Supplies, drugs & other prices at Avera Holy Family Hospital
Estherville, IA · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $63.05 | $65 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $71.78 | $74 | 1.6× |
| Behavior counsel obesity 15m (G0447) | $109.61 | $113 | 1.1× |
| Ca screen;pelvic/breast exam (G0101) | $100.88 | $104 | 1.0× |
| Catheterize for urine spec (P9612) | $116.40 | $120 | 12.5× |
| Diab manage trn per indiv (G0108) | $103.79 | $107 | 1.9× |
| Diab manage trn ind/group (G0109) | $64.99 | $67 | 4.1× |
| Drug test def 1-7 classes (G0480) range across 7 matching MRF lines |
$99.91–$757.57 | $103–$781 | varies |
| Hep c screen high risk/other (G0472) | $133.86 | $138 | 2.9× |
| Hiv combination assay (G0475) | $101.85 | $105 | 4.2× |
| Home sleep test/type 3 porta (G0399) | $532.53 | $549 | 2.6× |
| Hopd mntl hlt, 15-29 min (C7900) | $276.45 | $285 | 7.7× |
| Hopd mntl hlt, 30-60 min (C7901) | $298.76 | $308 | 3.1× |
| Hopd mntl hlt, grp (C7903) | $282.27 | $291 | 7.8× |
| Initial preventive exam (G0402) | $132.89 | $137 | 1.0× |
| Ppps, initial visit (G0438) | $212.43 | $219 | 1.2× |
| Ppps, subseq visit (G0439) | $146.47 | $151 | 1.1× |
| Psa screening (G0103) | $177.51 | $183 | 9.2× |
| Tomosynthesis, mammo (G0279) | $76.63 | $79 | 6.0× |
| Trauma respons w/hosp criti (G0390) | $1,350.24 | $1,392 | 1.1× |
| Trim nail(s) (G0127) | $66.93 | $69 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $3,333.89 | $3,437 | 4.4× |
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.