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HIV with Major Related Condition with Major Complications

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $27,542 to $40,738.

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 $20,417 to $53,703
$10K$20K$50Kfacility $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
$28,183.83
Median
$33,884.42
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$32,359.37
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$38,018.94
Typical High
$53,703.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$36,307.81
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$30,902.95
Typical High
$46,773.51

Where Missouri 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.

Missouri· 38th 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.