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HIV with Extensive Operating Room Procedure (with MCC)

Ohio 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?

$85,114

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $85,114 for this service. Most negotiated rates run $67,608 to $107,152.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85,114 · 10th to 90th $53,703 to $120,226
$50K$100Kfacility $85,114

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
$70,794.58
Median
$95,499.26
Typical High
$120,226.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$75,857.76
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$95,499.26
Typical High
$138,038.43
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$79,432.82
Typical High
$141,253.75
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$47,863.01
Typical High
$120,226.44
United
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$87,096.36
Typical High
$131,825.67

Where Ohio 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.

Ohio· 30th of 51

$85,114

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.