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Lumbar 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: Arthrd Cmbn 1ntrspc Lumbar

75 hospitals in 30 markets. National Medicare rate $27,722, surgery center $20,841.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$14,089–$14,089
Austin TX2———$13,924–$43,438
Boston MA6$20,646$20,684$26,237$20,584–$34,925
California (statewide)1———$36,987–$36,987
Chicago IL5$41,898$46,844$46,844$37,045–$49,784
Cleveland OH4———$18,118–$62,937
Columbus OH1———$63,065–$63,065
Dallas-Fort Worth TX4———$29,440–$73,440
Denver CO7$24,858$38,681$39,024$23,900–$39,368
Detroit MI2———$20,293–$23,889
Georgia (statewide)1———$14,089–$14,089
Houston TX1———$24,277–$24,277
Indianapolis IN1———$21,702–$21,702
Kansas (statewide)1———$22,668–$22,668
Las Vegas NV1———$30,361–$30,361
Los Angeles CA2———$34,727–$67,590
Nashville TN2———$18,390–$33,706
New York City3———$28,790–$79,802
Ohio (statewide)1———$39,664–$39,664
Pennsylvania (statewide)1———$74,305–$74,305
Philadelphia PA3———$18,076–$35,141
Phoenix AZ3———$30,988–$30,988
Portland OR6$42,498$43,830$43,830$42,054–$43,830
Richmond VA2———$58,944–$79,354
San Antonio TX1———$42,724–$42,724
San Francisco Bay Area CA1———$53,152–$53,152
Seattle-Tacoma WA6$62,363$72,536$85,023$57,170–$93,590
Tampa FL2———$20,484–$24,962
Washington DC3———$47,446–$69,943
Wisconsin (statewide)1———$18,030–$18,030
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$13,9240.5×12026-01-01
Emory University HospitalAtlanta GA$14,0890.5×12026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$14,0890.6×12026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$18,0300.7×22026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$18,0760.7×12026-09-15
University Hospitals - Elyria Medical CenterCleveland OH$18,1180.7×12026-07-14
Vanderbilt University Medical CenterNashville TN$18,3900.7×52025-10-01
Trinity Health Oakland HospitalDetroit MI$20,2930.8×162026-03-31
Morton Plant HospitalTampa FL$20,4840.7×22026-01-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$20,5840.6×12026-04-01
Beth Israel Deaconess Medical CenterBoston MA$20,6330.6×12026-04-01
Beverly Hospital CorporationBoston MA$20,6840.6×12026-04-01
Winchester HospitalBoston MA$20,6840.6×12026-04-01
Riverview HealthIndianapolis IN$21,7020.8×22026-04-01
Menorah Medical CenterKansas (statewide)$22,6680.9×42026-09-01
Henry Ford Health Rochester HospitalDetroit MI$23,8890.9×12026-01-01
Adventhealth PorterDenver CO$23,9000.8×42026-04-01
Adventhealth ParkerDenver CO$23,9000.8×42026-04-01
Houston Methodist HospitalHouston TX$24,2770.9×12026-04-01
Tampa General HospitalTampa FL$24,9620.9×12026-04-01
UCHealth University of Colorado HospitalDenver CO$25,8150.9×22025-11-01
New England Baptist HospitalBoston MA$28,0880.9×22026-04-01
Montefiore Medical CenterNew York City$28,7900.8×52026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$29,4401.1×22026-06-29
University Medical Center of Southern NevadaLas Vegas NV$30,3611.1×42026-07-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$30,9881.1×22026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$30,9881.1×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$30,9881.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$33,6711.0×72026-01-01
TriStar StoneCrest Medical CenterNashville TN$33,7061.3×42026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$34,7271.0×32025-11-26
Riddle Memorial HospitalPhiladelphia PA$34,8461.3×12026-04-01
Anna Jaques HospitalBoston MA$34,9251.1×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$35,1411.3×12026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$36,9871.1×52026-09-01
Endeavor Health Northwest Community HospitalChicago IL$37,0451.3×12026-04-01
HCA HealthONE SwedishDenver CO$38,6811.4×42026-09-01
HCA HealthONE Sky RidgeDenver CO$38,6811.4×42026-09-01
Hca Healthone RoseDenver CO$39,3681.4×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$39,3681.4×42026-09-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$39,4611.4×22026-04-21
Bethesda NorthOhio (statewide)$39,6641.5×32026-04-01
Endeavor Health Evanston HospitalChicago IL$41,8981.4×12026-04-01
Providence St Vincent Medical CenterPortland OR$42,0541.4×22026-04-01
Providence Portland Medical CenterPortland OR$42,0541.4×22026-04-01
Methodist HospitalSan Antonio TX$42,7241.6×32026-09-01
St David's Medical CenterAustin TX$43,4381.6×32026-09-01
Legacy Emanuel Medical CenterPortland OR$43,8301.4×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$43,8301.4×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$43,8301.4×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$43,8301.4×52026-04-01
Endeavor Health Elmhurst HospitalChicago IL$46,8441.6×12026-04-01
Endeavor Health Edward HospitalChicago IL$46,8441.6×12026-04-01
Inova Alexandria HospitalWashington DC$47,4461.7×22026-04-01
Medina HospitalCleveland OH$48,6501.9×12026-06-15
University of Chicago Medical CenterChicago IL$49,7841.7×22026-04-01
Stanford Health CareSan Francisco Bay Area CA$53,1521.3×42026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$55,5752.2×12026-06-15
Overlake Hospital Medical CenterSeattle-Tacoma WA$57,1701.8×42026-04-01
Henrico Doctors' HospitalRichmond VA$58,9442.2×32026-09-01
St Clare HospitalSeattle-Tacoma WA$62,3632.0×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$62,3632.0×52026-02-28
Cleveland Clinic Hillcrest HospitalCleveland OH$62,9372.5×12026-06-15
Mount Carmel New Albany Surgical HospitalColumbus OH$63,0652.4×172026-03-31
Keck Hospital Of UscLos Angeles CA$67,5901.9×22026-04-01
Reston Hospital CenterWashington DC$69,8372.5×32026-09-01
Stonesprings Hospital CenterWashington DC$69,9432.5×32026-09-01
Medical City PlanoDallas-Fort Worth TX$73,4402.7×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$73,4402.7×52026-09-01
Lehigh Valley HospitalPennsylvania (statewide)$74,3052.7×62026-07-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$79,3543.0×32026-09-01
Hospital for Special SurgeryNew York City$79,8022.4×62026-04-01
Swedish Medical CenterSeattle-Tacoma WA$82,7082.6×42026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$85,7952.7×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$93,5903.0×42026-08-27

CPT 22630: Arthrd Pst Tq 1ntrspc Lum

69 hospitals in 30 markets. National Medicare rate $27,722, surgery center $20,859.

MarketHospitals25th pctMedian75th pctLow–high
Austin TX1———$37,044–$37,044
Boston MA2———$27,926–$49,166
California (statewide)1———$35,927–$35,927
Chicago IL5$34,928$37,045$46,844$26,156–$46,844
Cleveland OH4———$15,100–$62,937
Columbus OH1———$63,065–$63,065
Dallas-Fort Worth TX4———$17,847–$69,474
Denver CO7$28,116$28,116$28,636$21,448–$29,149
Detroit MI1———$35,811–$35,811
Houston TX1———$15,912–$15,912
Illinois (statewide)1———$31,765–$31,765
Indianapolis IN1———$21,435–$21,435
Kansas (statewide)1———$20,928–$20,928
Las Vegas NV1———$30,361–$30,361
Los Angeles CA2———$32,948–$65,900
Nashville TN2———$18,390–$26,706
New York City3———$28,790–$88,354
Ohio (statewide)1———$39,664–$39,664
Pennsylvania (statewide)1———$74,305–$74,305
Philadelphia PA3———$18,076–$35,141
Phoenix AZ3———$25,797–$25,797
Pittsburgh PA1———$15,654–$15,654
Portland OR6$23,856$23,856$49,148$23,856–$57,578
Richmond VA2———$52,903–$52,996
San Antonio TX1———$42,946–$42,946
San Francisco Bay Area CA1———$43,842–$43,842
Seattle-Tacoma WA6$62,363$72,536$85,023$57,170–$93,590
Tampa FL2———$14,979–$19,612
Washington DC3———$27,718–$45,844
Wisconsin (statewide)1———$18,030–$18,030
HospitalMarketMedian across insurers× MedicareInsurersFile date
Tampa General HospitalTampa FL$14,9790.5×12026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$15,1000.6×12026-07-14
Upmc Presbyterian ShadysidePittsburgh PA$15,6540.6×12026-03-06
Houston Methodist HospitalHouston TX$15,9120.6×12026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$17,8470.7×12026-06-29
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$18,0300.7×22026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$18,0760.7×12026-09-15
Vanderbilt University Medical CenterNashville TN$18,3900.7×52025-10-01
Morton Plant HospitalTampa FL$19,6120.7×22026-01-01
Menorah Medical CenterKansas (statewide)$20,9280.8×42026-09-01
Riverview HealthIndianapolis IN$21,4350.8×22026-04-01
UCHealth University of Colorado HospitalDenver CO$21,4480.8×22025-11-01
Legacy Emanuel Medical CenterPortland OR$23,8560.8×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$23,8560.8×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$23,8560.8×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$23,8560.8×52026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$25,7970.9×22026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$25,7970.9×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$25,7970.9×22026-04-01
Endeavor Health Evanston HospitalChicago IL$26,1560.9×12026-04-01
TriStar StoneCrest Medical CenterNashville TN$26,7061.0×42026-09-01
Inova Alexandria HospitalWashington DC$27,7181.0×32026-04-01
New England Baptist HospitalBoston MA$27,9260.9×22026-04-01
HCA HealthONE SwedishDenver CO$28,1161.0×42026-09-01
HCA HealthONE Sky RidgeDenver CO$28,1161.0×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$28,1161.0×42026-09-01
Hca Healthone RoseDenver CO$28,1241.0×42026-09-01
Montefiore Medical CenterNew York City$28,7900.8×52026-04-01
Adventhealth PorterDenver CO$29,1491.0×42026-04-01
Adventhealth ParkerDenver CO$29,1491.0×42026-04-01
University Medical Center of Southern NevadaLas Vegas NV$30,3611.1×42026-07-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$31,7651.1×12026-06-03
Cedars-Sinai Medical CenterLos Angeles CA$32,9480.9×32025-11-26
Riddle Memorial HospitalPhiladelphia PA$34,8461.3×12026-04-01
University of Chicago Medical CenterChicago IL$34,9281.2×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$35,1411.3×12026-04-01
Henry Ford Health Rochester HospitalDetroit MI$35,8111.3×12026-01-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$35,9271.0×52026-09-01
St David's Medical CenterAustin TX$37,0441.4×32026-09-01
Endeavor Health Northwest Community HospitalChicago IL$37,0451.3×12026-04-01
Bethesda NorthOhio (statewide)$39,6641.5×32026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$41,0641.2×72026-01-01
Methodist HospitalSan Antonio TX$42,9461.6×32026-09-01
Stanford Health CareSan Francisco Bay Area CA$43,8421.1×42026-04-01
Reston Hospital CenterWashington DC$44,4001.6×32026-09-01
Stonesprings Hospital CenterWashington DC$45,8441.6×32026-09-01
Endeavor Health Elmhurst HospitalChicago IL$46,8441.6×12026-04-01
Endeavor Health Edward HospitalChicago IL$46,8441.6×12026-04-01
Medina HospitalCleveland OH$48,6501.9×12026-06-15
Anna Jaques HospitalBoston MA$49,1661.5×12026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$52,9032.0×32026-09-01
Henrico Doctors' HospitalRichmond VA$52,9962.0×32026-09-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$53,4862.0×22026-04-21
Cleveland Clinic Lutheran HospitalCleveland OH$55,5752.2×12026-06-15
Overlake Hospital Medical CenterSeattle-Tacoma WA$57,1701.8×42026-04-01
Providence St Vincent Medical CenterPortland OR$57,5781.9×22026-04-01
Providence Portland Medical CenterPortland OR$57,5781.9×22026-04-01
St Clare HospitalSeattle-Tacoma WA$62,3632.0×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$62,3632.0×52026-02-28
Cleveland Clinic Hillcrest HospitalCleveland OH$62,9372.5×12026-06-15
Mount Carmel New Albany Surgical HospitalColumbus OH$63,0652.4×172026-03-31
Keck Hospital Of UscLos Angeles CA$65,9001.9×22026-04-01
Medical City PlanoDallas-Fort Worth TX$69,4742.5×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$69,4742.5×52026-09-01
Lehigh Valley HospitalPennsylvania (statewide)$74,3052.7×62026-07-01
Swedish Medical CenterSeattle-Tacoma WA$82,7082.6×42026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$85,7952.7×52026-08-27
Hospital for Special SurgeryNew York City$88,3542.6×52026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$93,5903.0×42026-08-27

MS-DRG 451: Single Level Spinal Fusion Except Cervical Without McC

303 hospitals in 41 markets. National Medicare rate $23,507.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA8$55,686$59,158$71,134$55,686–$91,889
Austin TX8$25,162$26,913$44,346$21,034–$44,346
Boston MA11$28,077$29,881$39,607$24,267–$65,280
California (statewide)1———$62,828–$62,828
Charlotte NC7$46,338$50,586$57,168$36,562–$63,151
Chicago IL10$38,872$45,022$52,170$29,308–$60,085
Cleveland OH11$37,506$43,350$52,798$21,441–$54,425
Columbus OH3———$71,650–$86,565
Dallas-Fort Worth TX16$43,086$56,182$61,894$38,596–$81,580
Denver CO15$38,733$63,884$64,829$27,858–$96,889
Detroit MI13$45,251$45,251$60,543$42,816–$74,647
Florida (statewide)1———$93,101–$93,101
Georgia (statewide)1———$61,172–$61,172
Houston TX16$31,450$35,184$47,152$23,642–$53,322
Illinois (statewide)1———$29,143–$29,143
Indianapolis IN4———$18,036–$46,918
Kansas (statewide)1———$35,147–$35,147
Las Vegas NV1———$32,725–$32,725
Los Angeles CA17$50,460$58,657$62,347$34,367–$98,883
Miami-Fort Lauderdale FL4———$35,906–$66,229
Minneapolis-St. Paul MN15$45,700$49,014$52,996$24,164–$61,279
