Lumbar fusion with cage (TLIF) cost without insurance
The median hospital cash price for lumbar fusion with interbody cage and posterolateral graft (TLIF), one level is $15,472.80 across 305 US hospitals; most list between $2,705.14 and $64,681.38. The lowest outpatient cash price in any of 149 markets is $1,147.30. 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$1,147.30any market
Median market$17,113.00middle of market medians
Most below$64,681.389 in 10 hospitals
Listings273hospital prices
What is CPT 22633?
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.
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 22633 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$39,038.22
- Alaska$24,222.00
- Arizona$33,297.37
- Arkansas$1,447.86
- California$15,372.00
- Colorado$8,992.98
- Connecticut$11,970.00
- Delaware$8,888.96
- Florida$29,786.24
- Georgia$2,956.80
- Idaho$17,600.38
- Illinois$8,513.41
- Indiana$69,629.23
- Iowa$3,694.80
- Kansas$8,493.00
- Kentucky$18,530.58
- Louisiana$38,542.25
- Michigan$3,494.00
- Minnesota$2,586.14
- Mississippi$27,152.95
- Missouri$16,900.00
- Montana$4,451.20
- Nebraska$5,814.40
- Nevada$29,514.00
- New Jersey$21,657.23
- New Mexico$22,431.82
- New York$21,762.05
- North Dakota$3,237.27
- Ohio$107,694.92
- Oklahoma$19,417.05
- Oregon$8,895.64
- Pennsylvania$34,653.20
- Rhode Island$29,834.76
- South Carolina$62,735.63
- South Dakota$1,424.47
- Tennessee$27,152.95
- Texas$11,706.60
- Vermont$43,180.97
- Virginia$103,775.45
- Washington$35,179.15
- West Virginia$20,147.38
- Wisconsin$4,425.18
- Wyoming$9,625.02
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Alliance, NE single city | 1 | $9,964.80 | $9,964.80 | $9,964.80 | 1.0× |
| Albuquerque, NM | 1 | $2,323.46 | $2,323.46 | $2,323.46 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $25,211.94 | $25,211.94 | $25,211.94 | 1.0× |
| Anchorage, AK | 1 | $62,350.34 | $62,350.34 | $62,350.34 | 1.0× |
| Appleton, WI | 2 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 2 | $2,345.94 | $2,651.37 | $2,956.80 | 1.3× |
| Atlantic City-Hammonton, NJ | 1 | $35,106.88 | $35,106.88 | $35,106.88 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 1 | $20,557.50 | $20,557.50 | $20,557.50 | 1.0× |
| Berlin, WI single city | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Beaumont-Port Arthur, TX | 1 | $26,747.24 | $26,747.24 | $26,747.24 | 1.0× |
| Beckley, WV | 1 | $8,303.50 | $8,303.50 | $8,303.50 | 1.0× |
| Bellingham, WA | 1 | $52,713.38 | $52,713.38 | $52,713.38 | 1.0× |
| Birmingham, AL | 2 | $2,621.25 | $25,834.80 | $49,048.35 | 18.7× |
| Boise City, ID | 4 | $17,113.00 | $20,214.23 | $50,560.09 | 3.0× |
| Bozeman, MT | 2 | $4,451.20 | $4,451.20 | $4,451.20 | 1.0× |
| Bucyrus, OH | 1 | $253,571.76 | $253,571.76 | $253,571.76 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $9,882.00 | $9,882.00 | $9,882.00 | 1.0× |
| Burlington-South Burlington, VT | 1 | $43,180.97 | $43,180.97 | $43,180.97 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $29,786.24 | $29,786.24 | $29,786.24 | 1.0× |
| Casper, WY | 1 | $9,625.02 | $9,625.02 | $9,625.02 | 1.0× |
| Champaign-Urbana, IL | 1 | $12,193.00 | $12,193.00 | $12,193.00 | 1.0× |
