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

Posted commercial rates at 47 Texas hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$13,9240.5×12026-01-01
Houston Methodist Hospital Houston$24,2770.9×12026-04-01
Baylor University Medical Center Dallas$29,4401.1×22026-06-29
Texas Health Presbyterian Hospital Dallas Dallas$39,4611.4×22026-04-21
Methodist Hospital San Antonio$42,7241.6×32026-09-01
St David's Medical Center Austin$43,4381.6×32026-09-01
Medical City Plano Plano$73,4402.7×52026-09-01
Medical City Mckinney McKinney$73,4402.7×52026-09-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Houston Methodist Hospital Houston$15,9120.6×12026-04-01
Baylor University Medical Center Dallas$17,8470.7×12026-06-29
St David's Medical Center Austin$37,0441.4×32026-09-01
Methodist Hospital San Antonio$42,9461.6×32026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$53,4862.0×22026-04-21
Medical City Plano Plano$69,4742.5×52026-09-01
Medical City Mckinney McKinney$69,4742.5×52026-09-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$21,0340.9×12026-01-01
Chi St Luke's Health Brazosport Lake Jackson$23,6421.0×22026-02-28
Round Rock Medical Center Round Rock$24,9401.1×52026-09-01
St David's Medical Center Austin$25,2361.1×52026-09-01
North Austin Medical Center Austin$26,8701.2×52026-09-01
St David's South Austin Medical Center Austin$26,9561.2×52026-09-01
Valley Regional Medical Center Brownsville$31,2861.4×62026-09-01
Hca Houston Healthcare Conroe Conroe$31,4501.4×52026-09-01
Hca Houston Healthcare Medical Center Houston$31,4501.4×52026-09-01
Hca Houston Healthcare Tomball Tomball$31,4501.4×52026-09-01
Hca Houston Healthcare Kingwood Kingwood$31,4501.4×52026-09-01
Hca Houston Healthcare Southeast Pasadena$31,8071.4×52026-09-01
Hca Houston Healthcare Northwest Houston$33,2551.4×52026-09-01
Hca Houston Healthcare Clear Lake Webster$34,9521.5×52026-09-01
Methodist Hospital Stone Oak San Antonio$35,3621.5×42026-09-01
St. Luke's Health The Woodlands Hospital The Woodlands$35,4161.5×52026-02-28
St. Luke's Health Sugar Land Hospital Sugar Land$36,2641.6×52026-02-28
Methodist Hospital San Antonio$36,3261.6×42026-09-01
Doctors Hospital at Renaissance Edinburg$37,4711.6×22026-04-01
Methodist Mansfield Medical Center Mansfield$38,5961.7×42026-03-21
Baylor Scott & White Medical Center - Lake Pointe Rowlett$41,6301.8×52026-06-29
Knapp Medical Center Weslaco$41,9271.8×12026-09-01
Baylor St. Luke's Medical Center Houston$42,0821.8×52026-02-28
University Health System San Antonio$42,1461.8×22025-10-14
Baylor Scott & White Medical Center - Irving Irving$43,0861.9×52026-06-29
Baylor Scott & White Medical Center - Grapevine Grapevine$43,0861.9×52026-06-29
Baylor Scott & White Medical Center - McKinney Mc Kinney$43,0861.9×52026-06-29
Baylor University Medical Center Dallas$43,0871.9×52026-06-29
Baylor Scott And White Medical Center Uptown Dallas$43,9161.9×52026-06-29
Scott & White Hospital-Round Rock Round Rock$44,3461.9×52026-06-13
Baylor Scott & White Medical Center ? Pflugerville Pflugerville$44,3461.9×52026-06-13
Baylor Scott & White Medical Center- Austin Austin$44,3461.9×52026-06-13
Rio Grande Regional Hospital McAllen$44,7371.9×52026-09-01
Houston Methodist Sugar Land Hospital Sugar Land$47,1522.0×22026-04-01
Houston Methodist West Hospital Houston$47,1522.0×22026-04-01
Houston Methodist The Woodlands Hospital The Woodlands$47,1522.0×22026-04-01
Medical City Fort Worth Fort Worth$50,4702.2×62026-09-01
Houston Methodist Baytown Hospital Baytown$51,1172.2×22026-04-01
Houston Methodist Hospital Houston$53,3222.3×22026-04-01
Medical City Plano Plano$61,8942.7×62026-09-01
Medical City Mckinney McKinney$61,8942.7×62026-09-01
Medical City Weatherford Weatherford$61,8942.7×62026-09-01
Medical City Denton Denton$61,8942.7×62026-09-01
Medical City Dallas Dallas$61,8942.7×62026-09-01
UT Southwestern William P. Clements Jr. University Hospital Dallas$81,1253.5×42026-03-10
Texas Health Presbyterian Hospital Dallas Dallas$81,5803.5×42026-04-21
Texas Health Presbyterian Hospital Plano Plano$81,5803.5×42026-04-21

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$26,1780.9×12026-01-01
St David's Medical Center Austin$31,7371.1×52026-09-01
Methodist Hospital San Antonio$45,5461.6×42026-09-01
Baylor University Medical Center Dallas$56,5922.0×42026-06-29
Houston Methodist Hospital Houston$67,7522.4×22026-04-01
Medical City Plano Plano$85,8933.0×62026-09-01
Medical City Mckinney McKinney$85,8933.0×62026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$103,8763.6×42026-04-21

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$34,7020.9×12026-01-01
St David's Medical Center Austin$40,8551.1×52026-09-01
Methodist Hospital San Antonio$59,8281.6×42026-09-01
Baylor University Medical Center Dallas$71,5081.9×52026-06-29
Medical City Mckinney McKinney$91,5082.4×62026-09-01
Medical City Plano Plano$91,5652.4×62026-09-01
Houston Methodist Hospital Houston$102,3662.7×22026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$131,8633.5×32026-04-21

Questions

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

47 Texas 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 8 hospitals is $41,093, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.