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HIV with Major Related Condition with Major Complications

Idaho 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?

$45,709

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $32,359 to $60,256.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45,709 · 10th to 90th $27,542 to $69,183
$20K$50K$100Kfacility $45,709

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
$25,118.86
Median
$25,118.86
Typical High
$45,708.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$45,708.82
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$75,857.76
Typical High
$95,499.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$48,977.88
Typical High
$56,234.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$41,686.94
Typical High
$63,095.73
Select Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$39,810.72
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$37,153.52
Typical High
$53,703.18

Where Idaho 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.

Idaho· 24th of 51

$45,709

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.