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Ohio rates for MS-DRG 969

HIV w extensive O.R. procedure w MCC

Facilitymedian $85,114 · 10th–90th $53,703–$120,2260%10%10th90th$85,114$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $87,096.36 / $138,038.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $75,857.76 / $114,815.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $95,499.26 / $138,038.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $79,432.82 / $141,253.75
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $63,095.73 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $87,096.36 / $134,896.29