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HIV with Extensive Operating Room Procedure (with MCC)

New York 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?

$158,489

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $158,489 for this service. Most negotiated rates run $104,713 to $199,526.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158,489 · 10th to 90th $67,608 to $239,883
$50K$100K$200Kfacility $158,489

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
$50,118.72
Median
$125,892.54
Typical High
$239,883.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125,892.54
Median
$199,526.23
Typical High
$251,188.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109,647.82
Median
$169,824.37
Typical High
$218,776.16
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$151,356.12
Typical High
$316,227.77
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$120,226.44
Typical High
$204,173.79

Where New York 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.

New York· 1st of 51

$158,489

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.