ST. LUKE’S IP DRG* 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Insurance and Self Pay Discounts NA $71,168.24

Aurora ST. LUKE’S
IP DRG*
391
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
Rev NA
CPT NA
NDC NA

Fee $71,168.24

Self-Pay $32,539.74

Insurance

Minimum $35,584.12
Maximum $60,493.01
Aetna W $23,973.31
Aetna PPO $59,352.72
Anthem Blue Priority $26,801.78
Anthem Blue Preferred $26,801.78
Anthem PPO $60,493.01
Aurora Caregiver $29,031.97
Centivo $28,148.68
Cigna GPPO $36,923.78
Cigna PPO $60,202.64
Common Ground ETF Network $26,846.23
Common Ground Exchange Envision $26,846.23
Common Ground Group Envision $26,846.23
Everpointe Elite $25,945.28
Health EOS Plus $43,412.63
Health EOS PPO $56,934.59
HealthPartners ETF $25,121.67
HealthPartners Robin Focused $32,823.52
HealthPartners Broad $53,376.18
HPS $32,338.42
HST $34,250.83
Humana HPN $29,773.72
Humana HMO $29,773.72
Humana PPO $60,202.64
Molina Exchange $26,430.09
Quartz One $25,407.85
Quartz Group $28,091.42
Trilogy $32,159.89
UHC Individual Exchange $36,353.78
UHC Charter $36,776.71
UHC Nexus $36,776.71
UHC HMO $40,028.52
UHC PPO $60,208.33
WPS Aurora Featured Network $30,912.75
WPS Arise $32,539.74
WPS Statewide $32,539.74