Price AtlasInteractive atlas · All states · techysurgeon.comLumbar fusion from the front (ALIF): what insurers pay
Low-back fusion through the abdomen with a cage in the disc space. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 22558: Arthrd Ant Ntrbd Min Dsc Lum
63 hospitals in 27 markets. National Medicare rate $27,722, surgery center $20,101.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Austin TX | 1 | — | — | — | $21,249–$21,249 |
| Boston MA | 2 | — | — | — | $21,898–$27,926 |
| California (statewide) | 1 | — | — | — | $36,987–$36,987 |
| Chicago IL | 5 | $34,928 | $37,045 | $46,844 | $26,156–$46,844 |
| Cleveland OH | 4 | — | — | — | $15,100–$62,937 |
| Dallas-Fort Worth TX | 3 | — | — | — | $19,497–$64,800 |
| Denver CO | 7 | $28,139 | $28,672 | $31,782 | $23,371–$34,883 |
| Detroit MI | 1 | — | — | — | $30,622–$30,622 |
| Houston TX | 1 | — | — | — | $15,912–$15,912 |
| Indianapolis IN | 1 | — | — | — | $19,477–$19,477 |
| Kansas (statewide) | 1 | — | — | — | $23,880–$23,880 |
| Los Angeles CA | 2 | — | — | — | $32,948–$65,900 |
| Nashville TN | 1 | — | — | — | $31,646–$31,646 |
| New York City | 3 | — | — | — | $28,371–$88,354 |
| Ohio (statewide) | 1 | — | — | — | $39,664–$39,664 |
| Pennsylvania (statewide) | 1 | — | — | — | $91,849–$91,849 |
| Philadelphia PA | 2 | — | — | — | $34,846–$35,141 |
| Phoenix AZ | 3 | — | — | — | $23,306–$23,306 |
| Pittsburgh PA | 1 | — | — | — | $15,577–$15,577 |
| Portland OR | 6 | $23,856 | $23,856 | $48,172 | $23,856–$56,278 |
| Richmond VA | 2 | — | — | — | $52,874–$52,920 |
| San Antonio TX | 1 | — | — | — | $30,113–$30,113 |
| San Francisco Bay Area CA | 1 | — | — | — | $46,970–$46,970 |
| Seattle-Tacoma WA | 6 | $55,007 | $62,656 | $76,781 | $54,158–$99,936 |
| Tampa FL | 2 | — | — | — | $14,979–$20,046 |
| Washington DC | 3 | — | — | — | $27,718–$45,844 |
| Wisconsin (statewide) | 1 | — | — | — | $17,274–$17,274 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Tampa General Hospital | Tampa FL | $14,979 | 0.5× | 1 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $15,100 | 0.6× | 1 | 2026-07-14 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $15,577 | 0.6× | 1 | 2026-03-06 |
| Houston Methodist Hospital | Houston TX | $15,912 | 0.6× | 1 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $17,274 | 0.6× | 2 | 2026-01-01 |
| Riverview Health | Indianapolis IN | $19,477 | 0.7× | 1 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $19,497 | 0.7× | 1 | 2026-04-21 |
| Morton Plant Hospital | Tampa FL | $20,046 | 0.7× | 1 | 2026-01-01 |
| St David's Medical Center | Austin TX | $21,249 | 0.8× | 3 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $21,898 | 0.7× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $23,306 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $23,306 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $23,306 | 0.8× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $23,371 | 0.8× | 1 | 2025-11-01 |
| Legacy Emanuel Medical Center | Portland OR | $23,856 | 0.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $23,856 | 0.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $23,856 | 0.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $23,856 | 0.8× | 5 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $23,880 | 0.9× | 4 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $26,156 | 0.9× | 1 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $27,718 | 1.0× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $27,926 | 0.9× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $28,116 | 1.0× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $28,162 | 1.0× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $28,371 | 0.8× | 4 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $28,672 | 1.0× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $28,680 | 1.0× | 4 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $30,113 | 1.1× | 3 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $30,622 | 1.1× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $31,646 | 1.2× | 4 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $32,948 | 0.9× | 3 | 2025-11-26 |
| Riddle Memorial Hospital | Philadelphia PA | $34,846 | 1.3× | 1 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $34,883 | 1.2× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $34,883 | 1.2× | 3 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $34,928 | 1.2× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $35,141 | 1.3× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $36,987 | 1.1× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $37,045 | 1.3× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $39,664 | 1.5× | 3 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $41,938 | 1.2× | 4 | 2026-01-01 |
| Reston Hospital Center | Washington DC | $44,400 | 1.6× | 3 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $45,844 | 1.6× | 3 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $46,844 | 1.6× | 1 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $46,844 | 1.6× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $46,970 | 1.2× | 4 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $48,650 | 1.9× | 1 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $52,874 | 2.0× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $52,920 | 2.0× | 4 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $54,158 | 1.7× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $54,780 | 1.7× | 2 | 2026-02-28 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $55,575 | 2.2× | 1 | 2026-06-15 |
