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

Posted commercial rates at 12 Illinois hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$37,0451.3×12026-04-01
Endeavor Health Evanston Hospital Evanston$41,8981.4×12026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$46,8441.6×12026-04-01
Endeavor Health Edward Hospital Naperville$46,8441.6×12026-04-01
University of Chicago Medical Center Chicago$49,7841.7×22026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$26,1560.9×12026-04-01
Sarah Bush Lincoln Health Center Mattoon$31,7651.1×12026-06-03
University of Chicago Medical Center Chicago$34,9281.2×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$37,0451.3×12026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$46,8441.6×12026-04-01
Endeavor Health Edward Hospital Naperville$46,8441.6×12026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$29,1431.2×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$29,3081.2×32026-04-01
Endeavor Health Edward Hospital Naperville$33,8301.4×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$37,5161.5×32026-04-01
Northwestern Medicine Central DuPage Hospital Winfield$42,9421.7×12026-04-01
Endeavor Health Evanston Hospital Evanston$43,0721.7×32026-04-01
Alton Memorial Hospital Alton$44,7441.8×42025-12-15
Loyola University Medical Center Maywood$46,9721.9×22026-03-31
Advocate Christ Medical Center Oak Lawn$52,1702.1×42025-11-04
Advocate Lutheran General Hospital Park Ridge$52,1702.1×42025-11-04
Rush University Medical Center Chicago$52,1842.1×42026-09-25
University of Chicago Medical Center Chicago$60,0852.4×52026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$37,3181.2×32026-04-01
Endeavor Health Edward Hospital Naperville$43,0761.4×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$47,7691.6×32026-04-01
Endeavor Health Evanston Hospital Evanston$54,8441.8×32026-04-01
Loyola University Medical Center Maywood$59,5481.9×22026-03-31
Rush University Medical Center Chicago$61,5682.0×42026-09-25
University of Chicago Medical Center Chicago$74,7812.4×52026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$48,9101.2×32026-04-01
Sarah Bush Lincoln Health Center Mattoon$52,8411.3×12026-06-03
Endeavor Health Edward Hospital Naperville$56,4561.4×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$62,6071.5×32026-04-01
Endeavor Health Evanston Hospital Evanston$71,8801.8×32026-04-01
Loyola University Medical Center Maywood$78,3901.9×22026-03-31
Rush University Medical Center Chicago$90,3702.2×42026-09-25
University of Chicago Medical Center Chicago$99,1312.4×52026-04-01

Questions

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

12 Illinois 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 5 hospitals is $46,844, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.