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

Posted commercial rates at 75 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$15,5770.6×12026-03-06
Upmc East Monroeville$15,6010.6×12026-03-06
Jefferson Lansdale Hospital Lansdale$16,6220.6×12026-09-15
Paoli Hospital Paoli$34,8461.3×12026-04-01
Riddle Memorial Hospital Media$34,8461.3×12026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$34,8921.3×22026-09-21
Bryn Mawr Hospital Bryn Mawr$35,1411.3×12026-04-01
Lankenau Medical Center Wynnewood$35,1411.3×12026-04-01
St Clair Hospital Pittsburgh$60,6472.3×72026-03-31
Penn State Health Hampden Medical Center Enola$90,6743.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$91,6713.4×12026-03-27
Lehigh Valley Hospital Allentown$91,8493.3×52026-07-01
Penn State Health Lancaster Medical Center Lancaster$93,0923.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$95,9383.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$108,8394.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$109,5844.2×82026-07-01
Penn State Health St. Joseph Reading$119,9944.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$124,8184.5×82026-07-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Geisinger-Bloomsburg Hospital Bloomsburg$24,8821.1×72026-07-01
Upmc Cole Coudersport$26,4751.2×32026-03-06
Upmc Horizon Greenville$27,4041.2×32026-03-06
Upmc Jameson New Castle$27,6521.2×32026-03-06
Upmc Somerset Somerset$28,5801.3×42026-03-06
Upmc Northwest Seneca$29,7561.3×22026-03-06
Upmc Bedford Memorial Everett$30,2701.4×22026-03-06
Titusville Area Hospital Titusville$30,8361.4×52026-09-11
Upmc Washington Washington$31,4221.4×72026-03-06
Upmc Hamot Erie$32,8401.5×32026-03-06
Upmc Kane Kane$33,3691.5×32026-03-06
Wayne Memorial Hospital Honesdale$33,9321.5×12026-09-16
Upmc East Monroeville$35,7911.6×22026-03-06
Upmc Mckeesport Mc Keesport$36,3081.6×22026-03-06
Upmc St Margaret Pittsburgh$37,8201.7×22026-03-06
Uniontown Hospital Uniontown$39,0341.8×62026-07-09
Upmc Mercy Pittsburgh$39,2731.8×22026-03-06
Conemaugh Memorial Medical Center Johnstown$39,8621.8×82026-04-15
Upmc Passavant Pittsburgh$40,0041.8×22026-03-07
Temple Health - Chestnut Hill Hospital Philadelphia$40,3801.7×82026-04-08
Upmc Altoona Altoona$41,8931.9×52026-03-06
Punxsutawney Area Hospital Punxsutawney$42,1941.9×52026-03-02
Geisinger-Lewistown Hospital Lewistown$42,2571.9×72026-07-01
St Clair Hospital Pittsburgh$42,4411.9×62026-03-31
Robert Packer Hospital Sayre$44,0342.0×62026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$44,0922.0×62026-09-21
Troy Community Hospital Troy$45,8222.0×12026-03-31
Roxborough Memorial Hospital Philadelphia$46,5892.0×62024-06-21
Upmc Presbyterian Shadyside Pittsburgh$47,2722.1×22026-03-06
Jefferson Lansdale Hospital Lansdale$48,4542.2×92026-09-15
Upmc Williamsport Williamsport$48,7432.2×32026-03-06
Upmc Muncy Muncy$48,7432.2×32026-03-06
Upmc Wellsboro Wellsboro$48,7432.2×32026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$48,9052.2×52026-02-26
Lower Bucks Hospital Bristol$49,0662.2×12026-09-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$49,3682.2×22026-03-06
St Luke'S Miners Memorial Hospital Coaldale$50,7142.3×42026-02-27
Geisinger St. Luke'S Hospital Orwigsburg$51,1122.3×42026-02-26
St Luke'S Hospital Bethlehem Bethlehem$52,5232.3×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$52,5232.3×52026-02-27
Jefferson Einstein Montgomery Hospital East Norriton$52,6342.4×52026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$53,2282.4×92026-07-01
St Luke'S Hospital - Monroe Campus Stroudsburg$53,3202.4×52026-02-27
Jefferson Abington Hospital Abington$53,5182.4×92026-09-15
Upmc Memorial York$53,6182.4×62026-03-06
Lehigh Valley Hospital - Macungie Macungie$54,2742.3×112026-07-01
Wellspan York Hospital York$55,0572.5×42026-01-01
Riddle Memorial Hospital Media$55,1142.3×42026-04-01
Conemaugh Miners Medical Center Hastings$55,3932.5×52026-07-30
Lehigh Valley Hospital - Dickson City Dickson City$55,6452.5×92026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$56,2612.4×42026-04-08
Paoli Hospital Paoli$56,2702.5×42026-04-01
St Luke'S Hospital - Easton Campus Easton$57,1562.4×42026-02-26
Lehigh Valley Hospital - Pocono East Stroudsburg$59,1322.6×92026-07-01
Lehigh Valley Hospital Allentown$60,7862.6×62026-07-01
St Mary Medical Center Langhorne$60,8292.7×72026-03-31
Penn State Health Holy Spirit Medical Center Camp Hill$60,8902.6×42026-03-27
Penn State Health St. Joseph Reading$60,8902.6×42026-03-27
Penn State Health Hampden Medical Center Enola$60,8902.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$60,8902.7×42026-03-27
Upmc Lititz Lititz$60,9842.7×52026-03-06
Bryn Mawr Hospital Bryn Mawr$61,3902.6×42026-04-01
Wilkes-Barre General Hospital Wilkes-Barre$63,1852.8×72026-07-01
Wellspan Chambersburg Hospital Chambersburg$64,1802.8×32026-01-01
Conemaugh Nason Medical Center Roaring Spring$64,4722.9×22026-07-30
Upmc Carlisle Carlisle$64,6582.8×62026-03-06
Geisinger Community Medical Center Scranton$66,7743.0×82026-07-01
Jefferson Health-Northeast Philadelphia$67,2092.8×52026-09-15
Wellspan Ephrata Community Hospital Ephrata$67,7353.0×52026-01-01
Upmc Hanover Hanover$68,3043.0×52026-03-06
Temple University Hospital Philadelphia$69,1882.9×102026-04-13
Lankenau Medical Center Wynnewood$73,5333.3×42026-04-01
Conemaugh Meyersdale Medical Center Meyersdale$79,7293.6×32026-08-06
Thomas Jefferson University Hospital Philadelphia$89,0853.8×92026-09-15

