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HIV with Major Related Condition with Major Complications

Wisconsin 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?

$52,481

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $40,738 to $64,565.

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 $52,481 · 10th to 90th $28,840 to $77,625
$500$2K$10K$50Kfacility $52,481

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
$43,651.58
Median
$51,286.14
Typical High
$53,703.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$54,954.09
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$45,708.82
Typical High
$81,283.05
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$43,651.58
Typical High
$54,954.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$51,286.14
Typical High
$83,176.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$33,113.11
Typical High
$42,657.95
Security Health
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$58,884.37
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$53,703.18
Typical High
$67,608.30

Where Wisconsin 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.

Wisconsin· 14th of 51

$52,481

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.