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HIV with Major Related Condition without Complications

New York 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?

$20,417

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $14,791 to $28,184.

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 $20,417 · 10th to 90th $9,772 to $35,481
$5K$10K$20K$50Kfacility $20,417

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
$8,317.64
Median
$16,982.44
Typical High
$29,512.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$21,877.62
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$16,595.87
Typical High
$29,512.09

Where New York 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.

New York· 12th of 51

$20,417

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.