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

Posted commercial rates at 10 New York hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$28,3710.8×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$41,9381.2×42026-01-01
Hospital for Special Surgery New York$88,3542.6×52026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$30,3371.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.1×12026-06-10
Jamaica Hospital Medical Center Jamaica$54,6671.9×32026-03-25
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$60,5382.1×52026-09-05
South Brooklyn Health Brooklyn$60,5382.1×52026-09-05
Elmhurst Hospital Center Elmhurst$61,4022.1×52026-09-05
Jacobi Medical Center Bronx$70,0932.4×52026-09-05
Hospital for Special Surgery New York$81,2472.8×52026-04-01
Maimonides Medical Center Brooklyn$93,5703.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$103,6733.5×72026-01-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.9×12026-06-10
Montefiore Medical Center Bronx$38,6291.1×12026-04-01
Hospital for Special Surgery New York$103,4532.8×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$129,0303.5×72026-01-01

Questions

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

10 New York 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 $41,938, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.