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HIV with Major Related Condition without Complications

Virginia 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?

$15,488

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $12,023 to $18,197.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $9,550 to $21,380
$5K$10K$20Kfacility $15,488

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
$10,000.00
Median
$16,982.44
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$21,877.62
CareFirst
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$12,302.69
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$14,125.38
Typical High
$21,379.62
Medcost
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Sentara
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$15,135.61
Typical High
$21,379.62
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$16,218.10
Typical High
$25,118.86

Where Virginia 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.

Virginia· 19th of 51

$15,488

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.