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Complex Spinal Fusion Except Cervical (with CC)

Vermont rates for MS-DRG 457

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC

Rates data updated July 2026.

How much does Complex Spinal Fusion Except Cervical (with CC) cost?

$85,114

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $85,114 for this service. Most negotiated rates run $75,858 to $165,959.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85,114 · 10th to 90th $69,183 to $169,824
$100K$200Kfacility $85,114

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$154,881.66
Typical High
$169,824.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$85,113.80
Typical High
$165,958.69
United
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$208,929.61

Where Vermont sits

The same service costs 7.2 times more in California 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.

Vermont· 32nd of 51

$85,114

CA $154,882MI $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.