Price AtlasInteractive atlas · All states · techysurgeon.comLumbar fusion with cage (TLIF/PLIF) in New York: what insurers pay
Posted commercial rates at 10 New York hospitals, each next to its own Medicare base rate.
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CPT 22633
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $28,790 | 0.8× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $33,671 | 1.0× | 7 | 2026-01-01 |
| Hospital for Special Surgery New York | $79,802 | 2.4× | 6 | 2026-04-01 |
CPT 22630
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $28,790 | 0.8× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $41,064 | 1.2× | 7 | 2026-01-01 |
| Hospital for Special Surgery New York | $88,354 | 2.6× | 5 | 2026-04-01 |
MS-DRG 451
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Montefiore Medical Center Bronx | $30,337 | 1.0× | 1 | 2026-04-01 |
| Stony Brook University Hospital Stony Brook | $33,011 | 1.1× | 1 | 2026-06-10 |
| Jamaica Hospital Medical Center Jamaica | $54,667 | 1.9× | 3 | 2026-03-25 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx | $60,538 | 2.1× | 5 | 2026-09-05 |
| South Brooklyn Health Brooklyn | $60,538 | 2.1× | 5 | 2026-09-05 |
| Elmhurst Hospital Center Elmhurst | $61,402 | 2.1× | 5 | 2026-09-05 |
| Jacobi Medical Center Bronx | $70,093 | 2.4× | 5 | 2026-09-05 |
| Hospital for Special Surgery New York | $81,247 | 2.8× | 5 | 2026-04-01 |
| Maimonides Medical Center Brooklyn | $93,570 | 3.2× | 6 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $103,673 | 3.5× | 7 | 2026-01-01 |
MS-DRG 402
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Stony Brook University Hospital Stony Brook | $33,011 | 0.9× | 1 | 2026-06-10 |
| Montefiore Medical Center Bronx | $38,629 | 1.1× | 1 | 2026-04-01 |
| Hospital for Special Surgery New York | $103,453 | 2.8× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $129,030 | 3.5× | 7 | 2026-01-01 |
MS-DRG 450
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Stony Brook University Hospital Stony Brook | $33,011 | 0.7× | 1 | 2026-06-10 |
| Montefiore Medical Center Bronx | $50,628 | 1.1× | 1 | 2026-04-01 |
| Hospital for Special Surgery New York | $135,589 | 2.8× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $171,043 | 3.5× | 7 | 2026-01-01 |
Questions
How much do insurers pay for lumbar fusion with cage (tlif/plif) in New York?
10 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 3 hospitals is $33,671, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.