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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 22558
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| St David's Medical Center median $32,705 · local Medicare $27,258 · file 2026-09-01 | |||
| BCBS TX | $13,901 | 0.5× | 1 |
| Curative Administrators | $35,974 | 1.3× | 1 |
| Evry Health | $42,253 | 1.6× | 1 |
| Healthcare Highways (rental network) | $14,320 | 0.5× | 2 |
| Nomi Health | $32,705 | 1.2× | 3 |
| Oscar | $37,044 | 1.4× | 5 |
| Shared Health | $19,500 | 0.7× | 1 |
| UnitedHealthcare | $21,249 | 0.8× | 3 |
| St David's South Austin Medical Center median $32,705 · local Medicare $27,258 · file 2026-09-01 | |||
| BCBS TX | $13,901 | 0.5× | 1 |
| Curative Administrators | $35,974 | 1.3× | 1 |
| Evry Health | $42,253 | 1.6× | 1 |
| Healthcare Highways (rental network) | $14,320 | 0.5× | 2 |
| Nomi Health | $32,705 | 1.2× | 3 |
| Oscar | $37,044 | 1.4× | 5 |
| Shared Health | $19,500 | 0.7× | 1 |
| UnitedHealthcare | $21,249 | 0.8× | 3 |
| Round Rock Medical Center median $32,705 · local Medicare $27,258 · file 2026-09-01 | |||
| BCBS TX | $13,901 | 0.5× | 1 |
| Curative Administrators | $35,974 | 1.3× | 1 |
| Evry Health | $42,253 | 1.6× | 1 |
| Healthcare Highways (rental network) | $14,320 | 0.5× | 2 |
| Nomi Health | $32,705 | 1.2× | 3 |
| Oscar | $37,044 | 1.4× | 5 |
| Shared Health | $19,500 | 0.7× | 1 |
| UnitedHealthcare | $21,249 | 0.8× | 3 |
| North Austin Medical Center median $32,705 · local Medicare $27,258 · file 2026-09-01 | |||
| BCBS TX | $13,901 | 0.5× | 1 |
| Curative Administrators | $35,974 | 1.3× | 1 |
| Evry Health | $42,253 | 1.6× | 1 |
| Healthcare Highways (rental network) | $14,320 | 0.5× | 2 |
| Nomi Health | $32,705 | 1.2× | 3 |
| Oscar | $37,044 | 1.4× | 5 |
| Shared Health | $19,500 | 0.7× | 1 |
| UnitedHealthcare | $21,249 | 0.8× | 3 |
| Scott & White Hospital-Round Rock median $39,796 · local Medicare $27,258 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $38,842 | 1.4× | 2 |
| Injury Management Organization | $40,750 | 1.5× | 1 |
| Sedgwick | $40,750 | 1.5× | 1 |
| UnitedHealthcare | $17,641 | 0.6× | 1 |
MS-DRG 451
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Seton Southwest median $20,240 · local Medicare $23,097 · file 2026-01-01 | |||
| Addr Cancer Together | $20,240 | 0.9× | 1 |
| Covid Hrsa | $20,240 | 0.9× | 1 |
| Cshcn Cidc | $20,240 | 0.9× | 1 |
| Occunet | $28,335 | 1.2× | 1 |
| Sendero Chap | $20,037 | 0.9× | 1 |
| Sendero Idealcare | $35,419 | 1.5× | 1 |
| Smarthealth | $20,240 | 0.9× | 1 |
| Tx Independence Hp | $21,252 | 0.9× | 1 |
| Ascension Seton Hays median $20,376 · local Medicare $23,097 · file 2026-01-01 | |||
| Addr Cancer Together | $20,376 | 0.9× | 1 |
| Covid Hrsa | $20,376 | 0.9× | 1 |
| Cshcn Cidc | $20,376 | 0.9× | 1 |
| Occunet | $28,526 | 1.2× | 1 |
| Sendero Chap | $20,172 | 0.9× | 1 |
| Sendero Idealcare | $35,658 | 1.5× | 1 |
| Smarthealth | $20,376 | 0.9× | 1 |
| Tx Independence Hp | $21,395 | 0.9× | 1 |
| Ascension Seton Northwest median $20,494 · local Medicare $23,097 · file 2026-01-01 | |||
| Addr Cancer Together | $20,494 | 0.9× | 1 |
| Covid Hrsa | $20,494 | 0.9× | 1 |
| Cshcn Cidc | $20,494 | 0.9× | 1 |
| Occunet | $28,692 | 1.2× | 1 |
