How many shoppable procedure prices are published for Clay County Memorial Hospital?

Clay County Memorial Hospital in Henrietta, TX currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2025-06-30

Clay County Memorial Hospital

310 W South Street, Henrietta, TX 76365 · 92 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness66

Price Logic99

Peer Alignment65

Clean Billing87

Real Cash Discount98

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Clay County Memorial Hospital prices shoppable and inpatient services (4.8× to 5.0× Medicare, divergence 1.04×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in TXU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (98/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (4.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 6,663) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.04× Divergence

5.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

4.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

6.5× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

7.0× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

7.0× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Clay County Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,768	$6,768	$6,109	1.1×
Inguinal hernia repair CPT Code: `49505`	$4,898	$4,898	$3,629	1.3×
Cataract surgery with lens implant CPT Code: `66984`	$4,382	$4,382	$2,540	1.7×
Bunion correction surgery CPT Code: `28296`	$4,141	$4,141	$3,446	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,522	$3,522	$448	7.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,983	$2,983	$303	9.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,464	$2,464	$511	4.8×
Breast lump removal CPT Code: `19120`	$2,337	$2,337	$3,875	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$2,294	$2,294	$1,256	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,677	$1,677	$258	6.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,688	$1,688	$981	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,580	$1,580	$338	4.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,580	$1,580	$343	4.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,580	$1,580	$369	4.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,554	$1,554	$168	9.3×
CT scan, pelvis CPT Code: `72192`	$1,408	$1,408	$163	8.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,431	$1,431	$169	8.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,408	$1,408	$272	5.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,378	$1,378	$242	5.7×
CT scan, sinuses CPT Code: `70486`	$1,229	$1,229	$166	7.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,121	$1,121	$160	7.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,126	$1,126	$167	6.7×
Blood transfusion CPT Code: `36430`	$1,059	$1,059	$498	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$708	$708	$987	0.7×
Family therapy session CPT Code: `90847`	$592	$592	$173	3.4×
Group therapy session CPT Code: `90853`	$515	$515	$100	5.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$514	$514	$134	3.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$529	$529	$166	3.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$539	$539	$181	3.0×
Ultrasound, pelvis CPT Code: `76856`	$395	$395	$130	3.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$342	$342	$126	2.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$326	$326	$132	2.5×
X-ray, lower back CPT Code: `72110`	$291	$291	$112	2.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$249	$249	$93	2.7×
X-ray, hip CPT Code: `73502`	$169	$169	$93	1.8×
Orthotic fitting and training CPT Code: `97760`	$143	$143	$51	2.8×
X-ray, hand CPT Code: `73130`	$161	$161	$93	1.7×
X-ray, ankle CPT Code: `73610`	$161	$161	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$158	$158	$92	1.7×
X-ray, foot CPT Code: `73630`	$158	$158	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	$147	$147	$93	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$167	$167	$110	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$166	$166	$123	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$134	$134	$64	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$131	$131	$86	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$123	$123	$87	1.4×
X-ray, chest (single view) CPT Code: `71045`	$126	$126	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$134	$134	$110	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$100	$100	$86	1.2×
Drug screening test HCPCS Code: `G0480`	$268	$268	$116	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$196	$196	$11	17.8×
Blood test, basic metabolic panel CPT Code: `80048`	$98	$98	$9	10.9×
Blood test, lipase CPT Code: `83690`	$76	$76	$7	10.9×
Blood test, liver function panel CPT Code: `80076`	$86	$86	$9	9.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$95	$95	$10	9.5×
Culture, bacterial CPT Code: `87070`	$74	$74	$9	8.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$94	$94	$14	6.7×
Blood test, vitamin D CPT Code: `82306`	$90	$90	$31	2.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$46	$46	$3	15.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$48	$48	$6	8.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$60	$60	$8	7.5×
Culture, blood CPT Code: `87040`	$82	$82	$11	7.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$78	$78	$19	4.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$78	$78	$20	3.9×
Blood test, potassium CPT Code: `84132`	$52	$52	$5	10.4×
Physical therapy (manual therapy) CPT Code: `97140`	$62	$62	$34	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$61	$61	$38	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$60	$60	$38	1.6×
Blood test, hemoglobin CPT Code: `85018`	$25	$25	$3	8.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$30	$4	7.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$35	$35	$5	7.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, sodium CPT Code: `84295`	$31	$31	$5	6.2×
Blood test, magnesium CPT Code: `83735`	$40	$40	$7	5.7×
Blood test, amylase CPT Code: `82150`	$36	$36	$7	5.1×
Hepatitis C antibody test CPT Code: `86803`	$48	$48	$15	3.2×
Blood test, calcium CPT Code: `82310`	$19	$19	$5	3.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$42	$14	3.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$52	$52	$18	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$55	$55	$35	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$59	$59	$38	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$63	$63	$201	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$18	$4	4.5×
Blood test, vitamin B12 CPT Code: `82607`	$32	$32	$16	2.0×
Physical therapy (gait training) CPT Code: `97116`	$56	$56	$33	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$28	$28	$14	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$53	$40	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$29	$29	$25	1.2×
Blood antibody screen CPT Code: `86850`	$43	$43	$46	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$22	$22	$25	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$36	$36	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$36	$49	0.7×

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Clay County Memorial Hospital (Zero PHI Required)

CMS CCN: 451362

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $6,768

Insurer Median $6,768

1. Amount on Your Bill or Quote ($) Pre-filled with Clay County Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $2,900 Paying Cash

Self-Pay Cash Rate ($6,768) Beats Your Bill

Clay County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $6,768 (vs. $6,768 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,559 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($9,668) is $3,559 above the denoised Fair BaseRate ($6,109) and 1.6× the $6,176 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Clay County Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite65/100

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Clay County Memorial Hospital.

Price Index: 0.55× regional baseline

Quality: 54/100 CMS composite

Median Household Income$77,355U.S. Census ACS

Local Uninsured Share18.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 83/100 · Corroborated CMS CCN 451362

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 451362) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-06-30

Validated Rate Rows742 (CMS v3.0.0)

File Integrity DigestVerified · CCN 451362

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy