Surgery and procedures CPT 22633 Outpatient

Lumbar fusion with cage (TLIF) cost in Shelton, WA

In Shelton, WA, 1 hospital lists a cash price for lumbar fusion with interbody cage and posterolateral graft (TLIF), one level: from $3,712.75 to $3,712.75, with a median of $3,712.75. Across Washington, the median is $35,179.15 at 4 hospitals.

Cash prices at 1 facility for code 22633, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$3,712.75Mason General Hospital & Family of Clinics
Median$3,712.75half pay less
Highest$3,712.75in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mason General Hospital & Family of Clinics Shelton, WA · (360) 426-1611 22633 Arthrodesis, combined posterior/posterolateral/interbody technique, single interspace; lumbar $3,712.75 $4,950.33 $1,938.15–$1,979.81 25% —
source file

Outpatient: lowest $3,712.75, median $3,712.75, highest $3,712.75.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This lumbar fusion combines an interbody cage placed between two vertebrae with bone graft along the back of the spine, usually with screws and rods. It is the most common single-level lower back fusion, often done at L4-L5 or L5-S1.

What the price covers

The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately, and screws, rods and cages may be billed as implants.