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HIV with or without Other Related Condition

Pennsylvania 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?

$19,498

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $12,882 to $23,988.

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 $19,498 · 10th to 90th $10,715 to $27,542
$5K$10K$20Kfacility $19,498

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
$11,748.98
Median
$19,498.45
Typical High
$26,915.35
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$23,442.29
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$20,892.96
Typical High
$31,622.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$21,877.62
Typical High
$27,542.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$21,379.62
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,498.45
Typical High
$27,542.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$12,022.64
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$16,595.87
Typical High
$30,199.52

Where Pennsylvania sits

The same service costs 7.1 times more in Montana than in New Mexico. 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· 29th of 51

$19,498

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.