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HIV with Major Related Condition with Major Complications

New York 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 New York, July 2026.

Insurers have agreed to pay about $72,444 for this service. Most negotiated rates run $39,811 to $93,325.

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 $72,444 · 10th to 90th $19,498 to $112,202
$10K$20K$50K$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
$19,498.45
Median
$58,884.37
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$95,499.26
Typical High
$117,489.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$69,183.10
Typical High
$100,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$70,794.58
Typical High
$147,910.84
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$47,863.01
Typical High
$93,325.43

Where New York 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 York· 1st 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.