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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 July 2026.

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

$32,359

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $24,547 to $46,774.

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 $32,359 · 10th to 90th $17,378 to $54,954
$100.0$1.0K$10.0K$100.0Kfacility $32,359

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
$20,417.38
Median
$30,199.52
Typical High
$54,954.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$32,359.37
Typical High
$54,954.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$22,908.68
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$26,302.68
Typical High
$46,773.51
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$29,512.09
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$22,908.68
Typical High
$50,118.72

Where California sits

The same service costs 7.1 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $32,359 · 3rd of 51
MT $72,444NM $10,233

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.