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HIV with or without Other Related Condition

California rates for MS-DRG 977

HIV with or without Other Related Condition

Rates data updated October 2026.

How much does HIV with or without Other Related Condition cost?

$23,988

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $18,621 to $34,674.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $8,318 to $46,774
$200$1K$5K$20Kfacility $23,988

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
$19,054.61
Median
$28,183.83
Typical High
$60,255.96
Ambetter
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$21,877.62
Typical High
$46,773.51
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$46,773.51
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$30,199.52
Typical High
$54,954.09
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$23,442.29
Typical High
$50,118.72

Where California sits

The same service costs 128.8 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.

California· 13th of 51

$23,988

AK $35,481HI $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.