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HIV with Major Related Condition without Complications

Texas 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?

$11,482

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $11,482 for this service. Most negotiated rates run $8,511 to $16,218.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,482 · 10th to 90th $5,888 to $21,878
$5K$10K$20K$50Kfacility $11,482

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
$15,848.93
Typical High
$20,892.96
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$10,471.29
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$14,125.38
Typical High
$28,183.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$20,892.96
Typical High
$20,892.96
Providence
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$15,488.17
Typical High
$38,904.51
United
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$24,547.09

Where Texas 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.

Texas· 36th of 51

$11,482

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.