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Lumbar fusion with cage (TLIF/PLIF) in Georgia: what insurers pay

Posted commercial rates at 10 Georgia hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$14,0890.5×12026-04-01
Emory Houston Hospital Warner Robins Warner Robins$14,0890.6×12026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$55,6862.4×52026-04-01
Emory University Hospital Midtown Atlanta$55,6862.4×52026-04-01
Emory Saint Joseph's Hospital Atlanta$55,6862.4×52026-04-01
Emory Johns Creek Hospital Johns Creek$55,6862.4×52026-04-01
Emory Houston Hospital Warner Robins Warner Robins$61,1723.1×42026-04-01
Piedmont Fayette Hospital Fayetteville$62,6312.7×52026-07-01
Piedmont Newnan Hospital Newnan$64,2162.8×52026-07-01
Wellstar Kennestone Hospital Marietta$91,8893.9×42026-04-01
Wellstar North Fulton Hospital Roswell$91,8894.0×42026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$70,9062.5×52026-04-01
Piedmont Atlanta Hospital Atlanta$75,9252.6×52026-07-01
Emory Houston Hospital Warner Robins Warner Robins$77,8923.1×42026-04-01
Piedmont Newnan Hospital Newnan$79,9222.8×52026-07-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$92,9312.4×52026-04-01
Piedmont Atlanta Hospital Atlanta$100,6472.6×52026-07-01
Emory Houston Hospital Warner Robins Warner Robins$102,0883.1×42026-04-01
Piedmont Newnan Hospital Newnan$119,3463.1×32026-07-01
Piedmont Fayette Hospital Fayetteville$122,5123.2×42026-07-01

Questions

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

10 Georgia hospitals post usable commercial rates for lumbar fusion with cage (tlif/plif) in their federal price-transparency files. For CPT 22633, hospital outpatient, the median across 2 hospitals is $14,089, 0.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.