Avera Holy Family Hospital
Estherville, Iowa 51334-1528
Billing Grade
F
Relative fairness percentile: P83
Avg Markup
33.2x
CMS Stars
N/A
Patient Experience
Not Reported
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Last updated: 2026-02-18
Average markup vs Medicare: 33.2x
Cash/self-pay discount avg: 0.0%
Charity care (% revenue): N/A
State rank by markup: 1
Billing Grade Position
This hospital marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| CPT | Description | Hospital | Medicare | Markup |
|---|---|---|---|---|
| 49650 | Lap ing hernia repair init | $21017.34 | $424.19 | 49.5x |
| 43239 | Egd biopsy single/multiple | $5881.43 | $123.58 | 47.6x |
| 44970 | Laparoscopy appendectomy | $26990.98 | $578.17 | 46.7x |
| 20610 | Joint Injection (drainage) | $1809.07 | $39.75 | 45.5x |
| 45378 | Diagnostic colonoscopy | $4716.61 | $164.67 | 28.6x |
| 29881 | Knee Arthroscopy | $14728.27 | $515.71 | 28.6x |
| 49505 | Prp i/hern init reduc >5 yr | $14151.50 | $508.03 | 27.9x |
| 45385 | Colonoscopy w/lesion removal | $4863.84 | $223.45 | 21.8x |
| 10060 | Abscess Drainage | $291.32 | $100.54 | 2.9x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Avera Holy Family Hospital
Last updated: 2026-02-18
Avera Holy Family Hospital currently shows a billing grade of F with an average markup around 33.2x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, still request the cash/self-pay schedule in writing. If no discount is offered, ask for a supervisor review, payment-plan options, and item-level justification.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
Nearby Hospitals
Nearby hospitals with comparable billing data are unavailable.
Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.