ST. LUKE’S IP DRG* 026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Insurance and Self Pay Discounts NA $195,484.71

Aurora ST. LUKE’S
IP DRG*
026
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
Rev NA
CPT NA
NDC NA

Fee $195,484.71

Self-Pay $92,058.25

Insurance

Minimum $97,742.36
Maximum $166,162.01
Aetna W $68,494.30
Aetna PPO $163,029.88
Anthem Blue Priority $62,721.32
Anthem Blue Preferred $62,721.32
Anthem PPO $166,162.01
Aurora Caregiver $76,586.62
Centivo $76,400.70
Cigna GPPO $94,391.07
Cigna PPO $165,364.43
Common Ground ETF Network $78,145.71
Common Ground Exchange Envision $78,145.71
Common Ground Group Envision $78,145.71
Everpointe Elite $69,032.97
Health EOS Plus $119,245.68
Health EOS PPO $156,387.77
HealthPartners ETF $69,013.64
HealthPartners Robin Focused $98,859.09
HealthPartners Broad $146,613.54
HPS $93,392.31
HST $95,396.46
Humana HPN $75,865.60
Humana HMO $75,865.60
Humana PPO $165,364.43
Molina Exchange $70,084.03
Quartz One $67,046.36
Quartz Group $75,164.54
Trilogy $89,252.70
UHC Individual Exchange $65,035.93
UHC Charter $65,792.54
UHC Nexus $65,792.54
UHC HMO $73,214.26
UHC PPO $165,380.06
WPS Aurora Featured Network $87,455.34
WPS Arise $92,058.25
WPS Statewide $92,058.25