Does Clay County Memorial Hospital publish its standard charges and chargemaster?

Yes. Clay County Memorial Hospital publishes a machine-readable file with 1,728 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Clay County Memorial Hospital charge for procedures?

Clay County Memorial Hospital (Henrietta, TX) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · TX · CCN 451362

Clay County Memorial Hospital

Henrietta, TX, 76365-

25 bedsCritical Access Hospitals9

Compliance grade

97/100

Rates published

1,728

last crawl 2026-05-22

Procedures tracked

109

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://secure.claraprice.net/price-transparency/MAF8631799197/machine-readable/75-6000727_clay-county-memorial-hospital_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychotherapy 30 minutes	CPT	90832	5	$610	$427	$122	$153	1.0×	$195
Psychotherapy 45 minutes	CPT	90834	5	$755	$529	$151	$189	1.2×	$242
Psychotherapy 60 minutes	CPT	90837	5	$770	$539	$154	$193	1.0×	$246
emergency
ED visit level 1	CPT	99281	5	$258	$181	$26	$47	0.34×	$83
ED visit level 2	CPT	99282	5	$423	$296	$85	$106	0.45×	$135
ED visit level 3	CPT	99283	5	$709	$496	$142	$177	0.44×	$227
ED visit level 4	CPT	99284	5	$1,355	$948	$218	$285	0.43×	$434
ED visit level 5	CPT	99285	5	$4,335	$3,035	$249	$632.5	0.61×	$1,387
Critical care, first hour	CPT	99291	5	$6,502	$4,551	$88	$553	0.52×	$2,081
imaging
CT head without contrast	CPT	70450	5	$1,602	$1,121	$320	$401	1.9×	$513
CT head with contrast	CPT	70460	5	$1,968	$1,378	$394	$492	2.1×	$630
CT head with and without contrast	CPT	70470	5	$2,396	$1,677	$479	$599	2.2×	$767
CT neck with contrast	CPT	70491	5	$1,794	$1,256	$286	$373.5	1.4×	$574
MRI brain without contrast	CPT	70551	5	$2,257	$1,580	$451	$564	1.4×	$722
MRI brain with and without contrast	CPT	70553	5	$3,520	$2,464	$704	$880	1.5×	$1,126
Chest X-ray single view	CPT	71045	5	$207	$145	$30	$41	0.43×	$66
Chest X-ray 2 views	CPT	71046	5	$210	$147	$42	$53	0.54×	$67
Chest X-ray 3 views	CPT	71047	5	$348	$244	$70	$87	0.91×	$111
CT chest without contrast	CPT	71250	5	$1,609	$1,126	$322	$402	1.9×	$515
CT chest with contrast	CPT	71260	5	$2,383	$1,668	$477	$596	2.1×	$763
CT chest with and without contrast	CPT	71270	5	$2,901	$2,031	$580	$725	2.5×	$928
MRI chest without contrast	CPT	71550	5	$2,257	$1,580	$451	$564	1.3×	$722
MRI chest with contrast	CPT	71551	5	$3,520	$2,464	$704	$880	1.1×	$1,126
MRI chest with and without contrast	CPT	71552	5	$4,514	$3,160	$903	$1,129	1.9×	$1,444
Lumbosacral spine X-ray	CPT	72100	5	$322	$225	$54	$71	0.69×	$103
CT cervical spine without contrast	CPT	72125	5	$2,044	$1,431	$409	$511	2.5×	$654
CT thoracic spine without contrast	CPT	72128	5	$1,986	$1,390	$397	$497	2.5×	$636
CT lumbar spine without contrast	CPT	72131	5	$2,396	$1,677	$409	$533.5	2.6×	$767
MRI cervical spine without contrast	CPT	72141	5	$2,257	$1,580	$451	$564	1.4×	$722
MRI thoracic spine without contrast	CPT	72146	5	$2,257	$1,580	$451	$564	1.5×	$722
MRI lumbar spine without contrast	CPT	72148	5	$2,257	$1,580	$451	$564	1.5×	$722
