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HIV with Extensive Operating Room Procedure (without MCC)

California rates for MS-DRG 970

HIV with Extensive O.R. Procedures without MCC

Rates data updated July 2026.

How much does HIV with Extensive Operating Room Procedure (without MCC) cost?

$64,565

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $39,811 to $89,125.

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 $64,565 · 10th to 90th $10,715 to $112,202
$100.0$1.0K$10.0K$100.0Kfacility $64,565

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
$40,738.03
Median
$61,659.50
Typical High
$112,201.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$66,069.34
Typical High
$112,201.85
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$42,657.95
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$53,703.18
Typical High
$95,499.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$95,499.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$60,255.96
Typical High
$112,201.85
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$46,773.51
Typical High
$102,329.30

Where California sits

The same service costs 3.4 times more in Montana than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $64,565 · 4th of 51
MT $72,444MI $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.