Avera Holy Family Hospital
Estherville, IA · Critical Access Hospital
Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$1,893.44–$2,840.16 | $1,952–$2,928 | varies |
| CT head/brain without contrast (70450) | $2,554.98 | $2,634 | 25.4× |
| MRI brain without contrast (70551) | $3,161.23 | $3,259 | 13.8× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$4,629.81–$4,861.64 | $4,773–$5,012 | varies |
| X-ray lower spine, 4+ views (72110) | $672.21 | $693 | 6.7× |
| MRI lumbar spine without contrast (72148) | $3,824.71 | $3,943 | 16.7× |
| MRI lower-extremity joint without contrast (73721) | $3,611.31 | $3,723 | 15.7× |
| CT abdomen and pelvis with contrast (74177) | $4,788.89 | $4,937 | 14.3× |
| Ultrasound, abdomen complete (76700) | $867.18 | $894 | 8.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $904.04 | $932 | 9.0× |
| Ultrasound, transvaginal (76830) | $482.09 | $497 | 4.8× |
| Mammography, one breast (diagnostic) (77065) | $445.23 | $459 | 5.2× |
| Mammography, both breasts (diagnostic) (77066) | $479.18 | $494 | 4.3× |
| Mammography, screening (bilateral) (77067) | $456.87 | $471 | 5.0× |
| Basic metabolic panel (80048) | $131.92 | $136 | 15.6× |
| Comprehensive metabolic panel (80053) | $157.14 | $162 | 14.9× |
| Lipid panel (80061) | $103.79 | $107 | 7.8× |
| Renal function panel (80069) | $189.15 | $195 | 21.8× |
| Hepatic function panel (80076) | $132.89 | $137 | 16.3× |
| PSA, total (84153) | $177.51 | $183 | 9.7× |
| Thyroid stimulating hormone (TSH) (84443) | $132.89 | $137 | 7.9× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$43.65–$121.25 | $45–$125 | varies |
| CBC, automated (85027) | $103.79 | $107 | 16.0× |
| Prothrombin time (PT) (85610) | $64.02 | $66 | 14.9× |
| Partial thromboplastin time (PTT) (85730) | $115.43 | $119 | 19.2× |
| Psychotherapy, 30 minutes (90832) | $424.86 | $438 | 2.5× |
| Psychotherapy, 45 minutes (90834) | $458.81 | $473 | 2.7× |
| Psychotherapy, 60 minutes (90837) | $488.88 | $504 | 2.9× |
| Group psychotherapy (90853) | $434.56 | $448 | 4.4× |
| Sleep study (attended polysomnography) (95810) | $4,716.14 | $4,862 | 5.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $126.10 | $130 | 4.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $132.89 | $137 | 1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$202.73–$233.77 | $209–$241 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) | $315.25 | $325 | 2.5× |
| Preventive visit, new patient (age 18–39) (99385) | $187.21 | $193 | — |
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.
More prices at this hospital
- Imaging: 126 codes with posted prices and Medicare benchmarks
- Lab & pathology: 373 codes with posted prices and Medicare benchmarks
- Visits & medical services: 93 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 130 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 22 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 5.2 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.