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

Posted commercial rates at 59 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Samaritan Hospital Troy$18,8910.6×172026-03-31
Nassau University Medical Center East Meadow$21,7620.6×12025-10-28
Saratoga Hospital Saratoga Springs$21,7620.6×12025-12-31
Montefiore Medical Center Bronx$27,3140.8×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$30,9400.9×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$31,6240.9×62026-04-01
Columbia Memorial Hospital Hudson$32,6431.0×12025-12-31
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$36,2841.1×32026-09-05
Jacobi Medical Center Bronx$36,2841.1×32026-09-05
Elmhurst Hospital Center Elmhurst$36,2841.1×32026-09-05
South Brooklyn Health Brooklyn$36,2841.1×32026-09-05
Metropolitan Hospital Center New York$36,2841.1×32026-09-05
Kings County Hospital Center Brooklyn$36,2841.1×32026-09-05
Bellevue Hospital Center New York$36,2841.1×32026-09-05
Queens Hospital Center Jamaica$36,2841.1×32026-09-05
Harlem Hospital Center New York$36,2841.1×32026-09-05
Highland Hospital Rochester$50,4361.5×42026-07-01
Samaritan Medical Center Watertown$51,3041.5×32026-02-02
Medina Memorial Hospital Medina$53,2691.6×12026-07-29
St Joseph'S Medical Center Yonkers$54,5851.6×12026-07-13
Strong Memorial Hospital Rochester$56,3091.7×42026-07-01
Jones Memorial Hospital Wellsville$58,2081.7×72026-01-01
Geneva General Hospital Geneva$59,7591.8×32026-08-27
Crouse Hospital Syracuse$60,8291.8×32026-05-19
Nicholas H Noyes Memorial Hospital Dansville$69,4022.0×62026-01-01
Garnet Health Medical Center Middletown$69,4352.0×32026-04-01
Roswell Park Cancer Institute Buffalo$70,9422.1×22026-04-01
Hospital for Special Surgery New York$71,2502.1×142026-04-01
St James Hospital Hornell$79,5562.4×52026-01-01
Erie County Medical Center Buffalo$84,6772.5×32026-08-25
Garnet Health Medical Center Catskills Harris$84,6772.5×12026-04-01
Maimonides Medical Center Brooklyn$102,9683.0×12026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Saratoga Hospital Saratoga Springs$26,8760.8×22025-12-31
Montefiore Medical Center Bronx$28,3710.8×102026-04-01
Nassau University Medical Center East Meadow$31,2320.9×22025-10-28
Montefiore Mount Vernon Hospital Mount Vernon$31,6240.9×62026-04-01
Albany Medical Center Hospital Albany$31,9900.9×12025-12-31
Glens Falls Hospital Glens Falls$31,9900.9×22025-12-31
Columbia Memorial Hospital Hudson$32,6431.0×12025-12-31
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$34,6361.0×92026-01-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$36,2841.1×32026-09-05
Jacobi Medical Center Bronx$36,2841.1×32026-09-05
South Brooklyn Health Brooklyn$36,2841.1×32026-09-05
Metropolitan Hospital Center New York$36,2841.1×32026-09-05
Kings County Hospital Center Brooklyn$36,2841.1×32026-09-05
Bellevue Hospital Center New York$36,2841.1×32026-09-05
Queens Hospital Center Jamaica$36,2841.1×32026-09-05
Harlem Hospital Center New York$36,2841.1×32026-09-05
Elmhurst Hospital Center Elmhurst$45,1731.3×42026-09-05
Highland Hospital Rochester$48,6381.4×42026-07-01
Samaritan Medical Center Watertown$51,3041.5×32026-02-02
Medina Memorial Hospital Medina$53,2691.6×12026-07-29
St Joseph'S Medical Center Yonkers$54,5851.6×12026-07-13
Strong Memorial Hospital Rochester$58,1161.7×42026-07-01
Jones Memorial Hospital Wellsville$58,2081.7×72026-01-01
Geneva General Hospital Geneva$59,7591.8×32026-08-27
Crouse Hospital Syracuse$60,8291.8×32026-05-19
