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HIV with Extensive Operating Room Procedure (with MCC)

Vermont 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?

$87,096

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $87,096 for this service. Most negotiated rates run $79,433 to $169,824.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $87,096 · 10th to 90th $70,795 to $173,780
$100K$200Kfacility $87,096

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$158,489.32
Typical High
$173,780.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$87,096.36
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$218,776.16

Where Vermont 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.

Vermont· 29th of 51

$87,096

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.