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HIV with Extensive Operating Room Procedure (with MCC)

Texas 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?

$79,433

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $54,954 to $104,713.

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 $79,433 · 10th to 90th $37,154 to $144,544
$20K$50K$100K$200Kfacility $79,433

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
$58,884.37
Median
$89,125.09
Typical High
$144,543.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$64,565.42
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$95,499.26
Typical High
$169,824.37
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$218,776.16
Typical High
$218,776.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$77,624.71
Typical High
$181,970.09
United
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$58,884.37
Typical High
$141,253.75

Where Texas 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.

Texas· 33rd of 51

$79,433

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.