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

Posted commercial rates at 33 Washington hospitals, each next to its own Medicare base rate.

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CPT 22558

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Salmon Creek Medical Center Vancouver$23,8560.8×62026-04-01
Virginia Mason Medical Center Seattle$27,0040.9×42026-01-01
Providence St Mary Medical Center Walla Walla$29,9051.0×42026-04-01
St Anne Hospital Burien$47,1971.5×32026-02-28
St Clare Hospital Lakewood$47,1971.5×32026-02-28
St Joseph Medical Center Tacoma$47,1971.5×32026-02-28
St Francis Community Hospital Federal Way$47,1971.5×32026-02-28
St Elizabeth Hospital Enumclaw$47,1971.5×32026-02-28
Swedish Issaquah Issaquah$47,2641.5×52026-04-01
Multicare Capital Medical Center Olympia$48,9761.6×52026-08-27
St Anthony Hospital Gig Harbor$49,0151.6×32026-02-28
Multicare Valley Hospital Spokane$49,6351.6×42026-08-27
Overlake Hospital Medical Center Bellevue$54,1581.7×42026-04-01
Multicare Deaconess Hospital Spokane$54,1841.8×32026-08-27
Multicare Auburn Medical Center Auburn$55,4591.8×52026-08-27
Tacoma General Allenmore Hospital Tacoma$55,4591.8×52026-08-27
Multicare Covington Medical Center Covington$55,4591.8×52026-08-27
Providence Regional Medical Center Everett Everett$55,6211.8×52026-04-01
Swedish Edmonds Hospital Edmonds$62,4182.1×42026-04-01
Astria Toppenish Hospital Toppenish$64,4652.1×12026-04-01
St Michael Medical Center Bremerton$66,9102.1×22026-02-28
Multicare Good Samaritan Hospital Puyallup$69,6232.2×32026-08-27
Kadlec Regional Medical Center Richland$69,6802.3×22026-04-01
Swedish Medical Center / Cherry Hill Seattle$73,5252.3×52026-04-01
Providence Holy Family Hospital Spokane$76,7102.5×52026-04-01
Mary Bridge Children'S Hospital Tacoma$78,3262.5×42026-08-27
Swedish Medical Center Seattle$95,4573.0×52026-04-01
Providence Centralia Hospital Centralia$103,7663.4×22026-04-01
Lourdes Medical Center Pasco$133,9064.4×12026-07-10

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$24,3530.9×42026-07-17
Shriners Hospital For Children Spokane$42,4281.6×62026-03-18
Confluence Health Hospital Wenatchee$49,0221.9×22026-04-21
Kadlec Regional Medical Center Richland$52,7822.0×32026-04-01
Skagit Valley Hospital Mount Vernon$53,4152.1×42026-03-26
Providence St Mary Medical Center Walla Walla$54,4822.1×42026-04-01
Lourdes Medical Center Pasco$54,6842.1×42026-07-10
Multicare Capital Medical Center Olympia$57,8952.2×92026-08-27
Multicare Valley Hospital Spokane$61,4362.4×82026-08-27
Providence Holy Family Hospital Spokane$64,3532.5×72026-04-01
Multicare Deaconess Hospital Spokane$66,9852.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$68,6942.7×62026-04-01
St Anne Hospital Burien$69,1552.6×82026-02-28
Overlake Hospital Medical Center Bellevue$69,4722.6×72026-04-01
Multicare Auburn Medical Center Auburn$70,5152.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$70,5152.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$70,5152.6×92026-08-27
Multicare Covington Medical Center Covington$70,5152.6×92026-08-27
St Elizabeth Hospital Enumclaw$70,8022.6×72026-02-28
St Clare Hospital Lakewood$71,1852.6×92026-02-28
St Joseph Medical Center Tacoma$71,1852.6×92026-02-28
St Francis Community Hospital Federal Way$71,1852.6×92026-02-28
St Anthony Hospital Gig Harbor$73,1202.7×92026-02-28
Virginia Mason Medical Center Seattle$74,2642.8×72026-01-01
Swedish Edmonds Hospital Edmonds$75,7732.9×72026-04-01
St Michael Medical Center Bremerton$80,1803.0×32026-02-28
Swedish Issaquah Issaquah$80,5513.0×62026-04-01
Providence Regional Medical Center Everett Everett$82,5453.2×72026-04-01
Mary Bridge Children'S Hospital Tacoma$86,7263.2×62026-08-27
Swedish Medical Center Seattle$87,5663.2×72026-04-01
Swedish Medical Center / Cherry Hill Seattle$96,1803.6×72026-04-01
Providence Centralia Hospital Centralia$138,2295.3×22026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$30,8201.0×42026-07-17
Providence St Mary Medical Center Walla Walla$57,2561.8×32026-04-01
Confluence Health Hospital Wenatchee$60,7841.9×22026-04-21
Lourdes Medical Center Pasco$65,0952.0×12026-07-10
Kadlec Regional Medical Center Richland$66,3172.1×32026-04-01
Multicare Capital Medical Center Olympia$72,2562.3×82026-08-27
St Anne Hospital Burien$75,3492.2×52026-02-28
St Elizabeth Hospital Enumclaw$75,4292.2×42026-02-28
Overlake Hospital Medical Center Bellevue$78,2142.3×52026-04-01
Multicare Valley Hospital Spokane$79,0482.5×72026-08-27
Providence Holy Family Hospital Spokane$80,5582.5×42026-04-01
St Clare Hospital Lakewood$82,8762.5×62026-02-28
St Joseph Medical Center Tacoma$82,8762.5×62026-02-28
St Francis Community Hospital Federal Way$82,8762.5×62026-02-28
St Anthony Hospital Gig Harbor$82,8762.5×62026-02-28
Swedish Edmonds Hospital Edmonds$83,0362.6×42026-04-01
Providence Regional Medical Center Everett Everett$83,6722.6×52026-04-01
Multicare Deaconess Hospital Spokane$84,2182.6×72026-08-27
Legacy Salmon Creek Medical Center Vancouver$85,3342.6×62026-04-01
Skagit Valley Hospital Mount Vernon$85,4822.7×12026-03-26
Multicare Auburn Medical Center Auburn$87,6982.6×82026-08-27
Tacoma General Allenmore Hospital Tacoma$87,6982.6×82026-08-27
Multicare Covington Medical Center Covington$87,6982.6×82026-08-27
Multicare Good Samaritan Hospital Puyallup$87,7982.6×82026-08-27
Virginia Mason Medical Center Seattle$91,4952.7×52026-01-01
St Michael Medical Center Bremerton$98,0983.0×22026-02-28
Swedish Issaquah Issaquah$109,7843.3×32026-04-01
Mary Bridge Children'S Hospital Tacoma$109,9463.3×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$110,6423.3×42026-04-01
Swedish Medical Center Seattle$110,6423.3×42026-04-01
Providence Centralia Hospital Centralia$212,1776.6×12026-04-01

Questions

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

33 Washington 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 29 hospitals is $55,459, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.