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Hospital

Avera Holy Family Hospital

Avera Holy Family Hospital in Estherville, IA publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

826 N 8th St, Estherville, IA, 51334 Collected Sep 21, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 $4,788.89 $4,937.00 3%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 $4,788.89 $4,937.00 3%
CT scan of the head or brain, no contrast dye CPT 70450 $2,554.98 $2,634.00 3%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 $2,554.98 $2,634.00 3%
Diagnostic mammogram, both breasts CPT 77066 $479.18 $494.00 3%
Diagnostic mammogram, both breasts inpatient CPT 77066 $479.18 $494.00 3%
MRI of the brain, no contrast dye CPT 70551 $3,161.23 $3,259.00 3%
MRI of the brain, no contrast dye inpatient CPT 70551 $3,161.23 $3,259.00 3%
MRI of the brain, with and without contrast dye CPT 70553 $4,629.81 $4,773.00 3%
MRI of the brain, with and without contrast dye inpatient CPT 70553 $4,629.81 $4,773.00 3%
MRI of the lower back, no contrast dye CPT 72148 $3,824.71 $3,943.00 3%
MRI of the lower back, no contrast dye inpatient CPT 72148 $3,824.71 $3,943.00 3%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 $904.04 $932.00 3%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 $904.04 $932.00 3%
Screening mammogram, both breasts CPT 77067 $456.87 $471.00 3%
Screening mammogram, both breasts inpatient CPT 77067 $456.87 $471.00 3%
Sleep study in a lab (polysomnography) CPT 95810 $4,716.14 $4,862.00 3%
Sleep study in a lab (polysomnography) inpatient CPT 95810 $4,716.14 $4,862.00 3%
Transvaginal pelvic ultrasound CPT 76830 $482.09 $497.00 3%
Transvaginal pelvic ultrasound inpatient CPT 76830 $482.09 $497.00 3%
Ultrasound of the abdomen, complete CPT 76700 $867.18 $894.00 3%
Ultrasound of the abdomen, complete inpatient CPT 76700 $867.18 $894.00 3%
X-ray of the lower back, 4 or more views CPT 72110 $672.21 $693.00 3%
X-ray of the lower back, 4 or more views inpatient CPT 72110 $672.21 $693.00 3%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 $131.92 $136.00 3%
Basic metabolic panel (blood test) inpatient CPT 80048 $131.92 $136.00 3%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 $103.79 $107.00 3%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 $103.79 $107.00 3%
Complete blood count (CBC) with differential CPT 85025 $121.25 $125.00 3%
Complete blood count (CBC) with differential inpatient CPT 85025 $121.25 $125.00 3%
Complete blood count (CBC), no differential CPT 85027 $103.79 $107.00 3%
Complete blood count (CBC), no differential inpatient CPT 85027 $103.79 $107.00 3%
Comprehensive metabolic panel (blood test) CPT 80053 $157.14 $162.00 3%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 $157.14 $162.00 3%
Kidney function blood test panel CPT 80069 $189.15 $195.00 3%
Kidney function blood test panel inpatient CPT 80069 $189.15 $195.00 3%
Liver function blood test panel CPT 80076 $132.89 $137.00 3%
Liver function blood test panel inpatient CPT 80076 $132.89 $137.00 3%
PSA (prostate-specific antigen) blood test, free CPT 84154 $212.43 $219.00 3%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 $212.43 $219.00 3%
PSA (prostate-specific antigen) blood test, total CPT 84153 $177.51 $183.00 3%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 $177.51 $183.00 3%
Partial thromboplastin time (PTT) clotting test CPT 85730 $115.43 $119.00 3%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 $115.43 $119.00 3%
Prothrombin time (PT/INR) clotting test CPT 85610 $64.02 $66.00 3%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 $64.02 $66.00 3%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 $132.89 $137.00 3%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 $132.89 $137.00 3%
Urinalysis with microscope exam, automated CPT 81001 $61.11 $63.00 3%
Urinalysis with microscope exam, automated inpatient CPT 81001 $61.11 $63.00 3%
Urinalysis without microscope exam, automated CPT 81003 $29.10 $30.00 3%
Urinalysis without microscope exam, automated inpatient CPT 81003 $29.10 $30.00 3%

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back epidural injection, with imaging guidance CPT 62323 $1,396.80 $1,440.00 3%
Lower-back epidural injection, with imaging guidance CPT 62323 $1,762.49 $1,817.00 3%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 $1,396.80 $1,440.00 3%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 $1,762.49 $1,817.00 3%

Doctor visits and therapy

ProcedureCash price List priceOff list
Group psychotherapy session CPT 90853 $434.56 $448.00 3%
Group psychotherapy session inpatient CPT 90853 $434.56 $448.00 3%
New patient office visit, about 30 minutes CPT 99203 $132.89 $137.00 3%
New patient office visit, about 30 minutes CPT 99203 $209.52 $216.00 3%
New patient office visit, about 30 minutes inpatient CPT 99203 $132.89 $137.00 3%
New patient office visit, about 30 minutes inpatient CPT 99203 $209.52 $216.00 3%
New patient office visit, about 45 minutes CPT 99204 $202.73 $209.00 3%
New patient office visit, about 45 minutes inpatient CPT 99204 $202.73 $209.00 3%
New patient office visit, about 60 minutes CPT 99205 $315.25 $325.00 3%
New patient office visit, about 60 minutes inpatient CPT 99205 $315.25 $325.00 3%
Preventive checkup, new patient aged 18–39 CPT 99385 $126.10 $130.00 3%
Preventive checkup, new patient aged 18–39 CPT 99385 $187.21 $193.00 3%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 $126.10 $130.00 3%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 $187.21 $193.00 3%
Psychotherapy session, 30 minutes CPT 90832 $424.86 $438.00 3%
Psychotherapy session, 30 minutes inpatient CPT 90832 $424.86 $438.00 3%
Psychotherapy session, 45 minutes CPT 90834 $458.81 $473.00 3%
Psychotherapy session, 45 minutes inpatient CPT 90834 $458.81 $473.00 3%
Psychotherapy session, 60 minutes CPT 90837 $488.88 $504.00 3%
Psychotherapy session, 60 minutes inpatient CPT 90837 $488.88 $504.00 3%

Source file: https://www.avera.org/app/files/public/613f57be-d5e6-4ac9-84b7-e886a47e46a2/420680370_avera-holy-family-hospital_standardcharges.csv