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HIV with Extensive Operating Room Procedure (with MCC)

Wisconsin 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?

$112,202

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $112,202 for this service. Most negotiated rates run $85,114 to $134,896.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $112,202 · 10th to 90th $61,660 to $165,959
$1K$5K$20K$100Kfacility $112,202

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
$91,201.08
Median
$109,647.82
Typical High
$112,201.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$117,489.76
Typical High
$169,824.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$95,499.26
Typical High
$173,780.08
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$91,201.08
Typical High
$117,489.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$107,151.93
Typical High
$177,827.94
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$69,183.10
Typical High
$91,201.08
Security Health
Setting
Facility
Modifier
Global
Typical Low
$100,000.00
Median
$125,892.54
Typical High
$131,825.67
United
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$114,815.36
Typical High
$144,543.98

Where Wisconsin 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.

Wisconsin· 14th of 51

$112,202

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.