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HIV with Major Related Condition with Major Complications

Utah 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?

$47,863

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $41,687 to $57,544.

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 $47,863 · 10th to 90th $33,113 to $72,444
$50Kfacility $47,863

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
$38,018.94
Median
$50,118.72
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$60,255.96
Typical High
$85,113.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$46,773.51
Typical High
$61,659.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$25,703.96
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$37,153.52
Typical High
$47,863.01

Where Utah 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.

Utah· 21st of 51

$47,863

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.