Avera Holy Family Hospital billing
826 North 8th Street, Estherville, Iowa 51334
1. Call billing
Have your account number ready. Ask for an itemized bill and ask whether you can apply for financial assistance.
2. See if you qualify for free or discounted care
As a nonprofit hospital, Avera Holy Family Hospital must have a written financial assistance policy under IRS rule 501(r). You can usually apply up to 240 days after your first bill, even if it went to collections.
3. Send it in writing
A written request creates a record. Fill in your details, then print, email or mail it to Avera Holy Family Hospital billing.
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Get letterRequest an itemized billEvery charge, with its billing code. Start here.
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Create letterApply for financial assistanceCover letter for the hospital's application, with a request to pause collections.
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Start disputeDispute a chargeFor duplicate lines, services you didn't get, or prices you want explained.
Have your itemized bill?
Upload a photo or PDF. We'll compare each line to what Medicare pays and flag anything worth questioning.
Avera Holy Family Hospital in Estherville, Iowa receives a BillKarma billing grade of F based on an average markup of 29.4x Medicare rates across 11 procedures in their published price transparency file. This places it among the 10 most expensive hospitals in Iowa by markup ratio. The highest individual markups are for Lap ing hernia repair init (49.5x Medicare) and Egd biopsy single/multiple (47.6x Medicare). Patients with scheduled procedures at this hospital should review costs and compare nearby alternatives before confirming — charges at D and F grade hospitals are significantly above the national average.
Common procedure prices
Last updated: 2026-10-21
Estimates assume 20% coinsurance after deductible. Actual costs depend on your plan's negotiated rates, coinsurance, and out-of-pocket maximum. .
Your Insurance Plan
| Code | Description | Hospital charge | Medicare pays | Markup |
|---|---|---|---|---|
| 49650 | Lap ing hernia repair init | $21017.34 | $424.19 | 49.5× |
| 43239 | Egd biopsy single/multiple | $5881.43 | $123.58 | 47.6× |
| 44970 | Laparoscopy appendectomy | $26990.98 | $578.17 | 46.7× |
| 20610 | Joint Injection (drainage) | $1809.07 | $39.75 | 45.5× |
| 45378 | Diagnostic colonoscopy | $4716.61 | $164.67 | 28.6× |
| 29881 | Knee Arthroscopy | $14728.27 | $515.71 | 28.6× |
| 49505 | Prp i/hern init reduc >5 yr | $14151.50 | $508.03 | 27.9× |
| 45385 | Colonoscopy w/lesion removal | $4863.84 | $223.45 | 21.8× |
| 70551 | Mri brain stem w/o dye | $2552.00 | $195.40 | 13.1× |
| 70553 | Mri brain stem w/o & w/dye | $3508.85 | $316.97 | 11.1× |
| 10060 | Abscess Drainage | $291.32 | $100.54 | 2.9× |
Highlighted: charged at 5× or more what Medicare pays for the same code.
How to dispute a bill from Avera Holy Family Hospital
Last updated: 2026-10-21
Location
Location map unavailable for this hospital.
Map shows Avera Holy Family Hospital at 826 NORTH 8TH STREET, Estherville, Iowa, 51334. Nearby hospitals within 50 miles include Avera Merrill Pioneer Hospital.
Nearby hospitals
- Avera Merrill Pioneer Hospital Rock Rapids · Grade F