Howard County Medical Center prices. From its own published file.

Howard County Medical Center in St. Paul, NE publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

17,001prices published

Feb 2026file last updated

$359cash price for emergency visit, highest (level 5) (list $875)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$146	$367	$54.15–$564
Emergency visit, high (level 4) `99284`	$248	$577	$92.13–$870
Emergency visit, highest (level 5) `99285`	$359	$875	$133–$1,335
Comprehensive metabolic panel `80053`	$191	$191	$3.80–$183
Basic metabolic panel `80048`	$167	$167	$3.05–$160
Complete blood count (CBC) `85025`	$119	$119	$2.80–$114
Blood draw (venipuncture) `36415`	$19.00	$19.00	$1.80–$30.51
Urinalysis `81001`	$72.00	$72.00	$2.09–$69.12
Troponin (heart test) `84484`	$300	$300	$4.49–$288
EKG tracing `93005`	$314	$314	$4.62–$301
Chest X-ray, 2 views `71046`	$391	$391	$9.71–$375
CT head without contrast `70450`	$2,385	$2,385	$37.24–$2,290
CT abdomen and pelvis with contrast `74177`	$3,999	$3,999	$79.71–$3,839
MRI lower back without contrast `72148`	$3,924	$3,924	$65.17–$3,767
Ultrasound, abdomen `76700`	$977	$977	$35.33–$938
IV push, single drug `96374`	$278	$278	$26.55–$267
IV fluids, first hour `96360`	$422	$422	$23.66–$405
Ketorolac injection, 15 mg `J1885`	$6.75	$20.95	$0.30–$25.30
Ondansetron injection `J2405`	$18.40	$18.40	$0.09–$17.66
Colonoscopy, diagnostic `45378`	$696	$696	$84.07–$1,459
Upper GI endoscopy with biopsy `43239`	$775	$775	$32.51–$1,615
Knee arthroscopy `29881`	—	—	$412–$2,317
Vaginal delivery, routine care `59400`	$4,669	$4,669	$1,751–$9,944
Cesarean delivery, routine care `59510`	$5,112	$5,112	$1,926–$10,946

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Howard County Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.