Price AtlasInteractive atlas · All states · techysurgeon.comLumbar fusion with cage (TLIF/PLIF): what insurers pay
Low-back fusion through the back with a spacer (cage) in the disc space: combined (22633) or interbody only (22630). Screws (22840), cage (22853) and bone graft (20930/20936) are billed as add-ons. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 22633: Lumbar Fusion With Cage (Tlif/Plif)
896 hospitals in 77 markets. National Medicare rate $27,722, surgery center $20,841.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $22,933 | $24,918 | $28,768 | $18,447–$33,036 |
| Alaska (statewide) | 3 | — | — | — | $40,315–$44,918 |
| Arizona (statewide) | 5 | $19,600 | $20,887 | $30,988 | $15,863–$41,042 |
| Arkansas (statewide) | 4 | — | — | — | $16,897–$25,419 |
| Atlanta GA | 6 | $14,089 | $14,089 | $46,971 | $14,089–$58,552 |
| Austin TX | 11 | $13,924 | $13,924 | $47,335 | $13,924–$47,335 |
| Boston MA | 10 | $26,474 | $30,682 | $34,788 | $21,268–$40,062 |
| California (statewide) | 46 | $33,087 | $54,261 | $69,590 | $17,784–$86,419 |
| Charlotte NC | 5 | $21,863 | $21,863 | $21,863 | $21,566–$21,863 |
| Chicago IL | 7 | $44,371 | $46,844 | $51,572 | $37,045–$53,361 |
| Cleveland OH | 10 | $23,234 | $28,238 | $43,346 | $16,844–$60,326 |
| Colorado (statewide) | 12 | $19,290 | $21,290 | $26,251 | $16,089–$42,823 |
| Columbus OH | 1 | — | — | — | $63,065–$63,065 |
| Connecticut (statewide) | 1 | — | — | — | $73,054–$73,054 |
| Dallas-Fort Worth TX | 12 | $38,842 | $39,461 | $51,500 | $34,494–$55,130 |
| Denver CO | 15 | $22,084 | $25,815 | $34,886 | $18,482–$42,823 |
| Detroit MI | 5 | $23,113 | $23,889 | $29,740 | $20,293–$29,740 |
| Florida (statewide) | 57 | $19,915 | $24,192 | $28,838 | $15,595–$85,372 |
| Georgia (statewide) | 24 | $23,781 | $29,604 | $57,958 | $14,089–$68,832 |
| Hawaii (statewide) | 3 | — | — | — | $17,815–$23,980 |
| Houston TX | 16 | $27,630 | $40,198 | $41,000 | $24,277–$66,654 |
| Idaho (statewide) | 14 | $33,154 | $46,711 | $55,512 | $17,756–$60,316 |
| Illinois (statewide) | 24 | $30,204 | $35,984 | $44,393 | $16,480–$54,635 |
| Indiana (statewide) | 28 | $34,794 | $41,662 | $51,748 | $18,390–$106,256 |
| Indianapolis IN | 2 | — | — | — | $21,702–$112,870 |
| Iowa (statewide) | 14 | $28,631 | $35,170 | $40,577 | $27,201–$52,766 |
| Kansas (statewide) | 9 | $23,239 | $36,955 | $47,161 | $19,310–$74,499 |
| Kentucky (statewide) | 9 | $22,411 | $25,468 | $33,320 | $14,966–$36,136 |
| Las Vegas NV | 1 | — | — | — | $36,560–$36,560 |
| Los Angeles CA | 17 | $33,114 | $36,563 | $41,879 | $18,186–$75,382 |
| Louisiana (statewide) | 21 | $16,885 | $19,818 | $25,523 | $16,715–$30,777 |
| Maine (statewide) | 15 | $75,354 | $86,430 | $87,484 | $46,850–$109,991 |
| Massachusetts (statewide) | 2 | — | — | — | $30,294–$58,163 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $34,335–$34,335 |
| Michigan (statewide) | 18 | $18,707 | $22,140 | $27,036 | $15,168–$32,593 |
| Minneapolis-St. Paul MN | 7 | $33,937 | $33,937 | $36,761 | $27,559–$47,502 |
| Minnesota (statewide) | 12 | $33,937 | $46,192 | $57,966 | $25,103–$68,899 |
| Mississippi (statewide) | 12 | $20,358 | $25,134 | $31,921 | $15,119–$49,126 |
| Missouri (statewide) | 11 | $28,513 | $29,939 | $37,195 | $24,107–$49,085 |
| Montana (statewide) | 4 | — | — | — | $18,891–$71,452 |
| Nashville TN | 6 | $34,756 | $38,766 | $48,368 | $33,706–$51,281 |
| Nebraska (statewide) | 9 | $26,125 | $32,446 | $32,446 | $15,530–$36,408 |
| Nevada (statewide) | 1 | — | — | — | $63,379–$63,379 |
| New Hampshire (statewide) | 5 | $51,045 | $62,284 | $62,550 | $31,650–$91,260 |
| New Jersey (statewide) | 19 | $21,338 | $21,929 | $24,062 | $19,421–$86,302 |
| New Mexico (statewide) | 7 | $35,618 | $41,862 | $49,898 | $19,406–$79,265 |
| New York (statewide) | 24 | $36,284 | $52,286 | $62,972 | $18,891–$84,677 |
| New York City | 8 | $34,948 | $36,284 | $45,026 | $27,314–$102,968 |
| North Carolina (statewide) | 2 | — | — | — | $21,398–$58,908 |
| North Dakota (statewide) | 5 | $31,814 | $31,966 | $32,908 | $24,166–$42,579 |
| Ohio (statewide) | 32 | $28,238 | $50,561 | $71,294 | $15,450–$88,777 |
| Oklahoma (statewide) | 7 | $28,919 | $33,566 | $46,223 | $19,421–$47,482 |
| Oregon (statewide) | 6 | $47,093 | $54,530 | $80,619 | $30,636–$100,935 |
| Pennsylvania (statewide) | 28 | $38,712 | $49,169 | $90,923 | $16,622–$124,818 |
| Philadelphia PA | 6 | $34,846 | $34,994 | $35,141 | $18,076–$36,636 |
| Phoenix AZ | 6 | $30,988 | $30,988 | $30,988 | $30,988–$30,988 |
| Pittsburgh PA | 6 | $34,669 | $39,151 | $40,900 | $16,000–$47,772 |
| Portland OR | 9 | $45,392 | $45,392 | $50,741 | $43,830–$50,741 |
| Rhode Island (statewide) | 3 | — | — | — | $34,769–$42,874 |
| Richmond VA | 3 | — | — | — | $58,944–$79,354 |
| Rio Grande Valley TX | 4 | — | — | — | $21,393–$52,065 |
| Salt Lake City UT | 9 | $31,312 | $32,380 | $32,380 | $16,966–$33,447 |
| San Antonio TX | 3 | — | — | — | $26,334–$52,065 |
| San Diego CA | 1 | — | — | — | $49,905–$49,905 |
| San Francisco Bay Area CA | 3 | — | — | — | $26,327–$53,152 |
| Seattle-Tacoma WA | 16 | $58,206 | $59,581 | $65,840 | $48,862–$81,022 |
| South Carolina (statewide) | 18 | $22,418 | $24,704 | $30,802 | $14,176–$37,009 |
| South Dakota (statewide) | 2 | — | — | — | $23,165–$26,933 |
| Tampa FL | 6 | $20,484 | $20,484 | $20,484 | $18,385–$39,400 |
| Tennessee (statewide) | 19 | $25,849 | $27,684 | $33,336 | $20,168–$51,281 |
| Texas (statewide) | 62 | $20,310 | $38,842 | $39,796 | $13,924–$64,133 |
| Utah (statewide) | 6 | $17,735 | $25,677 | $31,312 | $16,966–$32,380 |
| Virginia (statewide) | 18 | $51,972 | $59,730 | $64,629 | $37,134–$76,032 |
| Washington (statewide) | 10 | $52,204 | $56,875 | $79,831 | $34,634–$111,778 |
| Washington DC | 9 | $46,138 | $46,138 | $63,390 | $27,385–$69,943 |
| West Virginia (statewide) | 6 | $39,460 | $45,514 | $67,266 | $20,413–$88,204 |
| Wisconsin (statewide) | 28 | $20,342 | $20,928 | $32,166 | $14,955–$65,110 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Seton Medical Center Austin | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Southwest | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Northwest | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $13,924 | 0.5× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $13,924 | 0.5× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Hays | Austin TX | $13,924 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $13,924 | 0.5× | 1 | 2026-01-01 |
| Emory University Hospital | Atlanta GA | $14,089 | 0.5× | 1 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $14,089 | 0.6× | 1 | 2026-04-01 |
| Franciscan Health Michigan City | Indiana (statewide) | $98,996 | 3.5× | 3 | 2026-01-01 |
| Providence Medford Medical Center | Oregon (statewide) | $100,935 | 3.2× | 2 | 2026-04-01 |
| Maimonides Medical Center | New York City | $102,968 | 3.0× | 1 | 2026-04-01 |
| Franciscan Health Lafayette | Indiana (statewide) | $106,256 | 3.7× | 3 | 2026-01-01 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $108,839 | 4.1× | 8 | 2026-07-01 |
| Lehigh Valley Hospital - Hazleton | Pennsylvania (statewide) | $109,584 | 4.2× | 8 | 2026-07-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $109,991 | 4.1× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $111,596 | 3.5× | 4 | 2026-08-27 |
| Providence Centralia Hospital | Washington (statewide) | $111,778 | 3.7× | 3 | 2026-04-01 |
| Franciscan Health Indianapolis | Indianapolis IN | $112,870 | 3.9× | 3 | 2026-01-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $119,994 | 4.3× | 1 | 2026-03-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $124,818 | 4.5× | 8 | 2026-07-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 22630: Lumbar Fusion With Cage (Tlif/Plif)
844 hospitals in 77 markets. National Medicare rate $27,722, surgery center $20,859.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $19,293 | $23,852 | $28,768 | $13,716–$33,036 |
| Alaska (statewide) | 2 | — | — | — | $38,353–$43,406 |
| Arizona (statewide) | 5 | $19,600 | $20,887 | $25,797 | $15,863–$41,042 |
| Arkansas (statewide) | 4 | — | — | — | $16,897–$25,419 |
| Atlanta GA | 2 | — | — | — | $49,186–$49,806 |
| Austin TX | 5 | $35,974 | $35,974 | $35,974 | $35,974–$40,750 |
| Boston MA | 9 | $33,824 | $37,428 | $40,478 | $23,427–$49,166 |
| California (statewide) | 47 | $33,270 | $54,261 | $69,590 | $17,598–$86,419 |
| Charlotte NC | 5 | $21,863 | $21,863 | $21,863 | $21,566–$21,863 |
| Chicago IL | 7 | $27,813 | $34,928 | $41,944 | $26,156–$46,844 |
| Cleveland OH | 9 | $25,671 | $28,238 | $45,588 | $15,100–$60,326 |
| Colorado (statewide) | 12 | $18,299 | $21,922 | $25,028 | $15,284–$34,925 |
| Columbus OH | 2 | — | — | — | $63,065–$63,065 |
| Connecticut (statewide) | 1 | — | — | — | $73,054–$73,054 |
| Dallas-Fort Worth TX | 11 | $39,796 | $47,826 | $50,387 | $19,497–$64,800 |
| Denver CO | 15 | $20,436 | $28,116 | $32,652 | $15,284–$34,925 |
| Detroit MI | 5 | $32,444 | $32,444 | $34,647 | $22,986–$35,811 |
| Florida (statewide) | 56 | $18,376 | $21,122 | $28,767 | $15,595–$82,456 |
| Georgia (statewide) | 20 | $26,648 | $29,604 | $49,212 | $14,880–$60,085 |
| Hawaii (statewide) | 3 | — | — | — | $17,815–$23,980 |
| Houston TX | 16 | $27,630 | $40,517 | $40,517 | $15,912–$62,472 |
| Idaho (statewide) | 13 | $27,416 | $46,711 | $56,465 | $17,756–$67,018 |
| Illinois (statewide) | 24 | $18,422 | $29,722 | $38,084 | $14,983–$54,635 |
| Indiana (statewide) | 18 | $26,452 | $36,257 | $39,660 | $18,390–$57,416 |
| Indianapolis IN | 1 | — | — | — | $21,435–$21,435 |
| Iowa (statewide) | 13 | $27,722 | $32,320 | $40,835 | $23,156–$52,766 |
| Kansas (statewide) | 9 | $20,928 | $32,286 | $46,248 | $17,483–$74,499 |
| Kentucky (statewide) | 9 | $22,411 | $25,468 | $33,320 | $14,966–$36,136 |
| Las Vegas NV | 1 | — | — | — | $36,560–$36,560 |
| Los Angeles CA | 17 | $29,664 | $33,114 | $41,879 | $18,186–$75,382 |
| Louisiana (statewide) | 19 | $15,277 | $16,909 | $22,668 | $12,869–$30,777 |
| Maine (statewide) | 15 | $75,354 | $86,430 | $87,484 | $46,850–$109,991 |