| St Anthony Hospital | Seattle-Tacoma WA | $55,689 | 1.8× | 2 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $56,278 | 1.9× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $56,278 | 1.9× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $62,937 | 2.5× | 1 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $64,800 | 2.4× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $64,800 | 2.4× | 5 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $65,900 | 1.9× | 2 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $69,623 | 2.2× | 3 | 2026-08-27 |
| Swedish Medical Center | Seattle-Tacoma WA | $79,167 | 2.5× | 4 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $88,354 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $91,849 | 3.3× | 5 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $99,936 | 3.2× | 2 | 2026-08-27 |
MS-DRG 451: Single Level Spinal Fusion Except Cervical Without McC
303 hospitals in 41 markets. National Medicare rate $23,507.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 8 | $55,686 | $59,158 | $71,134 | $55,686–$91,889 |
| Austin TX | 8 | $25,162 | $26,913 | $44,346 | $21,034–$44,346 |
| Boston MA | 11 | $28,077 | $29,881 | $39,607 | $24,267–$65,280 |
| California (statewide) | 1 | — | — | — | $62,828–$62,828 |
| Charlotte NC | 7 | $46,338 | $50,586 | $57,168 | $36,562–$63,151 |
| Chicago IL | 10 | $38,872 | $45,022 | $52,170 | $29,308–$60,085 |
| Cleveland OH | 11 | $37,506 | $43,350 | $52,798 | $21,441–$54,425 |
| Columbus OH | 3 | — | — | — | $71,650–$86,565 |
| Dallas-Fort Worth TX | 16 | $43,086 | $56,182 | $61,894 | $38,596–$81,580 |
| Denver CO | 15 | $38,733 | $63,884 | $64,829 | $27,858–$96,889 |
| Detroit MI | 13 | $45,251 | $45,251 | $60,543 | $42,816–$74,647 |
| Florida (statewide) | 1 | — | — | — | $93,101–$93,101 |
| Georgia (statewide) | 1 | — | — | — | $61,172–$61,172 |
| Houston TX | 16 | $31,450 | $35,184 | $47,152 | $23,642–$53,322 |
| Illinois (statewide) | 1 | — | — | — | $29,143–$29,143 |
| Indianapolis IN | 4 | — | — | — | $18,036–$46,918 |
| Kansas (statewide) | 1 | — | — | — | $35,147–$35,147 |
| Las Vegas NV | 1 | — | — | — | $32,725–$32,725 |
| Los Angeles CA | 17 | $50,460 | $58,657 | $62,347 | $34,367–$98,883 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $35,906–$66,229 |
| Minneapolis-St. Paul MN | 15 | $45,700 | $49,014 | $52,996 | $24,164–$61,279 |
| Nashville TN | 8 | $31,955 | $37,143 | $41,191 | $16,324–$67,233 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 9 | $60,538 | $61,402 | $81,247 | $30,337–$103,673 |
| Ohio (statewide) | 1 | — | — | — | $56,506–$56,506 |
| Pennsylvania (statewide) | 1 | — | — | — | $60,786–$60,786 |
| Philadelphia PA | 11 | $55,692 | $61,390 | $71,360 | $50,826–$101,962 |
| Phoenix AZ | 11 | $60,618 | $60,618 | $65,452 | $56,348–$70,152 |
| Pittsburgh PA | 7 | $42,653 | $43,564 | $52,840 | $29,752–$66,258 |
| Portland OR | 8 | $67,532 | $68,707 | $80,348 | $67,242–$80,348 |
| Research Triangle NC | 8 | $43,046 | $44,648 | $46,640 | $34,733–$49,821 |
| Richmond VA | 7 | $55,403 | $74,250 | $77,725 | $48,836–$87,201 |
| Rio Grande Valley TX | 4 | — | — | — | $31,286–$44,737 |
| Salt Lake City UT | 9 | $54,909 | $54,909 | $54,909 | $52,798–$54,909 |
| San Antonio TX | 3 | — | — | — | $35,362–$42,146 |
| San Diego CA | 6 | $41,513 | $45,446 | $46,224 | $33,936–$50,342 |
| San Francisco Bay Area CA | 2 | — | — | — | $36,575–$50,993 |
| Seattle-Tacoma WA | 14 | $71,180 | $72,152 | $74,021 | $63,623–$87,566 |
| St. Louis MO | 7 | $44,744 | $44,744 | $44,744 | $16,507–$64,754 |
| Tampa FL | 11 | $65,682 | $74,841 | $74,841 | $49,942–$78,838 |
| Washington DC | 11 | $57,365 | $60,526 | $62,951 | $46,029–$79,729 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $16,324 | 0.7× | 4 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $16,390 | 0.7× | 5 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $16,507 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Anderson | Indianapolis IN | $18,036 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $18,036 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $18,036 | 0.7× | 4 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $21,034 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $21,441 | 1.0× | 4 | 2026-06-15 |
| Cleveland Clinic Fairview Hospital | Cleveland OH | $22,152 | 1.0× | 4 | 2026-06-15 |
| Chi St Luke's Health Brazosport | Houston TX | $23,642 | 1.0× | 2 | 2026-02-28 |
| North Memorial Health | Minneapolis-St. Paul MN | $24,164 | 1.0× | 5 | 2026-09-25 |
| Anna Jaques Hospital | Boston MA | $24,267 | 0.9× | 1 | 2026-04-01 |
| Round Rock Medical Center | Austin TX | $24,940 | 1.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Needham | Boston MA | $24,984 | 0.9× | 2 | 2026-04-01 |
| St David's Medical Center | Austin TX | $25,236 | 1.1× | 5 | 2026-09-01 |
| North Austin Medical Center | Austin TX | $26,870 | 1.2× | 5 | 2026-09-01 |
| St David's South Austin Medical Center | Austin TX | $26,956 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $27,542 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $27,858 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $27,916 | 1.1× | 5 | 2026-09-01 |
| Mount Auburn Hospital | Boston MA | $28,612 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $28,792 | 1.2× | 5 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $29,076 | 1.2× | 5 | 2026-09-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $29,143 | 1.2× | 1 | 2026-06-03 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $29,308 | 1.2× | 3 | 2026-04-01 |
| Upmc Washington | Pittsburgh PA | $29,752 | 1.3× | 4 | 2026-03-06 |
| Beverly Hospital Corporation | Boston MA | $29,881 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $29,881 | 1.1× | 1 | 2026-04-01 |