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Geisinger-Bloomsburg Hospital Bloomsburg$32,1351.1×72026-07-01
Upmc Horizon Greenville$34,1061.2×32026-03-06
Upmc Cole Coudersport$34,1931.2×32026-03-06
Upmc Jameson New Castle$34,2641.2×32026-03-06
Uniontown Hospital Uniontown$34,8491.3×42026-07-09
Upmc Somerset Somerset$36,2991.3×42026-03-06
Upmc Northwest Seneca$37,7881.4×22026-03-06
Upmc Bedford Memorial Everett$38,3581.4×22026-03-06
Titusville Area Hospital Titusville$39,0911.4×52026-09-11
Upmc Washington Washington$39,1071.4×72026-03-06
Upmc Hamot Erie$40,8291.5×32026-03-06
Upmc Kane Kane$43,0971.6×32026-03-06
Upmc East Monroeville$45,5061.6×22026-03-06
Upmc Mckeesport Mc Keesport$45,9421.6×22026-03-06
Upmc St Margaret Pittsburgh$48,0651.7×22026-03-06
Upmc Mercy Pittsburgh$49,4361.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$50,2561.7×82026-04-08
Upmc Passavant Pittsburgh$50,9621.8×22026-03-07
Conemaugh Memorial Medical Center Johnstown$51,4101.9×82026-04-15
Upmc Altoona Altoona$52,1391.9×52026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$52,4471.9×52026-09-21
St Clair Hospital Pittsburgh$54,2701.9×62026-03-31
Robert Packer Hospital Sayre$55,8232.0×62026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$58,1972.1×22026-03-06
Jefferson Lansdale Hospital Lansdale$60,3052.2×92026-09-15
Upmc Williamsport Williamsport$60,6652.2×32026-03-06
Upmc Muncy Muncy$60,6652.2×32026-03-06
Upmc Wellsboro Wellsboro$60,6652.2×32026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$60,8662.2×32026-02-26
St Luke'S Miners Memorial Hospital Coaldale$60,8662.2×32026-02-27
Wellspan Surgery And Rehabilitation Hospital York$61,5862.2×42026-01-01
Upmc Presbyterian Shadyside Pittsburgh$62,6382.3×22026-03-06
St Luke'S Hospital Bethlehem Bethlehem$63,6142.2×42026-02-26
St Luke'S Hospital - Easton Campus Easton$63,6142.2×42026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$63,6142.2×42026-02-27
Geisinger St. Luke'S Hospital Orwigsburg$63,6712.3×42026-02-26
Wellspan York Hospital York$64,8122.3×42026-01-01
Lehigh Valley Hospital - Hazleton Hazleton$65,9112.4×92026-07-01
Jefferson Abington Hospital Abington$66,6082.4×92026-09-15
Geisinger-Lewistown Hospital Lewistown$67,2792.4×62026-07-01
Upmc Memorial York$67,6122.4×62026-03-06
Lehigh Valley Hospital - Macungie Macungie$68,9122.4×112026-07-01
Riddle Memorial Hospital Media$69,2462.4×42026-04-01
Lehigh Valley Hospital - Dickson City Dickson City$69,2552.5×92026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$69,8332.4×32026-04-08
Paoli Hospital Paoli$70,0322.5×42026-04-01
Temple University Hospital Philadelphia$71,4842.4×82026-04-13
Lehigh Valley Hospital - Pocono East Stroudsburg$73,5942.6×92026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$73,7512.6×42026-09-15
St Luke'S Hospital - Monroe Campus Stroudsburg$74,2542.7×42026-02-27
Wellspan Chambersburg Hospital Chambersburg$74,3972.6×32026-01-01
St Mary Medical Center Langhorne$75,4882.7×72026-03-31
Penn State Health Holy Spirit Medical Center Camp Hill$75,7822.6×42026-03-27
Penn State Health St. Joseph Reading$75,7822.6×42026-03-27
Penn State Health Hampden Medical Center Enola$75,7822.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$75,7822.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$76,4042.6×42026-04-01
Upmc Lititz Lititz$77,6522.8×52026-03-06
Lehigh Valley Hospital Allentown$77,6762.7×62026-07-01
Upmc Carlisle Carlisle$77,6862.7×52026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$78,6392.8×72026-07-01
Jefferson Health-Northeast Philadelphia$82,8202.8×42026-09-15
Geisinger Community Medical Center Scranton$84,1183.0×82026-07-01
Wellspan Ephrata Community Hospital Ephrata$84,3023.0×52026-01-01
Upmc Hanover Hanover$85,0093.0×52026-03-06
Lankenau Medical Center Wynnewood$91,3343.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$102,7383.5×82026-09-15

Questions

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

75 Pennsylvania 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 18 hospitals is $75,661, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.