Surgery and procedures CPT 22633 Outpatient

Lumbar fusion with cage (TLIF) cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 2 hospitals list a cash price for lumbar fusion with interbody cage and posterolateral graft (TLIF), one level: from $103,933.77 to $105,790.70, with a median of $104,862.24. The lowest listed price is at Mary Immaculate Hospital — $928.47 less than the median here. Across Virginia, the median is $103,775.45 at 6 hospitals.

Cash prices at 2 facilities across 2 cities for code 22633, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$103,933.77Mary Immaculate Hospital
Median$104,862.24half pay less
Highest$105,790.70in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Virginia Beach-Chesapeake-Norfolk, VA-NC.

median
Lowest $103,933.77Highest $105,790.70

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mary Immaculate Hospital lowest Newport News, VA · (757) 886-6000 Arthrodesis Combined Tq 1ntrspc Lumbar $103,933.77 $173,222.95 — 40% —
source file
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 Arthrodesis Combined Tq 1ntrspc Lumbar $105,790.70 $176,317.83 $26,474.25 40% —
source file

Outpatient: lowest $103,933.77, median $104,862.24, highest $105,790.70.

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.