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Spinal Procedures with Major Complications

Massachusetts rates for MS-DRG 028

Spinal Procedures with MCC

Rates data updated July 2026.

How much does Spinal Procedures with Major Complications cost?

$93,325

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $93,325 for this service. Most negotiated rates run $56,234 to $125,893.

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 $93,325 · 10th to 90th $45,709 to $158,489
$1.0K$5.0K$20.0K$100.0Kfacility $93,325

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
$56,234.13
Median
$100,000.00
Typical High
$158,489.32
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$85,113.80
Typical High
$229,086.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$89,125.09
Typical High
$134,896.29
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$131,825.67
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$85,113.80
Typical High
$229,086.77
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$85,113.80
Typical High
$229,086.77
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$69,183.10
Typical High
$177,827.94

Where Massachusetts sits

The same service costs 7.4 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $93,325 · 21st of 51
NY $158,489MI $21,380

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.