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HIV with Major Related Condition without Complications

Pennsylvania 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?

$13,804

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $13,804 for this service. Most negotiated rates run $9,120 to $17,783.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,804 · 10th to 90th $7,413 to $21,380
$5K$10K$20Kfacility $13,804

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
$8,511.38
Median
$14,791.08
Typical High
$21,379.62
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$17,782.79
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$14,791.08
Typical High
$22,908.68
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$19,498.45
Geisinger
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$13,489.63
Typical High
$20,417.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$15,488.17
Typical High
$21,877.62
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$8,511.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$12,882.50
Typical High
$19,952.62

Where Pennsylvania sits

The same service costs 295.1 times more in Montana 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.

Pennsylvania· 27th of 51

$13,804

MT $81,283HI $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.