| Massachusetts (statewide) | 2 | — | — | — | $30,294–$58,163 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $34,335–$34,335 |
| Michigan (statewide) | 23 | $23,124 | $27,880 | $32,454 | $15,168–$47,146 |
| Minneapolis-St. Paul MN | 7 | $33,937 | $33,937 | $37,452 | $33,937–$47,502 |
| Minnesota (statewide) | 10 | $40,098 | $50,071 | $59,292 | $33,937–$68,899 |
| Mississippi (statewide) | 10 | $27,393 | $29,465 | $32,730 | $22,842–$49,126 |
| Missouri (statewide) | 11 | $21,780 | $21,780 | $36,513 | $19,082–$49,085 |
| Montana (statewide) | 3 | — | — | — | $37,331–$71,452 |
| Nashville TN | 6 | $29,506 | $38,766 | $39,954 | $26,706–$40,063 |
| Nebraska (statewide) | 9 | $25,244 | $29,238 | $29,238 | $15,530–$30,482 |
| Nevada (statewide) | 1 | — | — | — | $63,379–$63,379 |
| New Hampshire (statewide) | 5 | $51,045 | $62,284 | $69,882 | $22,684–$74,006 |
| New Jersey (statewide) | 19 | $20,892 | $21,338 | $22,468 | $15,638–$86,302 |
| New Mexico (statewide) | 6 | $21,991 | $35,804 | $50,560 | $18,040–$79,265 |
| New York (statewide) | 25 | $36,284 | $51,304 | $60,829 | $26,876–$84,677 |
| New York City | 8 | $35,872 | $36,284 | $50,424 | $28,371–$79,802 |
| North Carolina (statewide) | 3 | — | — | — | $27,718–$67,206 |
| North Dakota (statewide) | 5 | $26,568 | $31,814 | $32,908 | $24,166–$42,579 |
| Ohio (statewide) | 30 | $39,982 | $46,454 | $55,443 | $14,419–$88,777 |
| Oklahoma (statewide) | 7 | $24,168 | $31,263 | $46,223 | $19,421–$47,482 |
| Oregon (statewide) | 6 | $47,093 | $54,530 | $80,619 | $36,336–$108,788 |
| Pennsylvania (statewide) | 24 | $38,712 | $49,169 | $92,026 | $16,622–$124,818 |
| Philadelphia PA | 6 | $34,846 | $34,994 | $35,141 | $18,076–$36,636 |
| Phoenix AZ | 6 | $25,797 | $25,797 | $25,797 | $25,797–$25,797 |
| Pittsburgh PA | 7 | $32,339 | $38,662 | $40,480 | $15,654–$47,772 |
| Portland OR | 9 | $24,978 | $24,978 | $66,536 | $23,856–$66,536 |
| Rhode Island (statewide) | 3 | — | — | — | $37,942–$103,760 |
| Richmond VA | 3 | — | — | — | $52,278–$52,996 |
| Rio Grande Valley TX | 4 | — | — | — | $23,507–$44,679 |
| Salt Lake City UT | 9 | $25,215 | $26,075 | $26,075 | $16,966–$26,935 |
| San Antonio TX | 3 | — | — | — | $28,492–$40,517 |
| San Diego CA | 1 | — | — | — | $49,905–$49,905 |
| San Francisco Bay Area CA | 3 | — | — | — | $25,790–$43,842 |
| Seattle-Tacoma WA | 16 | $58,978 | $61,584 | $69,623 | $49,041–$95,457 |
| South Carolina (statewide) | 17 | $20,410 | $21,721 | $27,080 | $18,323–$30,328 |
| South Dakota (statewide) | 1 | — | — | — | $23,165–$23,165 |
| Tampa FL | 6 | $19,612 | $19,612 | $30,709 | $19,612–$84,565 |
| Tennessee (statewide) | 19 | $25,828 | $26,706 | $29,290 | $19,203–$40,063 |
| Texas (statewide) | 51 | $19,497 | $23,386 | $40,517 | $13,934–$105,760 |
| Utah (statewide) | 6 | $17,997 | $23,152 | $25,215 | $16,966–$26,075 |
| Virginia (statewide) | 18 | $45,903 | $58,144 | $60,146 | $25,197–$67,218 |
| Washington (statewide) | 11 | $53,050 | $59,566 | $78,790 | $19,198–$114,630 |
| Washington DC | 9 | $23,898 | $24,117 | $45,844 | $23,898–$49,395 |
| West Virginia (statewide) | 5 | $37,505 | $45,700 | $74,454 | $20,413–$88,204 |
| Wisconsin (statewide) | 25 | $20,682 | $20,700 | $39,378 | $16,461–$65,110 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ochsner St Martin Hospital | Louisiana (statewide) | $12,869 | 0.5× | 1 | 2026-04-01 |
| Ochsner Medical Center-Kenner | Louisiana (statewide) | $13,064 | 0.5× | 3 | 2026-09-16 |
| Ochsner Lsu Health Shreveport | Louisiana (statewide) | $13,347 | 0.5× | 2 | 2026-04-01 |
| Ochsner Lsu Health Shreveport-St Mary Medical Cent | Louisiana (statewide) | $13,418 | 0.6× | 4 | 2026-04-01 |
| Flowers Hospital | Alabama (statewide) | $13,716 | 0.6× | 2 | 2026-04-01 |
| Baylor Scott And White Medical Center Sunnyvale | Texas (statewide) | $13,934 | 0.5× | 1 | 2026-04-01 |
| University Hospitals Portage Medical Center | Ohio (statewide) | $14,419 | 0.6× | 1 | 2026-07-14 |
| Doctors Hospital | Georgia (statewide) | $14,880 | 0.6× | 2 | 2026-09-01 |
| Tristar Greenview Regional Hospital | Kentucky (statewide) | $14,966 | 0.6× | 1 | 2026-09-01 |
| Mt Sinai Hospital Medical Center | Illinois (statewide) | $14,983 | 0.5× | 4 | 2026-09-22 |
| Holy Cross Hospital | Illinois (statewide) | $14,983 | 0.5× | 4 | 2026-09-22 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $15,100 | 0.6× | 1 | 2026-07-14 |
| Swedish Medical Center | Seattle-Tacoma WA | $95,457 | 3.0× | 5 | 2026-04-01 |
| Lehigh Valley Hospital - Dickson City | Pennsylvania (statewide) | $95,938 | 3.6× | 8 | 2026-07-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $97,386 | 3.1× | 5 | 2026-08-27 |
| The Miriam Hospital | Rhode Island (statewide) | $103,760 | 3.4× | 2 | 2026-04-01 |
| Palestine Regional Medical Center | Texas (statewide) | $105,760 | 3.9× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $108,788 | 3.4× | 2 | 2026-04-01 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $108,839 | 4.1× | 8 | 2026-07-01 |
| Lehigh Valley Hospital - Hazleton | Pennsylvania (statewide) | $109,584 | 4.2× | 8 | 2026-07-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $109,991 | 4.1× | 1 | 2025-09-09 |
