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HIV with Extensive Operating Room Procedure (with MCC)

Washington 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?

$138,038

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $138,038 for this service. Most negotiated rates run $109,648 to $165,959.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138,038 · 10th to 90th $87,096 to $204,174
$50K$100K$200Kfacility $138,038

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
$102,329.30
Median
$154,881.66
Typical High
$251,188.64
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$134,896.29
Typical High
$190,546.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$131,825.67
Typical High
$199,526.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$97,723.72
Typical High
$100,000.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$120,226.44
Typical High
$181,970.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$100,000.00
Median
$134,896.29
Typical High
$186,208.71
United
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$120,226.44
Typical High
$177,827.94

Where Washington 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.

Washington· 7th of 51

$138,038

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.