| Sendero Chap | $20,289 | 0.9× | 1 |
| Sendero Idealcare | $35,865 | 1.6× | 1 |
| Smarthealth | $20,494 | 0.9× | 1 |
| Tx Independence Hp | $21,519 | 0.9× | 1 |
| Ascension Seton Medical Center Austin median $21,034 · local Medicare $23,097 · file 2026-01-01 | |||
| Addr Cancer Together | $21,034 | 0.9× | 1 |
| Covid Hrsa | $21,034 | 0.9× | 1 |
| Cshcn Cidc | $21,034 | 0.9× | 1 |
| Occunet | $29,447 | 1.3× | 1 |
| Sendero Chap | $20,823 | 0.9× | 1 |
| Sendero Idealcare | $36,809 | 1.6× | 1 |
| Smarthealth | $21,034 | 0.9× | 1 |
| Tx Independence Hp | $22,086 | 1.0× | 1 |
| UnitedHealthcare | $21,034 | 0.9× | 1 |
| Round Rock Medical Center median $32,528 · local Medicare $23,097 · file 2026-09-01 | |||
| Aetna | $23,590 | 1.0× | 6 |
| American Health Plan of Texas | $26,611 | 1.2× | 2 |
| BCBS TX | $24,754 | 1.1× | 2 |
| Covenant Management Systems | $57,769 | 2.5× | 1 |
| Curative Administrators | $44,088 | 1.9× | 1 |
| Evry Health | $44,502 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 5.5× | 1 |
| Healthcare Highways (rental network) | $40,561 | 1.8× | 2 |
| Humana | $24,940 | 1.1× | 4 |
| Imperial Insurance | $26,239 | 1.1× | 1 |
| MODA Health | $43,723 | 1.9× | 2 |
| Moda | $24,086 | 1.0× | 1 |
| Nomi Health | $120,000 | 5.2× | 3 |
| Oscar | $31,637 | 1.4× | 5 |
| Sendero | $33,418 | 1.4× | 5 |
| Shared Health | $26,487 | 1.1× | 1 |
| UnitedHealthcare | $37,887 | 1.6× | 3 |
| Vista 360 | $39,201 | 1.7× | 1 |
| Wesleyan Homes | $24,754 | 1.1× | 1 |
| St David's Medical Center median $34,068 · local Medicare $23,097 · file 2026-09-01 | |||
| Aetna | $24,729 | 1.1× | 6 |
| American Health Plan of Texas | $27,128 | 1.2× | 2 |
| BCBS TX | $25,236 | 1.1× | 2 |
| Covenant Management Systems | $57,769 | 2.5× | 1 |
| Curative Administrators | $44,088 | 1.9× | 1 |
| Evry Health | $44,502 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 5.5× | 1 |
| Healthcare Highways (rental network) | $40,561 | 1.8× | 2 |
| Humana | $25,172 | 1.1× | 4 |
| Imperial Insurance | $26,750 | 1.2× | 1 |
| MODA Health | $43,723 | 1.9× | 2 |
| Moda | $24,086 | 1.0× | 1 |
| Nomi Health | $120,000 | 5.2× | 3 |
| Oscar | $31,637 | 1.4× | 5 |
| Sendero | $34,068 | 1.5× | 5 |
| Seven Corners | $39,115 | 1.7× | 1 |
| Shared Health | $27,002 | 1.2× | 1 |
| UnitedHealthcare | $37,887 | 1.6× | 3 |
| Vista 360 | $39,201 | 1.7× | 1 |
| Wesleyan Homes | $25,236 | 1.1× | 1 |
| North Austin Medical Center median $35,476 · local Medicare $23,097 · file 2026-09-01 | |||
| Aetna | $23,590 | 1.0× | 6 |
| American Health Plan of Texas | $28,250 | 1.2× | 2 |
| BCBS TX | $26,279 | 1.1× | 2 |
| Covenant Management Systems | $57,769 | 2.5× | 1 |
| Curative Administrators | $44,088 | 1.9× | 1 |
| Evry Health | $44,502 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 5.5× | 1 |
| Healthcare Highways (rental network) | $40,561 | 1.8× | 2 |
| Humana | $26,870 | 1.2× | 4 |
| Imperial Insurance | $27,856 | 1.2× | 1 |
| MODA Health | $43,723 | 1.9× | 2 |
| Moda | $24,086 | 1.0× | 1 |
| Nomi Health | $120,000 | 5.2× | 3 |
| Oscar | $31,637 | 1.4× | 5 |
| Sendero | $35,476 | 1.5× | 5 |
| Seven Corners | $40,732 | 1.8× | 1 |
| Shared Health | $28,118 | 1.2× | 1 |
| UnitedHealthcare | $37,887 | 1.6× | 3 |
| Vista 360 | $39,201 | 1.7× | 1 |
| Wesleyan Homes | $26,279 | 1.1× | 1 |