| Providence Centralia Hospital | Washington (statewide) | $114,630 | 3.8× | 2 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $119,994 | 4.3× | 1 | 2026-03-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $124,818 | 4.5× | 8 | 2026-07-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 451: Single Level Spinal Fusion Except Cervical Without McC
1393 hospitals in 81 markets. National Medicare rate $23,507.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $27,031 | $33,922 | $37,794 | $21,644–$73,476 |
| Alaska (statewide) | 4 | — | — | — | $28,144–$102,032 |
| Arizona (statewide) | 26 | $49,803 | $60,445 | $62,562 | $19,349–$81,393 |
| Arkansas (statewide) | 7 | $30,415 | $32,963 | $33,608 | $23,775–$51,824 |
| Atlanta GA | 8 | $55,686 | $59,158 | $71,134 | $55,686–$91,889 |
| Austin TX | 11 | $20,764 | $34,068 | $36,254 | $20,240–$44,247 |
| Boston MA | 14 | $28,829 | $29,881 | $33,869 | $24,267–$66,150 |
| California (statewide) | 41 | $38,043 | $51,908 | $75,946 | $25,005–$127,105 |
| Charlotte NC | 8 | $46,987 | $50,886 | $63,151 | $36,239–$63,151 |
| Chicago IL | 10 | $38,872 | $45,022 | $52,170 | $29,308–$60,085 |
| Cleveland OH | 11 | $40,612 | $41,947 | $44,461 | $22,338–$69,139 |
| Colorado (statewide) | 16 | $46,697 | $54,699 | $74,697 | $19,792–$101,567 |
| Columbus OH | 3 | — | — | — | $65,661–$86,565 |
| Connecticut (statewide) | 5 | $34,867 | $61,581 | $64,636 | $24,821–$120,687 |
| Dallas-Fort Worth TX | 15 | $29,110 | $35,952 | $39,836 | $27,436–$79,015 |
| Denver CO | 15 | $38,123 | $47,734 | $64,164 | $28,052–$96,889 |
| Detroit MI | 14 | $44,251 | $44,251 | $57,674 | $21,865–$69,216 |
| Florida (statewide) | 93 | $31,686 | $38,701 | $56,472 | $17,562–$97,032 |
| Georgia (statewide) | 44 | $42,334 | $61,896 | $72,395 | $24,695–$91,889 |
| Hawaii (statewide) | 6 | $60,978 | $77,926 | $80,689 | $55,724–$99,481 |
| Houston TX | 19 | $32,076 | $37,099 | $47,567 | $28,684–$67,217 |
| Idaho (statewide) | 13 | $63,774 | $77,181 | $84,412 | $33,332–$94,293 |
| Illinois (statewide) | 37 | $29,881 | $37,637 | $47,656 | $24,457–$79,729 |
| Indiana (statewide) | 44 | $23,139 | $46,624 | $56,466 | $16,326–$94,247 |
| Indianapolis IN | 5 | $17,562 | $17,886 | $59,132 | $17,233–$82,078 |
| Iowa (statewide) | 15 | $29,096 | $33,903 | $43,913 | $26,094–$59,171 |
| Kansas (statewide) | 19 | $28,639 | $32,881 | $38,839 | $13,688–$102,032 |
| Kentucky (statewide) | 21 | $29,976 | $32,012 | $42,464 | $19,080–$81,805 |
| Las Vegas NV | 2 | — | — | — | $45,373–$62,346 |
| Los Angeles CA | 18 | $57,388 | $59,145 | $63,709 | $37,732–$88,784 |
| Louisiana (statewide) | 25 | $24,235 | $28,788 | $32,210 | $18,210–$37,853 |
| Maine (statewide) | 12 | $77,419 | $87,602 | $97,674 | $24,907–$97,674 |
| Massachusetts (statewide) | 5 | $35,704 | $40,270 | $41,218 | $23,031–$57,340 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $33,807–$46,152 |
| Michigan (statewide) | 35 | $35,998 | $42,310 | $52,274 | $25,456–$67,192 |
| Minneapolis-St. Paul MN | 15 | $45,812 | $49,014 | $52,996 | $24,282–$61,279 |
| Minnesota (statewide) | 22 | $40,309 | $41,222 | $56,318 | $14,619–$67,192 |
| Mississippi (statewide) | 21 | $32,530 | $34,888 | $47,526 | $24,071–$67,770 |
| Missouri (statewide) | 23 | $32,228 | $35,268 | $45,649 | $18,907–$84,934 |
| Montana (statewide) | 7 | $37,881 | $52,957 | $65,530 | $14,731–$127,231 |
| Nashville TN | 8 | $26,953 | $30,628 | $40,554 | $18,220–$59,251 |
| Nebraska (statewide) | 13 | $51,720 | $55,067 | $66,102 | $36,129–$85,916 |
| Nevada (statewide) | 3 | — | — | — | $19,308–$64,158 |
| New Hampshire (statewide) | 8 | $37,182 | $42,675 | $53,897 | $25,656–$75,979 |
| New Jersey (statewide) | 20 | $55,660 | $64,478 | $73,631 | $30,387–$116,051 |
| New Mexico (statewide) | 9 | $39,420 | $49,181 | $58,992 | $21,654–$92,922 |
| New York (statewide) | 48 | $35,146 | $42,352 | $56,865 | $23,437–$110,498 |
| New York City | 9 | $60,492 | $62,222 | $78,148 | $27,500–$99,464 |
| North Carolina (statewide) | 29 | $33,748 | $43,738 | $63,420 | $19,084–$79,729 |
| North Dakota (statewide) | 7 | $34,850 | $39,218 | $41,983 | $23,330–$55,718 |
| Ohio (statewide) | 43 | $41,947 | $53,547 | $61,194 | $20,750–$108,180 |
| Oklahoma (statewide) | 17 | $25,904 | $32,204 | $36,547 | $14,966–$63,174 |
| Oregon (statewide) | 9 | $39,422 | $52,846 | $67,693 | $35,645–$83,654 |
| Pennsylvania (statewide) | 58 | $40,758 | $49,890 | $60,372 | $24,882–$79,729 |
| Philadelphia PA | 11 | $55,692 | $61,390 | $71,360 | $52,634–$116,051 |
| Phoenix AZ | 11 | $60,618 | $60,618 | $61,657 | $55,732–$62,562 |
| Pittsburgh PA | 7 | $36,806 | $39,273 | $43,638 | $31,422–$49,368 |
| Portland OR | 9 | $62,833 | $68,694 | $80,348 | $62,063–$80,348 |
| Research Triangle NC | 8 | $38,492 | $42,596 | $45,566 | $33,678–$49,821 |
| Rhode Island (statewide) | 5 | $49,508 | $61,827 | $62,032 | $30,582–$68,086 |
| Richmond VA | 7 | $41,310 | $74,250 | $77,725 | $37,337–$87,201 |
