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HIV with Extensive Operating Room Procedure (with MCC)

Washington, DC 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 Washington, DC, July 2026.

Insurers have agreed to pay about $147,911 for this service. Most negotiated rates run $120,226 to $204,174.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $147,911 · 10th to 90th $107,152 to $204,174
$50K$100K$200Kfacility $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
$120,226.44
Median
$147,910.84
Typical High
$204,173.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102,329.30
Median
$131,825.67
Typical High
$251,188.64
United
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$123,026.88
Typical High
$234,422.88

Where Washington, DC 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.

Washington, DC· 6th 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.