ST. LUKE’S IP DRG* 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Insurance and Self Pay Discounts NA $119,673.83

Aurora ST. LUKE’S
IP DRG*
441
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
Rev NA
CPT NA
NDC NA

Fee $119,673.83

Self-Pay $62,422.81

Insurance

Minimum $59,836.92
Maximum $101,722.76
Aetna W $44,073.04
Aetna PPO $99,805.30
Anthem Blue Priority $45,289.98
Anthem Blue Preferred $45,289.98
Anthem PPO $101,722.76
Aurora Caregiver $48,460.14
Centivo $48,660.85
Cigna GPPO $54,872.29
Cigna PPO $101,234.49
Common Ground ETF Network $50,052.39
Common Ground Exchange Envision $50,052.39
Common Ground Group Envision $50,052.39
Everpointe Elite $44,080.85
Health EOS Plus $73,001.04
Health EOS PPO $95,739.06
HealthPartners ETF $44,812.71
HealthPartners Robin Focused $65,377.05
HealthPartners Broad $89,755.37
HPS $57,845.77
HST $57,854.00
Humana HPN $47,737.87
Humana HMO $47,737.87
Humana PPO $101,234.49
Molina Exchange $44,618.59
Quartz One $43,450.75
Quartz Group $48,349.73
Trilogy $55,615.23
UHC Individual Exchange $52,440.68
UHC Charter $53,050.76
UHC Nexus $53,050.76
UHC HMO $58,042.58
UHC PPO $101,244.06
WPS Aurora Featured Network $59,301.67
WPS Arise $62,422.81
WPS Statewide $62,422.81