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Spinal Procedures with Major Complications

Washington rates for MS-DRG 028

Spinal Procedures with MCC

Rates data updated July 2026.

How much does Spinal Procedures with Major Complications cost?

$131,826

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $131,826 for this service. Most negotiated rates run $107,152 to $162,181.

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 $131,826 · 10th to 90th $79,433 to $199,526
$50K$100K$200Kfacility $131,826

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
$100,000.00
Median
$154,881.66
Typical High
$251,188.64
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$123,026.88
Typical High
$177,827.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$128,824.96
Typical High
$194,984.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$97,723.72
Typical High
$100,000.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$114,815.36
Typical High
$173,780.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$123,026.88
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$117,489.76
Typical High
$169,824.37

Where Washington sits

The same service costs 7.4 times more in New York than in Michigan. 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.

Washington· 8th of 51

$131,826

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.