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Lumbar discectomy in Pennsylvania: what insurers pay

Posted commercial rates at 86 Pennsylvania 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
Conemaugh Memorial Medical Center Johnstown$4,1660.6×12026-04-15
Upmc Northwest Seneca$4,2180.6×22026-03-06
Upmc Cole Coudersport$4,5020.6×12026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$4,7640.7×32026-02-26
Upmc Passavant Pittsburgh$5,3470.8×12026-03-07
Upmc St Margaret Pittsburgh$5,5760.8×12026-03-06
Upmc Mercy Pittsburgh$5,6430.8×22026-03-06
Upmc East Monroeville$6,2670.9×22026-03-06
Upmc Altoona Altoona$6,3360.9×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$6,4200.9×52026-09-21
Riddle Memorial Hospital Media$6,4450.9×22026-04-01
Paoli Hospital Paoli$6,6570.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7180.9×22026-04-01
Jefferson Abington Hospital Abington$6,7571.0×52026-09-15
Lankenau Medical Center Wynnewood$6,7761.0×22026-04-01
Upmc Mckeesport Mc Keesport$7,1241.0×22026-03-06
Upmc Hamot Erie$7,2091.0×32026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$7,4551.0×52026-04-08
Wellspan Surgery And Rehabilitation Hospital York$7,7451.1×42026-01-01
Wellspan York Hospital York$8,5741.2×32026-01-01
Upmc Somerset Somerset$9,1951.3×22026-03-06
Wellspan Evangelical Community Hospital Lewisburg$9,4201.3×62026-01-01
Temple University Hospital Philadelphia$9,7981.3×92026-04-13
Upmc Presbyterian Shadyside Pittsburgh$9,8071.4×12026-03-06
Wellspan Ephrata Community Hospital Ephrata$10,4001.5×32026-01-01
Jefferson Einstein Montgomery Hospital East Norriton$10,8311.5×62026-09-15
Upmc Memorial York$10,9601.6×52026-03-06
Jefferson Health-Northeast Philadelphia$11,4751.5×62026-09-15
Upmc Washington Washington$12,1741.7×42026-03-06
Roxborough Memorial Hospital Philadelphia$12,6761.7×52024-06-21
Saint Vincent Hospital Erie$12,7341.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,9501.8×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$13,2291.8×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$13,2291.9×32026-02-27
Uniontown Hospital Uniontown$13,4581.9×42026-07-09
Jefferson Lansdale Hospital Lansdale$13,9972.0×52026-09-15
St Mary Medical Center Langhorne$14,1592.0×82026-03-31
Allegheny Valley Hospital Natrona$14,5072.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,5442.1×62026-04-14
Grove City Hospital Grove City$14,6182.1×52026-04-14
Forbes Hospital Monroeville$14,9462.1×62026-04-14
Ahn Wexford Hospital Wexford$15,6442.2×62026-04-14
Thomas Jefferson University Hospital Philadelphia$16,1562.2×42026-09-15
St Clair Hospital Pittsburgh$16,2182.3×72026-03-31
Upmc Carlisle Carlisle$16,6932.3×32026-03-06
Upmc Hanover Hanover$16,6932.4×32026-03-06
Allegheny General Hospital Pittsburgh$17,9802.5×62026-04-14
West Penn Hospital Pittsburgh$18,0652.6×62026-04-14
Lehigh Valley Hospital Allentown$19,6502.7×82026-07-01
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
Wellspan Chambersburg Hospital Chambersburg$25,1123.5×32026-01-01
Lehigh Valley Hospital - Dickson City Dickson City$25,6563.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$29,1064.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$29,3064.2×82026-07-01
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$33,3794.5×82026-07-01