| Montefiore Medical Center | New York City | $30,337 | 1.0× | 1 | 2026-04-01 |
| Valley Regional Medical Center | Rio Grande Valley TX | $31,286 | 1.4× | 6 | 2026-09-01 |
| Hca Houston Healthcare Conroe | Houston TX | $31,450 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Medical Center | Houston TX | $31,450 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Tomball | Houston TX | $31,450 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Kingwood | Houston TX | $31,450 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Southeast | Houston TX | $31,807 | 1.4× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $32,168 | 1.1× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $32,725 | 1.3× | 6 | 2026-07-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.1× | 1 | 2026-06-10 |
| Hca Houston Healthcare Northwest | Houston TX | $33,255 | 1.4× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $33,830 | 1.4× | 3 | 2026-04-01 |
| Scripps Memorial Hospital - Encinitas | San Diego CA | $33,936 | 1.1× | 5 | 2026-03-30 |
| Usc Arcadia Hospital | Los Angeles CA | $34,367 | 1.1× | 1 | 2026-07-27 |
| New England Baptist Hospital | Boston MA | $34,436 | 1.2× | 3 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $34,733 | 1.5× | 1 | 2026-02-25 |
| Hca Houston Healthcare Clear Lake | Houston TX | $34,952 | 1.5× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $35,147 | 1.6× | 6 | 2026-09-01 |
| Methodist Hospital Stone Oak | San Antonio TX | $35,362 | 1.5× | 4 | 2026-09-01 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $35,416 | 1.5× | 5 | 2026-02-28 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $35,906 | 1.5× | 4 | 2026-06-15 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $36,264 | 1.6× | 5 | 2026-02-28 |
| Methodist Hospital | San Antonio TX | $36,326 | 1.6× | 4 | 2026-09-01 |
| Lake Norman Regional Medical Center | Charlotte NC | $36,562 | 1.6× | 4 | 2026-04-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $36,575 | 1.1× | 4 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $37,143 | 1.7× | 7 | 2026-09-01 |
| TriStar Skyline Medical Center | Nashville TN | $37,143 | 1.7× | 8 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $37,143 | 1.7× | 8 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $37,143 | 1.7× | 7 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $37,264 | 1.7× | 4 | 2026-07-14 |
| Memorial Hospital West | Miami-Fort Lauderdale FL | $37,404 | 1.6× | 3 | 2026-05-27 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $37,471 | 1.6× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $37,516 | 1.5× | 3 | 2026-04-01 |
| University Hospitals St. John Medical Center | Cleveland OH | $37,749 | 1.7× | 4 | 2026-07-14 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $37,973 | 1.6× | 3 | 2025-12-17 |
| Methodist Mansfield Medical Center | Dallas-Fort Worth TX | $38,596 | 1.7× | 4 | 2026-03-21 |
| UNC Rex Hospital | Research Triangle NC | $39,745 | 1.7× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $39,898 | 1.6× | 2 | 2026-03-31 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego CA | $40,462 | 1.3× | 6 | 2026-04-01 |
| MetroHealth System | Cleveland OH | $41,242 | 1.9× | 4 | 2026-04-01 |
| Baylor Scott & White Medical Center - Lake Pointe | Dallas-Fort Worth TX | $41,630 | 1.8× | 5 | 2026-06-29 |
| Knapp Medical Center | Rio Grande Valley TX | $41,927 | 1.8× | 1 | 2026-09-01 |
| Baylor St. Luke's Medical Center | Houston TX | $42,082 | 1.8× | 5 | 2026-02-28 |
| University Health System | San Antonio TX | $42,146 | 1.8× | 2 | 2025-10-14 |
| Upmc St Margaret | Pittsburgh PA | $42,366 | 1.9× | 1 | 2026-03-06 |
| Henry Ford Health Macomb Hospital | Detroit MI | $42,816 | 1.9× | 3 | 2026-06-28 |
| Upmc East | Pittsburgh PA | $42,940 | 1.9× | 1 | 2026-03-06 |
| Northwestern Medicine Central DuPage Hospital | Chicago IL | $42,942 | 1.7× | 1 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $43,072 | 1.7× | 3 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $43,086 | 1.8× | 2 | 2026-06-16 |
| Baylor Scott & White Medical Center - Irving | Dallas-Fort Worth TX | $43,086 | 1.9× | 5 | 2026-06-29 |
| Baylor Scott & White Medical Center - Grapevine | Dallas-Fort Worth TX | $43,086 | 1.9× | 5 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney | Dallas-Fort Worth TX | $43,086 | 1.9× | 5 | 2026-06-29 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $43,087 | 1.9× | 5 | 2026-06-29 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Los Angeles CA | $43,281 | 1.4× | 1 | 2026-03-29 |
| University Hospitals Ahuja Medical Center | Cleveland OH | $43,350 | 2.0× | 2 | 2026-07-14 |
| Upmc Mercy | Pittsburgh PA | $43,564 | 1.9× | 1 | 2026-03-06 |
| Baylor Scott And White Medical Center Uptown | Dallas-Fort Worth TX | $43,916 | 1.9× | 5 | 2026-06-29 |
| Duke University Hospital | Research Triangle NC | $44,147 | 1.9× | 3 | 2026-04-01 |
| Duke Raleigh Hospital | Research Triangle NC | $44,147 | 1.9× | 3 | 2026-04-01 |
| Scott & White Hospital-Round Rock | Austin TX | $44,346 | 1.9× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville | Austin TX | $44,346 | 1.9× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin | Austin TX | $44,346 | 1.9× | 5 | 2026-06-13 |
| Scripps Green Hospital | San Diego CA | $44,667 | 1.5× | 5 | 2026-03-30 |
| Rio Grande Regional Hospital | Rio Grande Valley TX | $44,737 | 1.9× | 5 | 2026-09-01 |
| Missouri Baptist Medical Center | St. Louis MO | $44,744 | 1.9× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $44,744 | 1.9× | 4 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $44,744 | 1.9× | 4 | 2025-12-15 |
