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

Posted commercial rates at 33 Washington hospitals, each next to its own Medicare base rate.

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CPT 22633

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Mary Medical Center Walla Walla$34,6341.1×52026-04-01
Legacy Salmon Creek Medical Center Vancouver$43,8301.4×62026-04-01
Providence Regional Medical Center Everett Everett$48,8621.6×62026-04-01
Multicare Capital Medical Center Olympia$50,4461.7×82026-08-27
Kadlec Regional Medical Center Richland$52,0021.7×32026-04-01
St Elizabeth Hospital Enumclaw$52,8121.7×52026-02-28
Multicare Deaconess Hospital Spokane$54,1841.8×52026-08-27
Swedish Issaquah Issaquah$54,2721.7×62026-04-01
St Anne Hospital Burien$54,6601.7×62026-02-28
Overlake Hospital Medical Center Bellevue$56,0971.8×52026-04-01
Swedish Edmonds Hospital Edmonds$58,9091.9×52026-04-01
Multicare Valley Hospital Spokane$59,5662.0×62026-08-27
St Clare Hospital Lakewood$59,5811.9×72026-02-28
St Joseph Medical Center Tacoma$59,5811.9×72026-02-28
St Francis Community Hospital Federal Way$59,5811.9×72026-02-28
St Anthony Hospital Gig Harbor$59,5811.9×72026-02-28
Virginia Mason Medical Center Seattle$63,5882.0×62026-01-01
Multicare Auburn Medical Center Auburn$65,8402.1×82026-08-27
Tacoma General Allenmore Hospital Tacoma$65,8402.1×82026-08-27
Multicare Covington Medical Center Covington$65,8402.1×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$69,7462.2×62026-04-01
Providence Holy Family Hospital Spokane$76,7102.5×52026-04-01
Multicare Good Samaritan Hospital Puyallup$77,7092.5×62026-08-27
St Michael Medical Center Bremerton$80,8712.6×32026-02-28
Swedish Medical Center Seattle$81,0222.6×62026-04-01
Mary Bridge Children'S Hospital Tacoma$111,5963.5×42026-08-27
Providence Centralia Hospital Centralia$111,7783.7×32026-04-01

CPT 22630

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$19,1980.6×32026-04-01
Legacy Salmon Creek Medical Center Vancouver$23,8560.8×62026-04-01
Providence St Mary Medical Center Walla Walla$29,9051.0×42026-04-01
Swedish Issaquah Issaquah$49,0411.6×52026-04-01
Providence Regional Medical Center Everett Everett$51,3731.7×52026-04-01
Multicare Capital Medical Center Olympia$51,9161.7×72026-08-27
Multicare Deaconess Hospital Spokane$54,1841.8×52026-08-27
St Anne Hospital Burien$54,6601.7×62026-02-28
St Elizabeth Hospital Enumclaw$56,1961.8×42026-02-28
Overlake Hospital Medical Center Bellevue$57,1701.8×42026-04-01
Multicare Valley Hospital Spokane$59,5662.0×62026-08-27
St Clare Hospital Lakewood$59,5811.9×72026-02-28
St Joseph Medical Center Tacoma$59,5811.9×72026-02-28
St Francis Community Hospital Federal Way$59,5811.9×72026-02-28
St Anthony Hospital Gig Harbor$59,5811.9×72026-02-28
Virginia Mason Medical Center Seattle$63,5882.0×62026-01-01
Swedish Edmonds Hospital Edmonds$65,2452.2×42026-04-01
Kadlec Regional Medical Center Richland$68,4682.3×22026-04-01
Multicare Auburn Medical Center Auburn$69,6232.2×72026-08-27
Tacoma General Allenmore Hospital Tacoma$69,6232.2×72026-08-27
Multicare Covington Medical Center Covington$69,6232.2×72026-08-27
Swedish Medical Center / Cherry Hill Seattle$73,5252.3×52026-04-01
Providence Holy Family Hospital Spokane$76,7102.5×52026-04-01
St Michael Medical Center Bremerton$80,8712.6×32026-02-28
Multicare Good Samaritan Hospital Puyallup$85,7952.7×52026-08-27
Swedish Medical Center Seattle$95,4573.0×52026-04-01
Mary Bridge Children'S Hospital Tacoma$97,3863.1×52026-08-27
Providence Centralia Hospital Centralia$114,6303.8×22026-04-01

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$24,3530.9×42026-07-17
Shriners Hospital For Children Spokane$42,4281.6×62026-03-18
Confluence Health Hospital Wenatchee$49,0221.9×22026-04-21
Kadlec Regional Medical Center Richland$52,7822.0×32026-04-01
Skagit Valley Hospital Mount Vernon$53,4152.1×42026-03-26
Providence St Mary Medical Center Walla Walla$54,4822.1×42026-04-01
Lourdes Medical Center Pasco$54,6842.1×42026-07-10
Multicare Capital Medical Center Olympia$57,8952.2×92026-08-27
Multicare Valley Hospital Spokane$61,4362.4×82026-08-27
Providence Holy Family Hospital Spokane$64,3532.5×72026-04-01
Multicare Deaconess Hospital Spokane$66,9852.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$68,6942.7×62026-04-01
St Anne Hospital Burien$69,1552.6×82026-02-28
Overlake Hospital Medical Center Bellevue$69,4722.6×72026-04-01
Multicare Auburn Medical Center Auburn$70,5152.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$70,5152.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$70,5152.6×92026-08-27
Multicare Covington Medical Center Covington$70,5152.6×92026-08-27
St Elizabeth Hospital Enumclaw$70,8022.6×72026-02-28
St Clare Hospital Lakewood$71,1852.6×92026-02-28
St Joseph Medical Center Tacoma$71,1852.6×92026-02-28
St Francis Community Hospital Federal Way$71,1852.6×92026-02-28
St Anthony Hospital Gig Harbor$73,1202.7×92026-02-28
Virginia Mason Medical Center Seattle$74,2642.8×72026-01-01
Swedish Edmonds Hospital Edmonds$75,7732.9×72026-04-01
St Michael Medical Center Bremerton$80,1803.0×32026-02-28
Swedish Issaquah Issaquah$80,5513.0×62026-04-01
Providence Regional Medical Center Everett Everett$82,5453.2×72026-04-01
Mary Bridge Children'S Hospital Tacoma$86,7263.2×62026-08-27
Swedish Medical Center Seattle$87,5663.2×72026-04-01
Swedish Medical Center / Cherry Hill Seattle$96,1803.6×72026-04-01
Providence Centralia Hospital Centralia$138,2295.3×22026-04-01

