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

Posted commercial rates at 16 Idaho hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$17,7560.7×12026-03-31
North Canyon Medical Center Gooding$18,3900.7×12026-04-13
St Joseph Regional Medical Center Lewiston$21,8980.8×12026-04-01
Treasure Valley Hospital Boise$31,1821.1×22026-09-02
Northwest Specialty Hospital Post Falls$39,0701.4×32026-03-05
West Valley Medical Center Caldwell$44,1691.6×22026-09-01
St Luke'S Nampa Medical Center Nampa$46,7111.7×72026-03-25
St Luke'S Jerome Jerome$46,7111.7×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$46,7111.7×82026-03-25
Saint Alphonsus Medical Center - Nampa Nampa$52,6541.9×52026-03-31
St Luke'S Regional Medical Center Boise$56,4652.1×32026-03-25
Kootenai Health Coeur D'Alene$59,3582.2×22026-03-27
Mountain View Hospital Idaho Falls$60,0202.2×12026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$60,3162.3×32026-03-16

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$17,7560.7×12026-03-31
North Canyon Medical Center Gooding$18,3900.7×12026-04-13
St Joseph Regional Medical Center Lewiston$21,8980.8×12026-04-01
Treasure Valley Hospital Boise$27,4161.0×12026-09-02
West Valley Medical Center Caldwell$36,5891.3×22026-09-01
Northwest Specialty Hospital Post Falls$39,0701.4×32026-03-05
St Luke'S Nampa Medical Center Nampa$46,7111.7×72026-03-25
St Luke'S Jerome Jerome$46,7111.7×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$46,7111.7×82026-03-25
St Luke'S Regional Medical Center Boise$56,4652.1×32026-03-25
Kootenai Health Coeur D'Alene$59,3582.2×22026-03-27
Mountain View Hospital Idaho Falls$60,0202.2×12026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$67,0182.5×22026-03-16

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$33,3321.4×12026-03-05
Treasure Valley Hospital Boise$33,9191.5×52026-09-02
West Valley Medical Center Caldwell$50,1492.2×82026-09-01
Kootenai Health Coeur D'Alene$63,7742.7×42026-03-27
St Joseph Regional Medical Center Lewiston$75,2973.3×12026-04-01
St Luke'S Regional Medical Center Boise$77,1813.3×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$77,1813.4×32026-03-25
Intermountain Health Cassia Regional Hospital Burley$79,7913.5×12026-08-05
Saint Alphonsus Regional Medical Center Boise$84,4123.6×172026-03-31
Saint Alphonsus Medical Center - Nampa Nampa$84,4123.6×222026-03-31
St Luke'S Nampa Medical Center Nampa$94,2934.1×22026-03-25
St Luke'S Jerome Jerome$94,2934.1×22026-03-25
St Luke'S Wood River Medical Center Ketchum$94,2934.2×22026-03-25

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$35,0151.2×12026-03-31
Northwest Specialty Hospital Post Falls$41,4841.4×12026-03-05
Treasure Valley Hospital Boise$42,2151.5×52026-09-02
West Valley Medical Center Caldwell$63,0112.2×82026-09-01
Kootenai Health Coeur D'Alene$69,2812.4×22026-03-27
St Joseph Regional Medical Center Lewiston$77,1532.7×12026-04-01
St Luke'S Regional Medical Center Boise$97,8443.4×32026-03-25
St Luke'S Nampa Medical Center Nampa$97,8443.4×32026-03-25
St Luke'S Jerome Jerome$97,8443.5×32026-03-25
St Luke'S Elmore Medical Center Mountain Home$97,8443.5×32026-03-25
Intermountain Health Cassia Regional Hospital Burley$99,3063.5×12026-08-05
St Luke'S Wood River Medical Center Ketchum$119,5374.2×22026-03-25

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Northwest Specialty Hospital Post Falls$54,9921.4×12026-03-05
Treasure Valley Hospital Boise$55,9611.5×52026-09-02
West Valley Medical Center Caldwell$82,6982.2×82026-09-01
Kootenai Health Coeur D'Alene$107,9162.8×42026-03-27
St Luke'S Nampa Medical Center Nampa$111,7572.9×72026-03-25
St Luke'S Jerome Jerome$111,7573.0×72026-03-25
St Luke'S Elmore Medical Center Mountain Home$111,7573.0×72026-03-25
St Luke'S Regional Medical Center Boise$125,5843.3×32026-03-25
St Joseph Regional Medical Center Lewiston$128,3363.4×12026-04-01
Intermountain Health Cassia Regional Hospital Burley$131,6413.5×12026-08-05
St Luke'S Wood River Medical Center Ketchum$157,3614.2×22026-03-25

Questions

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

16 Idaho 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 14 hospitals is $46,711, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.