CPT 22612 Surgery
Arthrodesis (fusion), posterior, lumbar Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,311
CMS PFS CY2026
Hospital Outpatient
$17
OPPS rate
Surgery Center (ASC)
$13
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
23.53
Work RVU
12.15
Facility PE RVU
4.85
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $1,792 | $2,329 — $3,583 |
| AK — ALASKA* | $1,700 | $2,550 — $4,251 |
| AL — ALABAMA | $1,318 | $1,714 — $2,636 |
| AR — ARKANSAS | $1,299 | $1,689 — $2,598 |
| AZ — ARIZONA | $1,428 | $1,856 — $2,856 |
| AZ — Phoenix | $1,338 | $2,007 — $3,345 |
| CA — BAKERSFIELD | $1,449 | $1,884 — $2,898 |
| CA — CHICO | $1,431 | $1,861 — $2,863 |
| CA — EL CENTRO | $1,432 | $1,862 — $2,865 |
| CA — FRESNO | $1,431 | $1,861 — $2,863 |
| CA — HANFORD-CORCORAN | $1,431 | $1,861 — $2,863 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $1,520 | $1,976 — $3,040 |
| CA — Los Angeles | $1,437 | $2,156 — $3,593 |
| CA — MADERA | $1,431 | $1,861 — $2,863 |
| CA — MERCED | $1,431 | $1,861 — $2,863 |
| CA — MODESTO | $1,431 | $1,861 — $2,863 |
| CA — NAPA | $1,568 | $2,038 — $3,135 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $1,501 | $1,951 — $3,001 |
| CA — REDDING | $1,431 | $1,861 — $2,863 |
| CA — REST OF CALIFORNIA | $1,431 | $1,861 — $2,863 |
Frequently Asked Questions
How much does Arthrodesis (fusion), posterior, lumbar cost?
The Medicare facility rate is $1,311. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $17. Ambulatory surgery center rate: $13.
How much does Arthrodesis (fusion), posterior, lumbar cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,311.