Butler County Health
372 South 9Th Street, David City, NE 68632 · 92 Priced Procedures · 81% Patient Recommendation
Typical commercial prices here are +172% above the fair benchmark (2.72×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Butler County Health prices routine shoppable procedures at 3.7× Medicare (median 2.66× Fair BaseRate) while upper-quartile commercial rates jump +33% to 3.53× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.47× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 9% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 81% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
- Commercial insurance median sits at 2.66× Fair BaseRate (3.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.53×) jump +33% above the median procedure ratio (Q50 2.66×)
- Unnegotiated chargemaster list prices average 10.9× Medicare (27¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Butler County Health
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $53,437 | 2.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $19,213 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $15,038 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $14,437 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,498 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,841 | 13.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $5,538 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $5,088 | 16.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,510 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $4,324 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,734 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,759 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,995 | unverified |
| CT scan, pelvis CPT Code: 72192 | $2,940 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,902 | 17.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,908 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,873 | 11.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,360 | 7.0× |
| CT scan, sinuses CPT Code: 70486 | $2,374 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,060 | 3.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,867 | 7.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,822 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,777 | 4.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,449 | 9.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,059 | 7.9× |
Audit a Bill or Quote at Butler County Health (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Butler County Health's published 45 CFR § 180 self-pay cash rate is $53,437 (vs. $53,437 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($53,437) is $34,005 above the denoised Fair BaseRate ($19,432) and 3.8× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Butler County Health as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (75 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Butler County Health.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.