Nashville TN8$31,955$37,143$41,191$16,324–$67,233
New York (statewide)1———$33,011–$33,011
New York City9$60,538$61,402$81,247$30,337–$103,673
Ohio (statewide)1———$56,506–$56,506
Pennsylvania (statewide)1———$60,786–$60,786
Philadelphia PA11$55,692$61,390$71,360$50,826–$101,962
Phoenix AZ11$60,618$60,618$65,452$56,348–$70,152
Pittsburgh PA7$42,653$43,564$52,840$29,752–$66,258
Portland OR8$67,532$68,707$80,348$67,242–$80,348
Research Triangle NC8$43,046$44,648$46,640$34,733–$49,821
Richmond VA7$55,403$74,250$77,725$48,836–$87,201
Rio Grande Valley TX4———$31,286–$44,737
Salt Lake City UT9$54,909$54,909$54,909$52,798–$54,909
San Antonio TX3———$35,362–$42,146
San Diego CA6$41,513$45,446$46,224$33,936–$50,342
San Francisco Bay Area CA2———$36,575–$50,993
Seattle-Tacoma WA14$71,180$72,152$74,021$63,623–$87,566
St. Louis MO7$44,744$44,744$44,744$16,507–$64,754
Tampa FL11$65,682$74,841$74,841$49,942–$78,838
Washington DC11$57,365$60,526$62,951$46,029–$79,729
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$16,3240.7×42026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$16,3900.7×52026-01-01
Mercy Hospital SouthSt. Louis MO$16,5070.7×12026-06-10
Ascension St Vincent AndersonIndianapolis IN$18,0360.7×42026-01-01
Ascension St Vincent CarmelIndianapolis IN$18,0360.7×42026-01-01
Ascension St Vincent FishersIndianapolis IN$18,0360.7×42026-01-01
Ascension Seton Medical Center AustinAustin TX$21,0340.9×12026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$21,4411.0×42026-06-15
Cleveland Clinic Fairview HospitalCleveland OH$22,1521.0×42026-06-15
Chi St Luke's Health BrazosportHouston TX$23,6421.0×22026-02-28
North Memorial HealthMinneapolis-St. Paul MN$24,1641.0×52026-09-25
Anna Jaques HospitalBoston MA$24,2670.9×12026-04-01
Round Rock Medical CenterAustin TX$24,9401.1×52026-09-01
Beth Israel Deaconess Hospital - NeedhamBoston MA$24,9840.9×22026-04-01
St David's Medical CenterAustin TX$25,2361.1×52026-09-01
North Austin Medical CenterAustin TX$26,8701.2×52026-09-01
St David's South Austin Medical CenterAustin TX$26,9561.2×52026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$27,5421.0×12026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$27,8581.1×52026-09-01
HCA HealthONE SwedishDenver CO$27,9161.1×52026-09-01
Mount Auburn HospitalBoston MA$28,6121.0×12026-04-01
HCA HealthONE Sky RidgeDenver CO$28,7921.2×52026-09-01
Hca Healthone RoseDenver CO$29,0761.2×52026-09-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$29,1431.2×12026-06-03
Endeavor Health Northwest Community HospitalChicago IL$29,3081.2×32026-04-01
Upmc WashingtonPittsburgh PA$29,7521.3×42026-03-06
Beverly Hospital CorporationBoston MA$29,8811.1×12026-04-01
Winchester HospitalBoston MA$29,8811.1×12026-04-01
Montefiore Medical CenterNew York City$30,3371.0×12026-04-01
Valley Regional Medical CenterRio Grande Valley TX$31,2861.4×62026-09-01
Hca Houston Healthcare ConroeHouston TX$31,4501.4×52026-09-01
Hca Houston Healthcare Medical CenterHouston TX$31,4501.4×52026-09-01
Hca Houston Healthcare TomballHouston TX$31,4501.4×52026-09-01
Hca Houston Healthcare KingwoodHouston TX$31,4501.4×52026-09-01
Hca Houston Healthcare SoutheastHouston TX$31,8071.4×52026-09-01
Beth Israel Deaconess Medical CenterBoston MA$32,1681.1×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$32,7251.3×62026-07-01
Stony Brook University HospitalNew York (statewide)$33,0111.1×12026-06-10
Hca Houston Healthcare NorthwestHouston TX$33,2551.4×52026-09-01
Endeavor Health Edward HospitalChicago IL$33,8301.4×32026-04-01
Scripps Memorial Hospital - EncinitasSan Diego CA$33,9361.1×52026-03-30
Usc Arcadia HospitalLos Angeles CA$34,3671.1×12026-07-27
New England Baptist HospitalBoston MA$34,4361.2×32026-04-01
North Carolina Specialty HospitalResearch Triangle NC$34,7331.5×12026-02-25
Hca Houston Healthcare Clear LakeHouston TX$34,9521.5×52026-09-01
Menorah Medical CenterKansas (statewide)$35,1471.6×62026-09-01
Methodist Hospital Stone OakSan Antonio TX$35,3621.5×42026-09-01
St. Luke's Health The Woodlands HospitalHouston TX$35,4161.5×52026-02-28
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$35,9061.5×42026-06-15
St. Luke's Health Sugar Land HospitalHouston TX$36,2641.6×52026-02-28
Methodist HospitalSan Antonio TX$36,3261.6×42026-09-01
Lake Norman Regional Medical CenterCharlotte NC$36,5621.6×42026-04-01
Good Samaritan HospitalSan Francisco Bay Area CA$36,5751.1×42026-09-01
TriStar StoneCrest Medical CenterNashville TN$37,1431.7×72026-09-01
TriStar Skyline Medical CenterNashville TN$37,1431.7×82026-09-01
TriStar Summit Medical CenterNashville TN$37,1431.7×82026-09-01
TriStar Hendersonville Medical CenterNashville TN$37,1431.7×72026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$37,2641.7×42026-07-14
Memorial Hospital WestMiami-Fort Lauderdale FL$37,4041.6×32026-05-27
Doctors Hospital at RenaissanceRio Grande Valley TX$37,4711.6×22026-04-01
Endeavor Health Elmhurst HospitalChicago IL$37,5161.5×32026-04-01
University Hospitals St. John Medical CenterCleveland OH$37,7491.7×42026-07-14
Hennepin County Medical CenterMinneapolis-St. Paul MN$37,9731.6×32025-12-17
Methodist Mansfield Medical CenterDallas-Fort Worth TX$38,5961.7×42026-03-21
UNC Rex HospitalResearch Triangle NC$39,7451.7×32026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$39,8981.6×22026-03-31
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego CA$40,4621.3×62026-04-01
MetroHealth SystemCleveland OH$41,2421.9×42026-04-01
Baylor Scott & White Medical Center - Lake PointeDallas-Fort Worth TX$41,6301.8×52026-06-29
Knapp Medical CenterRio Grande Valley TX$41,9271.8×12026-09-01
Baylor St. Luke's Medical CenterHouston TX$42,0821.8×52026-02-28
University Health SystemSan Antonio TX$42,1461.8×22025-10-14
Upmc St MargaretPittsburgh PA$42,3661.9×12026-03-06
Henry Ford Health Macomb HospitalDetroit MI$42,8161.9×32026-06-28
Upmc EastPittsburgh PA$42,9401.9×12026-03-06
Northwestern Medicine Central DuPage HospitalChicago IL$42,9421.7×12026-04-01
Endeavor Health Evanston HospitalChicago IL$43,0721.7×32026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$43,0861.8×22026-06-16
Baylor Scott & White Medical Center - IrvingDallas-Fort Worth TX$43,0861.9×52026-06-29
Baylor Scott & White Medical Center - GrapevineDallas-Fort Worth TX$43,0861.9×52026-06-29
Baylor Scott & White Medical Center - McKinneyDallas-Fort Worth TX$43,0861.9×52026-06-29
Baylor University Medical CenterDallas-Fort Worth TX$43,0871.9×52026-06-29
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalLos Angeles CA$43,2811.4×12026-03-29
University Hospitals Ahuja Medical CenterCleveland OH$43,3502.0×22026-07-14
Upmc MercyPittsburgh PA$43,5641.9×12026-03-06
Baylor Scott And White Medical Center UptownDallas-Fort Worth TX$43,9161.9×52026-06-29