| Alton Memorial Hospital | St. Louis MO | $44,744 | 1.8× | 4 | 2025-12-15 |
| Progress West Hospital | St. Louis MO | $44,744 | 1.9× | 4 | 2025-12-15 |
| Lowell General Hospital | Boston MA | $44,778 | 1.6× | 2 | 2026-04-01 |
| Atrium Health University City | Charlotte NC | $45,039 | 2.0× | 2 | 2025-12-05 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $45,148 | 2.0× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $45,251 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $45,251 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $45,251 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $45,251 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $45,251 | 2.0× | 4 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $45,251 | 2.0× | 3 | 2026-05-01 |
| UNC Health Johnston | Research Triangle NC | $45,580 | 2.0× | 3 | 2026-04-01 |
| Ucla West Valley Medical Center | Los Angeles CA | $45,684 | 1.5× | 2 | 2026-03-29 |
| Spotsylvania Regional Medical Center | Washington DC | $46,029 | 1.9× | 4 | 2026-09-01 |
| Scripps Mercy Hospital | San Diego CA | $46,224 | 1.5× | 6 | 2026-03-30 |
| Scripps Memorial Hospital La Jolla | San Diego CA | $46,224 | 1.5× | 6 | 2026-03-30 |
| Hendricks Regional Health | Indianapolis IN | $46,918 | 1.9× | 3 | 2026-05-20 |
| Loyola University Medical Center | Chicago IL | $46,972 | 1.9× | 2 | 2026-03-31 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $47,083 | 1.7× | 4 | 2026-04-01 |
| Houston Methodist Sugar Land Hospital | Houston TX | $47,152 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist West Hospital | Houston TX | $47,152 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital | Houston TX | $47,152 | 2.0× | 2 | 2026-04-01 |
| Atrium Health Union | Charlotte NC | $47,636 | 2.1× | 2 | 2025-12-04 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $48,314 | 2.0× | 3 | 2026-03-31 |
| Regions Hospital | Minneapolis-St. Paul MN | $48,314 | 2.0× | 3 | 2026-03-31 |
| Uchealth Broomfield Hospital | Denver CO | $48,390 | 2.0× | 4 | 2025-11-01 |
| Tricities Hospital | Richmond VA | $48,836 | 2.2× | 5 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $49,014 | 2.0× | 1 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $49,014 | 2.0× | 1 | 2026-06-16 |
| Corewell Health Dearborn Hospital | Detroit MI | $49,043 | 2.1× | 2 | 2026-05-01 |
| Mclaren Port Huron | Detroit MI | $49,066 | 2.1× | 1 | 2025-12-31 |
| Usc Verdugo Hills Hospital | Los Angeles CA | $49,613 | 1.6× | 5 | 2026-04-01 |
| WakeMed Raleigh Campus | Research Triangle NC | $49,821 | 2.1× | 2 | 2026-02-11 |
| WakeMed Cary Hospital | Research Triangle NC | $49,821 | 2.1× | 2 | 2026-02-11 |
| Cleveland Clinic (main campus) | Cleveland OH | $49,913 | 2.3× | 5 | 2026-06-16 |
| Tampa General Hospital Brooksville | Tampa FL | $49,942 | 2.1× | 4 | 2026-04-01 |
| Upmc Passavant | Pittsburgh PA | $50,016 | 2.2× | 1 | 2026-03-07 |
| Tri-City Medical Center | San Diego CA | $50,342 | 1.7× | 2 | 2026-05-29 |
| Providence St. Jude Medical Center | Los Angeles CA | $50,460 | 1.7× | 5 | 2026-04-01 |
| Medical City Fort Worth | Dallas-Fort Worth TX | $50,470 | 2.2× | 6 | 2026-09-01 |
| Providence Mission Hospital | Los Angeles CA | $50,470 | 1.7× | 5 | 2026-04-01 |
| Atrium Health Cabarrus | Charlotte NC | $50,586 | 2.3× | 2 | 2025-12-01 |
| Jefferson Abington Hospital | Philadelphia PA | $50,826 | 2.3× | 6 | 2026-09-15 |
| St Mary's Medical Center | San Francisco Bay Area CA | $50,993 | 1.5× | 3 | 2026-04-01 |
| Houston Methodist Baytown Hospital | Houston TX | $51,117 | 2.2× | 2 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $51,186 | 2.3× | 2 | 2025-12-05 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $52,063 | 2.3× | 5 | 2026-09-01 |
| Advocate Christ Medical Center | Chicago IL | $52,170 | 2.1× | 4 | 2025-11-04 |
| Advocate Lutheran General Hospital | Chicago IL | $52,170 | 2.1× | 4 | 2025-11-04 |
| Rush University Medical Center | Chicago IL | $52,184 | 2.1× | 4 | 2026-09-25 |
| Jefferson Einstein Montgomery Hospital | Philadelphia PA | $52,634 | 2.4× | 5 | 2026-09-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $52,798 | 2.4× | 5 | 2026-06-15 |
| Mckay-Dee Hospital | Salt Lake City UT | $52,798 | 2.3× | 1 | 2026-08-05 |
| Marymount Hospital | Cleveland OH | $52,798 | 2.4× | 5 | 2026-06-15 |
| M Health Fairview Lakes Medical Center | Minneapolis-St. Paul MN | $52,996 | 2.2× | 3 | 2026-02-05 |
| M Health Fairview Southdale Hospital | Minneapolis-St. Paul MN | $52,996 | 2.2× | 3 | 2026-02-06 |
| M Health Fairview Northland Medical Center | Minneapolis-St. Paul MN | $52,996 | 2.2× | 3 | 2026-01-29 |
| M Health Fairview Ridges Hospital | Minneapolis-St. Paul MN | $52,996 | 2.2× | 3 | 2026-02-06 |
| Houston Methodist Hospital | Houston TX | $53,322 | 2.3× | 2 | 2026-04-01 |
| Vanderbilt Wilson County Hospital | Nashville TN | $53,334 | 2.4× | 6 | 2025-10-01 |
| Medina Hospital | Cleveland OH | $53,938 | 2.5× | 4 | 2026-06-15 |
| University Hospitals Cleveland Medical Center | Cleveland OH | $54,425 | 2.5× | 4 | 2026-07-14 |
| Jamaica Hospital Medical Center | New York City | $54,667 | 1.9× | 3 | 2026-03-25 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Intermountain Medical Center | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| American Fork Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Orem Community Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Intermountain Health Alta View Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Intermountain Health Layton Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Intermountain Health Spanish Fork Hospital | Salt Lake City UT | $54,909 | 2.4× | 1 | 2026-08-05 |