Maimonides Medical Center Brooklyn$66,1761.9×22026-04-01
Nicholas H Noyes Memorial Hospital Dansville$69,4022.0×62026-01-01
Garnet Health Medical Center Middletown$69,4352.0×32026-04-01
Roswell Park Cancer Institute Buffalo$70,9422.1×22026-04-01
St James Hospital Hornell$79,5562.4×52026-01-01
Hospital for Special Surgery New York$79,8022.4×102026-04-01
Erie County Medical Center Buffalo$84,6772.5×32026-08-25
Garnet Health Medical Center Catskills Harris$84,6772.5×12026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$23,4370.8×12026-01-01
Ira Davenport Memorial Hospital Bath$24,5220.8×12026-03-27
Corning Hospital Corning$24,6660.8×32026-03-31
St Charles Hospital Port Jefferson$24,9700.8×122026-04-01
Guthrie Cortland Regional Medical Center Cortland$26,1920.9×42026-03-31
Arnot Ogden Medical Center Elmira$26,3000.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$26,3000.9×22026-03-27
Montefiore Medical Center Bronx$27,5000.9×22026-04-01
Geneva General Hospital Geneva$29,3871.0×32026-08-27
St James Hospital Hornell$29,7551.0×12026-01-01
Schuyler Hospital Montour Falls$30,9541.1×22026-03-27
Stony Brook University Hospital Stony Brook$33,0111.1×12026-06-10
Niagara Falls Memorial Medical Center Niagara Falls$34,1191.2×12026-06-17
St John'S Riverside Hospital Yonkers$35,4891.2×52026-03-27
Clifton Springs Hospital And Clinic Clifton Springs$36,9771.3×32026-04-01
United Memorial Medical Center Batavia$37,1881.3×32026-04-01
St Joseph'S Medical Center Yonkers$38,2641.3×32026-07-13
Canton-Potsdam Hospital Potsdam$38,2711.3×32026-04-01
Nassau University Medical Center East Meadow$39,0381.3×62025-10-28
Samaritan Medical Center Watertown$39,1361.3×42026-02-02
Highland Hospital Rochester$39,1631.3×32026-07-01
Unity Hospital Of Rochester Rochester$40,3801.4×32026-04-01
Unity Specialty Hospital Rochester$40,3801.4×32026-04-01
Medina Memorial Hospital Medina$41,2621.4×22026-07-29
Rochester General Hospital Rochester$41,4181.4×32026-04-01
Newark-Wayne Community Hospital Newark$43,2871.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$45,4421.6×12026-01-01
Bronxcare Hospital Center Bronx$47,0881.6×72026-05-05
Wynn Hospital Utica$48,9751.7×52026-08-07
Saratoga Hospital Saratoga Springs$49,8941.7×12025-12-31
Glens Falls Hospital Glens Falls$50,1101.7×22025-12-31
Flushing Hospital Medical Center Flushing$50,5501.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$52,5361.8×82026-03-25
Columbia Memorial Hospital Hudson$54,6041.9×42025-12-31
Strong Memorial Hospital Rochester$55,0691.9×32026-07-01
Crouse Hospital Syracuse$55,2501.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$55,7241.9×62026-04-01
Sisters Of Charity Hospital Buffalo$56,8651.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$56,8651.9×72026-04-01
South Brooklyn Health Brooklyn$60,4922.1×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$60,5832.1×62026-09-05
Harlem Hospital Center New York$61,0922.1×62026-09-05
Elmhurst Hospital Center Elmhurst$62,2222.1×62026-09-05
Jacobi Medical Center Bronx$64,2462.2×62026-09-05
Metropolitan Hospital Center New York$64,2462.2×62026-09-05
Queens Hospital Center Jamaica$64,2462.2×62026-09-05
Kings County Hospital Center Brooklyn$65,1572.2×62026-09-05
Nathan Littauer Hospital Gloversville$66,0912.3×32026-03-04
Bellevue Hospital Center New York$71,1722.4×62026-09-05
Hospital for Special Surgery New York$78,1482.7×132026-04-01
Samaritan Hospital Troy$89,3273.1×52026-03-31
Maimonides Medical Center Brooklyn$94,0983.2×82026-04-01