| St David's South Austin Medical Center median $35,941 · local Medicare $23,097 · file 2026-09-01 | |||
| Aetna | $23,590 | 1.0× | 6 |
| American Health Plan of Texas | $28,620 | 1.2× | 2 |
| BCBS TX | $26,623 | 1.2× | 2 |
| Covenant Management Systems | $57,769 | 2.5× | 1 |
| Curative Administrators | $44,088 | 1.9× | 1 |
| Evry Health | $44,502 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 5.5× | 1 |
| Healthcare Highways (rental network) | $40,561 | 1.8× | 2 |
| Humana | $26,956 | 1.2× | 4 |
| Imperial Insurance | $28,221 | 1.2× | 1 |
| MODA Health | $43,723 | 1.9× | 2 |
| Moda | $24,086 | 1.0× | 1 |
| Nomi Health | $120,000 | 5.2× | 3 |
| Oscar | $31,637 | 1.4× | 5 |
| Sendero | $35,941 | 1.6× | 5 |
| Seven Corners | $41,266 | 1.8× | 1 |
| Shared Health | $28,487 | 1.2× | 1 |
| UnitedHealthcare | $37,887 | 1.6× | 3 |
| Vista 360 | $39,201 | 1.7× | 1 |
| Wesleyan Homes | $26,623 | 1.2× | 1 |
| Scott & White Hospital-Round Rock median $36,568 · local Medicare $23,097 · file 2026-06-13 | |||
| Aetna | $44,445 | 1.9× | 1 |
| BCBS TX | $44,247 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $35,638 | 1.5× | 4 |
| BlueBell Creameries | $17,767 | 0.8× | 1 |
| HealthSmart (rental network) | $38,650 | 1.7× | 1 |
| Humana | $37,499 | 1.6× | 2 |
| Injury Management Organization | $32,733 | 1.4× | 1 |
| Mark Cuban | $58,717 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.6× | 1 |
| Sedgwick | $32,733 | 1.4× | 1 |
| UnitedHealthcare | $58,147 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $29,662 | 1.3× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $40,873 · local Medicare $23,097 · file 2026-06-13 | |||
| Aetna | $44,445 | 1.9× | 1 |
| BCBS TX | $44,247 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $35,638 | 1.5× | 4 |
| HealthSmart (rental network) | $38,650 | 1.7× | 1 |
| Humana | $37,499 | 1.6× | 2 |
| Mark Cuban | $58,717 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.6× | 1 |
| Sedgwick | $29,318 | 1.3× | 1 |
| UnitedHealthcare | $58,147 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $29,662 | 1.3× | 1 |
| Baylor Scott & White Medical Center- Austin median $44,247 · local Medicare $23,097 · file 2026-06-13 | |||
| Aetna | $44,445 | 1.9× | 1 |
| BCBS TX | $44,247 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $35,638 | 1.5× | 4 |
| Humana | $37,499 | 1.6× | 2 |
| Mark Cuban | $58,717 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.6× | 1 |
| UnitedHealthcare | $58,147 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $29,662 | 1.3× | 1 |
MS-DRG 402
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Seton Southwest median $25,190 · local Medicare $28,746 · file 2026-01-01 | |||
| Addr Cancer Together | $25,190 | 0.9× | 1 |
| Covid Hrsa | $25,190 | 0.9× | 1 |
| Occunet | $35,266 | 1.2× | 1 |
| Sendero Chap | $24,938 | 0.9× | 1 |
| Sendero Idealcare | $44,082 | 1.5× | 1 |
| Smarthealth | $25,190 | 0.9× | 1 |
| Tx Independence Hp | $26,449 | 0.9× | 1 |
| Ascension Seton Hays median $25,360 · local Medicare $28,746 · file 2026-01-01 | |||
| Addr Cancer Together | $25,360 | 0.9× | 1 |
| Covid Hrsa | $25,360 | 0.9× | 1 |
| Cshcn Cidc | $25,360 | 0.9× | 1 |
| Occunet | $35,504 | 1.2× | 1 |
| Sendero Chap | $25,106 | 0.9× | 1 |
