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Lumbar fusion from the front (ALIF) in Massachusetts: what insurers pay

Posted commercial rates at 19 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$21,8980.7×12026-04-01
New England Baptist Hospital Boston$23,4270.7×32026-04-01
Beverly Hospital Corporation Beverly$31,7441.0×12026-04-01
Signature Healthcare Brockton Hospital Brockton$32,9921.0×12026-01-28
Winchester Hospital Winchester$33,8241.0×12026-04-01
Mount Auburn Hospital Cambridge$34,3781.1×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$37,4281.1×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$40,0621.2×12026-04-01
Beth Israel Deaconess Medical Center Boston$40,4781.2×12026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$41,0321.3×12026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital-Milton Inc Milton$23,0310.8×22026-04-01
Anna Jaques Hospital Newburyport$24,2670.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$24,9840.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$27,5421.0×12026-04-01
Mount Auburn Hospital Cambridge$28,6121.0×12026-04-01
Brigham and Women's Faulkner Hospital Boston$29,4811.1×32026-03-27
Brigham and Women's Hospital Boston$29,8481.1×32026-03-27
Beverly Hospital Corporation Beverly$29,8811.1×12026-04-01
Winchester Hospital Winchester$29,8811.1×12026-04-01
Massachusetts General Hospital Boston$30,1261.1×12026-03-27
Beth Israel Deaconess Medical Center Boston$32,1681.1×22026-04-01
New England Baptist Hospital Boston$34,4361.2×32026-04-01
Holyoke Medical Center Holyoke$35,7041.3×62026-05-01
Signature Healthcare Brockton Hospital Brockton$40,2701.4×42026-01-28
Berkshire Medical Center Inc - 1 Pittsfield$41,2181.5×22026-03-25
Lowell General Hospital Lowell$45,6431.6×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$47,0831.7×42026-04-01
Mercy Medical Ctr Springfield$57,3402.0×102026-03-31
Tufts Medical Center Boston$66,1502.4×62026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital-Milton Inc Milton$28,6640.8×22026-04-01
Anna Jaques Hospital Newburyport$30,2020.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$31,0950.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$34,2791.0×12026-04-01
Mount Auburn Hospital Cambridge$35,6101.0×12026-04-01
Brigham and Women's Hospital Boston$37,0551.1×12026-03-27
Beverly Hospital Corporation Beverly$37,1901.1×12026-04-01
Winchester Hospital Winchester$37,1901.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$40,0361.1×22026-04-01
New England Baptist Hospital Boston$42,8591.2×32026-04-01
Signature Healthcare Brockton Hospital Brockton$47,9741.4×42026-01-28
Massachusetts General Hospital Boston$50,1501.4×22026-03-27
Lowell General Hospital Lowell$56,6521.6×52026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$58,5991.7×42026-04-01
Mercy Medical Ctr Springfield$73,6942.1×82026-03-31
Tufts Medical Center Boston$82,3302.4×62026-04-01

Questions

How much do insurers pay for lumbar fusion from the front (alif) in Massachusetts?

19 Massachusetts hospitals post usable commercial rates for lumbar fusion from the front (alif) in their federal price-transparency files. For CPT 22558, hospital outpatient, the median across 10 hospitals is $34,101, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.