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HIV with Major Related Condition with Major Complications

Illinois 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?

$33,113

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $26,915 to $39,811.

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 $33,113 · 10th to 90th $661 to $48,978
$200$1K$5K$20Kfacility $33,113

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
$28,840.32
Median
$37,153.52
Typical High
$48,977.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$32,359.37
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$32,359.37
Typical High
$57,543.99
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$363.08
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$35,481.34
Typical High
$51,286.14

Where Illinois 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.

Illinois· 39th of 51

$33,113

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.