ST. LUKE’S IP DRG* 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC Insurance and Self Pay Discounts NA $108,416.23

Aurora ST. LUKE’S
IP DRG*
542
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
Rev NA
CPT NA
NDC NA

Fee $108,416.23

Self-Pay $53,303.28

Insurance

Minimum $54,208.12
Maximum $92,153.79
Aetna W $35,352.62
Aetna PPO $90,416.70
Anthem Blue Priority $37,349.56
Anthem Blue Preferred $37,349.56
Anthem PPO $92,153.79
Aurora Caregiver $40,860.95
Centivo $40,402.67
Cigna GPPO $53,022.01
Cigna PPO $91,711.45
Common Ground ETF Network $39,739.52
Common Ground Exchange Envision $39,739.52
Common Ground Group Envision $39,739.52
Everpointe Elite $37,138.85
Health EOS Plus $66,133.89
Health EOS PPO $86,732.98
HealthPartners ETF $36,058.00
HealthPartners Robin Focused $55,347.31
HealthPartners Broad $81,312.17
HPS $48,145.77
HST $50,756.62
Humana HPN $41,761.12
Humana HMO $41,761.12
Humana PPO $91,711.45
Molina Exchange $37,786.09
Quartz One $35,499.01
Quartz Group $39,306.66
Trilogy $47,075.97
UHC Individual Exchange $64,971.22
UHC Charter $65,727.08
UHC Nexus $65,727.08
UHC HMO $71,133.26
UHC PPO $91,720.13
WPS Aurora Featured Network $50,638.12
WPS Arise $53,303.28
WPS Statewide $53,303.28