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Spinal Procedures with Major Complications

Maine rates for MS-DRG 028

Spinal Procedures with MCC

Rates data updated July 2026.

How much does Spinal Procedures with Major Complications cost?

$112,202

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $112,202 for this service. Most negotiated rates run $91,201 to $120,226.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $112,202 · 10th to 90th $77,625 to $134,896
$50.0K$100.0Kfacility $112,202

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$120,226.44
Typical High
$134,896.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$93,325.43
Typical High
$181,970.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$91,201.08
United
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71

Where Maine 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.

Maine $112,202 · 12th 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.