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HIV with Major Related Condition with Complications

Maine rates for MS-DRG 975

HIV with Major Related Condition with CC

Rates data updated July 2026.

How much does HIV with Major Related Condition with Complications cost?

$24,547

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $19,953 to $25,704.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $16,596 to $30,200
$10K$20Kfacility $24,547

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$25,703.96
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$19,952.62
Typical High
$38,904.51
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87

Where Maine sits

The same service costs 6.9 times more in Montana than in New Mexico. 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.

Maine· 14th of 51

$24,547

MT $72,444NM $10,471

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.