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Spinal Procedures with Major Complications

Texas rates for MS-DRG 028

Spinal Procedures with MCC

Rates data updated July 2026.

How much does Spinal Procedures with Major Complications cost?

$70,795

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $70,795 for this service. Most negotiated rates run $50,119 to $97,724.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $70,795 · 10th to 90th $33,884 to $141,254
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $70,795

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
$87,096.36
Typical High
$151,356.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$58,884.37
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$87,096.36
Typical High
$169,824.37
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$213,796.21
Median
$213,796.21
Typical High
$213,796.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$72,443.60
Typical High
$181,970.09
United
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$53,703.18
Typical High
$125,892.54

Where Texas 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.

Texas $70,795 · 35th 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.