facebook tracking Howard County Medical Center, St Paul, NE: ER Visit 1h 32m

Howard County Medical Center, St Paul, NE

1113 Sherman St, St Paul, NE 68873Howard County

Critical access hospital 10 beds (Medicare cost report FY2025) Emergency room

Independent directory · data from CMS, not from this hospital

Howard County Medical Center is a non-profit critical access hospital in St Paul, Nebraska, with an emergency department. According to HospitalsInEachState.com's analysis of the October 2026 CMS release, patients treated and sent home spend a median of 1 hr 32 min in its emergency department, 28 min shorter than the average across Nebraska hospitals (2 hr). Howard County Medical Center is in network for at least one 2027 Marketplace plan from 5 insurers in Nebraska, according to the insurers' network files loaded November 4, 2026.

Median ER visit 1 hr 32 min treated & sent home −28 min vs NE hospitals' avg
Medicare star ratingNot ratedReason below
Beds10Medicare cost report FY2025

CMS did not publish an overall star rating for this hospital; hospitals that report too few quality measures are not rated.

Source: CMS Care Compare, October 2026 releaseER figures are medians, not live waitsAbout the data

Visiting Howard County Medical Center

Address 1113 Sherman St
St Paul, NE 68873
County: Howard
Directions Apple Maps Call (308) 754-4421
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 1 hr 32 min (average across NE hospitals: 2 hr). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across NE
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Official links: Website for Howard County Medical Center (opens the hospital's site)

Quick answers about Howard County Medical Center

How long is the ER wait at Howard County Medical Center?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 1 hr 32 min in the Howard County Medical Center emergency room (the average across Nebraska hospitals is 2 hr). 0% of ER patients left before being seen. For tonight's wait, check the hospital's website (opens the hospital's own site) or call (308) 754-4421. In an emergency, call 911.

What is the phone number for Howard County Medical Center?

The main phone number for Howard County Medical Center is (308) 754-4421, from Medicare's hospital records.

Call (308) 754-4421
What is the address of Howard County Medical Center?

Howard County Medical Center is at 1113 Sherman St, St Paul, NE 68873.

Directions (opens Google Maps)
Does Howard County Medical Center have an emergency room?

Yes. Howard County Medical Center has an emergency department, according to Medicare data.

Quality and performance

Centers for Medicare & Medicaid Services · data as of October 2026

Patients treated and sent home from the emergency department at Howard County Medical Center spend a median of 1 hour 32 minutes there. That is 28 minutes shorter than the average across Nebraska hospitals (2 hours).

Left before seen 0%
ER volume low
Type Critical access
Ownership Non-profit

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Howard County Medical Center. For a medical emergency, call 911.

Compare ER waits across Nebraska · Other Critical Access hospitals in Nebraska · How we source this data · Something wrong on this page? Tell us

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Infections, complications and deaths

Centers for Medicare & Medicaid Services · compared with hospitals nationwide

Death rates within 30 days

Patients treated forThis hospitalU.S.
Hospital-wide, all conditions 4.2% 3.9%

Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.

"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted). Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.

What insurance does Howard County Medical Center accept?

Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 281338). Medicare Advantage plans have their own networks, which this section does not cover.

2027 Marketplace plans in Nebraska that list this hospital

Marketplace insurers whose 2027 plan networks in Nebraska list Howard County Medical Center, most plans in network first
InsurerPlans in networkNetwork tier
Blue Cross and Blue Shield of Nebraska 72 of 72 plans Preferred
Ambetter 17 of 17 plans Preferred
UnitedHealthcare 15 of 15 plans Non-Preferred
Oscar 12 of 22 plans Preferred
Medica 2 of 10 plans –

2027 plan year, individual Marketplace (ACA) plans only.Health insurance in Nebraska

Plans that include this hospital: HeartlandBlue Bronze Digital First HSA NEtwork Blue, HeartlandBlue Bronze HSA 0% Coinsurance after Deductible NEtwork Blue, HeartlandBlue Bronze HSA Standard NEtwork Blue, HeartlandBlue Gold, HeartlandBlue Gold NEtwork Blue w/ Adult Vision, HeartlandBlue Gold Standard NEtwork Blue Compare plans

Adults in Nebraska qualify for Medicaid up to 133% of the poverty line. Ask the hospital which Nebraska Medicaid plans it takes.

Is Howard County Medical Center in your plan?

For HealthCare.gov Marketplace plans (2027). Enter your ZIP code, then pick your insurer and plan. We only use your ZIP code to find plans; we don't save it.

Live from HealthCare.gov's Marketplace provider data, as reported by insurers. Networks change: confirm with your insurer before you get care. Not affiliated with HealthCare.gov or CMS.

What insurance does Howard County Medical Center accept?

