Lumbar interbody fusion cost without insurance
The median hospital cash price for lumbar interbody fusion (PLIF or TLIF), one level is $20,754.54 across 237 US hospitals; most list between $2,130.91 and $56,977.79. The lowest outpatient cash price in any of 115 markets is $655.63. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Oct 1, 2026 Each price links to its source file All Spinal fusion costs
Lowest$655.63any market
Median market$20,834.00middle of market medians
Most below$56,977.799 in 10 hospitals
Listings208hospital prices
What is CPT 22630?
A lumbar interbody fusion removes a damaged disc in the lower back and fills the space with a spacer (cage) and bone graft so the two vertebrae grow together. PLIF and TLIF are the common approaches.
What the price covers
The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately, and screws or cages may be billed as implants.
Why prices differ
Prices change with the number of levels fused, the implants used and the length of the hospital stay.
What to ask
Ask whether the self-pay price for CPT 22630 is a bundled price that includes the surgeon, anesthesia, implants and follow-up visits.
Prices by state
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$39,123.55
- Alaska$17,263.43
- Arizona$37,729.59
- Arkansas$1,607.86
- California$4,113.92
- Colorado$8,829.95
- Connecticut$10,410.00
- Delaware$2,171.02
- Florida$34,004.12
- Georgia$4,940.03
- Idaho$20,834.00
- Illinois$9,973.00
- Indiana$86,285.69
- Iowa$3,028.40
- Kansas$8,292.98
- Kentucky$6,466.92
- Louisiana$30,020.76
- Maine$2,261.40
- Michigan$3,875.70
- Minnesota$2,085.99
- Mississippi$33,636.96
- Missouri$31,863.17
- Montana$2,807.46
- Nebraska$4,121.37
- Nevada$29,514.00
- New Jersey$21,558.25
- New Mexico$3,022.56
- New York$21,762.05
- North Carolina$3,198.44
- Ohio$92,037.46
- Oklahoma$45,383.56
- Oregon$25,806.98
- Pennsylvania$29,823.98
- Rhode Island$4,955.14
- South Dakota$14,163.38
- Tennessee$25,333.53
- Texas$8,100.00
- Vermont$1,906.40
- Virginia$97,373.04
- Washington$41,009.23
- West Virginia$11,755.25
- Wisconsin$7,334.99
- Wyoming$12,395.00
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Albuquerque, NM | 1 | $2,763.16 | $2,763.16 | $2,763.16 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $24,660.02 | $24,660.02 | $24,660.02 | 1.0× |
| Appleton, WI | 2 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 3 | $2,400.66 | $2,878.06 | $247,165.00 | 103.0× |
| Atlantic City-Hammonton, NJ | 1 | $35,106.88 | $35,106.88 | $35,106.88 | 1.0× |
| Berlin, WI single city | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Bay City, MI | 1 | $39,944.22 | $39,944.22 | $39,944.22 | 1.0× |
| Beaumont-Port Arthur, TX | 1 | $26,747.24 | $26,747.24 | $26,747.24 | 1.0× |
| Birmingham, AL | 2 | $2,041.50 | $32,230.71 | $62,419.92 | 30.6× |
| Boise City, ID | 4 | $8,444.35 | $20,834.00 | $46,577.41 | 5.5× |
| Buffalo-Cheektowaga, NY | 1 | $9,882.00 | $9,882.00 | $9,882.00 | 1.0× |
| Burlington-South Burlington, VT | 1 | $1,906.40 | $1,906.40 | $1,906.40 | 1.0× |
| Coudersport, PA single city | 1 | $838.80 | $838.80 | $838.80 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $33,119.84 | $34,888.40 | $34,888.40 | 1.1× |
| Champaign-Urbana, IL | 1 | $9,973.00 | $9,973.00 | $9,973.00 | 1.0× |
| Charleston, WV | 1 | $25,013.50 | $25,013.50 | $25,013.50 | 1.0× |
| Charleston-Mattoon, IL | 1 | $21,147.00 | $21,147.00 | $21,147.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 4 | $1,627.88 | $4,629.96 | $28,934.00 | 17.8× |
| Cleveland, OH | 1 | $77,152.53 | $77,152.53 | $77,152.53 | 1.0× |
| Coeur d'Alene, ID | 1 | $19,081.75 | $19,081.75 | $19,081.75 | 1.0× |
| Columbus, IN | 1 | $77,796.32 | $77,796.32 | $77,796.32 | 1.0× |
| Columbus, OH | 1 | $82,108.04 | $82,108.04 | $82,108.04 | 1.0× |
