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

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

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$16,9660.6×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$16,9660.6×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$16,9660.6×12026-08-05
Intermountain Health Logan Regional Hospital Logan$20,0420.7×22026-08-05
Intermountain Health Utah Valley Hospital Provo$31,3121.1×32026-08-05
Lds Hospital Salt Lake City$31,3121.1×32026-08-05
Intermountain Health Park City Hospital Park City$31,3121.1×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$31,3121.1×12026-08-05
Intermountain Medical Center Murray$32,3801.2×22026-08-05
Orem Community Hospital Orem$32,3801.2×22026-08-05
Intermountain Health Alta View Hospital Sandy$32,3801.2×22026-08-05
Intermountain Health Riverton Hospital Riverton$32,3801.2×22026-08-05
Intermountain Health Layton Hospital Layton$32,3801.2×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$32,3801.2×22026-08-05
American Fork Hospital American Fork$33,4471.2×22026-08-05

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$16,9660.6×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$16,9660.6×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$16,9660.6×12026-08-05
Intermountain Health Logan Regional Hospital Logan$21,0900.8×22026-08-05
Intermountain Health Utah Valley Hospital Provo$25,2150.9×32026-08-05
Lds Hospital Salt Lake City$25,2150.9×32026-08-05
Intermountain Health Park City Hospital Park City$25,2150.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$25,2150.9×12026-08-05
Intermountain Medical Center Murray$26,0750.9×22026-08-05
Orem Community Hospital Orem$26,0750.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$26,0750.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$26,0750.9×22026-08-05
Intermountain Health Layton Hospital Layton$26,0750.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$26,0750.9×22026-08-05
American Fork Hospital American Fork$26,9351.0×22026-08-05

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Mountain West Medical Center Tooele$23,6961.0×42026-09-17
Lds Hospital Salt Lake City$49,0362.1×62026-08-05
Intermountain Health Utah Valley Hospital Provo$50,0802.1×62026-08-05
Mckay-Dee Hospital Ogden$50,0802.1×62026-08-05
Intermountain Medical Center Murray$50,0802.1×62026-08-05
American Fork Hospital American Fork$50,0802.1×62026-08-05
Orem Community Hospital Orem$50,0802.1×62026-08-05
Intermountain Health Alta View Hospital Sandy$50,0802.1×62026-08-05
Intermountain Health Riverton Hospital Riverton$50,0802.1×62026-08-05
Intermountain Health Layton Hospital Layton$50,0802.1×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$50,0802.1×62026-08-05
Castleview Hospital Price$59,4462.5×12026-07-14
Intermountain Health Logan Regional Hospital Logan$64,8022.8×112026-08-05
Intermountain Health Park City Hospital Park City$67,4252.9×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$67,4252.9×62026-08-05

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Mountain West Medical Center Tooele$29,4921.0×42026-09-17
Lds Hospital Salt Lake City$61,5852.1×62026-08-05
Intermountain Health Utah Valley Hospital Provo$62,3302.1×62026-08-05
Mckay-Dee Hospital Ogden$62,3302.1×62026-08-05
Intermountain Medical Center Murray$62,3302.1×62026-08-05
American Fork Hospital American Fork$62,3302.1×62026-08-05
Orem Community Hospital Orem$62,3302.1×62026-08-05
Intermountain Health Alta View Hospital Sandy$62,3302.1×62026-08-05
Intermountain Health Riverton Hospital Riverton$62,3302.1×62026-08-05
Intermountain Health Layton Hospital Layton$62,3302.1×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$62,3302.1×62026-08-05
Intermountain Health Logan Regional Hospital Logan$83,7352.9×112026-08-05
Intermountain Health Park City Hospital Park City$87,1253.0×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$87,1253.0×62026-08-05

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Lds Hospital Salt Lake City$81,1222.1×62026-08-05
Intermountain Health Utah Valley Hospital Provo$82,6242.1×62026-08-05
Mckay-Dee Hospital Ogden$82,6242.1×62026-08-05
Intermountain Medical Center Murray$82,6242.1×62026-08-05
American Fork Hospital American Fork$82,6242.1×62026-08-05
Orem Community Hospital Orem$82,6242.1×62026-08-05
Intermountain Health Alta View Hospital Sandy$82,6242.1×62026-08-05
Intermountain Health Riverton Hospital Riverton$82,6242.1×62026-08-05
Intermountain Health Layton Hospital Layton$82,6242.1×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$82,6242.1×62026-08-05
Castleview Hospital Price$104,7022.7×12026-07-14
Intermountain Health Logan Regional Hospital Logan$108,1442.8×112026-08-05
Intermountain Health Park City Hospital Park City$112,5212.9×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$112,5212.9×62026-08-05

Questions

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

17 Utah 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 15 hospitals is $31,312, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.