| Riddle Memorial Hospital | Philadelphia PA | $55,114 | 2.3× | 4 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $55,665 | 2.5× | 1 | 2026-03-06 |
| Emory University Hospital | Atlanta GA | $55,686 | 2.4× | 5 | 2026-04-01 |
| Emory University Hospital Midtown | Atlanta GA | $55,686 | 2.4× | 5 | 2026-04-01 |
| Emory Saint Joseph's Hospital | Atlanta GA | $55,686 | 2.4× | 5 | 2026-04-01 |
| Emory Johns Creek Hospital | Atlanta GA | $55,686 | 2.4× | 5 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $55,929 | 2.4× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $55,995 | 2.4× | 5 | 2026-09-01 |
| Paoli Hospital | Philadelphia PA | $56,270 | 2.5× | 4 | 2026-04-01 |
| Chandler Regional Medical Center (Dignity) | Phoenix AZ | $56,348 | 2.3× | 4 | 2026-02-28 |
| Mercy Gilbert Medical Center (Dignity) | Phoenix AZ | $56,348 | 2.3× | 4 | 2026-02-28 |
| Bethesda North | Ohio (statewide) | $56,506 | 2.5× | 5 | 2026-04-01 |
| Providence Cedars Sinai Tarzana Medical Center | Los Angeles CA | $57,252 | 1.9× | 6 | 2026-04-01 |
| M Health Fairview University of Minnesota Medical Center | Minneapolis-St. Paul MN | $57,446 | 2.4× | 3 | 2026-02-06 |
| Memorialcare Orange Coast Medical Center | Los Angeles CA | $58,358 | 1.9× | 5 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $58,488 | 2.4× | 3 | 2026-03-13 |
| Providence Saint Joseph Medical Ctr | Los Angeles CA | $58,657 | 1.9× | 6 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $58,735 | 2.1× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $58,743 | 2.6× | 5 | 2026-09-01 |
| Providence St. Joseph Hospital | Los Angeles CA | $58,869 | 1.9× | 5 | 2026-04-01 |
| Providence Little Co Of Mary Med Ctr San Pedro | Los Angeles CA | $59,036 | 2.0× | 6 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $60,085 | 2.4× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $60,504 | 2.5× | 5 | 2026-04-01 |
| Inova Mount Vernon Hospital | Washington DC | $60,526 | 2.5× | 5 | 2026-04-01 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER | New York City | $60,538 | 2.1× | 5 | 2026-09-05 |
| South Brooklyn Health | New York City | $60,538 | 2.1× | 5 | 2026-09-05 |
| Huron Valley-Sinai Hospital | Detroit MI | $60,543 | 2.6× | 2 | 2026-05-20 |
| Jefferson Stratford Hospital | Philadelphia PA | $60,586 | 2.3× | 5 | 2026-09-15 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $60,618 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $60,618 | 2.5× | 5 | 2026-04-01 |
| HonorHealth John C. Lincoln Medical Center | Phoenix AZ | $60,618 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Deer Valley Medical Center | Phoenix AZ | $60,618 | 2.5× | 5 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $60,618 | 2.5× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $60,752 | 2.5× | 4 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $60,786 | 2.6× | 6 | 2026-07-01 |
| Harper University Hospital | Detroit MI | $61,129 | 2.7× | 2 | 2026-09-02 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $61,172 | 3.1× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $61,279 | 2.5× | 1 | 2026-06-16 |
| Cambridge Medical Center | Minneapolis-St. Paul MN | $61,279 | 2.5× | 1 | 2026-06-16 |
| Bryn Mawr Hospital | Philadelphia PA | $61,390 | 2.6× | 4 | 2026-04-01 |
| Elmhurst Hospital Center | New York City | $61,402 | 2.1× | 5 | 2026-09-05 |
| Medical City Plano | Dallas-Fort Worth TX | $61,894 | 2.7× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $61,894 | 2.7× | 6 | 2026-09-01 |
| Medical City Weatherford | Dallas-Fort Worth TX | $61,894 | 2.7× | 6 | 2026-09-01 |
| Medical City Denton | Dallas-Fort Worth TX | $61,894 | 2.7× | 6 | 2026-09-01 |
| Medical City Dallas | Dallas-Fort Worth TX | $61,894 | 2.7× | 6 | 2026-09-01 |
| Inova Loudoun Hospital | Washington DC | $62,066 | 2.6× | 5 | 2026-04-01 |
| Providence Little Company Of Mary Med Ctr Torrance | Los Angeles CA | $62,257 | 2.1× | 6 | 2026-04-01 |
| Adventhealth Wesley Chapel | Tampa FL | $62,288 | 2.6× | 4 | 2026-04-01 |
| Memorialcare Long Beach Medical Center | Los Angeles CA | $62,347 | 2.1× | 5 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $62,631 | 2.7× | 5 | 2026-07-01 |
| Inova Fairfax Hospital | Washington DC | $62,670 | 2.6× | 5 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $62,828 | 2.1× | 4 | 2026-09-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $63,151 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center | Charlotte NC | $63,151 | 2.8× | 3 | 2026-03-30 |
| Inova Fair Oaks Hospital | Washington DC | $63,232 | 2.6× | 5 | 2026-04-01 |
| Uchealth Highlands Ranch Hospital | Denver CO | $63,529 | 2.6× | 4 | 2025-11-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $63,623 | 2.4× | 6 | 2026-04-01 |
| Lutheran Medical Center | Denver CO | $63,884 | 2.6× | 6 | 2026-03-22 |
| Intermountain Health Saint Joseph Hospital | Denver CO | $63,884 | 2.6× | 6 | 2026-03-22 |
| Piedmont Newnan Hospital | Atlanta GA | $64,216 | 2.8× | 5 | 2026-07-01 |
| Tampa General Hospital | Tampa FL | $64,306 | 2.7× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $64,754 | 2.8× | 4 | 2025-12-15 |
| Adventhealth Porter | Denver CO | $64,829 | 2.7× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $64,829 | 2.7× | 2 | 2026-04-01 |
| Adventhealth Littleton | Denver CO | $64,829 | 2.7× | 2 | 2026-04-01 |
| Adventhealth Castle Rock | Denver CO | $64,829 | 2.7× | 2 | 2026-04-01 |
| Tufts Medical Center | Boston MA | $65,280 | 2.3× | 3 | 2026-04-01 |
| Providence Holy Cross Medical Center | Los Angeles CA | $65,792 | 2.2× | 6 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $65,900 | 2.2× | 2 | 2026-04-01 |
