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HIV with Major Related Condition without Complications

New Jersey rates for MS-DRG 976

HIV with Major Related Condition without CC/MCC

Rates data updated October 2026.

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

$19,498

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,791 to $23,442.

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 $19,498 · 10th to 90th $11,220 to $28,184
$5K$10K$20K$50Kfacility $19,498

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$19,054.61
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$21,877.62
Typical High
$31,622.78
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$19,054.61
Typical High
$28,840.32
United
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$16,982.44
Typical High
$22,908.68

Where New Jersey sits

The same service costs 89.1 times more in Alaska than in Hawaii. 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 Jersey· 12th of 51

$19,498

AK $24,547HI $275

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.