Advocate Condell Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Advocate Condell Medical Center, Libertyville, IL in 2024, from traditional Medicare claims. Back to the Advocate Condell Medical Center profile, with quality ratings, finances and negotiated rates.
4,416
Medicare inpatient discharges
In 123 published DRGs
1.83
Case mix index
IPPS FY 2027
17%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,628
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system885 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 301 | $52,263 | $8,153 | $10,243 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 91 | $140,313 | $21,640 | $27,501 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 58 | $69,460 | $10,028 | $13,614 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 50 | $41,224 | $5,457 | $8,080 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $40,266 | $4,601 | $7,892 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 29 | $60,713 | $11,777 | $11,900 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 28 | $101,746 | $10,915 | $19,942 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 27 | $141,890 | $19,106 | $27,810 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $97,874 | $13,941 | $19,183 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $45,425 | $5,458 | $8,903 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $61,522 | $6,697 | $12,058 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 22 | $85,803 | $15,220 | $16,817 | 2.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $49,087 | $8,138 | $9,621 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $32,143 | $2,491 | $6,300 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $128,716 | $23,718 | $25,228 | 3.46 |
| Chest painMS-DRG 313, medical | 17 | $35,980 | $4,025 | $7,052 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $44,849 | $6,771 | $8,790 | 1.07 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $182,513 | $33,015 | $35,773 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $68,420 | $9,890 | $13,410 | 1.58 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $167,350 | $23,505 | $32,801 | 3.46 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $38,212 | $4,316 | $7,489 | 0.72 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $58,102 | $7,074 | $11,388 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $36,072 | $4,349 | $7,070 | 0.75 |
Infectious and parasitic diseases748 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 562 | $81,149 | $12,850 | $15,905 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 97 | $45,833 | $6,375 | $8,983 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 56 | $177,307 | $32,947 | $34,752 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $252,445 | $42,738 | $49,479 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $71,601 | $12,281 | $14,034 | 2.04 |
Kidney and urinary tract615 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 122 | $42,019 | $5,676 | $8,236 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 114 | $34,451 | $4,863 | $6,752 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 110 | $67,824 | $9,595 | $13,293 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 105 | $40,765 | $7,355 | $7,990 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 87 | $68,947 | $10,540 | $13,514 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $38,699 | $6,130 | $7,585 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 21 | $58,548 | $8,284 | $11,475 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 13 | $85,524 | $16,743 | $16,763 | 2.59 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $149,049 | $20,385 | $29,214 | 3.70 |
Respiratory system486 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 135 | $63,715 | $8,379 | $12,488 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 105 | $63,034 | $10,472 | $12,355 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $59,835 | $7,941 | $11,728 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $54,173 | $6,853 | $10,618 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 37 | $43,406 | $4,617 | $8,508 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $98,539 | $18,332 | $19,314 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 20 | $48,068 | $5,672 | $9,421 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $59,970 | $9,344 | $11,754 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $42,482 | $4,994 | $8,326 | 0.85 |
| Pleural effusion with MCCMS-DRG 186, medical | 12 | $52,920 | $10,672 | $10,372 | 1.55 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 12 | $28,327 | $3,553 | $5,552 | 0.63 |
Musculoskeletal system and connective tissue427 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 69 | $44,342 | $5,791 | $8,691 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 50 | $90,096 | $13,347 | $17,659 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 41 | $92,020 | $13,829 | $18,036 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $116,682 | $18,084 | $22,870 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 20 | $102,813 | $16,046 | $20,151 | 2.40 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 20 | $32,648 | $4,970 | $6,399 | 0.79 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $82,566 | $11,807 | $16,183 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $36,370 | $5,205 | $7,129 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 18 | $84,670 | $12,851 | $16,595 | 2.04 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 17 | $74,435 | $16,120 | $14,589 | 2.46 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $93,918 | $17,389 | $18,408 | 2.96 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 15 | $41,654 | $8,555 | $8,164 | 1.30 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 14 | $75,656 | $10,177 | $14,829 | 1.49 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $73,609 | $10,496 | $14,427 | 1.70 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 13 | $125,847 | $26,190 | $24,666 | 4.61 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $111,205 | $20,755 | $21,796 | 3.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $95,441 | $16,463 | $18,706 | 2.67 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 12 | $75,667 | $9,494 | $14,831 | 1.52 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 11 | $131,813 | $21,531 | $25,835 | 3.16 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $40,156 | $5,139 | $7,871 | 0.82 |