Duke University HospitalResearch Triangle NC$44,1471.9×32026-04-01
Duke Raleigh HospitalResearch Triangle NC$44,1471.9×32026-04-01
Scott & White Hospital-Round RockAustin TX$44,3461.9×52026-06-13
Baylor Scott & White Medical Center ? PflugervilleAustin TX$44,3461.9×52026-06-13
Baylor Scott & White Medical Center- AustinAustin TX$44,3461.9×52026-06-13
Scripps Green HospitalSan Diego CA$44,6671.5×52026-03-30
Rio Grande Regional HospitalRio Grande Valley TX$44,7371.9×52026-09-01
Missouri Baptist Medical CenterSt. Louis MO$44,7441.9×42025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$44,7441.9×42025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$44,7441.9×42025-12-15
Alton Memorial HospitalSt. Louis MO$44,7441.8×42025-12-15
Progress West HospitalSt. Louis MO$44,7441.9×42025-12-15
Lowell General HospitalBoston MA$44,7781.6×22026-04-01
Atrium Health University CityCharlotte NC$45,0392.0×22025-12-05
UNC Hospitals (Chapel Hill)Research Triangle NC$45,1482.0×32026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$45,2512.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$45,2512.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$45,2512.0×32026-05-01
Corewell Health Wayne HospitalDetroit MI$45,2512.0×32026-05-01
Corewell Health Farmington Hills HospitalDetroit MI$45,2512.0×42026-05-01
Corewell Health Trenton HospitalDetroit MI$45,2512.0×32026-05-01
UNC Health JohnstonResearch Triangle NC$45,5802.0×32026-04-01
Ucla West Valley Medical CenterLos Angeles CA$45,6841.5×22026-03-29
Spotsylvania Regional Medical CenterWashington DC$46,0291.9×42026-09-01
Scripps Mercy HospitalSan Diego CA$46,2241.5×62026-03-30
Scripps Memorial Hospital La JollaSan Diego CA$46,2241.5×62026-03-30
Hendricks Regional HealthIndianapolis IN$46,9181.9×32026-05-20
Loyola University Medical CenterChicago IL$46,9721.9×22026-03-31
Lahey Hospital & Medical Center, BurlingtonBoston MA$47,0831.7×42026-04-01
Houston Methodist Sugar Land HospitalHouston TX$47,1522.0×22026-04-01
Houston Methodist West HospitalHouston TX$47,1522.0×22026-04-01
Houston Methodist The Woodlands HospitalHouston TX$47,1522.0×22026-04-01
Atrium Health UnionCharlotte NC$47,6362.1×22025-12-04
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$48,3142.0×32026-03-31
Regions HospitalMinneapolis-St. Paul MN$48,3142.0×32026-03-31
Uchealth Broomfield HospitalDenver CO$48,3902.0×42025-11-01
Tricities HospitalRichmond VA$48,8362.2×52026-09-01
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$49,0142.0×12026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$49,0142.0×12026-06-16
Corewell Health Dearborn HospitalDetroit MI$49,0432.1×22026-05-01
Mclaren Port HuronDetroit MI$49,0662.1×12025-12-31
Usc Verdugo Hills HospitalLos Angeles CA$49,6131.6×52026-04-01
WakeMed Raleigh CampusResearch Triangle NC$49,8212.1×22026-02-11
WakeMed Cary HospitalResearch Triangle NC$49,8212.1×22026-02-11
Cleveland Clinic (main campus)Cleveland OH$49,9132.3×52026-06-16
Tampa General Hospital BrooksvilleTampa FL$49,9422.1×42026-04-01
Upmc PassavantPittsburgh PA$50,0162.2×12026-03-07
Tri-City Medical CenterSan Diego CA$50,3421.7×22026-05-29
Providence St. Jude Medical CenterLos Angeles CA$50,4601.7×52026-04-01
Medical City Fort WorthDallas-Fort Worth TX$50,4702.2×62026-09-01
Providence Mission HospitalLos Angeles CA$50,4701.7×52026-04-01
Atrium Health CabarrusCharlotte NC$50,5862.3×22025-12-01
Jefferson Abington HospitalPhiladelphia PA$50,8262.3×62026-09-15
St Mary's Medical CenterSan Francisco Bay Area CA$50,9931.5×32026-04-01
Houston Methodist Baytown HospitalHouston TX$51,1172.2×22026-04-01
Atrium Health PinevilleCharlotte NC$51,1862.3×22025-12-05
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$52,0632.3×52026-09-01
Advocate Christ Medical CenterChicago IL$52,1702.1×42025-11-04
Advocate Lutheran General HospitalChicago IL$52,1702.1×42025-11-04
Rush University Medical CenterChicago IL$52,1842.1×42026-09-25
Jefferson Einstein Montgomery HospitalPhiladelphia PA$52,6342.4×52026-09-15
Cleveland Clinic Lutheran HospitalCleveland OH$52,7982.4×52026-06-15
Mckay-Dee HospitalSalt Lake City UT$52,7982.3×12026-08-05
Marymount HospitalCleveland OH$52,7982.4×52026-06-15
M Health Fairview Lakes Medical CenterMinneapolis-St. Paul MN$52,9962.2×32026-02-05
M Health Fairview Southdale HospitalMinneapolis-St. Paul MN$52,9962.2×32026-02-06
M Health Fairview Northland Medical CenterMinneapolis-St. Paul MN$52,9962.2×32026-01-29
M Health Fairview Ridges HospitalMinneapolis-St. Paul MN$52,9962.2×32026-02-06
Houston Methodist HospitalHouston TX$53,3222.3×22026-04-01
Vanderbilt Wilson County HospitalNashville TN$53,3342.4×62025-10-01
Medina HospitalCleveland OH$53,9382.5×42026-06-15
University Hospitals Cleveland Medical CenterCleveland OH$54,4252.5×42026-07-14
Jamaica Hospital Medical CenterNew York City$54,6671.9×32026-03-25
Intermountain Health Utah Valley HospitalSalt Lake City UT$54,9092.4×12026-08-05
Lds HospitalSalt Lake City UT$54,9092.4×12026-08-05
Intermountain Medical CenterSalt Lake City UT$54,9092.4×12026-08-05
American Fork HospitalSalt Lake City UT$54,9092.4×12026-08-05
Orem Community HospitalSalt Lake City UT$54,9092.4×12026-08-05
Intermountain Health Alta View HospitalSalt Lake City UT$54,9092.4×12026-08-05
Intermountain Health Layton HospitalSalt Lake City UT$54,9092.4×12026-08-05
Intermountain Health Spanish Fork HospitalSalt Lake City UT$54,9092.4×12026-08-05
Riddle Memorial HospitalPhiladelphia PA$55,1142.3×42026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$55,6652.5×12026-03-06
Emory University HospitalAtlanta GA$55,6862.4×52026-04-01
Emory University Hospital MidtownAtlanta GA$55,6862.4×52026-04-01
Emory Saint Joseph's HospitalAtlanta GA$55,6862.4×52026-04-01
Emory Johns Creek HospitalAtlanta GA$55,6862.4×52026-04-01
Stonesprings Hospital CenterWashington DC$55,9292.4×52026-09-01
Reston Hospital CenterWashington DC$55,9952.4×52026-09-01
Paoli HospitalPhiladelphia PA$56,2702.5×42026-04-01
Chandler Regional Medical Center (Dignity)Phoenix AZ$56,3482.3×42026-02-28
Mercy Gilbert Medical Center (Dignity)Phoenix AZ$56,3482.3×42026-02-28
Bethesda NorthOhio (statewide)$56,5062.5×52026-04-01
Providence Cedars Sinai Tarzana Medical CenterLos Angeles CA$57,2521.9×62026-04-01
M Health Fairview University of Minnesota Medical CenterMinneapolis-St. Paul MN$57,4462.4×32026-02-06
Memorialcare Orange Coast Medical CenterLos Angeles CA$58,3581.9×52026-04-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$58,4882.4×32026-03-13
Providence Saint Joseph Medical CtrLos Angeles CA$58,6571.9×62026-04-01
George Washington Univ HospitalWashington DC$58,7352.1×32026-09-01
Henrico Doctors' HospitalRichmond VA$58,7432.6×52026-09-01
Providence St. Joseph HospitalLos Angeles CA$58,8691.9×52026-04-01
