Procedures & surgery prices at Avera Holy Family Hospital

Estherville, IA · every code in this section with a posted price and a Medicare benchmark.

130 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,267.86 $2,338 2.6×
Acne surgery (10040) $198.85 $205 1.0×
Application finger splint static (29130) $241.53 $249 1.9×
Application long arm splint shoulder hand (29105) $241.53 $249 1.5×
Application Long Leg Splint (29505) $241.53 $249 1.5×
Application of rigid total contact leg cast (29445) $808.01 $833 3.0×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$131.92–$241.53 $136–$249 varies
Application short leg splint calf foot (29515) $229.89 $237 1.5×
Apply Multlay Comprs Lwr Leg (29581) $287.12 $296 1.8×
Arterial puncture (36600) $131.92 $136 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $637.29 $657 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$314.28–$669.30 $324–$690 varies
Aspirate pleura w/ imaging (32555) $2,495.81 $2,573 4.1×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$315.25–$443.29 $325–$457 varies
Bladder Scan (51798)
range across 3 matching MRF lines
$59.17–$204.67 $61–$211 varies
Blood Transfusion Service (36430) $437.47 $451 1.0×
Bx breast 1st lesion us imag (19083) $3,262.11 $3,363 2.1×
Change Cystostomy Tube Simple (51705) $410.31 $423 1.7×
Chemical Cautery Tissue (17250) $219.22 $226 1.1×
Chemodenerv Musc Migraine (64615) $792.49 $817 2.7×
Chest tube placement (32551) $1,560.73 $1,609 1.0×
Clear outer ear canal (69200)
range across 3 matching MRF lines
$223.10–$334.65 $230–$345 varies
Closed Treatment Ulnar Styloid Fracture (25650) $506.34 $522 2.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $532.53 $549 2.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $506.34 $522 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $609.16 $628 2.6×
Closed tx patellar dislocation w/o anesthesia (27560) $537.38 $554 2.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $506.34 $522 2.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,593.71 $1,643 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $482.09 $497 2.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $564.54 $582 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $599.46 $618 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $506.34 $522 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $532.53 $549 2.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $532.53 $549 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,753.76 $1,808 1.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $532.53 $549 2.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $609.16 $628 2.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $506.34 $522 2.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $506.34 $522 2.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $506.34 $522 2.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $506.34 $522 2.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $506.34 $522 2.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $537.38 $554 2.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $532.53 $549 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $532.53 $549 2.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $532.53 $549 2.2×
Collect Blood From Catheter Venous Nos (36592) $131.92 $136 1.0×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$36.86–$150.35 $38–$155 varies
Complex drainage wound (10180) $10,580.76 $10,908 3.8×
Control Nasal Hemorrhage Anterior Complex (30903) $337.56 $348 2.6×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines
$337.56–$506.34 $348–$522 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $431.65 $445 3.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,335.76 $2,408 3.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,988.64 $4,112 2.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,490.89 $1,537 3.8×
Declot vascular device (36593) $533.50 $550 1.7×
Destroy cerv/thor facet jnt (64633) $3,927.53 $4,049 2.1×
Destroy lumb/sac facet jnt (64635) $3,927.53 $4,049 2.1×
Destruct B9 Lesion 1-14 (17110) $198.85 $205 1.0×
Destruction by neurolytic agent; plantar common digital nerve (64632) $861.36 $888 2.9×
Destruction neurolytic agt genicular nerve w/img (64624) $3,927.53 $4,049 2.1×
Destruction premalignant lesion 1st (17000) $198.85 $205 1.0×
Draw Blood Off Venous Device (36591) $246.38 $254 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $288.09 $297 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $772.12 $796 4.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $794.43 $819 0.9×
Epidural Blood Patch (62273) $703.25 $725 1.0×
Evacuation of subungual hematoma (11740) $239.59 $247 1.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $702.28 $724 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $403.52 $416 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines
$198.85–$229.89 $205–$237 varies
I&d perianal abscess superficial (46050) $1,014.62 $1,046 1.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$409.34–$922.47 $422–$951 varies
Incision & removal foreign body subq tiss simple (10120) $443.29 $457 1.1×
Initial Tx 1st Degree Burn Local Tx (16000) $302.64 $312 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,301.74 $1,342 1.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $853.60 $880 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $304.58 $314 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $532.53 $549 1.8×
Injection, anesthetic agent; brachial plexus, single (64415) $1,178.55 $1,215 1.4×
Injection, anesthetic agent; femoral nerve, single (64447) $853.60 $880 1.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,115.50 $1,150 1.6×
Injection, intralesional; up to and including 7 lesions (11900) $198.85 $205 1.0×
Insert Bladder Cath Complex (51703) $297.79 $307 2.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$131.92–$220.19 $136–$227 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$131.92–$194.97 $136–$201 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,310.54 $2,382 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,608.26 $1,658 1.1×
Intubation endotracheal emergency procedure (31500) $777.94 $802 3.4×
Nasal/Orogastric W/Tube Plmt (43752) $443.29 $457 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $39.77 $41 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $39.77 $41 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $886.58 $914 2.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,062.15 $1,095 3.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $709.07 $731 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,329.87 $1,371 2.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,396.80 $1,440 2.1×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$403.52–$560.66 $416–$578 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $583.94 $602 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $772.12 $796 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 6 matching MRF lines
$90.21–$140.65 $93–$145 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $189.15 $195 3.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $198.85 $205 1.0×
Remove Nasal Foreign Body (30300) $434.56 $448 3.4×
Remove/Insert Drug Implant (11983) $97.97 $101 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $769.21 $793 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $808.01 $833 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $769.21 $793 2.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $769.21 $793 2.0×
Repair of nail bed (11760) $806.07 $831 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $443.29 $457 1.0×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines
$403.52–$418.07 $416–$431 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $231.83 $239 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $254.14 $262 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $209.52 $216 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $362.78 $374 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $381.21 $393 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $381.21 $393 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$264.81–$381.21 $273–$393 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $381.21 $393 2.0×
Skin sub graft face/nk/hf/g (15275) $10,195.67 $10,511 14.3×
Skin sub graft trnk/arm/leg (15271) $10,195.67 $10,511 14.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$318.16–$381.21 $328–$393 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $381.21 $393 1.0×
Strapping Unna Boot (29580) $323.98 $334 2.1×
Tangential biopsy skin single lesion (11102) $403.52 $416 1.0×
Treat humerus fracture (23600) $506.34 $522 2.1×
Trimming Nondystrophic Nails Any Number (11719) $257.05 $265 4.5×
Vaginal delivery only (59409) $3,208.76 $3,308 1.0×

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.