| Sendero Idealcare | $44,379 | 1.5× | 1 |
| Smarthealth | $25,360 | 0.9× | 1 |
| Tx Independence Hp | $26,628 | 0.9× | 1 |
| Ascension Seton Northwest median $25,507 · local Medicare $28,746 · file 2026-01-01 | |||
| Addr Cancer Together | $25,507 | 0.9× | 1 |
| Covid Hrsa | $25,507 | 0.9× | 1 |
| Cshcn Cidc | $25,507 | 0.9× | 1 |
| Occunet | $35,709 | 1.2× | 1 |
| Sendero Chap | $25,251 | 0.9× | 1 |
| Sendero Idealcare | $44,636 | 1.6× | 1 |
| Smarthealth | $25,507 | 0.9× | 1 |
| Tx Independence Hp | $26,782 | 0.9× | 1 |
| Ascension Seton Medical Center Austin median $26,178 · local Medicare $28,746 · file 2026-01-01 | |||
| Addr Cancer Together | $26,178 | 0.9× | 1 |
| Covid Hrsa | $26,178 | 0.9× | 1 |
| Cshcn Cidc | $26,178 | 0.9× | 1 |
| Occunet | $36,650 | 1.3× | 1 |
| Sendero Chap | $25,917 | 0.9× | 1 |
| Sendero Idealcare | $45,812 | 1.6× | 1 |
| Smarthealth | $26,178 | 0.9× | 1 |
| Tx Independence Hp | $27,487 | 1.0× | 1 |
| UnitedHealthcare | $26,178 | 0.9× | 1 |
| Round Rock Medical Center median $44,579 · local Medicare $28,746 · file 2026-09-01 | |||
| Aetna | $31,683 | 1.1× | 1 |
| American Health Plan of Texas | $32,749 | 1.1× | 2 |
| BCBS TX | $30,464 | 1.1× | 2 |
| Covenant Management Systems | $71,899 | 2.5× | 1 |
| Curative Administrators | $54,872 | 1.9× | 1 |
| Evry Health | $55,386 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 4.4× | 1 |
| Healthcare Highways (rental network) | $50,481 | 1.8× | 2 |
| Humana | $30,693 | 1.1× | 4 |
| Imperial Insurance | $32,292 | 1.1× | 1 |
| MODA Health | $54,417 | 1.9× | 2 |
| Moda | $29,977 | 1.0× | 1 |
| Nomi Health | $120,000 | 4.2× | 3 |
| Oscar | $54,315 | 1.9× | 5 |
| Sendero | $41,127 | 1.4× | 5 |
| Shared Health | $32,597 | 1.1× | 1 |
| UnitedHealthcare | $48,031 | 1.7× | 3 |
| Vista 360 | $48,789 | 1.7× | 1 |
| Wesleyan Homes | $30,464 | 1.1× | 1 |
| St David's Medical Center median $48,031 · local Medicare $28,746 · file 2026-09-01 | |||
| Aetna | $31,737 | 1.1× | 1 |
| American Health Plan of Texas | $33,448 | 1.2× | 2 |
| BCBS TX | $31,114 | 1.1× | 2 |
| Covenant Management Systems | $71,899 | 2.5× | 1 |
| Curative Administrators | $54,872 | 1.9× | 1 |
| Evry Health | $55,386 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 4.4× | 1 |
| Healthcare Highways (rental network) | $50,481 | 1.8× | 2 |
| Humana | $31,037 | 1.1× | 4 |
| Imperial Insurance | $32,981 | 1.1× | 1 |
| MODA Health | $54,417 | 1.9× | 2 |
| Moda | $29,977 | 1.0× | 1 |
| Nomi Health | $120,000 | 4.2× | 3 |
| Oscar | $54,315 | 1.9× | 5 |
| Sendero | $42,004 | 1.5× | 5 |
| Seven Corners | $48,227 | 1.7× | 1 |
| Shared Health | $33,292 | 1.2× | 1 |
| UnitedHealthcare | $48,031 | 1.7× | 3 |
| Vista 360 | $48,789 | 1.7× | 1 |
| Wesleyan Homes | $31,114 | 1.1× | 1 |
| St David's South Austin Medical Center median $48,031 · local Medicare $28,746 · file 2026-09-01 | |||
| Aetna | $34,242 | 1.2× | 1 |
| American Health Plan of Texas | $35,057 | 1.2× | 2 |
| BCBS TX | $32,611 | 1.1× | 2 |
| Covenant Management Systems | $71,899 | 2.5× | 1 |
| Curative Administrators | $54,872 | 1.9× | 1 |
| Evry Health | $55,386 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 4.4× | 1 |
| Healthcare Highways (rental network) | $50,481 | 1.8× | 2 |
| Humana | $33,019 | 1.1× | 4 |
