ST. LUKE’S IP DRG* 846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Insurance and Self Pay Discounts NA $122,803.84

Aurora ST. LUKE’S
IP DRG*
846
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
Rev NA
CPT NA
NDC NA

Fee $122,803.84

Self-Pay $72,597.37

Insurance

Minimum $61,401.92
Maximum $104,383.26
Aetna W $54,997.99
Aetna PPO $102,415.65
Anthem Blue Priority $55,450.60
Anthem Blue Preferred $55,450.60
Anthem PPO $104,383.26
Aurora Caregiver $57,356.64
Centivo $58,213.83
Cigna GPPO $60,209.59
Cigna PPO $103,882.22
Common Ground ETF Network $61,922.44
Common Ground Exchange Envision $61,922.44
Common Ground Group Envision $61,922.44
Everpointe Elite $52,984.29
Health EOS Plus $74,910.34
Health EOS PPO $98,243.07
HealthPartners ETF $55,119.01
HealthPartners Robin Focused $75,874.25
HealthPartners Broad $92,102.88
HPS $68,612.68
HST $66,108.49
Humana HPN $55,776.69
Humana HMO $55,776.69
Humana PPO $103,882.22
Molina Exchange $53,423.54
Quartz One $53,115.44
Quartz Group $58,449.51
Trilogy $64,795.98
UHC Individual Exchange $75,073.43
UHC Charter $75,946.82
UHC Nexus $75,946.82
UHC HMO $80,645.68
UHC PPO $103,892.05
WPS Aurora Featured Network $68,967.50
WPS Arise $72,597.37
WPS Statewide $72,597.37