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

Posted commercial rates at 20 Oregon hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Silverton Medical Center Silverton$30,6361.0×32026-04-01
Legacy Emanuel Medical Center Portland$45,3921.5×72026-04-01
Legacy Good Samaritan Medical Center Portland$45,3921.5×72026-04-01
Legacy Mount Hood Medical Center Gresham$45,3921.5×72026-04-01
Legacy Meridian Park Medical Center Tualatin$45,3921.5×72026-04-01
Kaiser Sunnyside Medical Center Clackamas$47,0931.6×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$47,0931.6×12026-04-01
Providence St Vincent Medical Center Portland$50,7411.7×32026-04-01
Providence Willamette Falls Medical Center Oregon City$50,7411.7×32026-04-01
Providence Portland Medical Center Portland$50,7411.7×32026-04-01
Providence Milwaukie Hospital Milwaukie$50,7411.7×32026-04-01
Good Samaritan Regional Medical Center Corvallis$61,9662.0×22026-01-31
Samaritan Albany General Hospital Albany$86,8372.9×12026-01-31
Providence Medford Medical Center Medford$100,9353.2×22026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$24,9780.8×72026-04-01
Legacy Good Samaritan Medical Center Portland$24,9780.8×72026-04-01
Legacy Mount Hood Medical Center Gresham$24,9780.8×72026-04-01
Legacy Meridian Park Medical Center Tualatin$24,9780.8×72026-04-01
Legacy Silverton Medical Center Silverton$36,3361.2×32026-04-01
Kaiser Sunnyside Medical Center Clackamas$47,0931.6×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$47,0931.6×12026-04-01
Good Samaritan Regional Medical Center Corvallis$61,9662.0×22026-01-31
Providence St Vincent Medical Center Portland$66,5362.2×32026-04-01
Providence Willamette Falls Medical Center Oregon City$66,5362.2×32026-04-01
Providence Portland Medical Center Portland$66,5362.2×32026-04-01
Providence Milwaukie Hospital Milwaukie$66,5362.2×32026-04-01
Samaritan Albany General Hospital Albany$86,8372.9×12026-01-31
Providence Medford Medical Center Medford$108,7883.4×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
St Charles Bend Campus Bend$35,6451.4×12026-04-01
Shriners Hospital For Children - Portland Portland$37,3581.4×32026-03-18
St Charles Medical Center Prineville Prineville$39,4221.5×62026-04-01
Samaritan Albany General Hospital Albany$52,4852.0×42026-01-31
Mckenzie-Willamette Medical Center Springfield$52,8462.0×92026-09-17
Legacy Mount Hood Medical Center Gresham$62,0632.4×72026-04-01
Legacy Meridian Park Medical Center Tualatin$62,0632.4×72026-04-01
Good Samaritan Regional Medical Center Corvallis$62,7852.4×32026-01-31
Legacy Good Samaritan Medical Center Portland$62,8332.4×82026-04-01
Legacy Emanuel Medical Center Portland$64,6352.5×82026-04-01
Legacy Silverton Medical Center Silverton$67,6932.6×52026-04-01
Providence Medford Medical Center Medford$76,3912.8×32026-04-01
Providence St Vincent Medical Center Portland$80,3483.1×52026-04-01
Providence Willamette Falls Medical Center Oregon City$80,3483.1×52026-04-01
Providence Portland Medical Center Portland$80,3483.1×52026-04-01
Providence Milwaukie Hospital Milwaukie$80,3483.1×52026-04-01
Salem Hospital Salem$83,6543.2×42026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Sky Lakes Medical Center Klamath Falls$40,3651.3×72026-03-25
St Charles Bend Campus Bend$44,2201.4×12026-04-01
St Charles Medical Center Prineville Prineville$48,8431.5×62026-04-01
Mckenzie-Willamette Medical Center Springfield$65,3912.0×82026-09-17
Samaritan Albany General Hospital Albany$65,8312.0×42026-01-31
Legacy Good Samaritan Medical Center Portland$78,2762.4×82026-04-01
Legacy Mount Hood Medical Center Gresham$79,0252.5×72026-04-01
Legacy Meridian Park Medical Center Tualatin$79,0252.5×72026-04-01
Legacy Emanuel Medical Center Portland$79,1232.5×82026-04-01
Good Samaritan Regional Medical Center Corvallis$79,3372.5×32026-01-31
Legacy Silverton Medical Center Silverton$80,8022.5×52026-04-01
Providence Medford Medical Center Medford$86,9942.6×22026-04-01
Providence St Vincent Medical Center Portland$100,4363.1×42026-04-01
Providence Willamette Falls Medical Center Oregon City$100,4363.1×42026-04-01
Providence Portland Medical Center Portland$100,4363.1×42026-04-01
Providence Milwaukie Hospital Milwaukie$100,4363.1×42026-04-01
Salem Hospital Salem$105,7503.3×42026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Sky Lakes Medical Center Klamath Falls$53,2791.3×72026-03-25
Samaritan Albany General Hospital Albany$85,8272.0×42026-01-31
Legacy Good Samaritan Medical Center Portland$102,7222.4×82026-04-01
Legacy Emanuel Medical Center Portland$103,3502.4×82026-04-01
Legacy Mount Hood Medical Center Gresham$103,5722.4×72026-04-01
Legacy Meridian Park Medical Center Tualatin$103,5722.4×72026-04-01
Good Samaritan Regional Medical Center Corvallis$104,1372.5×32026-01-31
Legacy Silverton Medical Center Silverton$105,0022.4×52026-04-01
Mckenzie-Willamette Medical Center Springfield$108,4982.5×92026-09-17
Providence Medford Medical Center Medford$126,4262.8×32026-04-01
Providence St Vincent Medical Center Portland$134,0883.1×52026-04-01
Providence Willamette Falls Medical Center Oregon City$134,0883.1×52026-04-01
Providence Portland Medical Center Portland$134,0883.1×52026-04-01
Providence Milwaukie Hospital Milwaukie$134,0883.1×52026-04-01
Salem Hospital Salem$139,0973.2×42026-04-01

Questions

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

20 Oregon 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 $48,917, 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.