| Rio Grande Valley TX | 4 | — | — | — | $32,056–$42,905 |
| Salt Lake City UT | 9 | $50,080 | $50,080 | $50,080 | $49,036–$50,080 |
| San Antonio TX | 3 | — | — | — | $34,914–$55,862 |
| San Diego CA | 7 | $36,493 | $45,226 | $49,162 | $31,575–$53,196 |
| San Francisco Bay Area CA | 2 | — | — | — | $39,351–$54,482 |
| Seattle-Tacoma WA | 16 | $70,515 | $71,185 | $76,968 | $69,155–$96,180 |
| South Carolina (statewide) | 27 | $51,168 | $72,704 | $88,850 | $27,712–$105,483 |
| South Dakota (statewide) | 3 | — | — | — | $41,559–$52,542 |
| St. Louis MO | 7 | $37,094 | $37,094 | $37,094 | $16,507–$52,459 |
| Tampa FL | 11 | $61,686 | $62,379 | $63,446 | $49,942–$68,110 |
| Tennessee (statewide) | 31 | $26,934 | $32,452 | $38,314 | $16,116–$59,251 |
| Texas (statewide) | 85 | $31,798 | $37,499 | $50,261 | $19,827–$81,805 |
| Utah (statewide) | 6 | $52,422 | $62,124 | $66,769 | $23,696–$67,425 |
| Vermont (statewide) | 3 | — | — | — | $38,581–$85,282 |
| Virginia (statewide) | 21 | $56,248 | $63,707 | $67,234 | $32,914–$111,216 |
| Washington (statewide) | 15 | $53,098 | $57,895 | $68,894 | $24,353–$138,229 |
| Washington DC | 11 | $54,822 | $60,504 | $62,368 | $36,446–$79,729 |
| West Virginia (statewide) | 13 | $18,645 | $19,527 | $52,926 | $16,260–$77,807 |
| Wisconsin (statewide) | 47 | $55,004 | $61,122 | $67,192 | $14,553–$77,701 |
| Wyoming (statewide) | 1 | — | — | — | $81,279–$81,279 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $13,688 | 0.7× | 3 | 2025-12-19 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Kittson Healthcare | Minnesota (statewide) | $14,619 | 0.6× | 1 | 2026-06-26 |
| Mccone County Health Center | Montana (statewide) | $14,731 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.7× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hickman | Tennessee (statewide) | $16,116 | 0.7× | 4 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $16,260 | 0.7× | 2 | 2026-07-10 |
| Schneck Medical Center | Indiana (statewide) | $16,326 | 0.7× | 1 | 2024-01-24 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $16,327 | 0.7× | 9 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $16,507 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Nowata | Oklahoma (statewide) | $16,851 | 0.8× | 2 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $17,205 | 0.7× | 7 | 2026-01-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $102,371 | 4.6× | 1 | 2025-12-15 |
| Prisma Health Richland Hospital | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Lodi Community Hospital | Ohio (statewide) | $108,180 | 5.0× | 1 | 2026-06-15 |
| Garnet Health Medical Center Catskills | New York (statewide) | $110,498 | 3.8× | 8 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $111,216 | 5.0× | 1 | 2025-12-15 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $116,051 | 4.4× | 5 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $116,051 | 4.4× | 5 | 2026-03-24 |
| Lawrence & Memorial Hospital | Connecticut (statewide) | $120,687 | 4.3× | 13 | 2026-09-19 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $127,105 | 4.2× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $127,231 | 5.4× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $138,229 | 5.3× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 402: Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
1266 hospitals in 80 markets. National Medicare rate $29,256.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 16 | $32,681 | $40,347 | $44,136 | $26,937–$93,147 |
| Alaska (statewide) | 2 | — | — | — | $34,908–$129,919 |
| Arizona (statewide) | 20 | $67,220 | $88,934 | $89,430 | $31,371–$153,837 |
| Arkansas (statewide) | 4 | — | — | — | $30,140–$43,034 |
| Atlanta GA | 9 | $70,906 | $75,925 | $79,922 | $70,906–$115,678 |
| Austin TX | 11 | $25,842 | $48,031 | $48,872 | $25,190–$56,592 |
| Boston MA | 13 | $35,610 | $37,190 | $50,150 | $30,202–$82,330 |
| California (statewide) | 32 | $46,514 | $66,706 | $96,006 | $24,911–$139,389 |
| Charlotte NC | 8 | $59,566 | $64,510 | $78,597 | $45,102–$78,597 |
| Chicago IL | 10 | $49,188 | $57,196 | $64,994 | $37,318–$74,781 |
| Cleveland OH | 11 | $49,963 | $52,206 | $54,978 | $30,205–$100,533 |
| Colorado (statewide) | 16 | $49,704 | $71,464 | $92,967 | $24,633–$126,409 |
| Columbus OH | 3 | — | — | — | $81,721–$107,737 |
| Connecticut (statewide) | 5 | $25,400 | $78,344 | $81,941 | $24,821–$122,530 |
| Dallas-Fort Worth TX | 15 | $35,594 | $42,821 | $48,598 | $33,828–$100,611 |
| Denver CO | 15 | $37,860 | $42,556 | $79,857 | $33,443–$120,587 |
| Detroit MI | 16 | $54,576 | $55,074 | $63,648 | $27,213–$75,856 |
| Florida (statewide) | 86 | $39,302 | $48,295 | $73,233 | $19,607–$120,764 |
| Georgia (statewide) | 41 | $54,877 | $77,949 | $92,670 | $30,140–$115,678 |
| Hawaii (statewide) | 11 | $106,979 | $115,595 | $116,058 | $69,354–$124,344 |
| Houston TX | 19 | $39,626 | $45,821 | $58,478 | $30,249–$80,905 |
| Idaho (statewide) | 12 | $57,812 | $87,498 | $97,844 | $35,015–$119,537 |
| Illinois (statewide) | 31 | $39,074 | $47,284 | $58,683 | $30,439–$86,963 |
