CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$638 - $3,919
from 4 insurers · median $3,287
Typical for a hospital with this service line
Saint Paul, NE
35
In-network payers
194
Disclosed rate categories
10
Beds
Howard County Medical Center is a 10-bed voluntary non-profit - other hospital in Saint Paul, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 194 disclosed rate categories.
CCN (Medicare provider number)
281338
NPI
1922106152
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Other
Beds
10
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.





The 24 services Howard County Medical Center 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
CPT 74177
$638 - $3,919
from 4 insurers · median $3,287
Typical for a hospital with this service line
CT imaging
CPT 74176
$413 - $2,785
from 4 insurers · median $2,471
Typical for a hospital with this service line
MRI imaging
CPT 70553
$774 - $4,534
from 4 insurers · median $4,397
Typical for a hospital with this service line
CT imaging
CPT 70450
$237 - $1,368
from 2 insurers · median $803
Typical for a hospital with this service line
CT imaging
CPT 71260
$402 - $2,940
from 4 insurers · median $2,177
Typical for a hospital with this service line
MRI imaging
CPT 70551
$651 - $3,989
from 4 insurers · median $3,868
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$386 - $2,292
from 4 insurers · median $1,339
Typical for a hospital with this service line
Mammography
CPT 77067
$236 - $393
from 4 insurers · median $333
Typical for a hospital with this service line
MRI imaging
CPT 72148
$461 - $3,846
from 4 insurers · median $2,859
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$998 - $4,713
from 4 insurers · median $3,486
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 74183
$1,691 - $4,319
from 4 insurers · median $4,188
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$62 - $383
from 4 insurers · median $254
Typical for a hospital with this service line
Ultrasound
CPT 76705
$400 - $720
from 4 insurers · median $698
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$28 - $187
from 4 insurers · median $157
Typical for a hospital with this service line
Ultrasound
CPT 76856
$227 - $891
from 4 insurers · median $864
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$152 - $1,170
from 4 insurers · median $696
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$402 - $1,468
from 4 insurers · median $1,423
Typical for a hospital with this service line
Ultrasound
CPT 76770
$234 - $918
from 4 insurers · median $890
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$374 - $1,643
from 4 insurers · median $1,594
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,185 - $3,796
from 4 insurers · median $3,680
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$4,953 - $24,753
from 2 insurers · median $14,853
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,747
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$101 - $637
from 4 insurers · median $506
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$60 - $371
from 4 insurers · median $360
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 834% | 0 | 0 |
| Insurer B* | 21 | 817% | 0 | 0 |
| Insurer C* | 23 | 647% | 5 | 4 |
| Insurer D* | 24 | 218% | 1 | 17 |
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 Howard County Medical Center.
1113 Sherman Street, Saint Paul, NE 68873
(308) 754-4421
About Howard County Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Howard County Medical Center range from $774 to $4,534 across 4 insurers. Aetna's rate is $774. The median at nearby comparable hospitals is $2,452. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Howard County Medical Center range from $638 to $3,919 across 4 insurers. Aetna's rate is $638. The median at nearby comparable hospitals is $3,398. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Howard County Medical Center range from $236 to $393 across 4 insurers. Blue Cross Blue Shield's rate is $236. The median at nearby comparable hospitals is $295. What a patient pays depends on their plan's deductible, coinsurance and network status.
Howard County Medical Center has 10 beds. Facility type: Critical Access Hospital.
Howard County Medical Center is located at 1113 Sherman Street, Saint Paul, NE 68873. Its main phone number is (308) 754-4421.
Howard County Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 281338.
The National Provider Identifier (NPI) on file for Howard County Medical Center is 1922106152.
Howard County Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
194 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.
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.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
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{
"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
}
]
}]
}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