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Lumbar discectomy in New York: what insurers pay

Posted commercial rates at 10 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 63030

HospitalMedian across insurers× MedicareInsurersFile date
Elmhurst Hospital Center Elmhurst$5,1780.6×42026-09-05
South Brooklyn Health Brooklyn$5,2040.6×42026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$5,2160.6×42026-09-05
Maimonides Medical Center Brooklyn$7,9450.9×52026-04-01
Stony Brook University Hospital Stony Brook$8,1520.9×42026-06-10
Jamaica Hospital Medical Center Jamaica$8,3370.9×42026-03-25
Montefiore Medical Center Bronx$10,0021.1×82026-04-01
Jacobi Medical Center Bronx$13,5871.5×12026-09-05
Hospital for Special Surgery New York$22,0742.4×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$26,7713.0×72026-01-01

MS-DRG 520

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$14,0891.0×12026-04-01
Jamaica Hospital Medical Center Jamaica$25,3881.9×32026-03-25
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$27,9962.1×72026-09-05
South Brooklyn Health Brooklyn$27,9962.1×72026-09-05
Elmhurst Hospital Center Elmhurst$28,3962.1×72026-09-05
Jacobi Medical Center Bronx$29,5232.2×72026-09-05
Hospital for Special Surgery New York$29,8752.2×52026-04-01
Stony Brook University Hospital Stony Brook$33,0112.4×12026-06-10
Maimonides Medical Center Brooklyn$43,2723.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$47,9443.5×72026-01-01

MS-DRG 519

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$19,3841.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.8×12026-06-10
Hospital for Special Surgery New York$60,0823.3×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$64,1923.5×72026-01-01

Questions

How much do insurers pay for lumbar discectomy in New York?

10 New York hospitals post usable commercial rates for lumbar discectomy in their federal price-transparency files. For CPT 63030, hospital outpatient, the median across 10 hospitals is $8,245, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.