| Charleston, WV | 1 | $19,081.00 | $19,081.00 | $19,081.00 | 1.0× |
| Charleston-North Charleston, SC | 1 | $62,735.63 | $62,735.63 | $62,735.63 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 5 | $3,631.60 | $36,236.69 | $94,974.27 | 26.2× |
| Cincinnati, OH-KY-IN | 1 | $54,339.41 | $54,339.41 | $54,339.41 | 1.0× |
| Cleveland, OH | 1 | $95,145.95 | $95,145.95 | $95,145.95 | 1.0× |
| Coeur d'Alene, ID | 1 | $10,389.50 | $10,389.50 | $10,389.50 | 1.0× |
| Columbus, OH | 2 | $81,272.09 | $167,421.93 | $253,571.76 | 3.1× |
| Devils Lake, ND single city | 1 | $3,237.27 | $3,237.27 | $3,237.27 | 1.0× |
| Douglas, WY single city | 1 | $9,625.02 | $9,625.02 | $9,625.02 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 4 | $1,870.80 | $2,964.90 | $8,536.80 | 4.6× |
| Danville, VA | 1 | $14,910.90 | $14,910.90 | $14,910.90 | 1.0× |
| Daphne-Fairhope-Foley, AL | 1 | $43,450.43 | $43,450.43 | $43,450.43 | 1.0× |
| Des Moines-West Des Moines, IA | 2 | $4,934.00 | $6,834.00 | $8,734.00 | 1.8× |
| Detroit-Warren-Dearborn, MI | 4 | $37,310.30 | $37,310.30 | $37,310.30 | 1.0× |
| Dothan, AL | 2 | $5,674.50 | $22,356.36 | $39,038.22 | 6.9× |
| Duluth, MN-WI | 1 | $2,662.40 | $2,662.40 | $2,662.40 | 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× |
| Enterprise, AL | 1 | $38,978.31 | $38,978.31 | $38,978.31 | 1.0× |
| Eugene-Springfield, OR | 1 | $15,445.95 | $15,445.95 | $15,445.95 | 1.0× |
| Fairmont, WV | 1 | $1,979.98 | $1,979.98 | $1,979.98 | 1.0× |
| Farmington, NM | 1 | $3,618.50 | $3,618.50 | $3,618.50 | 1.0× |
| Fond du Lac, WI | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Fort Wayne, IN | 3 | $88,888.87 | $102,709.70 | $139,270.15 | 1.6× |
| Fresno, CA | 1 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Glen Rose, TX single city | 1 | $63,630.00 | $63,630.00 | $63,630.00 | 1.0× |
| Gadsden, AL | 2 | $24,217.00 | $33,775.81 | $43,334.62 | 1.8× |
| Grand Forks, ND-MN | 1 | $3,237.27 | $3,237.27 | $3,237.27 | 1.0× |
| Grand Junction, CO | 1 | $15,489.05 | $15,489.05 | $15,489.05 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $1,833.00 | $4,245.30 | $6,657.60 | 3.6× |
| Greenville-Anderson-Greer, SC | 1 | $102,504.67 | $102,504.67 | $102,504.67 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $25,734.26 | $25,734.26 | $25,734.26 | 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 | $12,907.28 | $12,907.28 | $12,907.28 | 1.0× |
| Hays, KS | 1 | $1,290.30 | $1,290.30 | $1,290.30 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 1 | $26,747.24 | $26,747.24 | $26,747.24 | 1.0× |
| Huntsville, AL | 1 | $70,491.10 | $70,491.10 | $70,491.10 | 1.0× |
| Idaho Falls, ID | 2 | $11,330.00 | $11,330.00 | $11,330.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 2 | $32,423.75 | $87,215.33 | $142,006.90 | 4.4× |
| Jackson, MS | 2 | $53,264.24 | $54,097.18 | $54,930.11 | 1.0× |
| Kansas City, MO single city | 1 | $16,900.00 | $16,900.00 | $16,900.00 | 1.0× |
| Kankakee, IL | 1 | $9,760.22 | $9,760.22 | $9,760.22 | 1.0× |
| Kansas City, MO-KS | 1 | $46,240.51 | $46,240.51 | $46,240.51 | 1.0× |
| Lafayette-West Lafayette, IN | 1 | $50,369.58 | $50,369.58 | $50,369.58 | 1.0× |
