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HIV with Major Related Condition with Major Complications

Ohio 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?

$39,811

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $30,200 to $50,119.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39,811 · 10th to 90th $24,547 to $56,234
$10K$20K$50Kfacility $39,811

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
$33,884.42
Median
$45,708.82
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$35,481.34
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$36,307.81
Typical High
$61,659.50
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$34,673.69
Typical High
$60,255.96
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$22,908.68
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$39,810.72
Typical High
$63,095.73

Where Ohio 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.

Ohio· 31st of 51

$39,811

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.