Howard County Medical Center

St. Paul, NE · Critical Access Hospital

Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedurePosted cashPosted gross× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $808 $808 0.9×
Transforaminal epidural injection, lumbar/sacral (64483) $1,609 $1,609 1.8×
After-cataract laser surgery (YAG capsulotomy) (66821) $501 $501 0.9×
CT head/brain without contrast (70450) $2,385 $2,385 22.0×
MRI brain without contrast (70551) $4,070 $4,070 16.4×
MRI brain without and with contrast (70553) $4,627 $4,627 12.8×
X-ray lower spine, 4+ views (72110) $607 $607 5.6×
MRI lumbar spine without contrast (72148) $3,924 $3,924 15.8×
CT pelvis with contrast (72193) $2,926 $2,926 16.1×
MRI lower-extremity joint without contrast (73721) $2,965 $2,965 12.0×
CT abdomen and pelvis with contrast (74177) $3,999 $3,999 11.0×
Ultrasound, abdomen complete (76700) $977 $977 9.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $812 $812 7.5×
Ultrasound, transvaginal (76830) $650 $650 6.0×
Mammography, one breast (diagnostic) (77065)
range across 6 matching MRF lines
$375–$400 $375–$400 varies
Mammography, both breasts (diagnostic) (77066) $431 $431 3.9×
Mammography, screening (bilateral) (77067) $401 $401 4.4×
Basic metabolic panel (80048) $167 $167 19.7×
Comprehensive metabolic panel (80053) $191 $191 18.1×
Lipid panel (80061) $150 $150 11.2×
Renal function panel (80069) $165 $165 19.0×
Hepatic function panel (80076) $152 $152 18.6×
PSA, total (84153) $159 $159 8.6×
Thyroid stimulating hormone (TSH) (84443) $145 $145 8.6×
CBC with automated differential (85025) $119 $119 15.3×
CBC, automated (85027) $94 $94 14.5×
Prothrombin time (PT) (85610) $75 $75 17.5×
Partial thromboplastin time (PTT) (85730) $107 $107 17.8×
Psychotherapy, 30 minutes (90832) $205 $205 1.1×
Psychotherapy, 45 minutes (90834)
range across 6 matching MRF lines
$185–$234 $185–$234 varies
Psychotherapy, 60 minutes (90837) $267 $267 1.4×
Family psychotherapy, without patient (50 min) (90846)
range across 7 matching MRF lines
$206–$220 $206–$220 varies
Family psychotherapy, with patient (50 min) (90847)
range across 6 matching MRF lines
$217–$289 $217–$289 varies
Group psychotherapy (90853) $205 $205 1.9×
Sleep study (attended polysomnography) (95810) $3,873 $3,873 4.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 14 matching MRF lines
$41–$428 $41–$428 varies
Office consultation (low complexity, ~30 min) (99243) $242 $242 1.8×
Office consultation (moderate complexity, ~40 min) (99244) $363 $363 2.6×

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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 89.8 MB) ↓ — captured 2026-07-20

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