| Lake Havasu City-Kingman, AZ | 1 | $13,286.62 | $13,286.62 | $13,286.62 | 1.0× |
| Lancaster, PA | 1 | $34,653.20 | $34,653.20 | $34,653.20 | 1.0× |
| Lansing-East Lansing, MI | 3 | $1,833.00 | $1,833.00 | $67,270.76 | 36.7× |
| Las Cruces, NM | 1 | $93,390.57 | $93,390.57 | $93,390.57 | 1.0× |
| Lexington-Fayette, KY | 2 | $5,884.42 | $18,530.58 | $31,176.74 | 5.3× |
| Lima, OH | 2 | $15,472.80 | $68,674.72 | $121,876.63 | 7.9× |
| Little Rock-North Little Rock-Conway, AR | 3 | $1,388.26 | $1,447.86 | $1,648.07 | 1.2× |
| Longview, TX | 1 | $75,258.32 | $75,258.32 | $75,258.32 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $1,550.64 | $8,434.40 | $8,434.40 | 5.4× |
| McCall, ID single city | 1 | $20,834.00 | $20,834.00 | $20,834.00 | 1.0× |
| Meriden, CT single city | 1 | $11,970.00 | $11,970.00 | $11,970.00 | 1.0× |
| Magnolia, AR | 1 | $1,447.86 | $1,447.86 | $1,447.86 | 1.0× |
| Mansfield, OH | 1 | $253,571.76 | $253,571.76 | $253,571.76 | 1.0× |
| Mason City, IA | 1 | $108,801.31 | $108,801.31 | $108,801.31 | 1.0× |
| Memphis, TN-MS-AR | 6 | $25,872.78 | $27,152.95 | $28,855.45 | 1.1× |
| Meridian, MS | 1 | $23,785.92 | $23,785.92 | $23,785.92 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 4 | $27,803.50 | $27,803.50 | $27,803.50 | 1.0× |
| Michigan City-La Porte, IN | 1 | $34,954.02 | $34,954.02 | $34,954.02 | 1.0× |
| Modesto, CA | 1 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Monroe, LA | 1 | $24,618.40 | $24,618.40 | $24,618.40 | 1.0× |
| Morgantown, WV | 2 | $1,979.98 | $16,862.74 | $31,745.50 | 16.0× |
| Moscow, ID | 1 | $3,534.00 | $3,534.00 | $3,534.00 | 1.0× |
| Moultrie, GA | 1 | $4,668.00 | $4,668.00 | $4,668.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $3,678.00 | $3,678.00 | $3,678.00 | 1.0× |
| New London, WI single city | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Norwich, CT single city | 1 | $11,970.00 | $11,970.00 | $11,970.00 | 1.0× |
| Naples-Marco Island, FL | 3 | $64,553.67 | $64,766.52 | $64,766.52 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $5,109.60 | $5,699.63 | $33,925.68 | 6.6× |
| New Orleans-Metairie, LA | 1 | $38,542.25 | $38,542.25 | $38,542.25 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 35 | $13,272.93 | $21,762.05 | $29,342.00 | 2.2× |
| Ontario, CA single city | 1 | $8,434.40 | $8,434.40 | $8,434.40 | 1.0× |
| Oklahoma City, OK | 1 | $1,340.49 | $1,340.49 | $1,340.49 | 1.0× |
| Omaha, NE-IA | 3 | $2,681.10 | $3,824.64 | $14,161.50 | 5.3× |
| Oneonta, NY | 1 | $3,545.00 | $3,545.00 | $3,545.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Owosso, MI | 1 | $2,839.20 | $2,839.20 | $2,839.20 | 1.0× |
| Paducah, KY-IL | 1 | $87,776.07 | $87,776.07 | $87,776.07 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $24,046.50 | $24,046.50 | $24,046.50 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $48,511.58 | $48,511.58 | $48,511.58 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 2 | $33,297.37 | $34,654.54 | $36,011.71 | 1.1× |
| Pine Bluff, AR | 1 | $4,420.00 | $4,420.00 | $4,420.00 | 1.0× |
| Pittsburgh, PA | 1 | $10,666.47 | $10,666.47 | $10,666.47 | 1.0× |
