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Spinal Procedures with Major Complications

Massachusetts rates for MS-DRG 028

Spinal Procedures with MCC

Rates data updated October 2026.

How much does Spinal Procedures with Major Complications cost?

$89,125

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $45,709 to $125,893.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $89,125 · 10th to 90th $871 to $162,181
$1K$5K$20K$100Kfacility $89,125

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$100,000.00
Typical High
$125,892.54
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$89,125.09
Typical High
$234,422.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$89,125.09
Typical High
$134,896.29
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$831.76
Typical High
$933.25
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$89,125.09
Typical High
$234,422.88
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$89,125.09
Typical High
$234,422.88
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$89,125.09
Typical High
$199,526.23

Where Massachusetts sits

The same service costs 588.8 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.

Massachusetts· 25th of 51

$89,125

AK $162,181HI $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.