| Indiana (statewide) | 34 | $29,909 | $58,448 | $77,877 | $19,534–$117,298 |
| Indianapolis IN | 5 | $19,607 | $19,607 | $73,595 | $19,607–$91,141 |
| Iowa (statewide) | 14 | $36,830 | $42,811 | $52,084 | $33,053–$73,644 |
| Kansas (statewide) | 15 | $32,357 | $41,170 | $52,596 | $17,036–$129,919 |
| Kentucky (statewide) | 17 | $37,798 | $43,482 | $52,960 | $24,295–$104,676 |
| Las Vegas NV | 2 | — | — | — | $43,300–$81,939 |
| Los Angeles CA | 16 | $59,322 | $71,904 | $76,175 | $50,618–$88,451 |
| Louisiana (statewide) | 25 | $30,836 | $35,829 | $40,834 | $22,780–$47,987 |
| Maine (statewide) | 12 | $96,718 | $109,028 | $121,564 | $30,998–$121,564 |
| Massachusetts (statewide) | 3 | — | — | — | $28,664–$73,694 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $43,887–$58,193 |
| Michigan (statewide) | 31 | $43,342 | $52,658 | $60,782 | $31,682–$83,626 |
| Minneapolis-St. Paul MN | 10 | $56,211 | $63,806 | $67,480 | $41,472–$71,497 |
| Minnesota (statewide) | 19 | $50,841 | $51,304 | $67,480 | $22,073–$83,626 |
| Mississippi (statewide) | 14 | $33,320 | $34,754 | $42,687 | $30,515–$66,608 |
| Missouri (statewide) | 19 | $37,037 | $42,434 | $49,800 | $23,969–$105,847 |
| Montana (statewide) | 6 | $34,344 | $60,009 | $73,700 | $18,675–$99,063 |
| Nashville TN | 8 | $29,232 | $31,477 | $42,913 | $24,435–$75,114 |
| Nebraska (statewide) | 10 | $65,566 | $67,604 | $79,579 | $45,802–$96,022 |
| Nevada (statewide) | 4 | — | — | — | $79,849–$86,725 |
| New Hampshire (statewide) | 7 | $49,442 | $55,696 | $68,194 | $39,786–$94,562 |
| New Jersey (statewide) | 18 | $69,821 | $80,565 | $91,639 | $42,215–$107,704 |
| New Mexico (statewide) | 7 | $40,227 | $62,623 | $75,361 | $23,482–$118,319 |
| New York (statewide) | 46 | $42,693 | $52,712 | $70,774 | $29,169–$125,994 |
| New York City | 9 | $75,288 | $77,441 | $99,507 | $35,018–$123,791 |
| North Carolina (statewide) | 24 | $35,720 | $56,224 | $78,681 | $24,193–$93,541 |
| North Dakota (statewide) | 7 | $48,118 | $49,718 | $52,524 | $40,122–$70,798 |
| Ohio (statewide) | 43 | $52,301 | $66,766 | $73,282 | $25,450–$172,700 |
| Oklahoma (statewide) | 15 | $31,544 | $40,080 | $42,574 | $16,493–$77,004 |
| Oregon (statewide) | 9 | $48,843 | $65,831 | $80,802 | $40,365–$105,750 |
| Pennsylvania (statewide) | 51 | $50,833 | $63,614 | $74,326 | $32,135–$85,009 |
| Philadelphia PA | 11 | $70,130 | $73,751 | $87,077 | $66,608–$107,704 |
| Phoenix AZ | 11 | $70,588 | $72,215 | $82,190 | $70,588–$88,934 |
| Pittsburgh PA | 7 | $46,786 | $49,436 | $54,580 | $39,107–$62,638 |
| Portland OR | 9 | $79,025 | $85,334 | $100,436 | $78,276–$100,436 |
| Research Triangle NC | 7 | $48,032 | $62,006 | $66,148 | $39,644–$70,290 |
| Rhode Island (statewide) | 6 | $43,252 | $69,994 | $77,280 | $33,061–$84,738 |
| Richmond VA | 7 | $64,086 | $96,735 | $103,986 | $59,814–$113,961 |
| Rio Grande Valley TX | 3 | — | — | — | $42,290–$50,440 |
| Salt Lake City UT | 9 | $62,330 | $62,330 | $62,330 | $61,585–$62,330 |
| San Antonio TX | 3 | — | — | — | $43,357–$65,835 |
| San Diego CA | 7 | $41,380 | $44,454 | $60,849 | $38,772–$65,968 |
| San Francisco Bay Area CA | 2 | — | — | — | $45,820–$57,256 |
| Seattle-Tacoma WA | 16 | $82,876 | $85,685 | $88,722 | $75,349–$110,642 |
| South Carolina (statewide) | 26 | $71,617 | $103,190 | $113,940 | $39,040–$128,724 |
| South Dakota (statewide) | 3 | — | — | — | $51,724–$65,393 |
| St. Louis MO | 7 | $47,025 | $47,025 | $47,025 | $20,545–$70,956 |
| Tampa FL | 11 | $77,796 | $79,079 | $82,996 | $69,639–$89,171 |
| Tennessee (statewide) | 26 | $31,634 | $35,582 | $44,268 | $20,135–$77,297 |
| Texas (statewide) | 76 | $38,927 | $45,990 | $64,403 | $25,135–$110,471 |
| Utah (statewide) | 5 | $62,330 | $83,735 | $87,125 | $29,492–$87,125 |
| Vermont (statewide) | 3 | — | — | — | $48,910–$108,114 |
| Virginia (statewide) | 20 | $63,886 | $79,023 | $83,350 | $32,650–$137,545 |
| Washington (statewide) | 14 | $65,400 | $77,238 | $85,166 | $30,820–$212,177 |
| Washington DC | 9 | $71,872 | $76,730 | $79,449 | $66,344–$80,403 |
| West Virginia (statewide) | 13 | $20,830 | $21,816 | $66,432 | $18,165–$96,838 |
| Wisconsin (statewide) | 46 | $69,435 | $76,479 | $83,626 | $18,141–$96,705 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St John Sapulpa | Oklahoma (statewide) | $16,493 | 0.6× | 1 | 2026-01-01 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $17,036 | 0.7× | 3 | 2025-12-19 |
| Ascension St John Nowata | Oklahoma (statewide) | $17,614 | 0.6× | 2 | 2026-01-01 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $18,141 | 0.6× | 5 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $18,165 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $18,675 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $19,534 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $19,607 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $19,607 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent Evansville | Indiana (statewide) | $19,607 | 0.6× | 3 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $19,607 | 0.6× | 4 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $19,607 | 0.6× | 4 | 2026-01-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $127,810 | 4.6× | 4 | 2026-03-01 |