Providence Little Co Of Mary Med Ctr San PedroLos Angeles CA$59,0362.0×62026-04-01
University of Chicago Medical CenterChicago IL$60,0852.4×52026-04-01
Inova Alexandria HospitalWashington DC$60,5042.5×52026-04-01
Inova Mount Vernon HospitalWashington DC$60,5262.5×52026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTERNew York City$60,5382.1×52026-09-05
South Brooklyn HealthNew York City$60,5382.1×52026-09-05
Huron Valley-Sinai HospitalDetroit MI$60,5432.6×22026-05-20
Jefferson Stratford HospitalPhiladelphia PA$60,5862.3×52026-09-15
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$60,6182.5×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$60,6182.5×52026-04-01
HonorHealth John C. Lincoln Medical CenterPhoenix AZ$60,6182.5×52026-04-01
HonorHealth Deer Valley Medical CenterPhoenix AZ$60,6182.5×52026-04-01
HonorHealth Sonoran Crossing Medical CenterPhoenix AZ$60,6182.5×32026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$60,7522.5×42026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$60,7862.6×62026-07-01
Harper University HospitalDetroit MI$61,1292.7×22026-09-02
Emory Houston Hospital Warner RobinsGeorgia (statewide)$61,1723.1×42026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$61,2792.5×12026-06-16
Cambridge Medical CenterMinneapolis-St. Paul MN$61,2792.5×12026-06-16
Bryn Mawr HospitalPhiladelphia PA$61,3902.6×42026-04-01
Elmhurst Hospital CenterNew York City$61,4022.1×52026-09-05
Medical City PlanoDallas-Fort Worth TX$61,8942.7×62026-09-01
Medical City MckinneyDallas-Fort Worth TX$61,8942.7×62026-09-01
Medical City WeatherfordDallas-Fort Worth TX$61,8942.7×62026-09-01
Medical City DentonDallas-Fort Worth TX$61,8942.7×62026-09-01
Medical City DallasDallas-Fort Worth TX$61,8942.7×62026-09-01
Inova Loudoun HospitalWashington DC$62,0662.6×52026-04-01
Providence Little Company Of Mary Med Ctr TorranceLos Angeles CA$62,2572.1×62026-04-01
Adventhealth Wesley ChapelTampa FL$62,2882.6×42026-04-01
Memorialcare Long Beach Medical CenterLos Angeles CA$62,3472.1×52026-04-01
Piedmont Fayette HospitalAtlanta GA$62,6312.7×52026-07-01
Inova Fairfax HospitalWashington DC$62,6702.6×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$62,8282.1×42026-09-01
Novant Health Matthews Medical CenterCharlotte NC$63,1512.8×32026-03-30
Novant Health Huntersville Medical CenterCharlotte NC$63,1512.8×32026-03-30
Inova Fair Oaks HospitalWashington DC$63,2322.6×52026-04-01
Uchealth Highlands Ranch HospitalDenver CO$63,5292.6×42025-11-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$63,6232.4×62026-04-01
Lutheran Medical CenterDenver CO$63,8842.6×62026-03-22
Intermountain Health Saint Joseph HospitalDenver CO$63,8842.6×62026-03-22
Piedmont Newnan HospitalAtlanta GA$64,2162.8×52026-07-01
Tampa General HospitalTampa FL$64,3062.7×42026-04-01
Barnes Jewish HospitalSt. Louis MO$64,7542.8×42025-12-15
Adventhealth PorterDenver CO$64,8292.7×22026-04-01
Adventhealth ParkerDenver CO$64,8292.7×22026-04-01
Adventhealth LittletonDenver CO$64,8292.7×22026-04-01
Adventhealth Castle RockDenver CO$64,8292.7×22026-04-01
Tufts Medical CenterBoston MA$65,2802.3×32026-04-01
Providence Holy Cross Medical CenterLos Angeles CA$65,7922.2×62026-04-01
Hoag Memorial Hospital PresbyterianLos Angeles CA$65,9002.2×22026-04-01
Jackson Memorial HospitalMiami-Fort Lauderdale FL$66,2292.8×42026-09-23
Magee Womens Hospital Of Upmc Health SystemPittsburgh PA$66,2583.0×12026-03-06
Adventhealth ZephyrhillsTampa FL$67,0582.8×42026-04-01
Jefferson Health-NortheastPhiladelphia PA$67,2092.8×52026-09-15
Vanderbilt University Medical CenterNashville TN$67,2333.0×62025-10-01
Legacy Mount Hood Medical CenterPortland OR$67,2422.6×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$67,2422.6×42026-04-01
St Anne HospitalSeattle-Tacoma WA$67,5082.5×52026-02-28
Legacy Good Samaritan Medical CenterPortland OR$67,6282.6×42026-04-01
UCHealth University of Colorado HospitalDenver CO$67,9972.8×62025-11-01
Medstar Georgetown University HospitalWashington DC$68,1562.5×42026-04-01
Legacy Emanuel Medical CenterPortland OR$68,5282.7×42026-04-01
Legacy Salmon Creek Medical CenterPortland OR$68,8862.7×42026-04-01
Temple University HospitalPhiladelphia PA$69,1882.9×72026-04-13
Trinity Health Livonia HospitalDetroit MI$69,2163.0×162026-03-31
Adventhealth TampaTampa FL$69,8302.9×42026-04-01
Jacobi Medical CenterNew York City$70,0932.4×52026-09-05
Banner Desert Medical CenterPhoenix AZ$70,1522.8×42026-03-02
Banner Baywood Medical CenterPhoenix AZ$70,1522.8×42026-03-02
Banner Del E. Webb Medical CenterPhoenix AZ$70,1522.8×42026-03-02
Multicare Good Samaritan HospitalSeattle-Tacoma WA$71,1802.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$71,1802.6×62026-08-27
Multicare Auburn Medical CenterSeattle-Tacoma WA$71,1802.6×62026-08-27
Multicare Covington Medical CenterSeattle-Tacoma WA$71,1802.6×62026-08-27
Intermountain Health Platte Valley HospitalDenver CO$71,5282.9×62026-03-22
Ohio State University HospitalsColumbus OH$71,6503.2×32026-07-01
St Clare HospitalSeattle-Tacoma WA$72,1522.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$72,1522.6×62026-02-28
St Joseph Medical CenterSeattle-Tacoma WA$72,1522.6×62026-02-28
St Francis Community HospitalSeattle-Tacoma WA$72,1522.7×62026-02-28
Lankenau Medical CenterPhiladelphia PA$73,5333.3×42026-04-01
Bon Secours Memorial Regional Medical CenterRichmond VA$74,2503.3×52026-04-01
Swedish Edmonds HospitalSeattle-Tacoma WA$74,6442.9×52026-04-01
Henry Ford Health HospitalDetroit MI$74,6473.3×32026-06-28
Morton Plant HospitalTampa FL$74,8413.1×52026-01-01
Mease Dunedin HospitalTampa FL$74,8413.1×52026-01-01
South Florida Baptist HospitalTampa FL$74,8413.1×52026-01-01
Mease Countryside HospitalTampa FL$74,8413.1×52026-01-01
Adventhealth CarrollwoodTampa FL$76,7823.2×42026-04-01
Bon Secours St. Mary's HospitalRichmond VA$77,7253.5×52026-04-01
Bon Secours St. Francis Medical CenterRichmond VA$77,7253.5×52026-04-01
Adventhealth North PinellasTampa FL$78,8383.3×32026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$79,7182.6×22025-11-26
Medstar Washington Hospital CenterWashington DC$79,7292.9×52026-04-01
Providence St Vincent Medical CenterPortland OR$80,3483.1×32026-04-01
Providence Portland Medical CenterPortland OR$80,3483.1×32026-04-01
Providence Milwaukie HospitalPortland OR$80,3483.1×32026-04-01
Swedish IssaquahSeattle-Tacoma WA$80,5503.0×42026-04-01
UT Southwestern William P. Clements Jr. University HospitalDallas-Fort Worth TX$81,1253.5×42026-03-10
Hospital for Special SurgeryNew York City$81,2472.8×52026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$81,5803.5×42026-04-21
Texas Health Presbyterian Hospital PlanoDallas-Fort Worth TX$81,5803.5×42026-04-21
