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HIV with Major Related Condition with Complications

New York 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?

$30,903

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $19,498 to $40,738.

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 $30,903 · 10th to 90th $12,589 to $50,119
$10K$20K$50Kfacility $30,903

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
$10,964.78
Median
$25,118.86
Typical High
$42,657.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$42,657.95
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$30,902.95
Typical High
$44,668.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$31,622.78
Typical High
$66,069.34
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$21,877.62
Typical High
$42,657.95

Where New York 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.

New York· 7th of 51

$30,903

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.