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Lumbar discectomy in Pennsylvania: what insurers pay

Posted commercial rates at 21 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
Upmc Mercy Pittsburgh$4,2970.6×12026-03-06
Upmc Passavant Pittsburgh$5,3460.8×12026-03-07
Upmc St Margaret Pittsburgh$5,5760.8×12026-03-06
Upmc East Monroeville$5,5760.8×12026-03-06
Riddle Memorial Hospital Media$6,4450.9×22026-04-01
Jefferson Abington Hospital Abington$6,4460.9×42026-09-15
Paoli Hospital Paoli$6,6570.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,7180.9×22026-04-01
Lankenau Medical Center Wynnewood$6,7761.0×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$7,8441.1×52026-09-15
Temple University Hospital Philadelphia$8,5301.1×62026-04-13
Jefferson Health-Northeast Philadelphia$9,1331.2×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$9,8071.4×12026-03-06
Thomas Jefferson University Hospital Philadelphia$10,1101.4×32026-09-15
Upmc Washington Washington$12,4321.8×22026-03-06
Jefferson Hospital Jefferson Hills$16,7412.4×52026-04-14
Allegheny Valley Hospital Natrona$17,3462.5×52026-04-14
Forbes Hospital Monroeville$19,5862.8×52026-04-14
Lehigh Valley Hospital Allentown$19,6502.7×82026-07-01
Ahn Wexford Hospital Wexford$20,8923.0×52026-04-14

MS-DRG 520

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$13,7381.3×42026-03-06
Upmc St Margaret Pittsburgh$19,5321.9×12026-03-06
Upmc East Monroeville$19,7981.9×12026-03-06
Upmc Mercy Pittsburgh$20,0861.9×12026-03-06
Riddle Memorial Hospital Media$23,0002.1×42026-04-01
Upmc Passavant Pittsburgh$23,0602.2×12026-03-07
Paoli Hospital Paoli$23,3042.3×42026-04-01
Jefferson Abington Hospital Abington$23,5042.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$24,3412.4×52026-09-15
Bryn Mawr Hospital Bryn Mawr$25,0522.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$25,6642.5×12026-03-06
Lehigh Valley Hospital Allentown$28,2172.6×52026-07-01
Temple University Hospital Philadelphia$28,2572.6×72026-04-13
Lankenau Medical Center Wynnewood$29,2962.8×42026-04-01
Jefferson Health-Northeast Philadelphia$30,4662.8×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$30,5483.0×12026-03-06
Thomas Jefferson University Hospital Philadelphia$36,6133.4×52026-09-15

MS-DRG 519

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$31,2562.1×42026-04-01
Bryn Mawr Hospital Bryn Mawr$33,9712.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$37,5282.7×12026-03-06
Lehigh Valley Hospital Allentown$39,0452.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$49,0223.4×52026-09-15

Questions

How much do insurers pay for lumbar discectomy in Pennsylvania?

21 Pennsylvania hospitals post usable commercial rates for lumbar discectomy in their federal price-transparency files. For CPT 63030, hospital outpatient, the median across 20 hospitals is $8,187, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.