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

Posted commercial rates at 7 Oregon hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Vincent Medical Center Portland$42,0541.4×22026-04-01
Providence Portland Medical Center Portland$42,0541.4×22026-04-01
Legacy Emanuel Medical Center Portland$43,8301.4×52026-04-01
Legacy Good Samaritan Medical Center Portland$43,8301.4×52026-04-01
Legacy Mount Hood Medical Center Gresham$43,8301.4×52026-04-01
Legacy Meridian Park Medical Center Tualatin$43,8301.4×52026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$23,8560.8×52026-04-01
Legacy Good Samaritan Medical Center Portland$23,8560.8×52026-04-01
Legacy Mount Hood Medical Center Gresham$23,8560.8×52026-04-01
Legacy Meridian Park Medical Center Tualatin$23,8560.8×52026-04-01
Providence St Vincent Medical Center Portland$57,5781.9×22026-04-01
Providence Portland Medical Center Portland$57,5781.9×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Mount Hood Medical Center Gresham$67,2422.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$67,2422.6×42026-04-01
Legacy Good Samaritan Medical Center Portland$67,6282.6×42026-04-01
Legacy Emanuel Medical Center Portland$68,5282.7×42026-04-01
Providence St Vincent Medical Center Portland$80,3483.1×32026-04-01
Providence Portland Medical Center Portland$80,3483.1×32026-04-01
Providence Milwaukie Hospital Milwaukie$80,3483.1×32026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Good Samaritan Medical Center Portland$84,5802.6×42026-04-01
Legacy Mount Hood Medical Center Gresham$84,5802.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$84,5802.6×42026-04-01
Legacy Emanuel Medical Center Portland$84,6302.6×42026-04-01
Providence St Vincent Medical Center Portland$100,4363.1×22026-04-01
Providence Portland Medical Center Portland$100,4363.1×22026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Emanuel Medical Center Portland$111,5282.6×42026-04-01
Legacy Good Samaritan Medical Center Portland$111,5282.6×42026-04-01
Legacy Mount Hood Medical Center Gresham$111,5282.6×42026-04-01
Legacy Meridian Park Medical Center Tualatin$111,5282.6×42026-04-01
Providence St Vincent Medical Center Portland$134,0883.1×32026-04-01
Providence Portland Medical Center Portland$134,0883.1×32026-04-01

Questions

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

7 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 6 hospitals is $43,830, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.