MS-DRG 402

HospitalMedian across insurers× MedicareInsurersFile date
Trios Kennewick$30,8201.0×42026-07-17
Providence St Mary Medical Center Walla Walla$57,2561.8×32026-04-01
Confluence Health Hospital Wenatchee$60,7841.9×22026-04-21
Lourdes Medical Center Pasco$65,0952.0×12026-07-10
Kadlec Regional Medical Center Richland$66,3172.1×32026-04-01
Multicare Capital Medical Center Olympia$72,2562.3×82026-08-27
St Anne Hospital Burien$75,3492.2×52026-02-28
St Elizabeth Hospital Enumclaw$75,4292.2×42026-02-28
Overlake Hospital Medical Center Bellevue$78,2142.3×52026-04-01
Multicare Valley Hospital Spokane$79,0482.5×72026-08-27
Providence Holy Family Hospital Spokane$80,5582.5×42026-04-01
St Clare Hospital Lakewood$82,8762.5×62026-02-28
St Joseph Medical Center Tacoma$82,8762.5×62026-02-28
St Francis Community Hospital Federal Way$82,8762.5×62026-02-28
St Anthony Hospital Gig Harbor$82,8762.5×62026-02-28
Swedish Edmonds Hospital Edmonds$83,0362.6×42026-04-01
Providence Regional Medical Center Everett Everett$83,6722.6×52026-04-01
Multicare Deaconess Hospital Spokane$84,2182.6×72026-08-27
Legacy Salmon Creek Medical Center Vancouver$85,3342.6×62026-04-01
Skagit Valley Hospital Mount Vernon$85,4822.7×12026-03-26
Multicare Auburn Medical Center Auburn$87,6982.6×82026-08-27
Tacoma General Allenmore Hospital Tacoma$87,6982.6×82026-08-27
Multicare Covington Medical Center Covington$87,6982.6×82026-08-27
Multicare Good Samaritan Hospital Puyallup$87,7982.6×82026-08-27
Virginia Mason Medical Center Seattle$91,4952.7×52026-01-01
St Michael Medical Center Bremerton$98,0983.0×22026-02-28
Swedish Issaquah Issaquah$109,7843.3×32026-04-01
Mary Bridge Children'S Hospital Tacoma$109,9463.3×62026-08-27
Swedish Medical Center / Cherry Hill Seattle$110,6423.3×42026-04-01
Swedish Medical Center Seattle$110,6423.3×42026-04-01
Providence Centralia Hospital Centralia$212,1776.6×12026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Confluence Health Hospital Wenatchee$80,2701.9×22026-04-21
Skagit Valley Hospital Mount Vernon$90,3082.1×32026-03-26
Providence St Mary Medical Center Walla Walla$90,9202.1×42026-04-01
Multicare Capital Medical Center Olympia$95,5172.2×92026-08-27
Multicare Valley Hospital Spokane$101,3592.4×82026-08-27
Providence Holy Family Hospital Spokane$107,3942.5×72026-04-01
Multicare Deaconess Hospital Spokane$111,1462.6×82026-08-27
Legacy Salmon Creek Medical Center Vancouver$112,9032.6×62026-04-01
Kadlec Regional Medical Center Richland$113,0482.6×32026-04-01
Multicare Auburn Medical Center Auburn$117,6802.6×92026-08-27
Multicare Good Samaritan Hospital Puyallup$117,6802.6×92026-08-27
Tacoma General Allenmore Hospital Tacoma$117,6802.6×92026-08-27
Multicare Covington Medical Center Covington$117,6802.6×92026-08-27
St Anne Hospital Burien$118,4152.6×82026-02-28
Overlake Hospital Medical Center Bellevue$118,8132.7×72026-04-01
St Clare Hospital Lakewood$122,0262.7×92026-02-28
St Joseph Medical Center Tacoma$122,0262.7×92026-02-28
St Francis Community Hospital Federal Way$122,0262.7×92026-02-28
St Anthony Hospital Gig Harbor$122,0262.7×92026-02-28
St Elizabeth Hospital Enumclaw$125,3642.8×72026-02-28
Virginia Mason Medical Center Seattle$126,2302.8×72026-01-01
St Michael Medical Center Bremerton$133,8103.0×32026-02-28
Swedish Edmonds Hospital Edmonds$135,7563.2×72026-04-01
Swedish Issaquah Issaquah$138,8823.1×62026-04-01
Providence Regional Medical Center Everett Everett$141,4043.3×72026-04-01
Mary Bridge Children'S Hospital Tacoma$144,7343.2×62026-08-27
Swedish Medical Center Seattle$146,1333.3×72026-04-01
Swedish Medical Center / Cherry Hill Seattle$160,5083.6×72026-04-01
Providence Centralia Hospital Centralia$238,6065.6×22026-04-01

Questions

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

33 Washington 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 27 hospitals is $59,581, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.