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HIV with Extensive Operating Room Procedure (without MCC)

New York rates for MS-DRG 970

HIV with Extensive O.R. Procedures without MCC

Rates data updated October 2026.

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

$69,183

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $50,119 to $87,096.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69,183 · 10th to 90th $34,674 to $102,329
$5K$10K$20K$50K$100Kfacility $69,183

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$53,703.18
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$77,624.71
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$67,608.30
Typical High
$95,499.26
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$70,794.58
Typical High
$131,825.67
United
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$53,703.18
Typical High
$97,723.72

Where New York sits

The same service costs 263.0 times more in Alaska than in Hawaii. 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.

New York· 2nd of 51

$69,183

AK $72,444HI $275

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.