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HIV with Extensive Operating Room Procedure (with MCC)

Pennsylvania 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?

$93,325

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $93,325 for this service. Most negotiated rates run $63,096 to $114,815.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $93,325 · 10th to 90th $50,119 to $134,896
$10K$20K$50K$100Kfacility $93,325

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
$56,234.13
Median
$95,499.26
Typical High
$138,038.43
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$107,151.93
Typical High
$173,780.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$93,325.43
Typical High
$131,825.67
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$131,825.67
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$100,000.00
Typical High
$123,026.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$181,970.09
Median
$181,970.09
Typical High
$213,796.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$93,325.43
Typical High
$134,896.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$58,884.37
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$79,432.82
Typical High
$144,543.98

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$93,325

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.