ST. LUKE’S OP PROC* 27447 TOTAL KNEE ARTHROPLASTY Insurance and Self Pay Discounts NA $67,874.67

Aurora ST. LUKE’S
OP PROC*
27447
TOTAL KNEE ARTHROPLASTY
Rev NA
CPT NA
NDC NA

Fee $67,874.67

Self-Pay $37,112.17

Insurance

Minimum $33,937.34
Maximum $57,693.47
Aetna W $20,896.95
Aetna PPO $56,605.95
Anthem Blue Priority $30,136.28
Anthem Blue Preferred $30,136.28
Anthem PPO $57,693.47
Aurora Caregiver $31,194.86
Centivo $32,051.78
Cigna GPPO $10,526.89
Cigna PPO $57,416.54
Common Ground ETF Network $25,836.32
Common Ground Exchange Envision $25,836.32
Common Ground Group Envision $25,836.32
Everpointe Elite $26,877.18
Health EOS Plus $40,724.80
Health EOS PPO $54,299.73
HealthPartners ETF $25,004.54
HealthPartners Robin Focused $33,387.87
HealthPartners Broad $50,906.00
HPS $30,460.61
HST $34,578.10
Humana HPN $33,153.95
Humana HMO $33,153.95
Humana PPO $57,416.54
Molina Exchange $27,028.30
Quartz One $28,726.46
Quartz Group $31,918.25
Trilogy $39,826.82
UHC Individual Exchange $28,056.46
UHC Charter $28,382.86
UHC Nexus $28,382.86
UHC HMO $30,494.72
UHC PPO $57,421.97
WPS Aurora Featured Network $35,256.56
WPS Arise $37,112.17
WPS Statewide $37,112.17