go back

HIV with Major Related Condition with Major Complications

New Jersey 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?

$61,660

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $61,660 for this service. Most negotiated rates run $45,709 to $77,625.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $61,660 · 10th to 90th $30,200 to $93,325
$10K$20K$50K$100Kfacility $61,660

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
$40,738.03
Median
$69,183.10
Typical High
$93,325.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$70,794.58
Typical High
$91,201.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$51,286.14
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$20,892.96
Typical High
$79,432.82

Where New Jersey 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.

New Jersey· 10th of 51

$61,660

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.