| Dayton, TN single city | 1 | $3,755.30 | $3,755.30 | $3,755.30 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 3 | $2,531.40 | $2,646.00 | $3,411.00 | 1.3× |
| Daphne-Fairhope-Foley, AL | 1 | $28,951.71 | $28,951.71 | $28,951.71 | 1.0× |
| Des Moines-West Des Moines, IA | 2 | $4,241.00 | $6,487.50 | $8,734.00 | 2.1× |
| Detroit-Warren-Dearborn, MI | 6 | $37,310.30 | $37,310.30 | $48,131.33 | 1.3× |
| Dothan, AL | 1 | $39,123.55 | $39,123.55 | $39,123.55 | 1.0× |
| Duluth, MN-WI | 1 | $2,026.24 | $2,026.24 | $2,026.24 | 1.0× |
| Duncan, OK | 1 | $37,493.60 | $37,493.60 | $37,493.60 | 1.0× |
| Eau Claire, WI | 1 | $28,773.32 | $28,773.32 | $28,773.32 | 1.0× |
| Eugene-Springfield, OR | 1 | $25,806.98 | $25,806.98 | $25,806.98 | 1.0× |
| Fairmont, WV | 1 | $1,720.04 | $1,720.04 | $1,720.04 | 1.0× |
| Farmington, NM | 1 | $3,281.95 | $3,281.95 | $3,281.95 | 1.0× |
| Fond du Lac, WI | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Fort Smith, AR-OK | 1 | $2,108.67 | $2,108.67 | $2,108.67 | 1.0× |
| Fort Wayne, IN | 2 | $86,285.69 | $97,307.92 | $108,330.14 | 1.3× |
| Freeport, IL | 1 | $10,148.00 | $10,148.00 | $10,148.00 | 1.0× |
| Gadsden, AL | 2 | $24,217.00 | $32,190.13 | $40,163.25 | 1.7× |
| Grand Junction, CO | 1 | $15,499.69 | $15,499.69 | $15,499.69 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $1,746.00 | $3,007.40 | $4,268.80 | 2.4× |
| Hagerstown-Martinsburg, MD-WV | 1 | $21,348.50 | $21,348.50 | $21,348.50 | 1.0× |
| Hailey, ID | 1 | $20,834.00 | $20,834.00 | $20,834.00 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $28,556.91 | $37,617.66 | $39,601.95 | 1.4× |
| Hattiesburg, MS | 1 | $20,754.54 | $20,754.54 | $20,754.54 | 1.0× |
| Hickory-Lenoir-Morganton, NC | 1 | $3,198.44 | $3,198.44 | $3,198.44 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $26,747.24 | $26,747.24 | $26,747.24 | 1.0× |
| Huntsville, AL | 1 | $59,592.21 | $59,592.21 | $59,592.21 | 1.0× |
| Idaho Falls, ID | 2 | $7,210.00 | $7,210.00 | $7,210.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 2 | $26,662.14 | $83,226.53 | $139,790.92 | 5.2× |
| Jackson, MS | 2 | $41,940.38 | $47,273.49 | $52,606.59 | 1.3× |
| Johnstown, PA | 1 | $3,865.78 | $3,865.78 | $3,865.78 | 1.0× |
| Kansas City, MO single city | 1 | $23,085.00 | $23,085.00 | $23,085.00 | 1.0× |
| Kansas City, MO-KS | 1 | $46,240.51 | $46,240.51 | $46,240.51 | 1.0× |
| Kirksville, MO | 1 | $40,641.33 | $40,641.33 | $40,641.33 | 1.0× |
| Lafayette, LA | 1 | $30,428.20 | $30,428.20 | $30,428.20 | 1.0× |
| Lancaster, PA | 1 | $34,653.20 | $34,653.20 | $34,653.20 | 1.0× |
| Lansing-East Lansing, MI | 4 | $1,746.00 | $5,657.47 | $13,571.50 | 7.8× |
| Lawrence, KS | 1 | $12,235.25 | $12,235.25 | $12,235.25 | 1.0× |
| Lawton, OK | 1 | $53,273.51 | $53,273.51 | $53,273.51 | 1.0× |
| Lexington-Fayette, KY | 2 | $6,466.92 | $17,239.46 | $28,012.00 | 4.3× |
| Lima, OH | 1 | $20,290.50 | $20,290.50 | $20,290.50 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 3 | $1,219.92 | $1,607.86 | $1,816.79 | 1.5× |
| Los Angeles-Long Beach-Anaheim, CA | 2 | $655.63 | $2,310.24 | $3,964.84 | 6.0× |
| McCall, ID single city | 1 | $20,834.00 | $20,834.00 | $20,834.00 | 1.0× |
| Magnolia, AR | 1 | $1,219.92 | $1,219.92 | $1,219.92 | 1.0× |
| Mason City, IA | 1 | $133,349.81 | $133,349.81 | $133,349.81 | 1.0× |
| Memphis, TN-MS-AR | 6 | $25,333.53 | $25,333.53 | $25,333.53 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 4 | $27,803.50 | $27,803.50 | $27,803.50 | 1.0× |
| Monroe, LA | 1 | $24,618.40 | $24,618.40 | $24,618.40 | 1.0× |
| Morgantown, WV | 2 | $1,720.04 | $7,357.02 | $12,994.00 | 7.6× |
| Moscow, ID | 1 | $3,036.00 | $3,036.00 | $3,036.00 | 1.0× |
| Moultrie, GA | 1 | $7,002.00 | $7,002.00 | $7,002.00 | 1.0× |