| Imperial Insurance | $34,568 | 1.2× | 1 |
| MODA Health | $54,417 | 1.9× | 2 |
| Moda | $29,977 | 1.0× | 1 |
| Nomi Health | $120,000 | 4.2× | 3 |
| Oscar | $54,315 | 1.9× | 5 |
| Sendero | $44,025 | 1.5× | 5 |
| Seven Corners | $50,547 | 1.8× | 1 |
| Shared Health | $34,894 | 1.2× | 1 |
| UnitedHealthcare | $48,031 | 1.7× | 3 |
| Vista 360 | $48,789 | 1.7× | 1 |
| Wesleyan Homes | $32,611 | 1.1× | 1 |
| North Austin Medical Center median $48,031 · local Medicare $28,746 · file 2026-09-01 | |||
| Aetna | $34,365 | 1.2× | 1 |
| American Health Plan of Texas | $34,526 | 1.2× | 2 |
| BCBS TX | $32,117 | 1.1× | 2 |
| Covenant Management Systems | $71,899 | 2.5× | 1 |
| Curative Administrators | $54,872 | 1.9× | 1 |
| Evry Health | $55,386 | 1.9× | 1 |
| Harbor Health Team | $126,000 | 4.4× | 1 |
| Healthcare Highways (rental network) | $50,481 | 1.8× | 2 |
| Humana | $32,839 | 1.1× | 4 |
| Imperial Insurance | $34,044 | 1.2× | 1 |
| MODA Health | $54,417 | 1.9× | 2 |
| Moda | $29,977 | 1.0× | 1 |
| Nomi Health | $120,000 | 4.2× | 3 |
| Oscar | $54,315 | 1.9× | 5 |
| Sendero | $43,358 | 1.5× | 5 |
| Seven Corners | $49,781 | 1.7× | 1 |
| Shared Health | $34,365 | 1.2× | 1 |
| UnitedHealthcare | $48,031 | 1.7× | 3 |
| Vista 360 | $48,789 | 1.7× | 1 |
| Wesleyan Homes | $32,117 | 1.1× | 1 |
| Scott & White Hospital-Round Rock median $49,712 · local Medicare $28,746 · file 2026-06-13 | |||
| Aetna | $56,592 | 2.0× | 1 |
| BCBS TX | $55,069 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $44,354 | 1.5× | 4 |
| BlueBell Creameries | $22,113 | 0.8× | 1 |
| HealthSmart (rental network) | $38,650 | 1.3× | 1 |
| Humana | $72,707 | 2.5× | 1 |
| Injury Management Organization | $40,739 | 1.4× | 1 |
| Mark Cuban | $73,078 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.3× | 1 |
| Sedgwick | $40,739 | 1.4× | 1 |
| UnitedHealthcare | $72,369 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $36,916 | 1.3× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $55,830 · local Medicare $28,746 · file 2026-06-13 | |||
| Aetna | $56,592 | 2.0× | 1 |
| BCBS TX | $55,069 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $44,354 | 1.5× | 4 |
| HealthSmart (rental network) | $38,650 | 1.3× | 1 |
| Humana | $72,707 | 2.5× | 1 |
| Mark Cuban | $73,078 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.3× | 1 |
| Sedgwick | $36,489 | 1.3× | 1 |
| UnitedHealthcare | $72,369 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $36,916 | 1.3× | 1 |
| Baylor Scott & White Medical Center- Austin median $56,592 · local Medicare $28,746 · file 2026-06-13 | |||
| Aetna | $56,592 | 2.0× | 1 |
| BCBS TX | $55,069 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $44,354 | 1.5× | 4 |
| Humana | $72,707 | 2.5× | 1 |
| Mark Cuban | $73,078 | 2.5× | 1 |
| MultiPlan/PHCS (rental network) | $37,904 | 1.3× | 1 |
| UnitedHealthcare | $72,369 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $36,916 | 1.3× | 1 |
Questions
How much does lumbar fusion from the front (alif) cost with commercial insurance in Austin TX?
5 Austin TX hospitals post usable commercial rates for CPT 22558, hospital outpatient. The median across hospitals is $32,705; hospital medians range from $32,705 to $39,796. Your cost depends on your plan's deductible and coinsurance.