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HIV with Major Related Condition with Major Complications

California rates for MS-DRG 974

HIV with Major Related Condition with MCC

Rates data updated July 2026.

How much does HIV with Major Related Condition with Major Complications cost?

$72,444

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $72,444 for this service. Most negotiated rates run $54,954 to $104,713.

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 $72,444 · 10th to 90th $38,905 to $120,226
$200$1K$5K$20K$100Kfacility $72,444

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
$44,668.36
Median
$67,608.30
Typical High
$123,026.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$72,443.60
Typical High
$120,226.44
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$46,773.51
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$57,543.99
Typical High
$102,329.30
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
$104,712.85
Median
$104,712.85
Typical High
$104,712.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$61,659.50
Typical High
$114,815.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$51,286.14
Typical High
$112,201.85

Where California sits

The same service costs 3.4 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.

California· 4th of 51

$72,444

NY $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.