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HIV with Extensive Operating Room Procedure (without MCC)

Pennsylvania 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?

$39,811

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $26,915 to $48,978.

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 $39,811 · 10th to 90th $22,387 to $54,954
$10K$20K$50Kfacility $39,811

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
$23,988.33
Median
$43,651.58
Typical High
$54,954.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$52,480.75
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$40,738.03
Typical High
$56,234.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$56,234.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$43,651.58
Typical High
$53,703.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$57,543.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$25,703.96
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$34,673.69
Typical High
$61,659.50

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$39,811

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.