ST. LUKE’S IP DRG* 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Insurance and Self Pay Discounts NA $74,859.60

Aurora ST. LUKE’S
IP DRG*
065
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
Rev NA
CPT NA
NDC NA

Fee $74,859.60

Self-Pay $25,439.23

Insurance

Minimum $37,429.80
Maximum $63,630.66
Aetna W $18,939.84
Aetna PPO $62,431.23
Anthem Blue Priority $21,628.44
Anthem Blue Preferred $21,628.44
Anthem PPO $63,630.66
Aurora Caregiver $23,233.28
Centivo $22,466.65
Cigna GPPO $30,723.60
Cigna PPO $63,325.23
Common Ground ETF Network $21,357.04
Common Ground Exchange Envision $21,357.04
Common Ground Group Envision $21,357.04
Everpointe Elite $20,659.24
Health EOS Plus $45,664.35
Health EOS PPO $59,887.68
HealthPartners ETF $19,924.17
HealthPartners Robin Focused $25,655.16
HealthPartners Broad $56,144.69
HPS $25,991.53
HST $27,664.83
Humana HPN $24,075.01
Humana HMO $24,075.01
Humana PPO $63,325.23
Molina Exchange $21,037.77
Quartz One $20,298.83
Quartz Group $22,531.48
Trilogy $25,893.77
UHC Individual Exchange $29,387.09
UHC Charter $29,728.97
UHC Nexus $29,728.97
UHC HMO $32,545.77
UHC PPO $63,331.22
WPS Aurora Featured Network $24,167.27
WPS Arise $25,439.23
WPS Statewide $25,439.23