Visits & medical services prices at Clay County Memorial Hospital
Henrietta, TX · every code in this section with a posted price and a Medicare benchmark.
78 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$63–$99 | $90–$141 | varies |
| Behavral qualit analys voice (92524) | $241 | $344 | 2.2× |
| Cardiopulmonary resuscitation (92950) | $587 | $838 | 2.7× |
| Cardioversion (92960) | $567 | $810 | 0.9× |
| Color/duplex Doppler, limited (93976) | $509 | $727 | 4.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $60 | $86 | 1.9× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$81–$136 | $116–$194 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $102 | $146 | 0.5× |
| Cpt initial (94667) range across 2 matching MRF lines |
$72–$90 | $103–$128 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,772–$4,688 | $2,532–$6,697 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $203 | $290 | 1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $870 | $1,243 | 3.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $482 | $689 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$468–$1,625 | $669–$2,321 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$468–$1,180 | $669–$1,685 | varies |
| Duplex up extrem art bilat (93930) | $870 | $1,243 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $482 | $689 | 4.6× |
| Echo Heart Xthoracic,Limited (93308) | $81 | $116 | 0.3× |
| Electrocardiogram Tracing (93005) | $138 | $197 | 2.3× |
| Emergency Dept Visit Level 2 (99282) | $305 | $435 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $511 | $730 | 1.9× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$788–$976 | $1,125–$1,395 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$95–$186 | $136–$266 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$897–$3,126 | $1,282–$4,465 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$55–$76 | $78–$108 | varies |
| Evaluate Speech Production (92522) | $250 | $357 | 2.2× |
| Evaluate Swallowing Function (92610) | $248 | $355 | 2.9× |
| External Ecg Scanning Analysis Report (93226) | $227 | $324 | 3.8× |
| Extracranial Bilat Study (93880) | $1,450 | $2,071 | 6.0× |
| Extracranial Uni/Ltd Study (93882) | $646 | $923 | 6.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$194–$302 | $277–$431 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$76–$92 | $108–$132 | varies |
| IV infusion hydration each additional hour (96361) | $65 | $93 | 1.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $202 | $288 | 0.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $119 | $170 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$90–$96 | $129–$137 | varies |
| IV push initial (96374) | $197 | $281 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$167–$1,145 | $238–$1,636 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $167 | $238 | 0.4× |
| Neuromuscular Reeducation (97112) | $60 | $86 | 1.8× |
| Oral Function Therapy (92526) | $143 | $204 | 1.7× |
| Oral Speech Device Eval (92597) | $93 | $133 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $143 | $204 | 3.1× |
| Ot eval high complexity (97167) | $153 | $218 | 1.5× |
| Ot Eval Low Complex (97165) | $153 | $218 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $153 | $218 | 1.5× |
| Ot manual therapy 15 min (97140) | $62 | $89 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $78 | $112 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $200 | $285 | 1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 5 matching MRF lines |
$110–$470 | $157–$671 | varies |
| Physical Performance Test (97750) | $59 | $85 | 1.7× |
| Pt Eval High Complex (97163) | $151 | $215 | 1.5× |
| Pt eval low complex 20 min (97161) | $151 | $215 | 1.5× |
| Pt Eval Mod Complex (97162) | $151 | $215 | 1.5× |
| Pt gait training 15 min (97116) | $56 | $80 | 1.9× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$75–$151 | $107–$215 | varies |
| Pulmonary service/procedure (94799) | $50 | $72 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $76 | $108 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $472 | $674 | 2.3× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $50 | $72 | 1.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $287 | $410 | 2.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $56 | $80 | 1.2× |
| Sensory Integration Ea 15 Min (97533) | $61 | $87 | 1.0× |
| Speech sound lang comprehen (92523) | $143 | $204 | 0.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$50–$90 | $71–$128 | varies |
| Temp transcutaneous pacing (92953) | $604 | $863 | 0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $56 | $80 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $61 | $87 | 2.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $63 | $90 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$159–$197 | $227–$281 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $474 | $677 | 2.2× |
| Therapeutic Activities (97530) | $53 | $76 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $64 | $92 | 1.7× |
| Tte W/O Doppler Complete (93307) | $1,484 | $2,120 | 6.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $131 | $187 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $73 | $104 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $267 | $382 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) | $479 | $684 | 0.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.