Thomas Jefferson University HospitalPhiladelphia PA$85,9253.6×52026-09-15
Mount Carmel New Albany Surgical HospitalColumbus OH$86,5653.9×202026-03-31
Mount Carmel EastColumbus OH$86,5653.9×192026-03-31
VCU Medical CenterRichmond VA$87,2013.9×32026-01-02
Swedish Medical CenterSeattle-Tacoma WA$87,5663.2×52026-04-01
Swedish Medical Center / Cherry HillSeattle-Tacoma WA$87,5663.2×52026-04-01
Wellstar Kennestone HospitalAtlanta GA$91,8893.9×42026-04-01
Wellstar North Fulton HospitalAtlanta GA$91,8894.0×42026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$93,1013.9×42026-04-01
Maimonides Medical CenterNew York City$93,5703.2×62026-04-01
Denver Health Medical CenterDenver CO$96,8894.0×12026-04-30
Keck Hospital Of UscLos Angeles CA$98,8833.3×72026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$101,9623.9×42026-03-24
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$103,6733.5×72026-01-01

MS-DRG 402: Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical

115 hospitals in 38 markets. National Medicare rate $29,256.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA3———$70,906–$79,922
Austin TX2———$26,178–$31,737
Boston MA7$35,734$37,190$41,448$30,202–$58,599
California (statewide)1———$68,312–$68,312
Charlotte NC2———$64,890–$78,597
Chicago IL7$45,422$54,844$60,558$37,318–$74,781
Cleveland OH5$45,259$62,121$65,711$34,366–$67,130
Columbus OH2———$89,175–$107,737
Dallas-Fort Worth TX4———$56,592–$103,876
Denver CO5$55,318$56,788$57,522$53,571–$84,628
Detroit MI7$56,072$56,314$59,196$53,773–$71,100
Florida (statewide)1———$113,974–$113,974
Georgia (statewide)1———$77,892–$77,892
Houston TX1———$67,752–$67,752
Indianapolis IN3———$19,607–$58,394
Kansas (statewide)1———$43,743–$43,743
Las Vegas NV2———$41,486–$86,725
Los Angeles CA1———$131,479–$131,479
Miami-Fort Lauderdale FL1———$51,275–$51,275
Minneapolis-St. Paul MN2———$49,658–$60,131
Nashville TN4———$19,970–$83,677
New York (statewide)1———$33,011–$33,011
New York City3———$38,629–$129,030
Ohio (statewide)1———$70,327–$70,327
Pennsylvania (statewide)1———$77,676–$77,676
Philadelphia PA5$75,405$76,404$98,536$69,246–$107,704
Phoenix AZ3———$70,588–$75,445
Pittsburgh PA1———$76,887–$76,887
Portland OR6$84,580$84,605$96,484$84,580–$100,436
Research Triangle NC4———$44,032–$70,290
Richmond VA4———$70,438–$111,236
Salt Lake City UT3———$68,224–$70,952
San Antonio TX1———$45,546–$45,546
San Diego CA1———$42,094–$42,094
Seattle-Tacoma WA6$89,405$89,824$90,243$78,214–$110,642
St. Louis MO5$43,489$43,489$43,489$20,545–$81,282
Tampa FL4———$81,882–$95,562
Washington DC4———$73,101–$80,541
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension St Vincent AndersonIndianapolis IN$19,6070.6×32026-01-01
Ascension St Vincent CarmelIndianapolis IN$19,6070.6×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$19,9700.7×32026-01-01
Ascension Saint Thomas RutherfordNashville TN$20,3000.7×32026-01-01
Mercy Hospital SouthSt. Louis MO$20,5450.7×12026-06-10
Ascension Seton Medical Center AustinAustin TX$26,1780.9×12026-01-01
Anna Jaques HospitalBoston MA$30,2020.9×12026-04-01
St David's Medical CenterAustin TX$31,7371.1×52026-09-01
Stony Brook University HospitalNew York (statewide)$33,0110.9×12026-06-10
Beth Israel Deaconess Hospital - PlymouthBoston MA$34,2791.0×12026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$34,3661.3×42026-06-15
Beverly Hospital CorporationBoston MA$37,1901.1×12026-04-01
Winchester HospitalBoston MA$37,1901.1×12026-04-01
Endeavor Health Northwest Community HospitalChicago IL$37,3181.2×32026-04-01
Montefiore Medical CenterNew York City$38,6291.1×12026-04-01
Beth Israel Deaconess Medical CenterBoston MA$40,0361.1×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$41,4861.4×22026-07-01
Scripps Green HospitalSan Diego CA$42,0941.1×52026-03-30
New England Baptist HospitalBoston MA$42,8591.2×32026-04-01
Endeavor Health Edward HospitalChicago IL$43,0761.4×32026-04-01
Missouri Baptist Medical CenterSt. Louis MO$43,4891.5×42025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$43,4891.5×42025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$43,4891.5×42025-12-15
Menorah Medical CenterKansas (statewide)$43,7431.6×52026-09-01
North Carolina Specialty HospitalResearch Triangle NC$44,0321.6×12026-02-25
University Hospitals - Elyria Medical CenterCleveland OH$45,2591.7×32026-07-14
Methodist HospitalSan Antonio TX$45,5461.6×42026-09-01
TriStar StoneCrest Medical CenterNashville TN$46,2281.7×72026-09-01
Endeavor Health Elmhurst HospitalChicago IL$47,7691.6×32026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$49,6581.6×22026-03-31
UNC Rex HospitalResearch Triangle NC$50,3851.7×32026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$51,2751.7×42026-06-15
HCA HealthONE SwedishDenver CO$53,5711.8×52026-09-01
Mclaren Port HuronDetroit MI$53,7731.9×12025-12-31
Endeavor Health Evanston HospitalChicago IL$54,8441.8×32026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$55,3181.8×52026-09-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$55,8292.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$56,3142.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$56,3142.0×32026-05-01
Baylor University Medical CenterDallas-Fort Worth TX$56,5922.0×42026-06-29
Hca Healthone RoseDenver CO$56,7881.9×52026-09-01
Corewell Health Dearborn HospitalDetroit MI$57,1112.0×22026-05-01
UNC Hospitals (Chapel Hill)Research Triangle NC$57,2352.0×32026-04-01
HCA HealthONE Sky RidgeDenver CO$57,5221.9×52026-09-01
Hendricks Regional HealthIndianapolis IN$58,3941.9×32026-05-20
Lahey Hospital & Medical Center, BurlingtonBoston MA$58,5991.7×42026-04-01
Loyola University Medical CenterChicago IL$59,5481.9×22026-03-31
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$60,1312.0×32026-03-31
Trinity Health Oakland HospitalDetroit MI$61,2812.1×172026-03-31
Rush University Medical CenterChicago IL$61,5682.0×42026-09-25
Cleveland Clinic (main campus)Cleveland OH$62,1212.3×52026-06-16
Atrium Health PinevilleCharlotte NC$64,8902.3×22025-12-05
Cleveland Clinic Lutheran HospitalCleveland OH$65,7112.4×52026-06-15
Medina HospitalCleveland OH$67,1302.5×42026-06-15
Houston Methodist HospitalHouston TX$67,7522.4×22026-04-01
Mckay-Dee HospitalSalt Lake City UT$68,2242.4×12026-08-05
Los Robles Hospital & Medical CenterCalifornia (statewide)$68,3121.8×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$69,2462.4×42026-04-01
Duke University HospitalResearch Triangle NC$70,2902.5×22026-04-01
Bethesda NorthOhio (statewide)$70,3272.5×52026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$70,4382.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$70,5882.3×42026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$70,5882.3×42026-04-01
Emory University HospitalAtlanta GA$70,9062.5×52026-04-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$70,9522.5×12026-08-05
