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

Posted commercial rates at 45 North Carolina hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Novant Health New Hanover Regional Medical Center Wilmington$27,7181.0×12026-03-30
Caromont Regional Medical Center Gastonia$58,9082.2×42026-05-11
Cape Fear Valley Medical Center Fayetteville$67,2062.5×12026-03-21

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$19,0840.9×12026-04-01
Frye Regional Medical Center Hickory$24,7661.1×52026-07-08
Ecu Health North Hospital Roanoke Rapids$24,9411.1×12026-04-01
Wilson Medical Center Wilson$24,9781.1×12026-07-10
Catawba Valley Medical Center Hickory$26,9621.2×22026-09-27
Caldwell Memorial Hospital Lenoir$27,0271.2×52026-04-01
Ecu Health Bertie Hospital Windsor$30,4241.4×22026-04-01
UNC Health Johnston Smithfield$33,6781.4×42026-04-01
The Outer Banks Hospital, Inc Nags Head$33,7481.5×22026-04-01
North Carolina Specialty Hospital Durham$34,7331.5×12026-02-25
Angel Medical Center Franklin$34,7981.6×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$35,0721.6×22026-09-01
Lake Norman Regional Medical Center Mooresville$36,2391.6×52026-04-01
Transylvania Regional Hospital, Inc Brevard$37,7191.7×22026-09-01
Highlands Cashiers Hospital Highlands$39,2941.8×22026-09-01
UNC Rex Hospital Raleigh$39,7451.7×52026-04-01
Rutherford Regional Medical Center Rutherfordton$39,9311.8×12026-07-10
UNC Hospitals (Chapel Hill) Chapel Hill$41,0441.8×72026-04-01
Atrium Health Stanly Albemarle$41,4911.9×12026-09-15
Ecu Health Medical Center Greenville$43,7382.0×42026-04-01
Duke University Hospital Durham$44,1471.9×32026-04-01
Duke Raleigh Hospital Raleigh$44,1471.9×32026-04-01
Atrium Health University City Charlotte$45,0392.0×22025-12-05
Atrium Health Union Monroe$47,6362.1×22025-12-04
Novant Health New Hanover Regional Medical Center Wilmington$48,8602.1×52026-03-30
Atrium Health Cleveland Shelby$48,9122.2×22025-12-01
Adventhealth Hendersonville Hendersonville$49,1962.2×22026-04-01
WakeMed Raleigh Campus Raleigh$49,8212.1×32026-02-11
WakeMed Cary Hospital Cary$49,8212.1×32026-02-11
Atrium Health Cabarrus Concord$50,5862.3×22025-12-01
Atrium Health Pineville Charlotte$51,1862.3×22025-12-05
Novant Health Brunswick Medical Center Supply$53,4082.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$63,1512.8×32026-03-31
Novant Health Matthews Medical Center Matthews$63,1512.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$63,1512.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$63,1512.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$63,1512.8×32026-03-30
Caromont Regional Medical Center Gastonia$63,4202.8×82026-05-11
Novant Health Thomasville Medical Center Thomasville$64,6662.9×22026-03-31
Cape Fear Valley Hoke Hospital Raeford$70,7223.1×12026-03-30
Cape Fear Valley Medical Center Fayetteville$73,2373.2×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$75,1583.4×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$75,1583.4×32026-03-30
Maria Parham Medical Center Henderson$79,7293.6×12026-07-30
Swain County Hospital Bryson City$79,7293.6×22026-07-30

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$24,1930.9×12026-04-01
Frye Regional Medical Center Hickory$26,3701.0×42026-07-08
Ecu Health North Hospital Roanoke Rapids$27,6161.0×12026-04-01
Ecu Health Bertie Hospital Windsor$33,6861.2×22026-04-01
Caldwell Memorial Hospital Lenoir$34,2631.3×52026-04-01
Angel Medical Center Franklin$35,5101.3×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$35,7901.3×22026-09-01
The Outer Banks Hospital, Inc Nags Head$37,3661.4×22026-04-01
Transylvania Regional Hospital, Inc Brevard$38,4901.4×22026-09-01
UNC Rex Hospital Raleigh$39,6441.4×42026-04-01
Highlands Cashiers Hospital Highlands$40,0981.5×22026-09-01
North Carolina Specialty Hospital Durham$44,0321.6×12026-02-25
Lake Norman Regional Medical Center Mooresville$45,1021.6×52026-04-01
Ecu Health Medical Center Greenville$47,0431.7×42026-04-01
Atrium Health Stanly Albemarle$51,6391.9×12026-09-15
UNC Hospitals (Chapel Hill) Chapel Hill$52,0321.8×72026-04-01
Atrium Health University City Charlotte$57,0972.1×22025-12-05
Atrium Health Union Monroe$60,3892.2×22025-12-04
Novant Health New Hanover Regional Medical Center Wilmington$60,8102.1×52026-03-30
Adventhealth Hendersonville Hendersonville$61,2282.2×22026-04-01
Atrium Health Cleveland Shelby$62,0062.3×22025-12-01
WakeMed Raleigh Campus Raleigh$62,0062.1×22026-02-11
WakeMed Cary Hospital Cary$62,0062.1×22026-02-11
Atrium Health Cabarrus Concord$64,1292.3×22025-12-01
Atrium Health Pineville Charlotte$64,8902.3×22025-12-05
Novant Health Brunswick Medical Center Supply$66,4712.3×12026-03-30
Duke University Hospital Durham$70,2902.5×22026-04-01
Duke Raleigh Hospital Raleigh$70,2902.4×22026-04-01
Novant Health Presbyterian Medical Center Charlotte$78,5972.8×32026-03-31
Novant Health Matthews Medical Center Matthews$78,5972.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$78,5972.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$78,5972.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$78,5972.8×32026-03-30
Caromont Regional Medical Center Gastonia$78,9322.8×82026-05-11
Novant Health Thomasville Medical Center Thomasville$80,4842.9×22026-03-31
Cape Fear Valley Hoke Hospital Raeford$85,3733.0×12026-03-30
Cape Fear Valley Medical Center Fayetteville$90,1033.2×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$93,5413.4×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$93,5413.4×32026-03-30

Questions

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

45 North Carolina 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 3 hospitals is $58,908, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.