ST. LUKE’S IP DRG* 657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Insurance and Self Pay Discounts NA $99,584.28

Aurora ST. LUKE’S
IP DRG*
657
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
Rev NA
CPT NA
NDC NA

Fee $99,584.28

Self-Pay $50,292.19

Insurance

Minimum $49,792.14
Maximum $84,646.63
Aetna W $35,929.64
Aetna PPO $83,051.06
Anthem Blue Priority $39,734.21
Anthem Blue Preferred $39,734.21
Anthem PPO $84,646.63
Aurora Caregiver $43,542.42
Centivo $42,350.13
Cigna GPPO $57,402.45
Cigna PPO $84,240.33
Common Ground ETF Network $40,518.87
Common Ground Exchange Envision $40,518.87
Common Ground Group Envision $40,518.87
Everpointe Elite $38,824.70
Health EOS Plus $60,746.41
Health EOS PPO $79,667.42
HealthPartners ETF $37,539.85
HealthPartners Robin Focused $51,359.43
HealthPartners Broad $74,688.21
HPS $49,357.52
HST $52,656.78
Humana HPN $44,759.21
Humana HMO $44,759.21
Humana PPO $84,240.33
Molina Exchange $39,582.54
Quartz One $37,727.53
Quartz Group $41,973.44
Trilogy $49,092.78
UHC Individual Exchange $44,999.02
UHC Charter $45,522.53
UHC Nexus $45,522.53
UHC HMO $50,660.54
UHC PPO $84,248.29
WPS Aurora Featured Network $47,777.58
WPS Arise $50,292.19
WPS Statewide $50,292.19