go back

HIV with Major Related Condition with Major Complications

Texas 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?

$35,481

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $25,119 to $47,863.

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 $35,481 · 10th to 90th $17,378 to $67,608
$10K$20K$50K$100Kfacility $35,481

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
$27,542.29
Median
$41,686.94
Typical High
$67,608.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$29,512.09
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$42,657.95
Typical High
$77,624.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$104,712.85
Median
$104,712.85
Typical High
$104,712.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$36,307.81
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$28,840.32
Typical High
$66,069.34

Where Texas 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.

Texas· 35th of 51

$35,481

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.