ST. LUKE’S IP DRG* 219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC Insurance and Self Pay Discounts NA $282,136.74

Aurora ST. LUKE’S
IP DRG*
219
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
Rev NA
CPT NA
NDC NA

Fee $282,136.74

Self-Pay $186,669.38

Insurance

Minimum $141,068.37
Maximum $247,005.93
Aetna W $192,484.92
Aetna PPO $235,295.72
Anthem Blue Priority $186,517.30
Anthem Blue Preferred $186,517.30
Anthem PPO $239,816.23
Aurora Caregiver $212,478.74
Centivo $212,341.70
Cigna GPPO $235,891.77
Cigna PPO $238,665.11
Common Ground ETF Network $217,830.54
Common Ground Exchange Envision $217,830.54
Common Ground Group Envision $217,830.54
Everpointe Elite $193,345.09
Health EOS Plus $172,103.41
Health EOS PPO $225,709.39
HealthPartners ETF $196,436.56
HealthPartners Robin Focused $192,004.89
HealthPartners Broad $211,602.56
HPS $247,005.93
HST $243,226.07
Humana HPN $210,740.74
Humana HMO $210,740.74
Humana PPO $238,665.11
Molina Exchange $195,739.53
Quartz One $192,612.72
Quartz Group $213,241.42
Trilogy $238,914.87
UHC Individual Exchange $190,880.92
UHC Charter $193,101.59
UHC Nexus $193,101.59
UHC HMO $208,574.21
UHC PPO $238,687.68
WPS Aurora Featured Network $177,335.91
WPS Arise $186,669.38
WPS Statewide $186,669.38