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

Posted commercial rates at 38 Virginia hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Inova Alexandria Hospital Alexandria$23,8980.8×42026-04-01
Inova Loudoun Hospital Leesburg$23,8980.8×42026-04-01
Inova Fair Oaks Hospital Fairfax$23,8980.8×42026-04-01
Inova Mount Vernon Hospital Alexandria$23,8980.8×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$36,9841.3×22026-04-01
Spotsylvania Regional Medical Center Fredericksburg$40,5221.4×32026-09-01
Reston Hospital Center Reston$44,4001.6×32026-09-01
Stonesprings Hospital Center Dulles$45,8441.6×32026-09-01
Lewisgale Hospital Pulaski Pulaski$46,1551.7×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$51,8622.0×22026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$52,8742.0×42026-09-01
Henrico Doctors' Hospital Richmond$52,9202.0×42026-09-01
Lewisgale Medical Center Salem$53,5442.0×22026-09-01
Tricities Hospital Hopewell$53,6182.0×42026-09-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$54,2162.0×12026-01-02
Sentara Leigh Hospital Norfolk$54,3302.0×22026-04-01
Riverside Shore Memorial Hospital Onancock$54,7072.1×12026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$57,4802.2×22026-04-01
Riverside Regional Medical Center Newport News$58,8092.2×12026-01-02
Sentara Princess Anne Hospital Virginia Beach$59,8672.3×22026-04-01
Sentara Martha Jefferson Hospital Charlottesville$59,8712.2×22026-04-01
Augusta Health Fishersville$60,0362.3×22026-04-01
Sentara Careplex Hospital Hampton$60,1822.3×22026-04-01
Sentara Norfolk General Hospital Norfolk$60,8902.3×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$63,7352.4×22026-04-01
Lewisgale Hospital Alleghany Low Moor$65,1702.5×32026-09-01
Sentara Obici Hospital Suffolk$67,2182.5×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$32,9141.5×62026-09-01
Spotsylvania Regional Medical Center Fredericksburg$36,4461.5×72026-09-01
Henrico Doctors' Hospital Richmond$37,3371.7×92026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$38,8021.7×92026-09-01
Lewisgale Hospital Montgomery Blacksburg$40,4681.8×72026-09-01
Lewisgale Hospital Alleghany Low Moor$41,4861.9×62026-09-01
Tricities Hospital Hopewell$43,8192.0×82026-09-01
Sentara Northern Virginia Medical Center Woodbridge$44,5151.9×52026-04-01
Reston Hospital Center Reston$50,1972.1×92026-09-01
Stonesprings Hospital Center Dulles$53,0632.2×82026-09-01
Sentara Martha Jefferson Hospital Charlottesville$53,3462.3×42026-04-01
Lewisgale Medical Center Salem$56,2482.5×42026-09-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$58,4182.6×12026-01-02
Inova Alexandria Hospital Alexandria$60,5042.5×72026-04-01
Inova Mount Vernon Hospital Alexandria$60,5262.5×72026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$61,0772.7×32026-04-01
Inova Loudoun Hospital Leesburg$62,0662.6×72026-04-01
Inova Fairfax Hospital Falls Church$62,6702.6×72026-04-01
Sentara Rmh Medical Center Harrisonburg$63,0022.7×12026-04-01
Inova Fair Oaks Hospital Fairfax$63,2322.6×72026-04-01
Bon Secours Maryview Medical Center Portsmouth$63,2802.8×52026-04-01
Sentara Obici Hospital Suffolk$63,7072.8×42026-04-01
Sentara Leigh Hospital Norfolk$64,0072.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$64,3002.9×42026-04-01
Augusta Health Fishersville$65,3732.9×32026-04-01
Sentara Careplex Hospital Hampton$66,5913.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$67,2343.0×32026-04-01
Bon Secours Memorial Regional Medical Center Mechanicsville$74,2503.3×52026-04-01
Fauquier Hospital Warrenton$75,6753.2×12026-07-14
Bon Secours St. Mary's Hospital Richmond$77,7253.5×52026-04-01
Bon Secours St. Francis Medical Center Midlothian$77,7253.5×52026-04-01
Sentara Norfolk General Hospital Norfolk$78,0123.5×42026-04-01
Bon Secours Mary Immaculate Hospital Newport News$84,7473.8×42026-04-01
VCU Medical Center Richmond$87,2013.9×32026-01-02
Carilion Roanoke Memorial Hospital Roanoke$102,3714.6×12025-12-15
Carilion New River Valley Medical Center Christiansburg$111,2165.0×12025-12-15

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$32,6501.2×62026-09-01
Lewisgale Hospital Montgomery Blacksburg$39,9071.4×72026-09-01
Lewisgale Hospital Alleghany Low Moor$40,4521.4×62026-09-01
Lewisgale Medical Center Salem$50,2181.8×42026-09-01
Sentara Northern Virginia Medical Center Woodbridge$55,4021.9×52026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$59,8142.1×82026-09-01
Henrico Doctors' Hospital Richmond$62,8792.3×82026-09-01
Tricities Hospital Hopewell$65,2922.3×82026-09-01
Spotsylvania Regional Medical Center Fredericksburg$66,3442.2×62026-09-01
Sentara Martha Jefferson Hospital Charlottesville$66,7142.3×42026-04-01
Reston Hospital Center Reston$71,5082.4×82026-09-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$74,0582.7×12026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$76,0162.7×32026-04-01
Inova Alexandria Hospital Alexandria$76,7032.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$76,7302.6×72026-04-01
Sentara Rmh Medical Center Harrisonburg$78,4122.7×12026-04-01
Inova Loudoun Hospital Leesburg$78,6822.6×72026-04-01
Bon Secours Maryview Medical Center Portsmouth$78,7582.8×52026-04-01
Sentara Obici Hospital Suffolk$79,2882.8×42026-04-01
Inova Fairfax Hospital Falls Church$79,4492.7×72026-04-01
Sentara Leigh Hospital Norfolk$79,6622.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$80,0262.9×42026-04-01
Inova Fair Oaks Hospital Fairfax$80,1612.7×72026-04-01
Stonesprings Hospital Center Dulles$80,4032.7×72026-09-01
Sentara Careplex Hospital Hampton$82,8793.0×32026-04-01
Augusta Health Fishersville$83,2403.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$83,6793.0×32026-04-01
Bon Secours St. Mary's Hospital Richmond$96,7353.5×52026-04-01
Bon Secours St. Francis Medical Center Midlothian$96,7353.5×52026-04-01
Sentara Norfolk General Hospital Norfolk$97,0933.5×42026-04-01
VCU Medical Center Richmond$111,2364.0×32026-01-02
Bon Secours Memorial Regional Medical Center Mechanicsville$113,9614.1×52026-04-01
Carilion Roanoke Memorial Hospital Roanoke$116,9684.2×12025-12-15
Carilion New River Valley Medical Center Christiansburg$132,5324.8×12025-12-15
Bon Secours Mary Immaculate Hospital Newport News$137,5454.9×42026-04-01

Questions

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

38 Virginia 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 27 hospitals is $53,618, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.