| Jackson Memorial Hospital | Miami-Fort Lauderdale FL | $66,229 | 2.8× | 4 | 2026-09-23 |
| Magee Womens Hospital Of Upmc Health System | Pittsburgh PA | $66,258 | 3.0× | 1 | 2026-03-06 |
| Adventhealth Zephyrhills | Tampa FL | $67,058 | 2.8× | 4 | 2026-04-01 |
| Jefferson Health-Northeast | Philadelphia PA | $67,209 | 2.8× | 5 | 2026-09-15 |
| Vanderbilt University Medical Center | Nashville TN | $67,233 | 3.0× | 6 | 2025-10-01 |
| Legacy Mount Hood Medical Center | Portland OR | $67,242 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $67,242 | 2.6× | 4 | 2026-04-01 |
| St Anne Hospital | Seattle-Tacoma WA | $67,508 | 2.5× | 5 | 2026-02-28 |
| Legacy Good Samaritan Medical Center | Portland OR | $67,628 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $67,997 | 2.8× | 6 | 2025-11-01 |
| Medstar Georgetown University Hospital | Washington DC | $68,156 | 2.5× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $68,528 | 2.7× | 4 | 2026-04-01 |
| Legacy Salmon Creek Medical Center | Portland OR | $68,886 | 2.7× | 4 | 2026-04-01 |
| Temple University Hospital | Philadelphia PA | $69,188 | 2.9× | 7 | 2026-04-13 |
| Trinity Health Livonia Hospital | Detroit MI | $69,216 | 3.0× | 16 | 2026-03-31 |
| Adventhealth Tampa | Tampa FL | $69,830 | 2.9× | 4 | 2026-04-01 |
| Jacobi Medical Center | New York City | $70,093 | 2.4× | 5 | 2026-09-05 |
| Banner Desert Medical Center | Phoenix AZ | $70,152 | 2.8× | 4 | 2026-03-02 |
| Banner Baywood Medical Center | Phoenix AZ | $70,152 | 2.8× | 4 | 2026-03-02 |
| Banner Del E. Webb Medical Center | Phoenix AZ | $70,152 | 2.8× | 4 | 2026-03-02 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $71,180 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $71,180 | 2.6× | 6 | 2026-08-27 |
| Multicare Auburn Medical Center | Seattle-Tacoma WA | $71,180 | 2.6× | 6 | 2026-08-27 |
| Multicare Covington Medical Center | Seattle-Tacoma WA | $71,180 | 2.6× | 6 | 2026-08-27 |
| Intermountain Health Platte Valley Hospital | Denver CO | $71,528 | 2.9× | 6 | 2026-03-22 |
| Ohio State University Hospitals | Columbus OH | $71,650 | 3.2× | 3 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $72,152 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $72,152 | 2.6× | 6 | 2026-02-28 |
| St Joseph Medical Center | Seattle-Tacoma WA | $72,152 | 2.6× | 6 | 2026-02-28 |
| St Francis Community Hospital | Seattle-Tacoma WA | $72,152 | 2.7× | 6 | 2026-02-28 |
| Lankenau Medical Center | Philadelphia PA | $73,533 | 3.3× | 4 | 2026-04-01 |
| Bon Secours Memorial Regional Medical Center | Richmond VA | $74,250 | 3.3× | 5 | 2026-04-01 |
| Swedish Edmonds Hospital | Seattle-Tacoma WA | $74,644 | 2.9× | 5 | 2026-04-01 |
| Henry Ford Health Hospital | Detroit MI | $74,647 | 3.3× | 3 | 2026-06-28 |
| Morton Plant Hospital | Tampa FL | $74,841 | 3.1× | 5 | 2026-01-01 |
| Mease Dunedin Hospital | Tampa FL | $74,841 | 3.1× | 5 | 2026-01-01 |
| South Florida Baptist Hospital | Tampa FL | $74,841 | 3.1× | 5 | 2026-01-01 |
| Mease Countryside Hospital | Tampa FL | $74,841 | 3.1× | 5 | 2026-01-01 |
| Adventhealth Carrollwood | Tampa FL | $76,782 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $77,725 | 3.5× | 5 | 2026-04-01 |
| Bon Secours St. Francis Medical Center | Richmond VA | $77,725 | 3.5× | 5 | 2026-04-01 |
| Adventhealth North Pinellas | Tampa FL | $78,838 | 3.3× | 3 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $79,718 | 2.6× | 2 | 2025-11-26 |
| Medstar Washington Hospital Center | Washington DC | $79,729 | 2.9× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $80,348 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $80,348 | 3.1× | 3 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $80,348 | 3.1× | 3 | 2026-04-01 |
| Swedish Issaquah | Seattle-Tacoma WA | $80,550 | 3.0× | 4 | 2026-04-01 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $81,125 | 3.5× | 4 | 2026-03-10 |
| Hospital for Special Surgery | New York City | $81,247 | 2.8× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $81,580 | 3.5× | 4 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano | Dallas-Fort Worth TX | $81,580 | 3.5× | 4 | 2026-04-21 |
| Thomas Jefferson University Hospital | Philadelphia PA | $85,925 | 3.6× | 5 | 2026-09-15 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $86,565 | 3.9× | 20 | 2026-03-31 |
| Mount Carmel East | Columbus OH | $86,565 | 3.9× | 19 | 2026-03-31 |
| VCU Medical Center | Richmond VA | $87,201 | 3.9× | 3 | 2026-01-02 |
| Swedish Medical Center | Seattle-Tacoma WA | $87,566 | 3.2× | 5 | 2026-04-01 |
| Swedish Medical Center / Cherry Hill | Seattle-Tacoma WA | $87,566 | 3.2× | 5 | 2026-04-01 |
| Wellstar Kennestone Hospital | Atlanta GA | $91,889 | 3.9× | 4 | 2026-04-01 |
| Wellstar North Fulton Hospital | Atlanta GA | $91,889 | 4.0× | 4 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $93,101 | 3.9× | 4 | 2026-04-01 |
| Maimonides Medical Center | New York City | $93,570 | 3.2× | 6 | 2026-04-01 |
| Denver Health Medical Center | Denver CO | $96,889 | 4.0× | 1 | 2026-04-30 |
| Keck Hospital Of Usc | Los Angeles CA | $98,883 | 3.3× | 7 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $101,962 | 3.9× | 4 | 2026-03-24 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $103,673 | 3.5× | 7 | 2026-01-01 |
MS-DRG 402: Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
115 hospitals in 38 markets. National Medicare rate $29,256.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 3 | — | — | — | $70,906–$79,922 |
| Austin TX | 2 | — | — | — | $26,178–$31,737 |
| Boston MA | 7 | $35,734 | $37,190 | $41,448 | $30,202–$58,599 |
| California (statewide) | 1 | — | — | — | $68,312–$68,312 |