Lds HospitalSalt Lake City UT$70,9522.5×12026-08-05
Harper University HospitalDetroit MI$71,1002.5×22026-09-02
George Washington Univ HospitalWashington DC$73,1012.1×32026-09-01
University of Chicago Medical CenterChicago IL$74,7812.4×52026-04-01
Jefferson Stratford HospitalPhiladelphia PA$75,4052.3×52026-09-15
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$75,4452.5×32026-04-01
Piedmont Atlanta HospitalAtlanta GA$75,9252.6×52026-07-01
Bryn Mawr HospitalPhiladelphia PA$76,4042.6×42026-04-01
Inova Alexandria HospitalWashington DC$76,7032.6×52026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$76,8872.8×12026-03-06
Lehigh Valley HospitalPennsylvania (statewide)$77,6762.7×62026-07-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$77,8923.1×42026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$78,2142.3×52026-04-01
Novant Health Matthews Medical CenterCharlotte NC$78,5972.8×32026-03-30
Henrico Doctors' HospitalRichmond VA$79,2892.8×52026-09-01
Piedmont Newnan HospitalAtlanta GA$79,9222.8×52026-07-01
Stonesprings Hospital CenterWashington DC$80,4032.7×52026-09-01
Reston Hospital CenterWashington DC$80,5412.7×52026-09-01
Barnes Jewish HospitalSt. Louis MO$81,2822.8×42025-12-15
Tampa General HospitalTampa FL$81,8822.7×42026-04-01
Vanderbilt University Medical CenterNashville TN$83,6773.0×62025-10-01
Legacy Good Samaritan Medical CenterPortland OR$84,5802.6×42026-04-01
Legacy Mount Hood Medical CenterPortland OR$84,5802.6×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$84,5802.6×42026-04-01
UCHealth University of Colorado HospitalDenver CO$84,6282.8×62025-11-01
Legacy Emanuel Medical CenterPortland OR$84,6302.6×42026-04-01
Morton Plant HospitalTampa FL$85,1702.8×42026-01-01
Medical City PlanoDallas-Fort Worth TX$85,8933.0×62026-09-01
Medical City MckinneyDallas-Fort Worth TX$85,8933.0×62026-09-01
Henderson HospitalLas Vegas NV$86,7252.9×12026-09-01
Adventhealth TampaTampa FL$86,9092.9×42026-04-01
Ohio State University HospitalsColumbus OH$89,1753.2×32026-07-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$89,4052.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$89,4052.6×62026-08-27
St Clare HospitalSeattle-Tacoma WA$90,2432.7×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$90,2432.7×52026-02-28
Adventhealth CarrollwoodTampa FL$95,5623.2×42026-04-01
Bon Secours St. Mary's HospitalRichmond VA$96,7353.5×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$98,5363.4×52026-09-15
Providence St Vincent Medical CenterPortland OR$100,4363.1×22026-04-01
Providence Portland Medical CenterPortland OR$100,4363.1×22026-04-01
Hospital for Special SurgeryNew York City$103,4532.8×52026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$103,8763.6×42026-04-21
Inspira Medical Center Mullica HillPhiladelphia PA$107,7043.3×22026-03-24
Mount Carmel New Albany Surgical HospitalColumbus OH$107,7373.9×202026-03-31
Swedish Medical CenterSeattle-Tacoma WA$110,6423.3×42026-04-01
VCU Medical CenterRichmond VA$111,2364.0×32026-01-02
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$113,9743.8×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$129,0303.5×72026-01-01
Keck Hospital Of UscLos Angeles CA$131,4793.5×62026-04-01

MS-DRG 450: Single Level Spinal Fusion Except Cervical With McC Or Custom-Made Anatomically Designed Interbody Fusion Device

119 hospitals in 39 markets. National Medicare rate $38,782.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$92,931–$122,512
Austin TX2———$34,702–$40,855
Boston MA7$47,370$49,299$54,943$40,036–$77,679
California (statewide)1———$76,685–$76,685
Charlotte NC2———$85,423–$104,188
Chicago IL7$59,532$71,880$84,380$48,910–$99,131
Cleveland OH5$54,780$87,097$87,102$28,494–$105,809
Columbus OH2———$118,211–$142,817
Dallas-Fort Worth TX4———$71,508–$131,863
Denver CO7$65,553$65,553$114,864$65,553–$117,544
Detroit MI6$74,657$74,657$76,730$74,466–$96,424
Florida (statewide)1———$166,412–$166,412
Georgia (statewide)1———$102,088–$102,088
Houston TX1———$102,366–$102,366
Illinois (statewide)1———$52,841–$52,841
Indianapolis IN2———$24,983–$77,407
Kansas (statewide)1———$57,986–$57,986
Las Vegas NV1———$45,373–$45,373
Los Angeles CA2———$79,718–$163,193
Miami-Fort Lauderdale FL2———$58,420–$106,047
Minneapolis-St. Paul MN5$95,640$108,796$108,796$79,710–$136,020
Nashville TN4———$53,731–$110,922
New York (statewide)1———$33,011–$33,011
New York City3———$50,628–$171,043
Ohio (statewide)1———$93,225–$93,225
Pennsylvania (statewide)1———$102,393–$102,393
Philadelphia PA5$99,957$101,282$141,762$91,236–$173,982
Phoenix AZ3———$92,296–$96,912
Pittsburgh PA1———$103,547–$103,547
Portland OR6$111,528$111,528$128,448$111,528–$134,088
Research Triangle NC3———$57,964–$88,587
Richmond VA4———$61,600–$148,771
Salt Lake City UT3———$88,111–$91,634
San Antonio TX1———$59,828–$59,828
San Diego CA1———$53,642–$53,642
Seattle-Tacoma WA6$118,105$119,258$120,412$104,966–$146,133
St. Louis MO2———$61,550–$92,756
Tampa FL4———$107,317–$127,676
Washington DC6$86,338$98,938$136,088$82,817–$176,974
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension St Vincent CarmelIndianapolis IN$24,9830.6×12026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$28,4940.8×22026-06-15
Stony Brook University HospitalNew York (statewide)$33,0110.7×12026-06-10
Ascension Seton Medical Center AustinAustin TX$34,7020.9×12026-01-01
Anna Jaques HospitalBoston MA$40,0360.9×12026-04-01
St David's Medical CenterAustin TX$40,8551.1×52026-09-01
University Medical Center of Southern NevadaLas Vegas NV$45,3731.1×62026-07-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$45,4401.0×12026-04-01
Endeavor Health Northwest Community HospitalChicago IL$48,9101.2×32026-04-01
Beverly Hospital CorporationBoston MA$49,2991.1×12026-04-01
Winchester HospitalBoston MA$49,2991.1×12026-04-01
Montefiore Medical CenterNew York City$50,6281.1×12026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$52,8411.3×12026-06-03
Beth Israel Deaconess Medical CenterBoston MA$53,0721.1×22026-04-01
Scripps Green HospitalSan Diego CA$53,6421.1×42026-03-30
TriStar StoneCrest Medical CenterNashville TN$53,7311.5×72026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$54,7801.5×42026-07-14
Endeavor Health Edward HospitalChicago IL$56,4561.4×32026-04-01
New England Baptist HospitalBoston MA$56,8141.2×32026-04-01
North Carolina Specialty HospitalResearch Triangle NC$57,9641.5×12026-02-25
Menorah Medical CenterKansas (statewide)$57,9861.6×62026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$58,4201.5×42026-06-15
Methodist HospitalSan Antonio TX$59,8281.6×42026-09-01
Barnes-Jewish St Peters HospitalSt. Louis MO$61,5501.6×42025-12-15
Henrico Doctors' HospitalRichmond VA$61,6001.7×52026-09-01
