Surgery and procedures CPT 22633 California Outpatient

Lumbar fusion with cage (TLIF) cost in California

In California, 41 hospitals publish a cash price for lumbar fusion with interbody cage and posterolateral graft (TLIF), one level: from $1,550.64 to $126,196.76, with a median of $15,372.00. The lowest price is at Cedars-Sinai Marina Hospital (Marina del Rey). The highest price is 81.4× the lowest.

Outpatient cash prices, one line per hospital — its lowest listed price for code 22633. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026. See them on a map

Lowest$1,550.64Cedars-Sinai Marina Hospital
Median$15,372.00half of hospitals charge less
Highest$126,196.76in California
Lowest saves$13,821.36vs the median

Hospitals in California, cheapest first

HospitalCash priceList priceFile date
Cedars-Sinai Marina Hospital lowest Marina del Rey · Los Angeles-Long Beach-Anaheim, CA OPG - 8 $1,550.64 $2,385.60 Nov 26, 2025
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Cedars-Sinai Medical Center Los Angeles · Los Angeles-Long Beach-Anaheim, CA Outpatient Surgical Group 6 $5,642.80 $8,681.23 Nov 26, 2025
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Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $8,434.40 $16,220.00 —
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Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR $15,372.00 $27,450.00 —
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Desert Valley Hospital Victorville · Riverside-San Bernardino-Ontario, CA LUMBAR SPINE FUSION COMBINED $34,727.00 $14,182.30 Sep 1, 2026
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UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Fusion of lower spine bone at side or back of bone with partial removal of spine bone and disc through back, 1 disc $126,196.76 $229,448.65 Apr 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Los Angeles-Long Beach-Anaheim, CA 11 $1,550.64 $8,434.40
San Francisco-Oakland-Fremont, CA 10 $15,372.00 $15,372.00
Riverside-San Bernardino-Ontario, CA 5 $8,434.40 $8,434.40
San Diego-Chula Vista-Carlsbad, CA 4 $8,434.40 $8,434.40
Sacramento-Roseville-Folsom, CA 3 $15,372.00 $15,372.00
San Jose-Sunnyvale-Santa Clara, CA 2 $15,372.00 $15,372.00
Vallejo, CA 2 $15,372.00 $15,372.00
Fresno, CA 1 $15,372.00 $15,372.00
Modesto, CA 1 $15,372.00 $15,372.00
Santa Rosa-Petaluma, CA 1 $15,372.00 $15,372.00
Stockton-Lodi, CA 1 $15,372.00 $15,372.00
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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.

Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level in other states

Median cash price across the state's hospitals.