| New London, WI single city | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Norwich, CT single city | 1 | $10,410.00 | $10,410.00 | $10,410.00 | 1.0× |
| Naples-Marco Island, FL | 3 | $56,977.79 | $56,977.79 | $80,119.43 | 1.4× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $4,737.60 | $6,068.10 | $33,925.68 | 7.2× |
| New Orleans-Metairie, LA | 1 | $36,982.57 | $36,982.57 | $36,982.57 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 35 | $15,686.19 | $21,762.05 | $29,342.00 | 1.9× |
| Omaha, NE-IA | 2 | $3,824.64 | $15,396.20 | $26,967.75 | 7.1× |
| Oneonta, NY | 1 | $2,100.00 | $2,100.00 | $2,100.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $27,739.00 | $27,739.00 | $27,739.00 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 2 | $33,297.37 | $39,850.05 | $46,402.73 | 1.4× |
| Pine Bluff, AR | 1 | $3,328.00 | $3,328.00 | $3,328.00 | 1.0× |
| Pittsburgh, PA | 1 | $1,499.95 | $1,499.95 | $1,499.95 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $24,006.45 | $24,006.45 | $24,006.45 | 1.0× |
| Providence-Warwick, RI-MA | 1 | $4,955.14 | $4,955.14 | $4,955.14 | 1.0× |
| Rapid City, SD | 1 | $14,163.38 | $14,163.38 | $14,163.38 | 1.0× |
| Reading, PA | 1 | $31,091.05 | $31,091.05 | $31,091.05 | 1.0× |
| Reno, NV | 1 | $29,514.00 | $29,514.00 | $29,514.00 | 1.0× |
| Rexburg, ID | 1 | $22,875.00 | $22,875.00 | $22,875.00 | 1.0× |
| Richmond, VA | 1 | $100,882.90 | $100,882.90 | $100,882.90 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 1 | $34,852.05 | $34,852.05 | $34,852.05 | 1.0× |
| Sidney, MT single city | 1 | $2,807.46 | $2,807.46 | $2,807.46 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 1 | $143,927.11 | $143,927.11 | $143,927.11 | 1.0× |
| Seaford, DE | 1 | $2,171.02 | $2,171.02 | $2,171.02 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 2 | $58,012.01 | $118,019.23 | $178,026.45 | 3.1× |
| Shawano, WI | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Sherman-Denison, TX | 1 | $8,100.00 | $8,100.00 | $8,100.00 | 1.0× |
| Shreveport-Bossier City, LA | 1 | $29,613.31 | $29,613.31 | $29,613.31 | 1.0× |
| Sterling, IL | 1 | $17,904.25 | $17,904.25 | $17,904.25 | 1.0× |
| Toledo, OH | 4 | $97,861.91 | $112,516.53 | $141,923.20 | 1.5× |
| Tucson, AZ | 1 | $42,161.81 | $42,161.81 | $42,161.81 | 1.0× |
| Twin Falls, ID | 1 | $20,834.00 | $20,834.00 | $20,834.00 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $93,863.18 | $99,858.29 | $105,853.39 | 1.1× |
| Waupaca, WI single city | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Wild Rose, WI single city | 1 | $7,334.99 | $7,334.99 | $7,334.99 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $7,131.26 | $7,131.26 | $7,131.26 | 1.0× |
| Wheeling, WV-OH | 1 | $10,516.50 | $10,516.50 | $10,516.50 | 1.0× |
| Wichita Falls, TX | 1 | $26,339.34 | $26,339.34 | $26,339.34 | 1.0× |
| Wichita, KS | 1 | $670.97 | $670.97 | $670.97 | 1.0× |
| Yakima, WA | 1 | $4,192.50 | $4,192.50 | $4,192.50 | 1.0× |
| York-Hanover, PA | 1 | $191,650.63 | $191,650.63 | $191,650.63 | 1.0× |
| Youngstown-Warren, OH | 2 | $11,744.04 | $51,890.75 | $92,037.46 | 7.8× |
Common questions
What is CPT code 22630?
CPT 22630 is the billing code for lumbar interbody fusion (PLIF or TLIF), one level. A lumbar interbody fusion removes a damaged disc in the lower back and fills the space with a spacer (cage) and bone graft so the two vertebrae grow together. PLIF and TLIF are the common approaches.
Is it usually an inpatient surgery?
Yes, usually with a hospital stay of one to a few days.
Is this the same as a TLIF?
A TLIF is one way of doing it; when it is combined with a posterolateral fusion, it is usually billed as CPT 22633.
Other spinal fusion prices
Median hospital cash price, one per hospital.