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HIV with Extensive Operating Room Procedure (without MCC)

Maine 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?

$50,119

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $40,738 to $52,481.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $33,884 to $61,660
$20K$50Kfacility $50,119

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$52,480.75
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$40,738.03
Typical High
$79,432.82
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$33,884.42

Where Maine sits

The same service costs 3.4 times more in Montana 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.

Maine· 15th of 51

$50,119

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.