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HIV with Major Related Condition with Major Complications

Washington 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?

$64,565

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $51,286 to $77,625.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $64,565 · 10th to 90th $39,811 to $95,499
$20K$50K$100Kfacility $64,565

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
$47,863.01
Median
$74,131.02
Typical High
$120,226.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$60,255.96
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$61,659.50
Typical High
$95,499.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$45,708.82
Typical High
$60,255.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$56,234.13
Typical High
$85,113.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$60,255.96
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$57,543.99
Typical High
$83,176.38

Where Washington 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.

Washington· 8th of 51

$64,565

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.