MRI lumbar spine with and without contrast	CPT	72149	5	$3,520	$2,464	$704	$880	1.9×	$1,126
MRI cervical spine with and without contrast	CPT	72156	5	$4,514	$3,160	$903	$1,129	2.1×	$1,444
MRI lumbar spine with contrast	CPT	72158	5	$4,514	$3,160	$903	$1,129	2.1×	$1,444
CT pelvis without contrast	CPT	72192	5	$2,011	$1,408	$402	$503	2.5×	$644
CT pelvis with contrast	CPT	72193	5	$2,286	$1,600	$457	$572	2.0×	$732
Shoulder X-ray	CPT	73030	5	$232	$162	$44	$56.5	0.61×	$74
Humerus X-ray	CPT	73060	5	$213	$149	$43	$53	0.59×	$68
Hand X-ray 3 views	CPT	73130	5	$230	$161	$46	$58	0.62×	$74
MRI upper extremity joint without contrast	CPT	73221	5	$2,257	$1,580	$451	$564	1.4×	$722
MRI upper extremity joint with and without contrast	CPT	73223	5	$4,514	$3,160	$903	$1,129	1.8×	$1,444
Knee X-ray 1-2 views	CPT	73560	5	$196	$137	$39	$49	0.53×	$63
Ankle X-ray 3 views	CPT	73610	5	$230	$161	$46	$58	0.63×	$74
MRI lower extremity joint without contrast	CPT	73721	5	$2,257	$1,580	$451	$564	1.2×	$722
MRI lower extremity joint with and without contrast	CPT	73723	5	$4,514	$3,160	$903	$1,129	1.8×	$1,444
CT abdomen without contrast	CPT	74150	5	$1,993	$1,395	$399	$498	2.6×	$638
CT abdomen with contrast	CPT	74160	5	$2,336	$1,635	$467	$584	2.0×	$748
CT abdomen with and without contrast	CPT	74170	5	$2,821	$1,975	$564	$705	2.1×	$903
CT abdomen and pelvis without contrast	CPT	74176	5	$4,262	$2,983	$852	$1,066	2.9×	$1,364
CT abdomen and pelvis with contrast	CPT	74177	5	$5,105	$3,574	$991	$1,257.5	2.3×	$1,634
CT abdomen and pelvis with and without contrast	CPT	74178	5	$5,208	$3,646	$1,042	$1,302	2.3×	$1,667
MRI abdomen without contrast	CPT	74181	5	$2,257	$1,580	$451	$564	1.4×	$722
MRI abdomen with and without contrast	CPT	74183	5	$4,514	$3,160	$903	$1,129	2.0×	$1,444
Abdominal ultrasound complete	CPT	76700	5	$869	$608	$120	$174	1.2×	$278
Abdominal ultrasound limited	CPT	76705	5	$564	$395	$88	$119	0.81×	$180
Retroperitoneal ultrasound complete	CPT	76770	5	$615	$431	$113	$146	1.0×	$197
Obstetric ultrasound first trimester	CPT	76801	5	$979	$685	$196	$245	1.7×	$313
Obstetric ultrasound after first trimester	CPT	76805	5	$979	$685	$196	$245	1.6×	$313
Transvaginal ultrasound	CPT	76830	5	$509	$356	$102	$127	0.86×	$163
Pelvic ultrasound complete	CPT	76856	5	$564	$395	$113	$141	0.98×	$180
Scrotal ultrasound	CPT	76870	5	$619	$433	$124	$155	1.2×	$198
EKG complete	CPT	93000	5	$32	$22	$6	$8	0.33×	$10
EKG tracing only	CPT	93005	5	$191	$134	$38	$48	0.41×	$61
Transthoracic echocardiogram	CPT	93307	5	$2,058	$1,441	$412	$515	2.1×	$659
inpatient
Initial hospital care, low complexity	CPT	99221	5	$198	$139	$40	$50	0.54×	$63
Initial hospital care, moderate complexity	CPT	99222	5	$268	$188	$54	$67	0.40×	$86
Initial hospital care, high complexity	CPT	99223	5	$397	$278	$79	$99	0.44×	$127
Hospital discharge, <30 min	CPT	99238	5	$157	$110	$31	$39	0.46×	$50
Hospital discharge, >30 min	CPT	99239	5	$209	$146	$42	$52	0.43×	$67
lab
Basic metabolic panel (BMP)	CPT	80048	5	$140	$98	$28	$35	1.1×	$45
General health panel	CPT	80050	5	$478	$335	$96	$120	1.1×	$153
Electrolyte panel	CPT	80051	5	$71	$50	$14	$18	0.76×	$23