MS-DRG 520

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$10,2481.0×32026-08-06
Geisinger-Bloomsburg Hospital Bloomsburg$11,4721.1×72026-07-01
Conemaugh Miners Medical Center Hastings$11,9321.1×42026-07-30
Troy Community Hospital Troy$12,0731.2×32026-03-31
Upmc Cole Coudersport$12,2061.2×32026-03-06
Punxsutawney Area Hospital Punxsutawney$12,3921.2×72026-03-02
Upmc Horizon Greenville$12,6731.2×32026-03-06
Upmc Somerset Somerset$13,1431.3×52026-03-06
Upmc Northwest Seneca$13,7381.3×22026-03-06
Conemaugh Nason Medical Center Roaring Spring$14,0351.4×72026-07-30
Upmc Jameson New Castle$14,1651.4×42026-03-06
Upmc Bedford Memorial Everett$14,1831.4×22026-03-06
Titusville Area Hospital Titusville$14,3211.4×52026-09-11
Upmc Washington Washington$14,5311.4×72026-03-06
Upmc Hamot Erie$15,2821.5×32026-03-06
Shriners Hospitals For Children - Philadelphia Philadelphia$15,3581.4×12026-03-19
Upmc Kane Kane$15,3851.5×32026-03-06
Uniontown Hospital Uniontown$16,6001.6×62026-07-09
Upmc East Monroeville$16,6241.6×22026-03-06
Upmc Mckeesport Mc Keesport$16,9641.6×22026-03-06
Roxborough Memorial Hospital Philadelphia$17,1401.6×62024-06-21
Upmc St Margaret Pittsburgh$17,4601.7×22026-03-06
Wayne Memorial Hospital Honesdale$17,6101.7×62026-09-16
Conemaugh Memorial Medical Center Johnstown$17,7401.7×82026-04-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$18,0491.8×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$18,1201.8×52026-02-27
Upmc Mercy Pittsburgh$18,1311.8×22026-03-06
Lower Bucks Hospital Bristol$18,4141.8×62026-09-01
Upmc Passavant Pittsburgh$18,4651.8×22026-03-07
Temple Health - Chestnut Hill Hospital Philadelphia$18,6741.7×82026-04-08
Upmc Altoona Altoona$19,3731.9×52026-03-06
Geisinger-Lewistown Hospital Lewistown$19,4831.9×72026-07-01
Robert Packer Hospital Sayre$19,6931.9×82026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$19,7531.9×62026-09-21
St Clair Hospital Pittsburgh$20,0631.9×72026-03-31
Upmc Presbyterian Shadyside Pittsburgh$21,8222.1×22026-03-06
St Luke'S Hospital Bethlehem Bethlehem$21,8322.0×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$21,8322.0×52026-02-27
Geisinger St. Luke'S Hospital Orwigsburg$22,1922.1×42026-02-26
Upmc Memorial York$22,3292.1×82026-03-06
Jefferson Lansdale Hospital Lansdale$22,4082.2×92026-09-15
Upmc Carlisle Carlisle$22,5322.1×72026-03-06
Upmc Williamsport Williamsport$22,5412.2×32026-03-06
Upmc Muncy Muncy$22,5412.2×32026-03-06
Upmc Wellsboro Wellsboro$22,5412.2×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$22,6162.2×52026-02-27
Riddle Memorial Hospital Media$23,0002.1×42026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$23,0702.2×22026-03-06
Paoli Hospital Paoli$23,3042.3×42026-04-01
St Mary Medical Center Langhorne$23,3782.3×202026-03-31
St Luke'S Hospital - Easton Campus Easton$23,6372.2×42026-02-26
Upmc Lititz Lititz$24,5002.4×72026-03-06
Jefferson Abington Hospital Abington$24,7492.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$24,9972.4×92026-07-01
Bryn Mawr Hospital Bryn Mawr$25,0522.3×42026-04-01
Hospital Of The Fox Chase Cancer Center Philadelphia$25,5832.3×52026-04-08
Lehigh Valley Hospital - Macungie Macungie$25,6212.4×102026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$25,7332.5×92026-07-01
Wellspan York Hospital York$25,9382.5×42026-01-01
Upmc Hanover Hanover$26,5182.5×72026-03-06
Penn State Health St. Joseph Reading$27,1412.5×52026-03-27
Lehigh Valley Hospital - Pocono East Stroudsburg$27,3462.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$27,4042.6×62026-09-15
Temple University Hospital Philadelphia$27,4102.5×92026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$28,1582.6×42026-03-27
Penn State Health Hampden Medical Center Enola$28,1582.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$28,1582.7×42026-03-27
Lehigh Valley Hospital Allentown$28,2172.6×52026-07-01
Geisinger Community Medical Center Scranton$28,9762.8×82026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$29,2202.8×72026-07-01
Lankenau Medical Center Wynnewood$29,2962.8×42026-04-01
Wellspan Chambersburg Hospital Chambersburg$29,5902.8×32026-01-01
Jefferson Health-Northeast Philadelphia$30,7742.8×62026-09-15
Thomas Jefferson University Hospital Philadelphia$36,1683.3×82026-09-15

