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

Posted commercial rates at 17 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$18,0760.7×12026-09-15
Riddle Memorial Hospital Media$34,8461.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$35,1411.3×12026-04-01
Lehigh Valley Hospital Allentown$74,3052.7×62026-07-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$15,6540.6×12026-03-06
Thomas Jefferson University Hospital Philadelphia$18,0760.7×12026-09-15
Riddle Memorial Hospital Media$34,8461.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$35,1411.3×12026-04-01
Lehigh Valley Hospital Allentown$74,3052.7×62026-07-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$29,7521.3×42026-03-06
Upmc St Margaret Pittsburgh$42,3661.9×12026-03-06
Upmc East Monroeville$42,9401.9×12026-03-06
Upmc Mercy Pittsburgh$43,5641.9×12026-03-06
Upmc Passavant Pittsburgh$50,0162.2×12026-03-07
Jefferson Abington Hospital Abington$50,8262.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$52,6342.4×52026-09-15
Riddle Memorial Hospital Media$55,1142.3×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$55,6652.5×12026-03-06
Paoli Hospital Paoli$56,2702.5×42026-04-01
Lehigh Valley Hospital Allentown$60,7862.6×62026-07-01
Bryn Mawr Hospital Bryn Mawr$61,3902.6×42026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$66,2583.0×12026-03-06
Jefferson Health-Northeast Philadelphia$67,2092.8×52026-09-15
Temple University Hospital Philadelphia$69,1882.9×72026-04-13
Lankenau Medical Center Wynnewood$73,5333.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$85,9253.6×52026-09-15

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$69,2462.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$76,4042.6×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$76,8872.8×12026-03-06
Lehigh Valley Hospital Allentown$77,6762.7×62026-07-01
Thomas Jefferson University Hospital Philadelphia$98,5363.4×52026-09-15

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$91,2362.3×42026-04-01
Bryn Mawr Hospital Bryn Mawr$101,2822.6×42026-04-01
Lehigh Valley Hospital Allentown$102,3932.6×62026-07-01
Upmc Presbyterian Shadyside Pittsburgh$103,5472.8×12026-03-06
Thomas Jefferson University Hospital Philadelphia$141,7623.6×52026-09-15

Questions

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

17 Pennsylvania 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 4 hospitals is $34,994, 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.