Comprehensive metabolic panel	CPT	80053	5	$304	$213	$51	$66.5	1.5×	$97
Lipid panel	CPT	80061	5	$94	$66	$5	$13.5	0.35×	$30
Renal function panel	CPT	80069	5	$214	$150	$43	$54	2.0×	$68
Hepatic function panel	CPT	80076	5	$123	$86	$25	$31	1.2×	$39
Urinalysis non-automated	CPT	81002	5	$7	$5	$1	$2	0.29×	$2
Urinalysis automated	CPT	81003	5	$50	$35	$5	$9	0.65×	$16
Glucose quantitative	CPT	82947	5	$70	$49	$3	$7	0.40×	$22
Hemoglobin A1c	CPT	83036	5	$231	$162	$5	$33	1.2×	$74
Thyroid stimulating hormone (TSH)	CPT	84443	5	$102	$71	$9	$17.5	0.37×	$33
Complete blood count with automated differential	CPT	85025	5	$99	$69	$15	$20	0.75×	$32
Complete blood count without differential	CPT	85027	5	$70	$49	$14	$18	0.83×	$22
Urine culture bacterial	CPT	87086	5	$110	$77	$22	$28	1.2×	$35
Urine culture identification	CPT	87088	5	$78	$55	$16	$20	0.90×	$25
Tissue exam by pathologist level IV	CPT	88305	5	$249	$174	$50	$62	0.61×	$80
office
Office visit, new patient, 15-29 min	CPT	99202	5	$202	$141	$29	$40	0.46×	$65
Office visit, new patient, 30-44 minutes	CPT	99203	5	$269	$188	$42	$55.5	0.45×	$86
Office visit, new patient, 45-59 min	CPT	99204	5	$336	$235	$64	$82	0.47×	$108
Office visit, new patient, 60-74 min	CPT	99205	5	$403	$282	$80	$100.5	0.45×	$129
Office visit, established patient, 5 min	CPT	99211	5	$403	$282	$17	$54	0.84×	$129
Office visit, established patient, 10-19 min	CPT	99212	5	$403	$282	$20	$56.5	0.71×	$129
Office visit, established patient, 20-29 minutes	CPT	99213	5	$212	$148	$28	$42	0.37×	$68
Office visit, established patient, 30-39 minutes	CPT	99214	5	$265	$186	$41	$54.5	0.36×	$85
Office visit, established patient, 40-54 min	CPT	99215	5	$292	$204	$56	$71.5	0.38×	$93
preventive
Upper GI endoscopy diagnostic	CPT	43235	5	$3,859	$2,701	$118	$717	0.78×	$1,235
Upper GI endoscopy with biopsy	CPT	43239	5	$5,404	$3,783	$132	$253	0.26×	$1,729
Sigmoidoscopy diagnostic	CPT	45330	5	$3,859	$2,701	$86	$455	0.54×	$1,235
Sigmoidoscopy with biopsy	CPT	45331	5	$630	$441	$126	$158	0.18×	$202
Colonoscopy diagnostic	CPT	45378	5	$3,859	$2,701	$193	$540	0.62×	$1,235
Colonoscopy with biopsy	CPT	45380	5	$5,404	$3,783	$230	$724.5	0.60×	$1,729
Colonoscopy with polyp removal	CPT	45385	5	$6,313	$4,419	$273	$850	0.71×	$2,020
surgery
Laparoscopic appendectomy	CPT	44970	5	$8,250	$5,775	$1,650	$2,063	1.3×	$2,640
Laparoscopic cholecystectomy	CPT	47562	5	$11,057	$7,740	$1,656	$2,231.5	1.3×	$3,538
Lap cholecystectomy with cholangiography	CPT	47563	5	$12,028	$8,420	$2,017	$2,632.5	1.4×	$3,849
Open umbilical hernia repair	CPT	49560	5	$9,843	$6,890	$1,969	$2,461	1.3×	$3,150
Umbilical hernia repair age 5+	CPT	49585	5	$9,843	$6,890	$1,969	$2,461	1.9×	$3,150
Lap inguinal hernia repair	CPT	49650	5	$9,843	$6,890	$1,969	$2,461	2.2×	$3,150
Cataract surgery with lens implant	CPT	66984	5	$6,260	$4,382	$1,252	$1,565	0.72×	$2,003

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 5)

Payer	Codes covered	Median rate
Aetna	109	$148
Blue Cross Blue Shield	109	$189
Cigna	109	$160
healthsmart	109	$118
muti-plan	109	$118

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