| Charlotte NC | 2 | — | — | — | $64,890–$78,597 |
| Chicago IL | 7 | $45,422 | $54,844 | $60,558 | $37,318–$74,781 |
| Cleveland OH | 5 | $45,259 | $62,121 | $65,711 | $34,366–$67,130 |
| Columbus OH | 2 | — | — | — | $89,175–$107,737 |
| Dallas-Fort Worth TX | 4 | — | — | — | $56,592–$103,876 |
| Denver CO | 5 | $55,318 | $56,788 | $57,522 | $53,571–$84,628 |
| Detroit MI | 7 | $56,072 | $56,314 | $59,196 | $53,773–$71,100 |
| Florida (statewide) | 1 | — | — | — | $113,974–$113,974 |
| Georgia (statewide) | 1 | — | — | — | $77,892–$77,892 |
| Houston TX | 1 | — | — | — | $67,752–$67,752 |
| Indianapolis IN | 3 | — | — | — | $19,607–$58,394 |
| Kansas (statewide) | 1 | — | — | — | $43,743–$43,743 |
| Las Vegas NV | 2 | — | — | — | $41,486–$86,725 |
| Los Angeles CA | 1 | — | — | — | $131,479–$131,479 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $51,275–$51,275 |
| Minneapolis-St. Paul MN | 2 | — | — | — | $49,658–$60,131 |
| Nashville TN | 4 | — | — | — | $19,970–$83,677 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 3 | — | — | — | $38,629–$129,030 |
| Ohio (statewide) | 1 | — | — | — | $70,327–$70,327 |
| Pennsylvania (statewide) | 1 | — | — | — | $77,676–$77,676 |
| Philadelphia PA | 5 | $75,405 | $76,404 | $98,536 | $69,246–$107,704 |
| Phoenix AZ | 3 | — | — | — | $70,588–$75,445 |
| Pittsburgh PA | 1 | — | — | — | $76,887–$76,887 |
| Portland OR | 6 | $84,580 | $84,605 | $96,484 | $84,580–$100,436 |
| Research Triangle NC | 4 | — | — | — | $44,032–$70,290 |
| Richmond VA | 4 | — | — | — | $70,438–$111,236 |
| Salt Lake City UT | 3 | — | — | — | $68,224–$70,952 |
| San Antonio TX | 1 | — | — | — | $45,546–$45,546 |
| San Diego CA | 1 | — | — | — | $42,094–$42,094 |
| Seattle-Tacoma WA | 6 | $89,405 | $89,824 | $90,243 | $78,214–$110,642 |
| St. Louis MO | 5 | $43,489 | $43,489 | $43,489 | $20,545–$81,282 |
| Tampa FL | 4 | — | — | — | $81,882–$95,562 |
| Washington DC | 4 | — | — | — | $73,101–$80,541 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St Vincent Anderson | Indianapolis IN | $19,607 | 0.6× | 3 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $19,607 | 0.6× | 3 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $19,970 | 0.7× | 3 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $20,300 | 0.7× | 3 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $20,545 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $26,178 | 0.9× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $30,202 | 0.9× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $31,737 | 1.1× | 5 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 0.9× | 1 | 2026-06-10 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $34,279 | 1.0× | 1 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $34,366 | 1.3× | 4 | 2026-06-15 |
| Beverly Hospital Corporation | Boston MA | $37,190 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $37,190 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $37,318 | 1.2× | 3 | 2026-04-01 |
| Montefiore Medical Center | New York City | $38,629 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $40,036 | 1.1× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $41,486 | 1.4× | 2 | 2026-07-01 |
| Scripps Green Hospital | San Diego CA | $42,094 | 1.1× | 5 | 2026-03-30 |
| New England Baptist Hospital | Boston MA | $42,859 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $43,076 | 1.4× | 3 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $43,489 | 1.5× | 4 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $43,489 | 1.5× | 4 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $43,489 | 1.5× | 4 | 2025-12-15 |
| Menorah Medical Center | Kansas (statewide) | $43,743 | 1.6× | 5 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $44,032 | 1.6× | 1 | 2026-02-25 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $45,259 | 1.7× | 3 | 2026-07-14 |
| Methodist Hospital | San Antonio TX | $45,546 | 1.6× | 4 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $46,228 | 1.7× | 7 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $47,769 | 1.6× | 3 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $49,658 | 1.6× | 2 | 2026-03-31 |
| UNC Rex Hospital | Research Triangle NC | $50,385 | 1.7× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $51,275 | 1.7× | 4 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $53,571 | 1.8× | 5 | 2026-09-01 |
| Mclaren Port Huron | Detroit MI | $53,773 | 1.9× | 1 | 2025-12-31 |
| Endeavor Health Evanston Hospital | Chicago IL | $54,844 | 1.8× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $55,318 | 1.8× | 5 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $55,829 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $56,314 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $56,314 | 2.0× | 3 | 2026-05-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $56,592 | 2.0× | 4 | 2026-06-29 |
| Hca Healthone Rose | Denver CO | $56,788 | 1.9× | 5 | 2026-09-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $57,111 | 2.0× | 2 | 2026-05-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $57,235 | 2.0× | 3 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $57,522 | 1.9× | 5 | 2026-09-01 |
| Hendricks Regional Health | Indianapolis IN | $58,394 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $58,599 | 1.7× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $59,548 | 1.9× | 2 | 2026-03-31 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $60,131 | 2.0× | 3 | 2026-03-31 |
| Trinity Health Oakland Hospital | Detroit MI | $61,281 | 2.1× | 17 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $61,568 | 2.0× | 4 | 2026-09-25 |
