Price AtlasInteractive atlas · All states · techysurgeon.comLumbar fusion with cage (TLIF/PLIF) in Salt Lake City UT
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 22633
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Mckay-Dee Hospital median $16,966 · local Medicare $27,474 · file 2026-08-05 | |||
| Davis Behavioral Health | $14,984 | 0.5× | 1 |
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Weber Human Services | $14,794 | 0.5× | 1 |
| Intermountain Health Utah Valley Hospital median $31,312 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Lds Hospital median $31,312 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Intermountain Medical Center median $32,380 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Orem Community Hospital median $32,380 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Intermountain Health Alta View Hospital median $32,380 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Intermountain Health Layton Hospital median $32,380 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 5 |
| Intermountain Health Spanish Fork Hospital median $32,380 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $31,312 | 1.1× | 4 |
| American Fork Hospital median $33,447 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $33,447 | 1.2× | 2 |
| SelectHealth | $33,447 | 1.2× | 6 |
CPT 22630
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Mckay-Dee Hospital median $16,966 · local Medicare $27,474 · file 2026-08-05 | |||
| Davis Behavioral Health | $14,984 | 0.5× | 1 |
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Weber Human Services | $14,794 | 0.5× | 1 |
| Intermountain Health Utah Valley Hospital median $25,215 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Lds Hospital median $25,215 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Southwest Behavioral Health | $16,966 | 0.6× | 1 |
| Intermountain Medical Center median $26,075 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Orem Community Hospital median $26,075 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Intermountain Health Alta View Hospital median $26,075 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Intermountain Health Layton Hospital median $26,075 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 5 |
| Intermountain Health Spanish Fork Hospital median $26,075 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $25,215 | 0.9× | 4 |
| American Fork Hospital median $26,935 · local Medicare $27,474 · file 2026-08-05 | |||
| Intermountain Caregiver Plan | $26,935 | 1.0× | 2 |
| SelectHealth | $26,935 | 1.0× | 6 |
MS-DRG 451
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Lds Hospital median $49,036 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $48,840 | 2.1× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Intermountain Health Utah Valley Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Mckay-Dee Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $52,798 | 2.3× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Intermountain Medical Center median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $36,187 | 1.6× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 6 |
| SelectHealth | $37,883 | 1.6× | 6 |
| American Fork Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $41,121 | 1.8× | 7 |
| Orem Community Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Intermountain Health Alta View Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Intermountain Health Layton Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $39,502 | 1.7× | 6 |
| Intermountain Health Spanish Fork Hospital median $50,080 · local Medicare $23,288 · file 2026-08-05 | |||
| AWH Connected | $72,820 | 3.1× | 1 |
| Deseret Mutual | $50,930 | 2.2× | 2 |
| EMI | $49,231 | 2.1× | 1 |
| Intermountain Caregiver Plan | $41,121 | 1.8× | 3 |
| Regence BlueShield | $54,909 | 2.4× | 4 |
| SelectHealth | $37,883 | 1.6× | 4 |
MS-DRG 402
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Lds Hospital median $61,585 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $61,898 | 2.1× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Intermountain Health Utah Valley Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Mckay-Dee Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $68,224 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Intermountain Medical Center median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $46,760 | 1.6× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 6 |
| SelectHealth | $47,148 | 1.6× | 6 |
| American Fork Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $53,136 | 1.8× | 7 |
| Orem Community Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Intermountain Health Alta View Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Intermountain Health Layton Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $50,142 | 1.7× | 6 |
| Intermountain Health Spanish Fork Hospital median $62,330 · local Medicare $28,984 · file 2026-08-05 | |||
| AWH Connected | $90,630 | 3.1× | 1 |
| Deseret Mutual | $63,387 | 2.2× | 2 |
| EMI | $61,272 | 2.1× | 1 |
| Intermountain Caregiver Plan | $53,136 | 1.8× | 3 |
| Regence BlueShield | $70,952 | 2.4× | 4 |
| SelectHealth | $47,148 | 1.6× | 4 |
MS-DRG 450
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Lds Hospital median $81,122 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $81,022 | 2.1× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Intermountain Health Utah Valley Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Mckay-Dee Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $88,111 | 2.3× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Intermountain Medical Center median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $60,391 | 1.6× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 6 |
| SelectHealth | $62,500 | 1.6× | 6 |
| American Fork Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $68,625 | 1.8× | 7 |
| Orem Community Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Intermountain Health Alta View Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Intermountain Health Layton Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $65,563 | 1.7× | 6 |
| Intermountain Health Spanish Fork Hospital median $82,624 · local Medicare $38,421 · file 2026-08-05 | |||
| AWH Connected | $120,140 | 3.1× | 1 |
| Deseret Mutual | $84,026 | 2.2× | 2 |
| EMI | $81,223 | 2.1× | 1 |
| Intermountain Caregiver Plan | $68,625 | 1.8× | 3 |
| Regence BlueShield | $91,634 | 2.4× | 4 |
| SelectHealth | $62,500 | 1.6× | 4 |
Questions
How much does lumbar fusion with cage (tlif/plif) cost with commercial insurance in Salt Lake City UT?
9 Salt Lake City UT hospitals post usable commercial rates for CPT 22633, hospital outpatient. The median across hospitals is $32,380; hospital medians range from $16,966 to $33,447. Your cost depends on your plan's deductible and coinsurance.