| Poplar Bluff, MO | 1 | $112,978.28 | $112,978.28 | $112,978.28 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $17,644.91 | $17,644.91 | $17,644.91 | 1.0× |
| Providence-Warwick, RI-MA | 2 | $29,311.52 | $29,834.76 | $30,358.00 | 1.0× |
| Richmond, CA single city | 1 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Rapid City, SD | 1 | $1,424.47 | $1,424.47 | $1,424.47 | 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 | $18,087.75 | $18,087.75 | $18,087.75 | 1.0× |
| Richmond, VA | 2 | $103,617.13 | $141,397.63 | $179,178.13 | 1.7× |
| Riverside-San Bernardino-Ontario, CA | 4 | $8,434.40 | $8,434.40 | $34,727.00 | 4.1× |
| Rochester, NY | 1 | $32,608.55 | $32,608.55 | $32,608.55 | 1.0× |
| Roswell, NM | 1 | $41,245.14 | $41,245.14 | $41,245.14 | 1.0× |
| Saint Ignace, MI single city | 1 | $2,673.00 | $2,673.00 | $2,673.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $8,434.40 | $8,434.40 | $126,196.76 | 15.0× |
| San Francisco-Oakland-Fremont, CA | 9 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Seaford, DE | 1 | $8,888.96 | $8,888.96 | $8,888.96 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 1 | $71,770.10 | $71,770.10 | $71,770.10 | 1.0× |
| Shawano, WI | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Shelton, WA | 1 | $3,712.75 | $3,712.75 | $3,712.75 | 1.0× |
| Sherman-Denison, TX | 1 | $11,706.60 | $11,706.60 | $11,706.60 | 1.0× |
| Shreveport-Bossier City, LA | 1 | $47,744.68 | $47,744.68 | $47,744.68 | 1.0× |
| Springfield, MO | 1 | $1,147.30 | $1,147.30 | $1,147.30 | 1.0× |
| Sterling, IL | 1 | $19,798.00 | $19,798.00 | $19,798.00 | 1.0× |
| Stockton-Lodi, CA | 1 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Toledo, OH | 3 | $83,379.32 | $107,694.92 | $112,771.03 | 1.4× |
| Tucson, AZ | 1 | $45,342.73 | $45,342.73 | $45,342.73 | 1.0× |
| Twin Falls, ID | 1 | $17,113.00 | $17,113.00 | $17,113.00 | 1.0× |
| Vallejo, CA | 2 | $15,372.00 | $15,372.00 | $15,372.00 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $103,933.77 | $104,862.24 | $105,790.70 | 1.0× |
| Waupaca, WI single city | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Wild Rose, WI single city | 1 | $4,425.18 | $4,425.18 | $4,425.18 | 1.0× |
| Willimantic, CT single city | 1 | $11,970.00 | $11,970.00 | $11,970.00 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $6,316.04 | $6,316.04 | $6,316.04 | 1.0× |
| Watertown-Fort Atkinson, WI | 1 | $5,512.00 | $5,512.00 | $5,512.00 | 1.0× |
| Wheeling, WV-OH | 1 | $21,213.75 | $21,213.75 | $21,213.75 | 1.0× |
| Wichita Falls, TX | 1 | $10,291.76 | $10,291.76 | $10,291.76 | 1.0× |
| York-Hanover, PA | 1 | $133,574.82 | $133,574.82 | $133,574.82 | 1.0× |
| Youngstown-Warren, OH | 2 | $23,914.54 | $71,496.87 | $119,079.19 | 5.0× |
Common questions
What is CPT code 22633?
CPT 22633 is the billing code for lumbar fusion with interbody cage and posterolateral graft (TLIF), one level. 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.
Is it usually an inpatient surgery?
Yes, usually with a hospital stay of one to a few days.
What does fusing more than one level cost?
Each extra level is billed with an add-on code, so the price goes up.
Other spinal fusion prices
Median hospital cash price, one per hospital.