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Lumbar fusion, posterolateral in Rhode Island: what insurers pay

Posted commercial rates at 5 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 22612

HospitalMedian across insurers× MedicareInsurersFile date
Rhode Island Hospital Providence$28,2931.4×42026-04-01
Newport Hospital Newport$35,5751.8×42026-04-01
The Miriam Hospital Providence$73,4503.7×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$30,5821.2×42026-02-28
South County Hospital Inc Wakefield$49,5081.9×22026-07-24
Newport Hospital Newport$61,8272.4×22026-04-01
The Miriam Hospital Providence$62,0322.4×22026-04-01
Rhode Island Hospital Providence$68,0862.6×22026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$52,6851.2×32026-02-28
Newport Hospital Newport$102,0032.4×22026-04-01
The Miriam Hospital Providence$102,4952.4×22026-04-01
South County Hospital Inc Wakefield$109,9222.5×12026-07-24
Rhode Island Hospital Providence$112,3292.6×22026-04-01

Questions

How much do insurers pay for lumbar fusion, posterolateral in Rhode Island?

5 Rhode Island hospitals post usable commercial rates for lumbar fusion, posterolateral in their federal price-transparency files. For CPT 22612, hospital outpatient, the median across 3 hospitals is $35,575, 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.