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

Posted commercial rates at 13 Maine hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Mainehealth Franklin Hospital Farmington$13,8620.5×12025-09-09
Northern Light Eastern Maine Medical Center Bangor$53,3182.0×22026-02-03
Northern Light Maine Coast Hospital Ellsworth$53,3182.0×22026-03-30
Northern Light A R Gould Hospital Presque Isle$55,1382.1×22026-03-30
Northern Light Mercy Hospital Portland$55,3692.0×12026-04-15
Northern Light C A Dean Hospital Greenville$55,3692.1×12026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$55,3692.1×12026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$55,3692.1×12026-03-30
Northern Light Mayo Hospital Dover Foxcroft$62,2122.3×12026-03-30

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$24,9071.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$55,7412.4×12025-09-09
Mainehealth Pen Bay Hospital Rockport$62,6372.8×12025-09-09
Northern Light Mercy Hospital Portland$82,3463.5×22026-04-15
Mainehealth Maine Medical Center Portland$83,2913.5×12025-09-09
Northern Light A R Gould Hospital Presque Isle$87,6023.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$87,6023.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$87,6023.9×42026-03-30
Northern Light C A Dean Hospital Greenville$97,6744.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$97,6744.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$97,6744.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$97,6744.3×32026-03-30

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$30,9981.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$70,6642.4×12025-09-09
Mainehealth Pen Bay Hospital Rockport$79,4062.8×12025-09-09
Northern Light Mercy Hospital Portland$102,4883.5×22026-04-15
Northern Light A R Gould Hospital Presque Isle$109,0283.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$109,0283.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$109,0283.9×42026-03-30
Mainehealth Maine Medical Center Portland$111,8023.8×12025-09-09
Northern Light C A Dean Hospital Greenville$121,5644.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$121,5644.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$121,5644.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$121,5644.3×32026-03-30

Questions

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

13 Maine 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 9 hospitals is $55,369, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.