| Cleveland Clinic (main campus) | Cleveland OH | $62,121 | 2.3× | 5 | 2026-06-16 |
| Atrium Health Pineville | Charlotte NC | $64,890 | 2.3× | 2 | 2025-12-05 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $65,711 | 2.4× | 5 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $67,130 | 2.5× | 4 | 2026-06-15 |
| Houston Methodist Hospital | Houston TX | $67,752 | 2.4× | 2 | 2026-04-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $68,224 | 2.4× | 1 | 2026-08-05 |
| Los Robles Hospital & Medical Center | California (statewide) | $68,312 | 1.8× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $69,246 | 2.4× | 4 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $70,290 | 2.5× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $70,327 | 2.5× | 5 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $70,438 | 2.5× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $70,588 | 2.3× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $70,588 | 2.3× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $70,906 | 2.5× | 5 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $70,952 | 2.5× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $70,952 | 2.5× | 1 | 2026-08-05 |
| Harper University Hospital | Detroit MI | $71,100 | 2.5× | 2 | 2026-09-02 |
| George Washington Univ Hospital | Washington DC | $73,101 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $74,781 | 2.4× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $75,405 | 2.3× | 5 | 2026-09-15 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $75,445 | 2.5× | 3 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $75,925 | 2.6× | 5 | 2026-07-01 |
| Bryn Mawr Hospital | Philadelphia PA | $76,404 | 2.6× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $76,703 | 2.6× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $76,887 | 2.8× | 1 | 2026-03-06 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $77,676 | 2.7× | 6 | 2026-07-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $77,892 | 3.1× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $78,214 | 2.3× | 5 | 2026-04-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $78,597 | 2.8× | 3 | 2026-03-30 |
| Henrico Doctors' Hospital | Richmond VA | $79,289 | 2.8× | 5 | 2026-09-01 |
| Piedmont Newnan Hospital | Atlanta GA | $79,922 | 2.8× | 5 | 2026-07-01 |
| Stonesprings Hospital Center | Washington DC | $80,403 | 2.7× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $80,541 | 2.7× | 5 | 2026-09-01 |
| Barnes Jewish Hospital | St. Louis MO | $81,282 | 2.8× | 4 | 2025-12-15 |
| Tampa General Hospital | Tampa FL | $81,882 | 2.7× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $83,677 | 3.0× | 6 | 2025-10-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $84,580 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $84,580 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $84,580 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $84,628 | 2.8× | 6 | 2025-11-01 |
| Legacy Emanuel Medical Center | Portland OR | $84,630 | 2.6× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $85,170 | 2.8× | 4 | 2026-01-01 |
| Medical City Plano | Dallas-Fort Worth TX | $85,893 | 3.0× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $85,893 | 3.0× | 6 | 2026-09-01 |
| Henderson Hospital | Las Vegas NV | $86,725 | 2.9× | 1 | 2026-09-01 |
| Adventhealth Tampa | Tampa FL | $86,909 | 2.9× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $89,175 | 3.2× | 3 | 2026-07-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $89,405 | 2.6× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $89,405 | 2.6× | 6 | 2026-08-27 |
| St Clare Hospital | Seattle-Tacoma WA | $90,243 | 2.7× | 5 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $90,243 | 2.7× | 5 | 2026-02-28 |
| Adventhealth Carrollwood | Tampa FL | $95,562 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $96,735 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $98,536 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $100,436 | 3.1× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $100,436 | 3.1× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $103,453 | 2.8× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $103,876 | 3.6× | 4 | 2026-04-21 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $107,704 | 3.3× | 2 | 2026-03-24 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $107,737 | 3.9× | 20 | 2026-03-31 |
| Swedish Medical Center | Seattle-Tacoma WA | $110,642 | 3.3× | 4 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $111,236 | 4.0× | 3 | 2026-01-02 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $113,974 | 3.8× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $129,030 | 3.5× | 7 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $131,479 | 3.5× | 6 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for lumbar fusion from the front (alif)?
Across 63 hospitals in 27 metro areas that post a usable dollar rate, the median commercial rate for CPT 22558, hospital outpatient is $34,846, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $23,856 to $52,897. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for lumbar fusion from the front (alif)?
Medicare's national hospital outpatient rate for CPT 22558 is $27,722 and its surgery-center rate is $20,101, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for lumbar fusion from the front (alif)?
Lowest medians: Tampa General Hospital ($14,979), University Hospitals - Elyria Medical Center ($15,100), Upmc Presbyterian Shadyside ($15,577). Highest: Multicare Good Samaritan Hospital ($99,936), Lehigh Valley Hospital ($91,849), Hospital for Special Surgery ($88,354). Coverage is limited to the markets listed on this page.