Price AtlasInteractive atlas · All states · techysurgeon.comLumbar fusion, posterolateral in New York City
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 22612
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $21,714 · local Medicare $21,887 · file 2026-04-01 | |||
| Aetna | $24,470 | 1.1× | 2 |
| Elevance/Anthem/Empire | $12,564 | 0.6× | 5 |
| EmblemHealth | $21,714 | 1.0× | 6 |
| Healthfirst | $18,604 | 0.9× | 1 |
| UnitedHealthcare | $21,908 | 1.0× | 3 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $28,208 · local Medicare $21,887 · file 2026-01-01 | |||
| 1199SEIU | $15,878 | 0.7× | 3 |
| Aetna | $41,064 | 1.9× | 24 |
| BCBS (other) | $26,526 | 1.2× | 16 |
| Cigna | $28,208 | 1.3× | 22 |
| Elevance/Anthem/Empire | $26,526 | 1.2× | 32 |
| EmblemHealth | $42,813 | 2.0× | 51 |
| UnitedHealthcare | $61,475 | 2.8× | 24 |
| Hospital for Special Surgery median $80,004 · local Medicare $21,887 · file 2026-04-01 | |||
| Aetna | $71,250 | 3.3× | 17 |
| BCBS (other) | $88,354 | 4.0× | 3 |
| Cigna | $66,955 | 3.1× | 13 |
| Elevance/Anthem/Empire | $91,180 | 4.2× | 10 |
| EmblemHealth | $71,654 | 3.3× | 14 |
| UnitedHealthcare | $101,387 | 4.6× | 27 |
MS-DRG 451
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $30,337 · local Medicare $29,236 · file 2026-04-01 | |||
| EmblemHealth | $30,337 | 1.0× | 1 |
| Jamaica Hospital Medical Center median $54,667 · local Medicare $29,236 · file 2026-03-25 | |||
| Aetna | $54,667 | 1.9× | 4 |
| Cigna | $54,866 | 1.9× | 1 |
| EmblemHealth | $50,286 | 1.7× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $60,538 · local Medicare $29,236 · file 2026-09-05 | |||
| Aetna | $60,492 | 2.1× | 1 |
| EmblemHealth | $64,246 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $62,993 | 2.2× | 1 |
| Oscar | $60,583 | 2.1× | 1 |
| UnitedHealthcare | $50,940 | 1.7× | 3 |
| South Brooklyn Health median $60,538 · local Medicare $29,236 · file 2026-09-05 | |||
| Aetna | $60,492 | 2.1× | 1 |
| EmblemHealth | $64,246 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $67,916 | 2.3× | 1 |
| Oscar | $60,583 | 2.1× | 1 |
| UnitedHealthcare | $59,785 | 2.0× | 3 |
| Elmhurst Hospital Center median $61,402 · local Medicare $29,236 · file 2026-09-05 | |||
| Aetna | $60,492 | 2.1× | 1 |
| EmblemHealth | $64,246 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $86,423 | 3.0× | 1 |
| Oscar | $60,583 | 2.1× | 1 |
| UnitedHealthcare | $62,222 | 2.1× | 4 |
| Jacobi Medical Center median $70,093 · local Medicare $29,236 · file 2026-09-05 | |||
| Aetna | $75,940 | 2.6× | 1 |
| EmblemHealth | $64,246 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $87,234 | 3.0× | 1 |
| Oscar | $60,583 | 2.1× | 1 |
| UnitedHealthcare | $89,905 | 3.1× | 3 |
| Hospital for Special Surgery median $81,247 · local Medicare $29,236 · file 2026-04-01 | |||
| Aetna | $78,148 | 2.7× | 17 |
| BCBS (other) | $81,247 | 2.8× | 2 |
| Cigna | $75,865 | 2.6× | 13 |
| EmblemHealth | $84,359 | 2.9× | 14 |
| UnitedHealthcare | $101,948 | 3.5× | 25 |
| Maimonides Medical Center median $93,570 · local Medicare $29,236 · file 2026-04-01 | |||
| 1199SEIU | $55,521 | 1.9× | 1 |
| Aetna | $94,192 | 3.2× | 3 |
| Cigna | $93,042 | 3.2× | 3 |
| Elevance/Anthem/Empire | $99,551 | 3.4× | 2 |
| EmblemHealth | $92,742 | 3.2× | 3 |
| UnitedHealthcare | $94,098 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $103,673 · local Medicare $29,236 · file 2026-01-01 | |||
| 1199SEIU | $103,673 | 3.5× | 6 |
| Aetna | $84,262 | 2.9× | 24 |
| BCBS (other) | $133,348 | 4.6× | 32 |
| Cigna | $93,707 | 3.2× | 22 |
| Elevance/Anthem/Empire | $133,348 | 4.6× | 64 |
| EmblemHealth | $95,255 | 3.3× | 40 |
| UnitedHealthcare | $123,401 | 4.2× | 46 |
MS-DRG 450
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $50,628 · local Medicare $48,235 · file 2026-04-01 | |||
| EmblemHealth | $50,628 | 1.0× | 1 |
| Hospital for Special Surgery median $135,589 · local Medicare $48,235 · file 2026-04-01 | |||
| Aetna | $130,416 | 2.7× | 17 |
| BCBS (other) | $135,589 | 2.8× | 2 |
| Cigna | $126,607 | 2.6× | 13 |
| EmblemHealth | $140,781 | 2.9× | 14 |
| UnitedHealthcare | $168,197 | 3.5× | 25 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $171,043 · local Medicare $48,235 · file 2026-01-01 | |||
| 1199SEIU | $171,043 | 3.5× | 6 |
| Aetna | $139,017 | 2.9× | 48 |
| BCBS (other) | $220,001 | 4.6× | 25 |
| Cigna | $154,601 | 3.2× | 44 |
| Elevance/Anthem/Empire | $220,001 | 4.6× | 59 |
| EmblemHealth | $157,154 | 3.3× | 40 |
| UnitedHealthcare | $203,591 | 4.2× | 48 |
Questions
How much does lumbar fusion, posterolateral cost with commercial insurance in New York City?
3 New York City hospitals post usable commercial rates for CPT 22612, hospital outpatient. The median across hospitals is $28,208; hospital medians range from $21,714 to $80,004. Your cost depends on your plan's deductible and coinsurance.