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Lumbar fusion with cage (TLIF/PLIF) in Austin TX

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 22633

Hospital · insurerRate× MedicarePlans
Ascension Seton Medical Center Austin median $13,924 · local Medicare $27,258 · file 2026-01-01
BCBS TX$13,9240.5×1
St David's Medical Center median $43,438 · local Medicare $27,258 · file 2026-09-01
BCBS TX$43,4381.6×5
Oscar$58,4642.1×5
UnitedHealthcare$20,4630.8×2

CPT 22630

Hospital · insurerRate× MedicarePlans
St David's Medical Center median $37,044 · local Medicare $27,258 · file 2026-09-01
BCBS TX$59,2482.2×5
Oscar$37,0441.4×5
UnitedHealthcare$18,3500.7×3

MS-DRG 451

Hospital · insurerRate× MedicarePlans
Ascension Seton Medical Center Austin median $21,034 · local Medicare $23,097 · file 2026-01-01
UnitedHealthcare$21,0340.9×1
Round Rock Medical Center median $24,940 · local Medicare $23,097 · file 2026-09-01
Aetna$23,5901.0×6
BCBS TX$24,7541.1×2
Humana$24,9401.1×4
Oscar$31,6371.4×5
UnitedHealthcare$37,8871.6×3
St David's Medical Center median $25,236 · local Medicare $23,097 · file 2026-09-01
Aetna$24,7291.1×6
BCBS TX$25,2361.1×2
Humana$25,1721.1×4
Oscar$31,6371.4×5
UnitedHealthcare$37,8871.6×3
North Austin Medical Center median $26,870 · local Medicare $23,097 · file 2026-09-01
Aetna$23,5901.0×6
BCBS TX$26,2791.1×2
Humana$26,8701.2×4
Oscar$31,6371.4×5
UnitedHealthcare$37,8871.6×3
St David's South Austin Medical Center median $26,956 · local Medicare $23,097 · file 2026-09-01
Aetna$23,5901.0×6
BCBS TX$26,6231.2×2
Humana$26,9561.2×4
Oscar$31,6371.4×5
UnitedHealthcare$37,8871.6×3
Scott & White Hospital-Round Rock median $44,346 · local Medicare $23,097 · file 2026-06-13
Aetna$44,4451.9×1
BCBS TX$44,2471.9×3
Humana$37,4991.6×2
MultiPlan/PHCS (rental network)$37,9041.6×1
UnitedHealthcare$58,1472.5×1
Baylor Scott & White Medical Center ? Pflugerville median $44,346 · local Medicare $23,097 · file 2026-06-13
Aetna$44,4451.9×1
BCBS TX$44,2471.9×3
Humana$37,4991.6×2
MultiPlan/PHCS (rental network)$37,9041.6×1
UnitedHealthcare$58,1472.5×1
Baylor Scott & White Medical Center- Austin median $44,346 · local Medicare $23,097 · file 2026-06-13
Aetna$44,4451.9×1
BCBS TX$44,2471.9×3
Humana$37,4991.6×2
MultiPlan/PHCS (rental network)$37,9041.6×1
UnitedHealthcare$58,1472.5×1

MS-DRG 402

Hospital · insurerRate× MedicarePlans
Ascension Seton Medical Center Austin median $26,178 · local Medicare $28,746 · file 2026-01-01
UnitedHealthcare$26,1780.9×1
St David's Medical Center median $31,737 · local Medicare $28,746 · file 2026-09-01
Aetna$31,7371.1×1
BCBS TX$31,1141.1×2
Humana$31,0371.1×4
Oscar$54,3151.9×5
UnitedHealthcare$48,0311.7×3

MS-DRG 450

Hospital · insurerRate× MedicarePlans
Ascension Seton Medical Center Austin median $34,702 · local Medicare $38,106 · file 2026-01-01
UnitedHealthcare$34,7020.9×1
St David's Medical Center median $40,855 · local Medicare $38,106 · file 2026-09-01
Aetna$41,6721.1×1
BCBS TX$40,8551.1×2
Humana$40,7531.1×4
Oscar$31,6370.8×5
UnitedHealthcare$63,2291.7×3

Questions

How much does lumbar fusion with cage (tlif/plif) cost with commercial insurance in Austin TX?

2 Austin TX hospitals post usable commercial rates for CPT 22633, hospital outpatient. The median across hospitals is $28,681; hospital medians range from $13,924 to $43,438. Your cost depends on your plan's deductible and coinsurance.