ST. LUKE’S IP DRG* 605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Insurance and Self Pay Discounts NA $41,746.07

Aurora ST. LUKE’S
IP DRG*
605
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
Rev NA
CPT NA
NDC NA

Fee $41,746.07

Self-Pay $19,091.89

Insurance

Minimum $20,873.04
Maximum $35,484.15
Aetna W $15,081.47
Aetna PPO $34,815.28
Anthem Blue Priority $17,243.30
Anthem Blue Preferred $17,243.30
Anthem PPO $35,484.15
Aurora Caregiver $18,331.99
Centivo $17,676.03
Cigna GPPO $22,934.26
Cigna PPO $35,313.83
Common Ground ETF Network $16,628.00
Common Ground Exchange Envision $16,628.00
Common Ground Group Envision $16,628.00
Everpointe Elite $16,518.71
Health EOS Plus $25,465.11
Health EOS PPO $33,396.85
HealthPartners ETF $15,969.80
HealthPartners Robin Focused $18,855.10
HealthPartners Broad $31,309.55
HPS $19,656.48
HST $20,755.34
Humana HPN $18,970.49
Humana HMO $18,970.49
Humana PPO $35,313.83
Molina Exchange $16,799.27
Quartz One $16,344.73
Quartz Group $17,809.43
Trilogy $19,827.54
UHC Individual Exchange $21,682.68
UHC Charter $21,934.93
UHC Nexus $21,934.93
UHC HMO $23,938.23
UHC PPO $35,317.17
WPS Aurora Featured Network $18,137.30
WPS Arise $19,091.89
WPS Statewide $19,091.89