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HIV with Extensive Operating Room Procedure (with MCC)

California rates for MS-DRG 969

HIV with Extensive O.R. Procedures with MCC

Rates data updated July 2026.

How much does HIV with Extensive Operating Room Procedure (with MCC) cost?

$147,911

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $147,911 for this service. Most negotiated rates run $91,201 to $208,930.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $147,911 · 10th to 90th $10,715 to $257,040
$1K$10K$100Kfacility $147,911

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$141,253.75
Typical High
$263,026.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$151,356.12
Typical High
$257,039.58
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$95,499.26
Typical High
$213,796.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$125,892.54
Typical High
$218,776.16
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$218,776.16
Typical High
$218,776.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$85,113.80
Median
$134,896.29
Typical High
$245,470.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$107,151.93
Typical High
$239,883.29

Where California sits

The same service costs 7.4 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 51

$147,911

NY $158,489MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.