is 1437156361.

Which insurance plans are in network at Clay County Memorial Hospital?

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.

What price transparency data is available for Clay County Memorial Hospital?

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.

What is a hospital price transparency MRF?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster