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.
Open the interactive explorerAll operations
CPT 22558: Lumbar Fusion From the Front (Alif)
666 hospitals in 68 markets. National Medicare rate $27,722, surgery center $20,101.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $17,192 | $21,337 | $26,170 | $13,716–$30,421 |
| Alaska (statewide) | 3 | — | — | — | $38,323–$43,406 |
| Arizona (statewide) | 3 | — | — | — | $15,863–$23,306 |
| Atlanta GA | 2 | — | — | — | $49,186–$49,806 |
| Austin TX | 5 | $32,705 | $32,705 | $32,705 | $32,705–$39,796 |
| Boston MA | 9 | $31,744 | $34,378 | $40,062 | $21,898–$41,032 |
| California (statewide) | 14 | $29,050 | $39,724 | $53,569 | $18,882–$90,486 |
| Chicago IL | 7 | $27,813 | $34,928 | $41,944 | $26,156–$46,844 |
| Cleveland OH | 9 | $26,954 | $28,238 | $45,588 | $15,100–$60,326 |
| Colorado (statewide) | 12 | $15,890 | $19,404 | $24,051 | $14,359–$34,925 |
| Connecticut (statewide) | 1 | — | — | — | $42,287–$42,287 |
| Dallas-Fort Worth TX | 10 | $36,248 | $41,447 | $43,988 | $16,924–$52,001 |
| Denver CO | 14 | $19,485 | $31,047 | $33,957 | $15,284–$34,925 |
| Detroit MI | 4 | — | — | — | $19,655–$48,615 |
| Florida (statewide) | 51 | $18,661 | $22,959 | $30,768 | $15,904–$82,456 |
| Georgia (statewide) | 18 | $18,499 | $27,899 | $49,290 | $16,710–$60,482 |
| Houston TX | 12 | $33,670 | $35,974 | $35,974 | $15,912–$62,472 |
| Idaho (statewide) | 11 | $27,528 | $27,769 | $49,545 | $15,868–$67,018 |
| Illinois (statewide) | 17 | $17,114 | $27,813 | $34,893 | $14,983–$41,116 |
| Indiana (statewide) | 17 | $20,368 | $26,103 | $44,856 | $14,851–$96,740 |
| Indianapolis IN | 1 | — | — | — | $19,477–$19,477 |
| Iowa (statewide) | 12 | $24,088 | $24,088 | $24,996 | $18,690–$52,766 |
| Kansas (statewide) | 8 | $24,682 | $35,792 | $47,579 | $17,483–$74,499 |
| Kentucky (statewide) | 5 | $16,467 | $16,467 | $19,085 | $15,387–$30,871 |
| Los Angeles CA | 16 | $29,625 | $33,031 | $42,533 | $22,207–$90,486 |
| Louisiana (statewide) | 12 | $15,970 | $18,629 | $21,046 | $13,064–$30,777 |
| Maine (statewide) | 9 | $53,318 | $55,369 | $55,369 | $13,862–$62,212 |
| Massachusetts (statewide) | 1 | — | — | — | $32,992–$32,992 |
| Michigan (statewide) | 17 | $19,303 | $27,036 | $29,001 | $18,508–$46,773 |
| Minnesota (statewide) | 8 | $22,132 | $24,862 | $25,582 | $16,502–$27,711 |
| Mississippi (statewide) | 2 | — | — | — | $27,393–$49,126 |
| Missouri (statewide) | 10 | $24,093 | $25,254 | $26,238 | $16,924–$42,044 |
| Montana (statewide) | 3 | — | — | — | $18,891–$32,262 |
| Nashville TN | 4 | — | — | — | $31,646–$40,063 |
| Nebraska (statewide) | 9 | $18,690 | $18,690 | $21,560 | $15,530–$25,244 |
| New Hampshire (statewide) | 4 | — | — | — | $22,684–$74,006 |
| New Jersey (statewide) | 19 | $19,526 | $21,455 | $23,408 | $15,638–$86,302 |
| New Mexico (statewide) | 4 | — | — | — | $17,624–$79,265 |
| New York (statewide) | 20 | $50,806 | $56,350 | $69,410 | $25,593–$84,677 |
| New York City | 8 | $48,589 | $50,806 | $58,055 | $27,952–$102,968 |
| North Carolina (statewide) | 3 | — | — | — | $27,718–$67,206 |
| North Dakota (statewide) | 3 | — | — | — | $16,346–$29,288 |
| Ohio (statewide) | 29 | $39,664 | $55,443 | $71,443 | $13,056–$88,777 |
| Oklahoma (statewide) | 3 | — | — | — | $19,421–$42,044 |
| Oregon (statewide) | 4 | — | — | — | $17,455–$107,496 |
| Pennsylvania (statewide) | 12 | $83,167 | $92,470 | $109,025 | $16,622–$124,818 |
| Philadelphia PA | 4 | — | — | — | $34,846–$35,141 |
| Phoenix AZ | 6 | $23,306 | $23,306 | $23,306 | $23,306–$23,306 |
| Pittsburgh PA | 2 | — | — | — | $15,577–$15,601 |
| Portland OR | 9 | $24,978 | $24,978 | $63,936 | $23,856–$63,936 |
| Rhode Island (statewide) | 3 | — | — | — | $73,624–$171,338 |
| Richmond VA | 3 | — | — | — | $52,874–$53,618 |
| Rio Grande Valley TX | 2 | — | — | — | $22,832–$28,161 |
| Salt Lake City UT | 9 | $25,738 | $25,738 | $25,738 | $25,738–$26,586 |
| San Antonio TX | 2 | — | — | — | $35,974–$35,974 |
| San Diego CA | 1 | — | — | — | $49,905–$49,905 |
| San Francisco Bay Area CA | 3 | — | — | — | $38,487–$46,970 |
| Seattle-Tacoma WA | 16 | $47,197 | $54,808 | $57,320 | $27,004–$95,457 |
| South Carolina (statewide) | 17 | $20,410 | $21,721 | $27,284 | $18,323–$34,102 |
| Tampa FL | 6 | $20,046 | $20,046 | $30,818 | $20,046–$84,565 |
| Tennessee (statewide) | 15 | $25,849 | $27,684 | $30,988 | $19,203–$40,063 |
| Texas (statewide) | 45 | $16,924 | $20,580 | $35,974 | $13,934–$105,760 |
| Utah (statewide) | 4 | — | — | — | $24,889–$25,738 |
| Virginia (statewide) | 17 | $54,216 | $58,809 | $60,182 | $36,984–$67,218 |
| Washington (statewide) | 12 | $49,470 | $65,688 | $77,114 | $29,905–$133,906 |
| Washington DC | 8 | $23,898 | $32,210 | $44,761 | $23,898–$48,282 |
| West Virginia (statewide) | 2 | — | — | — | $14,999–$14,999 |
| Wisconsin (statewide) | 27 | $20,541 | $20,541 | $41,194 | $15,056–$67,722 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Fisher-Titus Hospital | Ohio (statewide) | $13,056 | 0.5× | 1 | 2026-04-29 |
| Ochsner Medical Center-Kenner | Louisiana (statewide) | $13,064 | 0.5× | 1 | 2026-09-16 |
| Ochsner Lsu Health Shreveport | Louisiana (statewide) | $13,276 | 0.5× | 1 | 2026-04-01 |
| Ochsner Lsu Health Shreveport-St Mary Medical Cent | Louisiana (statewide) | $13,276 | 0.5× | 1 | 2026-04-01 |
| Flowers Hospital | Alabama (statewide) | $13,716 | 0.6× | 2 | 2026-04-01 |
| Mainehealth Franklin Hospital | Maine (statewide) | $13,862 | 0.5× | 1 | 2025-09-09 |
| Baylor Scott And White Medical Center Sunnyvale | Texas (statewide) | $13,934 | 0.5× | 1 | 2026-04-01 |
| Texas Health Harris Methodist Hospital Azle | Texas (statewide) | $14,351 | 0.5× | 1 | 2026-04-21 |
| Uchealth Pikes Peak Regional Hospital | Colorado (statewide) | $14,359 | 0.5× | 1 | 2025-11-01 |
| University Hospitals Portage Medical Center | Ohio (statewide) | $14,419 | 0.6× | 1 | 2026-07-14 |
| Parkview Noble Hospital | Indiana (statewide) | $14,851 | 0.5× | 1 | 2026-09-01 |
| The Women'S Hospital | Indiana (statewide) | $14,882 | 0.5× | 1 | 2026-02-13 |
| Lehigh Valley Hospital - Dickson City | Pennsylvania (statewide) | $95,938 | 3.6× | 8 | 2026-07-01 |
| Dukes Memorial Hospital | Indiana (statewide) | $96,740 | 3.4× | 1 | 2026-04-01 |
| Maimonides Medical Center | New York City | $102,968 | 3.0× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $103,766 | 3.4× | 2 | 2026-04-01 |
| Palestine Regional Medical Center | Texas (statewide) | $105,760 | 3.9× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $107,496 | 3.4× | 2 | 2026-04-01 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $108,839 | 4.1× | 8 | 2026-07-01 |
| Lehigh Valley Hospital - Hazleton | Pennsylvania (statewide) | $109,584 | 4.2× | 8 | 2026-07-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $119,994 | 4.3× | 1 | 2026-03-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $124,818 | 4.5× | 8 | 2026-07-01 |
| Lourdes Medical Center | Washington (statewide) | $133,906 | 4.4× | 1 | 2026-07-10 |
| The Miriam Hospital | Rhode Island (statewide) | $171,338 | 5.6× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 451: Single Level Spinal Fusion Except Cervical Without McC
1393 hospitals in 81 markets. National Medicare rate $23,507.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $27,031 | $33,922 | $37,794 | $21,644–$73,476 |
| Alaska (statewide) | 4 | — | — | — | $28,144–$102,032 |
| Arizona (statewide) | 26 | $49,803 | $60,445 | $62,562 | $19,349–$81,393 |
| Arkansas (statewide) | 7 | $30,415 | $32,963 | $33,608 | $23,775–$51,824 |
| Atlanta GA | 8 | $55,686 | $59,158 | $71,134 | $55,686–$91,889 |
| Austin TX | 11 | $20,764 | $34,068 | $36,254 | $20,240–$44,247 |
| Boston MA | 14 | $28,829 | $29,881 | $33,869 | $24,267–$66,150 |
| California (statewide) | 41 | $38,043 | $51,908 | $75,946 | $25,005–$127,105 |
| Charlotte NC | 8 | $46,987 | $50,886 | $63,151 | $36,239–$63,151 |
| Chicago IL | 10 | $38,872 | $45,022 | $52,170 | $29,308–$60,085 |
| Cleveland OH | 11 | $40,612 | $41,947 | $44,461 | $22,338–$69,139 |
| Colorado (statewide) | 16 | $46,697 | $54,699 | $74,697 | $19,792–$101,567 |
| Columbus OH | 3 | — | — | — | $65,661–$86,565 |
| Connecticut (statewide) | 5 | $34,867 | $61,581 | $64,636 | $24,821–$120,687 |
| Dallas-Fort Worth TX | 15 | $29,110 | $35,952 | $39,836 | $27,436–$79,015 |
| Denver CO | 15 | $38,123 | $47,734 | $64,164 | $28,052–$96,889 |
| Detroit MI | 14 | $44,251 | $44,251 | $57,674 | $21,865–$69,216 |
| Florida (statewide) | 93 | $31,686 | $38,701 | $56,472 | $17,562–$97,032 |
| Georgia (statewide) | 44 | $42,334 | $61,896 | $72,395 | $24,695–$91,889 |
| Hawaii (statewide) | 6 | $60,978 | $77,926 | $80,689 | $55,724–$99,481 |
| Houston TX | 19 | $32,076 | $37,099 | $47,567 | $28,684–$67,217 |
| Idaho (statewide) | 13 | $63,774 | $77,181 | $84,412 | $33,332–$94,293 |
| Illinois (statewide) | 37 | $29,881 | $37,637 | $47,656 | $24,457–$79,729 |
| Indiana (statewide) | 44 | $23,139 | $46,624 | $56,466 | $16,326–$94,247 |
| Indianapolis IN | 5 | $17,562 | $17,886 | $59,132 | $17,233–$82,078 |
| Iowa (statewide) | 15 | $29,096 | $33,903 | $43,913 | $26,094–$59,171 |
| Kansas (statewide) | 19 | $28,639 | $32,881 | $38,839 | $13,688–$102,032 |
| Kentucky (statewide) | 21 | $29,976 | $32,012 | $42,464 | $19,080–$81,805 |
| Las Vegas NV | 2 | — | — | — | $45,373–$62,346 |
| Los Angeles CA | 18 | $57,388 | $59,145 | $63,709 | $37,732–$88,784 |
| Louisiana (statewide) | 25 | $24,235 | $28,788 | $32,210 | $18,210–$37,853 |
| Maine (statewide) | 12 | $77,419 | $87,602 | $97,674 | $24,907–$97,674 |
| Massachusetts (statewide) | 5 | $35,704 | $40,270 | $41,218 | $23,031–$57,340 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $33,807–$46,152 |
| Michigan (statewide) | 35 | $35,998 | $42,310 | $52,274 | $25,456–$67,192 |
| Minneapolis-St. Paul MN | 15 | $45,812 | $49,014 | $52,996 | $24,282–$61,279 |
| Minnesota (statewide) | 22 | $40,309 | $41,222 | $56,318 | $14,619–$67,192 |
| Mississippi (statewide) | 21 | $32,530 | $34,888 | $47,526 | $24,071–$67,770 |
| Missouri (statewide) | 23 | $32,228 | $35,268 | $45,649 | $18,907–$84,934 |
| Montana (statewide) | 7 | $37,881 | $52,957 | $65,530 | $14,731–$127,231 |
| Nashville TN | 8 | $26,953 | $30,628 | $40,554 | $18,220–$59,251 |
| Nebraska (statewide) | 13 | $51,720 | $55,067 | $66,102 | $36,129–$85,916 |
| Nevada (statewide) | 3 | — | — | — | $19,308–$64,158 |
| New Hampshire (statewide) | 8 | $37,182 | $42,675 | $53,897 | $25,656–$75,979 |
| New Jersey (statewide) | 20 | $55,660 | $64,478 | $73,631 | $30,387–$116,051 |
| New Mexico (statewide) | 9 | $39,420 | $49,181 | $58,992 | $21,654–$92,922 |
| New York (statewide) | 48 | $35,146 | $42,352 | $56,865 | $23,437–$110,498 |
| New York City | 9 | $60,492 | $62,222 | $78,148 | $27,500–$99,464 |
| North Carolina (statewide) | 29 | $33,748 | $43,738 | $63,420 | $19,084–$79,729 |
| North Dakota (statewide) | 7 | $34,850 | $39,218 | $41,983 | $23,330–$55,718 |
| Ohio (statewide) | 43 | $41,947 | $53,547 | $61,194 | $20,750–$108,180 |
| Oklahoma (statewide) | 17 | $25,904 | $32,204 | $36,547 | $14,966–$63,174 |
| Oregon (statewide) | 9 | $39,422 | $52,846 | $67,693 | $35,645–$83,654 |
| Pennsylvania (statewide) | 58 | $40,758 | $49,890 | $60,372 | $24,882–$79,729 |
| Philadelphia PA | 11 | $55,692 | $61,390 | $71,360 | $52,634–$116,051 |
| Phoenix AZ | 11 | $60,618 | $60,618 | $61,657 | $55,732–$62,562 |
| Pittsburgh PA | 7 | $36,806 | $39,273 | $43,638 | $31,422–$49,368 |
| Portland OR | 9 | $62,833 | $68,694 | $80,348 | $62,063–$80,348 |
| Research Triangle NC | 8 | $38,492 | $42,596 | $45,566 | $33,678–$49,821 |
| Rhode Island (statewide) | 5 | $49,508 | $61,827 | $62,032 | $30,582–$68,086 |
| Richmond VA | 7 | $41,310 | $74,250 | $77,725 | $37,337–$87,201 |
| Rio Grande Valley TX | 4 | — | — | — | $32,056–$42,905 |
| Salt Lake City UT | 9 | $50,080 | $50,080 | $50,080 | $49,036–$50,080 |
| San Antonio TX | 3 | — | — | — | $34,914–$55,862 |
| San Diego CA | 7 | $36,493 | $45,226 | $49,162 | $31,575–$53,196 |
| San Francisco Bay Area CA | 2 | — | — | — | $39,351–$54,482 |
| Seattle-Tacoma WA | 16 | $70,515 | $71,185 | $76,968 | $69,155–$96,180 |
| South Carolina (statewide) | 27 | $51,168 | $72,704 | $88,850 | $27,712–$105,483 |
| South Dakota (statewide) | 3 | — | — | — | $41,559–$52,542 |
| St. Louis MO | 7 | $37,094 | $37,094 | $37,094 | $16,507–$52,459 |
| Tampa FL | 11 | $61,686 | $62,379 | $63,446 | $49,942–$68,110 |
| Tennessee (statewide) | 31 | $26,934 | $32,452 | $38,314 | $16,116–$59,251 |
| Texas (statewide) | 85 | $31,798 | $37,499 | $50,261 | $19,827–$81,805 |
| Utah (statewide) | 6 | $52,422 | $62,124 | $66,769 | $23,696–$67,425 |
| Vermont (statewide) | 3 | — | — | — | $38,581–$85,282 |
| Virginia (statewide) | 21 | $56,248 | $63,707 | $67,234 | $32,914–$111,216 |
| Washington (statewide) | 15 | $53,098 | $57,895 | $68,894 | $24,353–$138,229 |
| Washington DC | 11 | $54,822 | $60,504 | $62,368 | $36,446–$79,729 |
| West Virginia (statewide) | 13 | $18,645 | $19,527 | $52,926 | $16,260–$77,807 |
| Wisconsin (statewide) | 47 | $55,004 | $61,122 | $67,192 | $14,553–$77,701 |
| Wyoming (statewide) | 1 | — | — | — | $81,279–$81,279 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $13,688 | 0.7× | 3 | 2025-12-19 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Kittson Healthcare | Minnesota (statewide) | $14,619 | 0.6× | 1 | 2026-06-26 |
| Mccone County Health Center | Montana (statewide) | $14,731 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.7× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hickman | Tennessee (statewide) | $16,116 | 0.7× | 4 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $16,260 | 0.7× | 2 | 2026-07-10 |
| Schneck Medical Center | Indiana (statewide) | $16,326 | 0.7× | 1 | 2024-01-24 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $16,327 | 0.7× | 9 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $16,507 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Nowata | Oklahoma (statewide) | $16,851 | 0.8× | 2 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $17,205 | 0.7× | 7 | 2026-01-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $102,371 | 4.6× | 1 | 2025-12-15 |
| Prisma Health Richland Hospital | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Lodi Community Hospital | Ohio (statewide) | $108,180 | 5.0× | 1 | 2026-06-15 |
| Garnet Health Medical Center Catskills | New York (statewide) | $110,498 | 3.8× | 8 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $111,216 | 5.0× | 1 | 2025-12-15 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $116,051 | 4.4× | 5 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $116,051 | 4.4× | 5 | 2026-03-24 |
| Lawrence & Memorial Hospital | Connecticut (statewide) | $120,687 | 4.3× | 13 | 2026-09-19 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $127,105 | 4.2× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $127,231 | 5.4× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $138,229 | 5.3× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 402: Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
1266 hospitals in 80 markets. National Medicare rate $29,256.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 16 | $32,681 | $40,347 | $44,136 | $26,937–$93,147 |
| Alaska (statewide) | 2 | — | — | — | $34,908–$129,919 |
| Arizona (statewide) | 20 | $67,220 | $88,934 | $89,430 | $31,371–$153,837 |
| Arkansas (statewide) | 4 | — | — | — | $30,140–$43,034 |
| Atlanta GA | 9 | $70,906 | $75,925 | $79,922 | $70,906–$115,678 |
| Austin TX | 11 | $25,842 | $48,031 | $48,872 | $25,190–$56,592 |
| Boston MA | 13 | $35,610 | $37,190 | $50,150 | $30,202–$82,330 |
| California (statewide) | 32 | $46,514 | $66,706 | $96,006 | $24,911–$139,389 |
| Charlotte NC | 8 | $59,566 | $64,510 | $78,597 | $45,102–$78,597 |
| Chicago IL | 10 | $49,188 | $57,196 | $64,994 | $37,318–$74,781 |
| Cleveland OH | 11 | $49,963 | $52,206 | $54,978 | $30,205–$100,533 |
| Colorado (statewide) | 16 | $49,704 | $71,464 | $92,967 | $24,633–$126,409 |
| Columbus OH | 3 | — | — | — | $81,721–$107,737 |
| Connecticut (statewide) | 5 | $25,400 | $78,344 | $81,941 | $24,821–$122,530 |
| Dallas-Fort Worth TX | 15 | $35,594 | $42,821 | $48,598 | $33,828–$100,611 |
| Denver CO | 15 | $37,860 | $42,556 | $79,857 | $33,443–$120,587 |
| Detroit MI | 16 | $54,576 | $55,074 | $63,648 | $27,213–$75,856 |
| Florida (statewide) | 86 | $39,302 | $48,295 | $73,233 | $19,607–$120,764 |
| Georgia (statewide) | 41 | $54,877 | $77,949 | $92,670 | $30,140–$115,678 |
| Hawaii (statewide) | 11 | $106,979 | $115,595 | $116,058 | $69,354–$124,344 |
| Houston TX | 19 | $39,626 | $45,821 | $58,478 | $30,249–$80,905 |
| Idaho (statewide) | 12 | $57,812 | $87,498 | $97,844 | $35,015–$119,537 |
| Illinois (statewide) | 31 | $39,074 | $47,284 | $58,683 | $30,439–$86,963 |
| Indiana (statewide) | 34 | $29,909 | $58,448 | $77,877 | $19,534–$117,298 |
| Indianapolis IN | 5 | $19,607 | $19,607 | $73,595 | $19,607–$91,141 |
| Iowa (statewide) | 14 | $36,830 | $42,811 | $52,084 | $33,053–$73,644 |
| Kansas (statewide) | 15 | $32,357 | $41,170 | $52,596 | $17,036–$129,919 |
| Kentucky (statewide) | 17 | $37,798 | $43,482 | $52,960 | $24,295–$104,676 |
| Las Vegas NV | 2 | — | — | — | $43,300–$81,939 |
| Los Angeles CA | 16 | $59,322 | $71,904 | $76,175 | $50,618–$88,451 |
| Louisiana (statewide) | 25 | $30,836 | $35,829 | $40,834 | $22,780–$47,987 |
| Maine (statewide) | 12 | $96,718 | $109,028 | $121,564 | $30,998–$121,564 |
| Massachusetts (statewide) | 3 | — | — | — | $28,664–$73,694 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $43,887–$58,193 |
| Michigan (statewide) | 31 | $43,342 | $52,658 | $60,782 | $31,682–$83,626 |
| Minneapolis-St. Paul MN | 10 | $56,211 | $63,806 | $67,480 | $41,472–$71,497 |
| Minnesota (statewide) | 19 | $50,841 | $51,304 | $67,480 | $22,073–$83,626 |
| Mississippi (statewide) | 14 | $33,320 | $34,754 | $42,687 | $30,515–$66,608 |
| Missouri (statewide) | 19 | $37,037 | $42,434 | $49,800 | $23,969–$105,847 |
| Montana (statewide) | 6 | $34,344 | $60,009 | $73,700 | $18,675–$99,063 |
| Nashville TN | 8 | $29,232 | $31,477 | $42,913 | $24,435–$75,114 |
| Nebraska (statewide) | 10 | $65,566 | $67,604 | $79,579 | $45,802–$96,022 |
| Nevada (statewide) | 4 | — | — | — | $79,849–$86,725 |
| New Hampshire (statewide) | 7 | $49,442 | $55,696 | $68,194 | $39,786–$94,562 |
| New Jersey (statewide) | 18 | $69,821 | $80,565 | $91,639 | $42,215–$107,704 |
| New Mexico (statewide) | 7 | $40,227 | $62,623 | $75,361 | $23,482–$118,319 |
| New York (statewide) | 46 | $42,693 | $52,712 | $70,774 | $29,169–$125,994 |
| New York City | 9 | $75,288 | $77,441 | $99,507 | $35,018–$123,791 |
| North Carolina (statewide) | 24 | $35,720 | $56,224 | $78,681 | $24,193–$93,541 |
| North Dakota (statewide) | 7 | $48,118 | $49,718 | $52,524 | $40,122–$70,798 |
| Ohio (statewide) | 43 | $52,301 | $66,766 | $73,282 | $25,450–$172,700 |
| Oklahoma (statewide) | 15 | $31,544 | $40,080 | $42,574 | $16,493–$77,004 |
| Oregon (statewide) | 9 | $48,843 | $65,831 | $80,802 | $40,365–$105,750 |
| Pennsylvania (statewide) | 51 | $50,833 | $63,614 | $74,326 | $32,135–$85,009 |
| Philadelphia PA | 11 | $70,130 | $73,751 | $87,077 | $66,608–$107,704 |
| Phoenix AZ | 11 | $70,588 | $72,215 | $82,190 | $70,588–$88,934 |
| Pittsburgh PA | 7 | $46,786 | $49,436 | $54,580 | $39,107–$62,638 |
| Portland OR | 9 | $79,025 | $85,334 | $100,436 | $78,276–$100,436 |
| Research Triangle NC | 7 | $48,032 | $62,006 | $66,148 | $39,644–$70,290 |
| Rhode Island (statewide) | 6 | $43,252 | $69,994 | $77,280 | $33,061–$84,738 |
| Richmond VA | 7 | $64,086 | $96,735 | $103,986 | $59,814–$113,961 |
| Rio Grande Valley TX | 3 | — | — | — | $42,290–$50,440 |
| Salt Lake City UT | 9 | $62,330 | $62,330 | $62,330 | $61,585–$62,330 |
| San Antonio TX | 3 | — | — | — | $43,357–$65,835 |
| San Diego CA | 7 | $41,380 | $44,454 | $60,849 | $38,772–$65,968 |
| San Francisco Bay Area CA | 2 | — | — | — | $45,820–$57,256 |
| Seattle-Tacoma WA | 16 | $82,876 | $85,685 | $88,722 | $75,349–$110,642 |
| South Carolina (statewide) | 26 | $71,617 | $103,190 | $113,940 | $39,040–$128,724 |
| South Dakota (statewide) | 3 | — | — | — | $51,724–$65,393 |
| St. Louis MO | 7 | $47,025 | $47,025 | $47,025 | $20,545–$70,956 |
| Tampa FL | 11 | $77,796 | $79,079 | $82,996 | $69,639–$89,171 |
| Tennessee (statewide) | 26 | $31,634 | $35,582 | $44,268 | $20,135–$77,297 |
| Texas (statewide) | 76 | $38,927 | $45,990 | $64,403 | $25,135–$110,471 |
| Utah (statewide) | 5 | $62,330 | $83,735 | $87,125 | $29,492–$87,125 |
| Vermont (statewide) | 3 | — | — | — | $48,910–$108,114 |
| Virginia (statewide) | 20 | $63,886 | $79,023 | $83,350 | $32,650–$137,545 |
| Washington (statewide) | 14 | $65,400 | $77,238 | $85,166 | $30,820–$212,177 |
| Washington DC | 9 | $71,872 | $76,730 | $79,449 | $66,344–$80,403 |
| West Virginia (statewide) | 13 | $20,830 | $21,816 | $66,432 | $18,165–$96,838 |
| Wisconsin (statewide) | 46 | $69,435 | $76,479 | $83,626 | $18,141–$96,705 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St John Sapulpa | Oklahoma (statewide) | $16,493 | 0.6× | 1 | 2026-01-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $17,036 | 0.7× | 3 | 2025-12-19 |
| Ascension St John Nowata | Oklahoma (statewide) | $17,614 | 0.6× | 2 | 2026-01-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $18,141 | 0.6× | 5 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $18,165 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $18,675 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $19,534 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $19,607 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $19,607 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent Evansville | Indiana (statewide) | $19,607 | 0.6× | 3 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $19,607 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $19,607 | 0.6× | 4 | 2026-01-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $127,810 | 4.6× | 4 | 2026-03-01 |
| Cherokee Medical Center | South Carolina (statewide) | $128,724 | 4.8× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $129,919 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $129,919 | 4.8× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $132,532 | 4.8× | 1 | 2025-12-15 |
| Loma Linda University Children'S Hospital | California (statewide) | $136,239 | 3.6× | 2 | 2026-09-02 |
| Bon Secours Mary Immaculate Hospital | Virginia (statewide) | $137,545 | 4.9× | 4 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $139,389 | 3.7× | 1 | 2026-03-12 |
| Banner Payson Medical Center | Arizona (statewide) | $139,661 | 4.5× | 1 | 2026-03-02 |
| Page Hospital | Arizona (statewide) | $153,837 | 5.0× | 1 | 2026-03-02 |
| Lodi Community Hospital | Ohio (statewide) | $172,700 | 6.4× | 1 | 2026-06-15 |
| Providence Centralia Hospital | Washington (statewide) | $212,177 | 6.6× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for lumbar fusion from the front (alif)?
Across 666 hospitals in 68 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 22558, hospital outpatient is $28,261, 1.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $20,958 to $46,939. 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: Fisher-Titus Hospital ($13,056), Ochsner Medical Center-Kenner ($13,064), Ochsner Lsu Health Shreveport ($13,276). Highest: The Miriam Hospital ($171,338), Lourdes Medical Center ($133,906), Lehigh Valley Hospital - Macungie ($124,818). Coverage: every hospital whose price file we could read.