| Cherokee Medical Center | South Carolina (statewide) | $128,724 | 4.8× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $129,919 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $129,919 | 4.8× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $132,532 | 4.8× | 1 | 2025-12-15 |
| Loma Linda University Children'S Hospital | California (statewide) | $136,239 | 3.6× | 2 | 2026-09-02 |
| Bon Secours Mary Immaculate Hospital | Virginia (statewide) | $137,545 | 4.9× | 4 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $139,389 | 3.7× | 1 | 2026-03-12 |
| Banner Payson Medical Center | Arizona (statewide) | $139,661 | 4.5× | 1 | 2026-03-02 |
| Page Hospital | Arizona (statewide) | $153,837 | 5.0× | 1 | 2026-03-02 |
| Lodi Community Hospital | Ohio (statewide) | $172,700 | 6.4× | 1 | 2026-06-15 |
| Providence Centralia Hospital | Washington (statewide) | $212,177 | 6.6× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 450: Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device
1301 hospitals in 81 markets. National Medicare rate $38,782.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $42,990 | $55,966 | $65,774 | $35,708–$122,621 |
| Alaska (statewide) | 3 | — | — | — | $46,115–$170,274 |
| Arizona (statewide) | 26 | $79,818 | $101,840 | $104,408 | $27,012–$176,974 |
| Arkansas (statewide) | 5 | $50,250 | $51,268 | $56,651 | $39,676–$115,033 |
| Atlanta GA | 10 | $92,931 | $105,992 | $121,720 | $92,931–$160,364 |
| Austin TX | 11 | $34,257 | $55,154 | $56,918 | $33,392–$73,000 |
| Boston MA | 13 | $47,204 | $49,299 | $56,814 | $40,036–$109,137 |
| California (statewide) | 38 | $68,212 | $82,548 | $142,265 | $42,252–$176,974 |
| Charlotte NC | 8 | $78,414 | $84,922 | $104,188 | $59,787–$104,188 |
| Chicago IL | 10 | $64,667 | $75,135 | $87,064 | $48,910–$99,131 |
| Cleveland OH | 11 | $64,378 | $69,133 | $69,918 | $36,756–$89,929 |
| Colorado (statewide) | 16 | $70,007 | $94,103 | $123,238 | $32,654–$167,568 |
| Columbus OH | 3 | — | — | — | $108,329–$142,817 |
| Connecticut (statewide) | 3 | — | — | — | $101,598–$135,202 |
| Dallas-Fort Worth TX | 15 | $44,767 | $53,625 | $62,533 | $42,642–$121,542 |
| Denver CO | 15 | $63,382 | $70,878 | $105,859 | $55,525–$159,851 |
| Detroit MI | 13 | $73,006 | $73,006 | $74,466 | $36,074–$96,514 |
| Florida (statewide) | 92 | $52,232 | $58,307 | $97,336 | $24,633–$166,412 |
| Georgia (statewide) | 44 | $67,059 | $114,076 | $126,270 | $39,162–$160,364 |
| Hawaii (statewide) | 6 | $100,604 | $128,192 | $132,586 | $91,936–$164,127 |
| Houston TX | 19 | $49,662 | $61,560 | $78,108 | $43,123–$103,584 |
| Idaho (statewide) | 11 | $95,307 | $111,757 | $126,960 | $54,992–$157,361 |
| Illinois (statewide) | 32 | $53,395 | $61,938 | $82,736 | $40,350–$176,974 |
| Indiana (statewide) | 27 | $71,972 | $86,070 | $110,089 | $26,213–$155,491 |
| Indianapolis IN | 4 | — | — | — | $24,983–$135,414 |
| Iowa (statewide) | 14 | $48,484 | $57,027 | $68,718 | $43,480–$97,622 |
| Kansas (statewide) | 17 | $41,522 | $45,258 | $66,910 | $22,583–$170,274 |
| Kentucky (statewide) | 19 | $49,198 | $55,470 | $70,535 | $31,842–$118,787 |
| Las Vegas NV | 2 | — | — | — | $45,373–$101,283 |
| Los Angeles CA | 18 | $85,754 | $99,117 | $102,426 | $68,192–$122,318 |
| Louisiana (statewide) | 23 | $41,712 | $48,300 | $54,941 | $29,627–$63,171 |
| Maine (statewide) | 12 | $128,026 | $144,528 | $161,146 | $41,092–$161,146 |
| Massachusetts (statewide) | 4 | — | — | — | $37,998–$74,718 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $52,828–$72,398 |
| Michigan (statewide) | 33 | $56,908 | $69,804 | $83,312 | $41,998–$110,856 |
| Minneapolis-St. Paul MN | 14 | $81,893 | $88,441 | $105,507 | $40,166–$136,020 |
| Minnesota (statewide) | 21 | $68,009 | $68,009 | $95,834 | $29,260–$141,356 |
| Mississippi (statewide) | 17 | $48,221 | $62,999 | $88,295 | $40,171–$150,428 |
| Missouri (statewide) | 21 | $51,942 | $58,722 | $73,729 | $31,553–$118,129 |
| Montana (statewide) | 6 | $45,525 | $79,422 | $97,270 | $24,585–$224,089 |
| Nashville TN | 8 | $47,942 | $48,555 | $65,019 | $45,347–$98,882 |
| Nebraska (statewide) | 13 | $86,312 | $95,438 | $110,314 | $60,294–$155,778 |
| Nevada (statewide) | 3 | — | — | — | $41,892–$105,849 |
| New Hampshire (statewide) | 8 | $68,132 | $73,967 | $89,895 | $52,739–$125,352 |
| New Jersey (statewide) | 20 | $92,305 | $108,408 | $121,478 | $50,022–$202,988 |
| New Mexico (statewide) | 9 | $69,552 | $82,075 | $97,220 | $36,108–$155,072 |
| New York (statewide) | 45 | $58,239 | $70,584 | $93,818 | $33,011–$200,349 |
| New York City | 9 | $99,802 | $99,951 | $130,416 | $45,894–$164,098 |
| North Carolina (statewide) | 26 | $59,818 | $80,887 | $106,175 | $23,422–$176,974 |
| North Dakota (statewide) | 7 | $58,816 | $65,450 | $69,444 | $45,729–$92,984 |
| Ohio (statewide) | 38 | $66,876 | $83,115 | $99,948 | $34,235–$139,097 |