In the 2027 HealthCare.gov Marketplace plan data (insurer network files loaded November 4, 2026), Howard County Medical Center is in network for 5 Marketplace insurers in Nebraska: Blue Cross and Blue Shield of Nebraska (72 of 72 plans), Ambetter (17 of 17 plans), UnitedHealthcare (15 of 15 plans) and 2 other insurers. This covers Marketplace (ACA) plans only, not Medicare Advantage, Medicaid or employer plans. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Howard County Medical Center take Medicare?

Howard County Medical Center is a Medicare-certified hospital (CMS Certification Number 281338), according to CMS hospital data. Medicare Advantage plans have their own networks, which this page does not cover; check with your plan before you get care.

Does Howard County Medical Center accept Blue Cross and Blue Shield of Nebraska?

Howard County Medical Center is in network for 72 of 72 plans that Blue Cross and Blue Shield of Nebraska sells on the Nebraska Marketplace in 2027, according to Blue Cross and Blue Shield of Nebraska's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Howard County Medical Center accept Ambetter?

Howard County Medical Center is in network for 17 of 17 plans that Ambetter sells on the Nebraska Marketplace in 2027, according to Ambetter's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Howard County Medical Center accept UnitedHealthcare?

Howard County Medical Center is in network for 15 of 15 plans that UnitedHealthcare sells on the Nebraska Marketplace in 2027, according to UnitedHealthcare's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.

Readmissions and return visits

Centers for Medicare & Medicaid Services · Medicare patients · Jul 2024 – Jun 2025

On the 1 readmission and return-visit measures CMS could compare, Howard County Medical Center was no different from the national rate or its expected level.

Back in the hospital within 30 days

After a stay forThis hospitalU.S.CMS comparison
All conditions (hospital-wide)Medicare patients back in any hospital within 30 days of leaving. 16% 16.2% Not compared

Return trips after a stay or procedure

Hospital visits within 7 days of an outpatient colonoscopyUnplanned hospital visits per 1,000 colonoscopies.
Same as national 12.8 per 1,000 procedures · U.S. 13

Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Jan 2025 – Dec 2025

Howard County Medical Center's emergency department is classed by CMS as low volume.

MeasureThis hospitalU.S.*
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 296 patients. 92 min 162 min
Patients who left the ER before being seenLower is better. 1,693 patients. 0% 2%
Health care workers vaccinated against fluHigher is better. 188 patients. 94% 77%
Discharged on two opioids, or an opioid and a benzodiazepinePatients sent home with prescriptions that raise the risk of overdose when combined. Lower is better. 28 patients. 18% 16%
Blood clot prevention givenHigher is better. 81 patients. 96% 91%*

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. *Median of all hospitals CMS reports, where CMS publishes no national figure. About the data.

Care after a stay at Howard County Medical Center

Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.

Skilled nursing facilities nearby

Skilled nursing ratings and inspections at Nursing Homes In Each State

Dialysis centers nearby See more

Home health agencies nearby See more

Source: CMS Care Compare. Distances are approximate.

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Doctors at Howard County Medical Center

44 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 14 specialties.

See all 44 clinicians
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Prices at Howard County Medical Center

Federal rules require hospitals to publish their prices, including the rates they've negotiated with each insurer and their cash prices. Howard County Medical Center lists them here:

From the hospital's price transparency file (hcmc.us.com/cms-hpt.txt), checked Nov 7, 2026. For an estimate of what you'll pay, ask the hospital or your insurer; Medicare's averages are on our procedure cost pages.

Size and finances

Medicare cost report · fiscal year ending Jun 2025

Beds
10
Reported to Medicare, FY2025
Employees
114
Full-time equivalent
Discharges
123
Inpatient stays a year
Patient revenue
$26.4 million
Net of discounts
Operating margin
-8.4%
On patient care
Charity care
$184,000
0.6% of expenses
Bad debt
$473,000
Unpaid patient bills

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Nebraska hospital finances.

Who owns Howard County Medical Center

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Howard County Medical Center, a non-profit organization.

68 doctors and other clinicians list Howard County Medical Center as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

The area around Howard County Medical Center

HRSA shortage designations and BLS pay data

Mental health: Howard is a federally designated health professional shortage area. Highest shortage score 12.

Nurse pay: registered nurses in Nebraska earn a median $84,730 a year. Healthcare salaries in Nebraska.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Nebraska shortage areas

Healthcare pay in Nebraska

Registered nurses across Nebraska (all employers) earned a median of $84,730 a year (BLS, May 2025).Registered Nurse (RN) salary in NebraskaNurse Practitioner salary in NebraskaRespiratory Therapist salary in NebraskaHealthcare salaries in Nebraska

Cite this data

Writing about Howard County Medical Center? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the October 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospitals/nebraska/st-paul/howard-county-medical-center/1113-sherman-st/

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