CPT 22632 Surgery - Musculoskeletal

How Much Does Lumbar Spinal Fusion with Interbody Device (Anterior) Cost?

Also known as: Arthrd pst tq 1ntrspc lm ea (CPT 22632)

Lumbar spinal fusion with an interbody device placed through an anterior (front) approach.

The total estimated cost of Lumbar Spinal Fusion with Interbody Device (Anterior) (CPT 22632) is $967 to $1,812, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $288.

Total Estimated Cost of Care

$967 — $1,812

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$288
Hospital Facility Fee
$863
Anesthesia (est.)
$58
Important: The physician fee of $288 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$288
Physician component only — CMS PFS 2026

Patient Guide: Lumbar Spinal Fusion with Interbody Device (Anterior)

What you need to know before your appointment

What to Expect

The surgeon approaches your spine through an incision in the abdomen, removes the damaged disc, and places a cage filled with bone graft to promote fusion.

How Long Does It Take?

2-4 hours of surgery

Common Reasons Doctors Order This

Disc degeneration, revision spine surgery, failed posterior fusion, multi-level disc disease

How to Prepare

Fast after midnight. Stop blood thinners as directed. Prepare for significant recovery time. A vascular surgeon may assist with the approach.

Procedures Commonly Done Together

These procedures are frequently performed alongside Arthrd pst tq 1ntrspc lm ea

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How to Reduce Your Cost for Arthrd pst tq 1ntrspc lm ea

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

5.09
Work RVU
1.73
Practice Expense RVU
1.79
Malpractice RVU
8.61
Total RVU

Payment = Total RVU (8.61) x CF ($33.40) = $288

Frequently Asked Questions

How much does Arthrd pst tq 1ntrspc lm ea cost?

The Medicare facility rate for Arthrd pst tq 1ntrspc lm ea is $288. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Arthrd pst tq 1ntrspc lm ea cost without insurance?

Without insurance, the cost of Arthrd pst tq 1ntrspc lm ea can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Arthrd pst tq 1ntrspc lm ea?

Most commercial health insurance plans and Medicare cover Arthrd pst tq 1ntrspc lm ea when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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