| Oklahoma (statewide) | 14 | $46,648 | $55,520 | $66,169 | $40,609–$104,226 |
| Oregon (statewide) | 7 | $94,982 | $105,002 | $117,462 | $53,279–$139,097 |
| Pennsylvania (statewide) | 57 | $66,620 | $80,417 | $97,557 | $43,278–$176,974 |
| Philadelphia PA | 11 | $92,036 | $101,282 | $117,351 | $86,838–$202,988 |
| Phoenix AZ | 11 | $92,296 | $96,153 | $100,660 | $81,799–$104,408 |
| Pittsburgh PA | 7 | $62,571 | $65,946 | $73,008 | $51,841–$83,845 |
| Portland OR | 9 | $103,572 | $112,903 | $134,088 | $102,722–$134,088 |
| Research Triangle NC | 5 | $75,346 | $82,196 | $82,196 | $57,964–$88,587 |
| Rhode Island (statewide) | 5 | $102,003 | $102,495 | $109,922 | $52,685–$112,329 |
| Richmond VA | 6 | $61,154 | $88,738 | $118,090 | $58,686–$148,771 |
| Rio Grande Valley TX | 4 | — | — | — | $52,315–$71,768 |
| Salt Lake City UT | 9 | $82,624 | $82,624 | $82,624 | $81,122–$82,624 |
| San Antonio TX | 3 | — | — | — | $57,344–$80,776 |
| San Diego CA | 6 | $56,644 | $67,494 | $82,646 | $51,319–$87,130 |
| San Francisco Bay Area CA | 2 | — | — | — | $60,699–$90,920 |
| Seattle-Tacoma WA | 16 | $118,231 | $122,026 | $136,538 | $117,680–$160,508 |
| South Carolina (statewide) | 23 | $82,234 | $117,821 | $150,514 | $45,800–$161,514 |
| South Dakota (statewide) | 3 | — | — | — | $68,566–$86,686 |
| St. Louis MO | 3 | — | — | — | $61,196–$85,883 |
| Tampa FL | 11 | $102,746 | $104,102 | $106,212 | $82,396–$113,785 |
| Tennessee (statewide) | 32 | $47,444 | $54,900 | $63,726 | $30,700–$122,074 |
| Texas (statewide) | 85 | $50,338 | $62,875 | $79,400 | $33,089–$133,892 |
| Utah (statewide) | 5 | $104,702 | $108,144 | $112,521 | $82,624–$112,521 |
| Vermont (statewide) | 3 | — | — | — | $64,387–$142,323 |
| Virginia (statewide) | 17 | $73,442 | $103,943 | $109,096 | $51,392–$168,895 |
| Washington (statewide) | 12 | $94,368 | $109,270 | $127,476 | $80,270–$238,606 |
| Washington DC | 11 | $87,634 | $101,009 | $105,057 | $61,006–$176,974 |
| West Virginia (statewide) | 13 | $39,361 | $41,225 | $96,157 | $34,326–$128,369 |
| Wisconsin (statewide) | 45 | $94,530 | $101,921 | $110,856 | $48,745–$128,193 |
| Wyoming (statewide) | 1 | — | — | — | $147,370–$147,370 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $22,583 | 0.7× | 3 | 2025-12-19 |
| Frye Regional Medical Center | North Carolina (statewide) | $23,422 | 0.7× | 1 | 2026-07-08 |
| Ascension Via Christi Hospitals Wichita, Inc. | Kansas (statewide) | $23,724 | 0.7× | 2 | 2026-01-01 |
| Mccone County Health Center | Montana (statewide) | $24,585 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent'S St Johns County | Florida (statewide) | $24,633 | 0.6× | 1 | 2026-01-01 |
| Wilson Medical Center | North Carolina (statewide) | $24,978 | 0.7× | 1 | 2026-07-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $26,213 | 0.7× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $27,012 | 0.7× | 1 | 2026-07-29 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $29,260 | 0.8× | 1 | 2026-01-28 |
| St Charles Parish Hospital | Louisiana (statewide) | $29,627 | 0.8× | 2 | 2026-04-01 |
| Hemet Global Medical Center | California (statewide) | $176,974 | 3.5× | 1 | 2026-06-15 |
| Menifee Global Medical Center | California (statewide) | $176,974 | 3.5× | 1 | 2026-05-20 |
| Medstar Washington Hospital Center | Washington DC | $176,974 | 3.9× | 7 | 2026-04-01 |
| Decatur Memorial Hospital | Illinois (statewide) | $176,974 | 4.3× | 6 | 2026-09-17 |
| Maria Parham Medical Center | North Carolina (statewide) | $176,974 | 4.9× | 1 | 2026-07-30 |
| Swain County Hospital | North Carolina (statewide) | $176,974 | 4.9× | 2 | 2026-07-30 |
| Conemaugh Meyersdale Medical Center | Pennsylvania (statewide) | $176,974 | 4.8× | 3 | 2026-08-06 |
| Garnet Health Medical Center Catskills | New York (statewide) | $200,349 | 4.2× | 8 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $202,988 | 4.7× | 5 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $202,988 | 4.7× | 5 | 2026-03-24 |
| Providence St Joseph Medical Center | Montana (statewide) | $224,089 | 5.8× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $238,606 | 5.6× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for lumbar fusion with cage (tlif/plif)?
Across 896 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 22633, hospital outpatient is $33,937, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $23,642 to $50,741. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for lumbar fusion with cage (tlif/plif)?
Medicare's national hospital outpatient rate for CPT 22633 is $27,722 and its surgery-center rate is $20,841, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for lumbar fusion with cage (tlif/plif)?
Lowest medians: Ascension Seton Medical Center Austin ($13,924), Dell Seton Med Center At The University Of Tx ($13,924), Ascension Seton Southwest ($13,924). Highest: Lehigh Valley Hospital - Macungie ($124,818), Penn State Health St. Joseph ($119,994), Franciscan Health Indianapolis ($112,870). Coverage: every hospital whose price file we could read.