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HIV with Major Related Condition without Complications

California rates for MS-DRG 976

HIV with Major Related Condition without CC/MCC

Rates data updated July 2026.

How much does HIV with Major Related Condition without Complications cost?

$22,387

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $17,378 to $32,359.

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 $22,387 · 10th to 90th $12,303 to $38,019
$200$1K$5K$20Kfacility $22,387

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
$14,125.38
Median
$20,892.96
Typical High
$38,018.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$38,018.94
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$16,218.10
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$18,620.87
Typical High
$32,359.37
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$20,417.38
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,848.93
Typical High
$35,481.34

Where California sits

The same service costs 10.0 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.

California· 4th of 51

$22,387

MT $72,444NM $7,244

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.