Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Arthrodesis Posterior Interbody 1 Ntrspc Lumbar
OLIVE BRANCH, MS
See all hospitals reporting CPT 22630 →Price type
Methodist Olive Branch Hospital’s median price of $16.8k is 5% below the median hospital's median price ($17.8k), higher than 46% of the 1,609 hospitals reporting CPT 22630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare hb tricare - ms contract other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 2 | UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | UnitedHealthcare hb uhc mschips ob & mlh-tn adult hospitals contract case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Molina hb molina mschips - mlh-ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Blue Cross Blue Shield hb bluecare tn - olive branch fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Blue Cross Blue Shield hb xr tncare select olive branch adult contract fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 8 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | UnitedHealthcare hb uhc heritage select contract fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 10 | UnitedHealthcare hb uhc fed ex core fee schedule · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 11 | UnitedHealthcare hb uhc fed ex nexus aco fee schedule · outpatient | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 12 | UnitedHealthcare hb uhc fed ex all payer (choice) fee schedule · outpatient | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 13 | UnitedHealthcare hb uhc core fee schedule · outpatient | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 14 | UnitedHealthcare hb uhc nexus aco adult fee schedule · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 15 | UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 16 | Blue Cross Blue Shield hb medicare advantage / managed care - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 17 | Devoted hb medicare advantage devoted - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 18 | Humana hb medicare advantage / managed care - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 19 | Medicare hb medicare-ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 20 | Optum hb medicare advantage / managed care - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 21 | UnitedHealthcare hb medicare advantage / managed care - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 22 | UnitedHealthcare hb va - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 23 | WellCare hb medicare advantage / managed care - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 24 | WellCare hb medicare advantage wellcare/wellpoint - ms contract other · outpatient | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 25 | Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university case rate · outpatient | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
Last updated: Mar 19, 2026
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