ST. LUKE’S IP DRG* 355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Insurance and Self Pay Discounts NA $80,988.71

Aurora ST. LUKE’S
IP DRG*
355
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
Rev NA
CPT NA
NDC NA

Fee $80,988.71

Self-Pay $32,289.60

Insurance

Minimum $40,494.36
Maximum $68,840.41
Aetna W $24,703.09
Aetna PPO $67,542.78
Anthem Blue Priority $28,940.18
Anthem Blue Preferred $28,940.18
Anthem PPO $68,840.41
Aurora Caregiver $31,201.27
Centivo $29,845.39
Cigna GPPO $41,944.61
Cigna PPO $68,509.97
Common Ground ETF Network $27,754.16
Common Ground Exchange Envision $27,754.16
Common Ground Group Envision $27,754.16
Everpointe Elite $27,466.53
Health EOS Plus $49,403.11
Health EOS PPO $64,790.97
HealthPartners ETF $26,328.81
HealthPartners Robin Focused $32,250.08
HealthPartners Broad $60,741.54
HPS $33,960.04
HST $36,738.88
Humana HPN $32,509.79
Humana HMO $32,509.79
Humana PPO $68,509.97
Molina Exchange $28,043.22
Quartz One $27,108.92
Quartz Group $30,119.61
Trilogy $34,346.80
UHC Individual Exchange $29,658.52
UHC Charter $30,003.56
UHC Nexus $30,003.56
UHC HMO $33,466.53
UHC PPO $68,516.45
WPS Aurora Featured Network $30,675.12
WPS Arise $32,289.60
WPS Statewide $32,289.60