Endeavor Health Elmhurst HospitalChicago IL$62,6071.5×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$64,7561.8×52026-09-01
Hca Healthone RoseDenver CO$65,5531.6×52026-09-01
HCA HealthONE SwedishDenver CO$65,5531.6×52026-09-01
HCA HealthONE Sky RidgeDenver CO$65,5531.6×52026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$65,5531.6×52026-09-01
Baylor University Medical CenterDallas-Fort Worth TX$71,5081.9×52026-06-29
Endeavor Health Evanston HospitalChicago IL$71,8801.8×32026-04-01
Mclaren Port HuronDetroit MI$74,4662.0×12025-12-31
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$74,6572.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$74,6572.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$74,6572.0×32026-05-01
UNC Hospitals (Chapel Hill)Research Triangle NC$75,3462.0×32026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$76,6851.5×42026-09-01
Hendricks Regional HealthIndianapolis IN$77,4071.9×32026-05-20
Corewell Health Dearborn HospitalDetroit MI$77,4212.0×22026-05-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$77,6791.7×42026-04-01
Loyola University Medical CenterChicago IL$78,3901.9×22026-03-31
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$79,7102.0×32026-03-31
Cedars-Sinai Medical CenterLos Angeles CA$79,7181.6×22025-11-26
Ascension Saint Thomas RutherfordNashville TN$81,0862.2×12026-01-01
Reston Hospital CenterWashington DC$82,8172.1×52026-09-01
Stonesprings Hospital CenterWashington DC$82,8172.1×52026-09-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$83,8982.3×12026-01-01
Atrium Health PinevilleCharlotte NC$85,4232.3×22025-12-05
Cleveland Clinic Lutheran HospitalCleveland OH$87,0972.4×52026-06-15
Medina HospitalCleveland OH$87,1022.4×42026-06-15
Mckay-Dee HospitalSalt Lake City UT$88,1112.3×12026-08-05
UNC Rex HospitalResearch Triangle NC$88,5872.3×32026-04-01
Rush University Medical CenterChicago IL$90,3702.2×42026-09-25
Riddle Memorial HospitalPhiladelphia PA$91,2362.3×42026-04-01
Medical City MckinneyDallas-Fort Worth TX$91,5082.4×62026-09-01
Medical City PlanoDallas-Fort Worth TX$91,5652.4×62026-09-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$91,6342.4×12026-08-05
Lds HospitalSalt Lake City UT$91,6342.4×12026-08-05
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$92,2962.3×52026-04-01
Barnes Jewish HospitalSt. Louis MO$92,7562.4×22025-12-15
Emory University HospitalAtlanta GA$92,9312.4×52026-04-01
Bethesda NorthOhio (statewide)$93,2252.5×52026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$95,6402.4×22026-06-16
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$96,1532.4×42026-04-01
Harper University HospitalDetroit MI$96,4242.5×22026-09-02
George Washington Univ HospitalWashington DC$96,9032.1×32026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$96,9122.4×52026-04-01
University of Chicago Medical CenterChicago IL$99,1312.4×52026-04-01
Jefferson Stratford HospitalPhiladelphia PA$99,9572.3×52026-09-15
Piedmont Atlanta HospitalAtlanta GA$100,6472.6×52026-07-01
Inova Alexandria HospitalWashington DC$100,9732.6×52026-04-01
Bryn Mawr HospitalPhiladelphia PA$101,2822.6×42026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$102,0883.1×42026-04-01
Houston Methodist HospitalHouston TX$102,3662.7×22026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$102,3932.6×62026-07-01
Upmc Presbyterian ShadysidePittsburgh PA$103,5472.8×12026-03-06
Novant Health Matthews Medical CenterCharlotte NC$104,1882.8×32026-03-30
Overlake Hospital Medical CenterSeattle-Tacoma WA$104,9662.4×62026-04-01
Cleveland Clinic (main campus)Cleveland OH$105,8093.0×42026-06-16
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$106,0472.7×32026-03-13
Tampa General HospitalTampa FL$107,3172.7×42026-04-01
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$108,7962.7×12026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$108,7962.7×12026-06-16
Vanderbilt University Medical CenterNashville TN$110,9223.0×62025-10-01
Legacy Emanuel Medical CenterPortland OR$111,5282.6×42026-04-01
Legacy Good Samaritan Medical CenterPortland OR$111,5282.6×42026-04-01
Legacy Mount Hood Medical CenterPortland OR$111,5282.6×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$111,5282.6×42026-04-01
UCHealth University of Colorado HospitalDenver CO$112,1832.8×62025-11-01
Adventhealth TampaTampa FL$115,2082.9×42026-04-01
Adventhealth PorterDenver CO$117,5442.9×22026-04-01
Adventhealth ParkerDenver CO$117,5442.9×22026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$118,1052.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$118,1052.6×62026-08-27
Ohio State University HospitalsColumbus OH$118,2113.2×32026-07-01
Bon Secours St. Mary's HospitalRichmond VA$118,8283.2×52026-04-01
Piedmont Newnan HospitalAtlanta GA$119,3463.1×32026-07-01
St Clare HospitalSeattle-Tacoma WA$120,4122.7×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$120,4122.7×62026-02-28
Piedmont Fayette HospitalAtlanta GA$122,5123.2×42026-07-01
Adventhealth CarrollwoodTampa FL$126,6763.2×42026-04-01
Morton Plant HospitalTampa FL$127,6763.2×52026-01-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$131,8633.5×32026-04-21
Providence St Vincent Medical CenterPortland OR$134,0883.1×32026-04-01
Providence Portland Medical CenterPortland OR$134,0883.1×32026-04-01
Hospital for Special SurgeryNew York City$135,5892.8×52026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$136,0203.4×12026-06-16
Thomas Jefferson University HospitalPhiladelphia PA$141,7623.6×52026-09-15
Mount Carmel New Albany Surgical HospitalColumbus OH$142,8173.9×192026-03-31
Swedish Medical CenterSeattle-Tacoma WA$146,1333.3×52026-04-01
Medstar Georgetown University HospitalWashington DC$147,7933.3×42026-04-01
VCU Medical CenterRichmond VA$148,7714.0×32026-01-02
Keck Hospital Of UscLos Angeles CA$163,1933.3×72026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$166,4124.2×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$171,0433.5×72026-01-01
Inspira Medical Center Mullica HillPhiladelphia PA$173,9824.0×42026-03-24
Medstar Washington Hospital CenterWashington DC$176,9743.9×52026-04-01

Questions

How much do commercial insurers pay hospitals for lumbar fusion with cage (tlif/plif)?

Across 75 hospitals in 30 metro areas that post a usable dollar rate, the median commercial rate for CPT 22633, hospital outpatient is $38,681, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $24,620 to $51,468. 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), Emory University Hospital ($14,089), Emory Houston Hospital Warner Robins ($14,089). Highest: Multicare Good Samaritan Hospital ($93,590), Tacoma General Allenmore Hospital ($85,795), Swedish Medical Center ($82,708). Coverage is limited to the markets listed on this page.