Albany Medical Center Hospital Albany$94,1323.2×22025-12-31
Garnet Health Medical Center Middletown$97,2503.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$98,9503.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$99,4643.4×92026-01-01
Garnet Health Medical Center Catskills Harris$110,4983.8×82026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$29,1690.8×12026-01-01
Ira Davenport Memorial Hospital Bath$30,5200.8×12026-03-27
St Charles Hospital Port Jefferson$31,0010.8×122026-04-01
Corning Hospital Corning$31,2700.9×32026-03-31
Arnot Ogden Medical Center Elmira$32,7330.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$32,7330.9×22026-03-27
Stony Brook University Hospital Stony Brook$33,0110.9×12026-06-10
Guthrie Cortland Regional Medical Center Cortland$34,7721.0×32026-03-31
Montefiore Medical Center Bronx$35,0181.0×22026-04-01
Geneva General Hospital Geneva$36,5741.0×32026-08-27
St James Hospital Hornell$37,0331.0×12026-01-01
Schuyler Hospital Montour Falls$38,5241.1×22026-03-27
Niagara Falls Memorial Medical Center Niagara Falls$42,2401.2×12026-06-17
St John'S Riverside Hospital Yonkers$44,0521.2×52026-03-27
Clifton Springs Hospital And Clinic Clifton Springs$46,0221.3×32026-04-01
United Memorial Medical Center Batavia$46,2841.3×32026-04-01
St Joseph'S Medical Center Yonkers$47,6231.3×32026-07-13
Canton-Potsdam Hospital Potsdam$47,6311.3×32026-04-01
Samaritan Medical Center Watertown$48,7081.3×42026-02-02
Nassau University Medical Center East Meadow$49,7081.4×62025-10-28
Unity Hospital Of Rochester Rochester$50,2561.4×32026-04-01
Unity Specialty Hospital Rochester$50,2561.4×32026-04-01
Medina Memorial Hospital Medina$50,3801.4×12026-07-29
Rochester General Hospital Rochester$51,5481.4×32026-04-01
Newark-Wayne Community Hospital Newark$53,8751.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$56,5561.6×12026-01-01
Wynn Hospital Utica$60,8201.7×52026-08-07
Saratoga Hospital Saratoga Springs$63,2521.7×12025-12-31
Glens Falls Hospital Glens Falls$63,5261.8×22025-12-31
Flushing Hospital Medical Center Flushing$64,0831.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$66,6001.8×82026-03-25
Crouse Hospital Syracuse$68,5021.9×42026-05-19
Strong Memorial Hospital Rochester$68,5371.9×32026-07-01
Columbia Memorial Hospital Hudson$69,2221.9×42025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$69,3541.9×62026-04-01
Sisters Of Charity Hospital Buffalo$70,7741.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$70,7741.9×72026-04-01
South Brooklyn Health Brooklyn$75,2882.1×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$75,4002.1×62026-09-05
Harlem Hospital Center New York$75,4002.1×62026-09-05
Elmhurst Hospital Center Elmhurst$77,4412.1×62026-09-05
Jacobi Medical Center Bronx$79,9602.2×62026-09-05
Metropolitan Hospital Center New York$79,9602.2×62026-09-05
Kings County Hospital Center Brooklyn$79,9602.2×62026-09-05
Queens Hospital Center Jamaica$79,9602.2×62026-09-05
Nathan Littauer Hospital Gloversville$82,2552.3×32026-03-04
Bellevue Hospital Center New York$82,3032.3×62026-09-05
Garnet Health Medical Center Catskills Harris$87,6612.4×12026-04-01
Hospital for Special Surgery New York$99,5072.7×132026-04-01
Samaritan Hospital Troy$111,1753.1×52026-03-31
Maimonides Medical Center Brooklyn$117,1133.2×82026-04-01
Albany Medical Center Hospital Albany$119,3343.3×22025-12-31
