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

Posted commercial rates at 6 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Rhode Island Hospital Providence$34,7691.1×42026-04-01
The Miriam Hospital Providence$36,1831.2×32026-04-01
Newport Hospital Newport$42,8741.4×42026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Newport Hospital Newport$37,9421.2×32026-04-01
Rhode Island Hospital Providence$38,5521.3×32026-04-01
The Miriam Hospital Providence$103,7603.4×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$30,5821.2×42026-02-28
South County Hospital Inc Wakefield$49,5081.9×22026-07-24
Newport Hospital Newport$61,8272.4×22026-04-01
The Miriam Hospital Providence$62,0322.4×22026-04-01
Rhode Island Hospital Providence$68,0862.6×22026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$33,0611.0×132026-09-19
Kent County Memorial Hospital Warwick$36,6561.1×42026-02-28
South County Hospital Inc Wakefield$63,0401.9×22026-07-24
Newport Hospital Newport$76,9482.4×22026-04-01
The Miriam Hospital Providence$77,3902.4×22026-04-01
Rhode Island Hospital Providence$84,7382.6×22026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$52,6851.2×32026-02-28
Newport Hospital Newport$102,0032.4×22026-04-01
The Miriam Hospital Providence$102,4952.4×22026-04-01
South County Hospital Inc Wakefield$109,9222.5×12026-07-24
Rhode Island Hospital Providence$112,3292.6×22026-04-01

Questions

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

6 Rhode Island 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 $36,183, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.