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HIV with Major Related Condition with Major Complications

Oregon 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?

$63,096

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $50,119 to $83,176.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $38,019 to $91,201
$200$1K$5K$20K$100Kfacility $63,096

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
$51,286.14
Median
$79,432.82
Typical High
$158,489.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$69,183.10
Typical High
$109,647.82
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$58,884.37
Typical High
$91,201.08
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$46,773.51
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$64,565.42
Typical High
$104,712.85
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$56,234.13
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$64,565.42
Typical High
$77,624.71

Where Oregon 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.

Oregon· 9th of 51

$63,096

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.