Garnet Health Medical Center Middletown$121,0353.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$123,7913.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$125,9943.5×102026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.7×12026-06-10
Jones Memorial Hospital Wellsville$38,6660.8×12026-01-01
Ira Davenport Memorial Hospital Bath$40,4570.8×12026-03-27
Corning Hospital Corning$41,1640.8×32026-03-31
Arnot Ogden Medical Center Elmira$43,3910.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$43,3910.9×22026-03-27
Guthrie Cortland Regional Medical Center Cortland$44,3320.9×42026-03-31
Montefiore Medical Center Bronx$45,8940.9×22026-04-01
Geneva General Hospital Geneva$48,4831.0×32026-08-27
St James Hospital Hornell$49,0911.0×12026-01-01
Schuyler Hospital Montour Falls$51,0681.1×22026-03-27
Niagara Falls Memorial Medical Center Niagara Falls$55,6941.1×12026-06-17
St John'S Riverside Hospital Yonkers$58,2391.2×52026-03-27
Clifton Springs Hospital And Clinic Clifton Springs$61,0061.3×32026-04-01
United Memorial Medical Center Batavia$61,3541.3×32026-04-01
St Joseph'S Medical Center Yonkers$63,1291.3×32026-07-13
Canton-Potsdam Hospital Potsdam$63,1401.3×32026-04-01
Samaritan Medical Center Watertown$64,5681.3×42026-02-02
Nassau University Medical Center East Meadow$65,1491.4×62025-10-28
Unity Hospital Of Rochester Rochester$66,6201.4×32026-04-01
Unity Specialty Hospital Rochester$66,6201.4×32026-04-01
Medina Memorial Hospital Medina$66,9821.4×22026-07-29
Rochester General Hospital Rochester$68,3331.4×32026-04-01
Highland Hospital Rochester$70,5841.5×32026-07-01
Newark-Wayne Community Hospital Newark$71,4171.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$74,9711.6×12026-01-01
Wynn Hospital Utica$80,4461.7×52026-08-07
Saratoga Hospital Saratoga Springs$83,2671.7×12025-12-31
Glens Falls Hospital Glens Falls$83,6281.7×22025-12-31
Flushing Hospital Medical Center Flushing$84,3601.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$87,6741.8×82026-03-25
Crouse Hospital Syracuse$90,4581.9×42026-05-19
Strong Memorial Hospital Rochester$90,8541.9×32026-07-01
Columbia Memorial Hospital Hudson$91,1261.9×42025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$91,9361.9×62026-04-01
Sisters Of Charity Hospital Buffalo$93,8181.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$93,8181.9×72026-04-01
South Brooklyn Health Brooklyn$99,8022.1×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$99,9512.1×62026-09-05
Elmhurst Hospital Center Elmhurst$99,9512.1×62026-09-05
Harlem Hospital Center New York$99,9512.1×62026-09-05
Queens Hospital Center Jamaica$103,3412.1×62026-09-05
Jacobi Medical Center Bronx$105,9952.2×62026-09-05
Metropolitan Hospital Center New York$105,9952.2×62026-09-05
Kings County Hospital Center Brooklyn$105,9952.2×62026-09-05
Bellevue Hospital Center New York$105,9952.2×62026-09-05
Nathan Littauer Hospital Gloversville$109,0382.3×32026-03-04
Hospital for Special Surgery New York$130,4162.7×132026-04-01
Maimonides Medical Center Brooklyn$155,2463.2×82026-04-01
Albany Medical Center Hospital Albany$157,0943.3×22025-12-31
Garnet Health Medical Center Middletown$160,4453.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$164,0983.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$165,1303.4×102026-04-01
Garnet Health Medical Center Catskills Harris$200,3494.2×82026-04-01

Questions

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

59 New York 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 32 hospitals is $43,360, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.