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Washington rates for MS-DRG 969

HIV w extensive O.R. procedure w MCC

Facilitymedian $147,911 · 10th–90th $97,724–$251,1890%10%20%10th90th$147,911$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$102,329.30 / $154,881.66 / $331,131.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $120,226.44 / $165,958.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $131,825.67 / $199,526.23
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $97,723.72 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $120,226.44 / $181,970.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $125,892.54 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $120,226.44 / $177,827.94