Getting a realistic financial picture is crucial. For a complex procedure like a tendon transfer or spinal fusion, total costs in the United States can range from $30,000 to well over $100,000. This quoted price often bundles the surgeon's fee, hospital facility fees, anesthesia costs, and the implant hardware (like screws or plates). However, it's vital to note that this frequently does not include pre-operative consultations, diagnostic imaging (MRIs), or the essential and lengthy post-operative physical therapy, which can add thousands more to the total out-of-pocket expense. Costs also vary dramatically by country and healthcare system.