MS-DRG 519

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$15,1561.1×32026-08-06
Wellspan Surgery And Rehabilitation Hospital York$15,2001.1×32026-01-01
Conemaugh Miners Medical Center Hastings$15,9741.1×42026-07-30
Punxsutawney Area Hospital Punxsutawney$16,5921.2×72026-03-02
Geisinger-Bloomsburg Hospital Bloomsburg$16,7751.2×72026-07-01
Upmc Horizon Greenville$16,9681.2×32026-03-06
Upmc Cole Coudersport$17,8491.3×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$18,7921.4×72026-07-30
Upmc Jameson New Castle$18,8621.4×42026-03-06
Upmc Somerset Somerset$18,9481.4×42026-03-06
Upmc Northwest Seneca$19,3061.4×22026-03-06
Upmc Washington Washington$19,4561.4×72026-03-06
Titusville Area Hospital Titusville$19,7041.4×52026-09-11
Upmc Bedford Memorial Everett$19,8031.4×22026-03-06
Upmc Hamot Erie$20,4011.5×32026-03-06
Troy Community Hospital Troy$20,9791.5×52026-03-31
Shriners Hospitals For Children - Philadelphia Philadelphia$21,1311.4×12026-03-19
Upmc Kane Kane$22,4971.6×32026-03-06
Upmc East Monroeville$23,4141.7×22026-03-06
Wayne Memorial Hospital Honesdale$23,5781.7×62026-09-16
Uniontown Hospital Uniontown$23,5921.7×62026-07-09
Upmc Mckeesport Mc Keesport$23,7801.7×22026-03-06
Roxborough Memorial Hospital Philadelphia$23,8301.6×62024-06-21
Upmc St Margaret Pittsburgh$24,5821.8×22026-03-06
Lower Bucks Hospital Bristol$24,6321.8×62026-09-01
Conemaugh Memorial Medical Center Johnstown$24,7661.8×82026-04-15
Temple Health - Chestnut Hill Hospital Philadelphia$25,0021.7×82026-04-08
Upmc Mercy Pittsburgh$25,5151.8×22026-03-06
Upmc Altoona Altoona$25,9391.9×52026-03-06
Upmc Passavant Pittsburgh$26,1451.9×22026-03-07
St Luke'S Hospital - Upper Bucks Campus Quakertown$26,3921.9×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$26,4961.9×52026-02-27
Holy Redeemer Hospital And Medical Center Meadowbrook$26,4981.9×62026-09-21
St Clair Hospital Pittsburgh$27,0031.9×72026-03-31
Robert Packer Hospital Sayre$28,1372.0×92026-03-31
Geisinger-Lewistown Hospital Lewistown$28,4892.1×72026-07-01
Jefferson Lansdale Hospital Lansdale$30,0022.2×92026-09-15
Upmc Muncy Muncy$30,1812.2×32026-03-06
Upmc Wellsboro Wellsboro$30,1812.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$30,2812.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$30,2812.1×52026-02-27
Upmc Presbyterian Shadyside Pittsburgh$30,8002.2×22026-03-06
Riddle Memorial Hospital Media$31,2562.1×42026-04-01
St Mary Medical Center Langhorne$31,3682.3×202026-03-31
Upmc Williamsport Williamsport$31,5162.3×32026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$31,5482.3×52026-02-27
Geisinger St. Luke'S Hospital Orwigsburg$31,5522.3×42026-02-26
Paoli Hospital Paoli$31,6162.3×42026-04-01
Upmc Memorial York$31,8182.3×82026-03-06
St Luke'S Hospital - Easton Campus Easton$32,2822.2×42026-02-26
Upmc Carlisle Carlisle$32,5602.3×72026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$32,5922.4×22026-03-06
Wellspan York Hospital York$32,8352.4×42026-01-01
Jefferson Abington Hospital Abington$33,1372.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$33,4692.4×92026-07-01
Bryn Mawr Hospital Bryn Mawr$33,9712.3×42026-04-01
Lehigh Valley Hospital - Dickson City Dickson City$34,4542.5×92026-07-01
Upmc Lititz Lititz$34,7162.5×72026-03-06
Lehigh Valley Hospital - Macungie Macungie$35,0162.4×102026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$35,1982.4×52026-04-08
Penn State Health St. Joseph Reading$36,3402.5×52026-03-27
Lehigh Valley Hospital - Pocono East Stroudsburg$36,6132.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$36,6912.6×62026-09-15
Temple University Hospital Philadelphia$37,3072.5×92026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$37,7022.6×42026-03-27
Penn State Health Hampden Medical Center Enola$37,7022.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$37,7022.7×42026-03-27
Upmc Hanover Hanover$38,3212.8×72026-03-06
Lehigh Valley Hospital Allentown$39,0452.7×52026-07-01
Wilkes-Barre General Hospital Wilkes-Barre$39,1232.8×72026-07-01
Lankenau Medical Center Wynnewood$39,5482.9×42026-04-01
Geisinger Community Medical Center Scranton$40,5692.9×82026-07-01
Jefferson Health-Northeast Philadelphia$41,2042.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$41,9403.0×52026-01-01
Wellspan Chambersburg Hospital Chambersburg$43,2693.0×32026-01-01
Thomas Jefferson University Hospital Philadelphia$50,3223.4×82026-09-15

Questions

How much do insurers pay for lumbar discectomy in Pennsylvania?

86 Pennsylvania hospitals post usable commercial rates for lumbar discectomy in their federal price-transparency files. For CPT 63030, hospital outpatient, the median across 58 hospitals is $12,425, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.