Digestive system389 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 70 | $34,966 | $4,389 | $6,853 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 53 | $46,400 | $6,056 | $9,094 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 48 | $68,322 | $12,095 | $13,391 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 35 | $54,399 | $8,702 | $10,662 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $45,494 | $4,380 | $8,917 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 25 | $113,376 | $16,002 | $22,222 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 24 | $76,337 | $11,443 | $14,962 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 21 | $170,042 | $30,920 | $33,328 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 17 | $37,553 | $4,914 | $7,360 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 16 | $38,595 | $6,200 | $7,565 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $25,215 | $2,819 | $4,942 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $58,843 | $11,133 | $11,533 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $67,783 | $13,752 | $13,285 | 2.10 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 11 | $263,109 | $32,787 | $51,569 | 5.08 |
Nervous system292 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 47 | $54,389 | $6,243 | $10,660 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 44 | $83,347 | $13,321 | $16,336 | 2.00 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 23 | $57,627 | $9,014 | $11,295 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 21 | $42,202 | $3,775 | $8,272 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 21 | $76,199 | $15,319 | $14,935 | 2.28 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $47,693 | $4,867 | $9,348 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 15 | $45,925 | $6,477 | $9,001 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $42,501 | $8,082 | $8,330 | 1.32 |
| Seizures without MCCMS-DRG 101, medical | 15 | $45,373 | $5,375 | $8,893 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $39,317 | $9,017 | $7,706 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 13 | $176,906 | $30,744 | $34,674 | 4.42 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 12 | $58,491 | $5,448 | $11,464 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 12 | $60,323 | $13,348 | $11,823 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $59,852 | $12,023 | $11,731 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $42,516 | $6,348 | $8,333 | 1.03 |
Endocrine, nutritional and metabolic233 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 65 | $51,157 | $8,447 | $10,027 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 65 | $34,891 | $4,647 | $6,839 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 31 | $42,362 | $5,181 | $8,303 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 26 | $70,318 | $9,776 | $13,782 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 20 | $55,365 | $6,873 | $10,852 | 1.06 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 13 | $81,947 | $11,700 | $16,062 | 1.98 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $55,227 | $10,576 | $10,824 | 1.65 |
Skin, subcutaneous tissue and breast75 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 44 | $32,619 | $4,975 | $6,393 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 20 | $62,870 | $9,864 | $12,323 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $38,878 | $5,623 | $7,620 | 0.91 |
Blood and immune system66 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 31 | $52,579 | $5,683 | $10,305 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 19 | $88,897 | $16,524 | $17,424 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $71,288 | $9,211 | $13,973 | 1.40 |
Other59 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 31 | $196,917 | $30,320 | $38,596 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 17 | $102,881 | $14,845 | $20,165 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 11 | $130,208 | $23,023 | $25,521 | 3.38 |
Liver, gallbladder and pancreas42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 16 | $50,832 | $6,880 | $9,963 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 13 | $75,126 | $12,021 | $14,725 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $74,462 | $12,386 | $14,595 | 1.76 |
Alcohol and drug use29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 15 | $65,473 | $11,122 | $12,833 | 1.78 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 14 | $42,669 | $5,182 | $8,363 | 0.86 |
Factors influencing health status19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 19 | $42,228 | $5,051 | $8,277 | 0.80 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $40,028 | $4,295 | $7,845 | 0.74 |
Mental diseases and disorders14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 14 | $38,508 | $11,080 | $7,548 | 1.76 |
Injuries, poisonings and toxic effects of drugs12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 12 | $55,988 | $9,733 | $10,974 | 1.60 |
Multiple significant trauma11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 11 | $136,122 | $25,911 | $26,680 | 3.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 724 | 475 | $18,885 | $1,742 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 670 | 616 | $21,575 | $2,029 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 269 | 255 | $70,592 | $10,527 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 172 | 172 | $27,772 | $2,209 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 160 | 159 | $38,458 | $5,308 | $5,339 |
| Level 2 Intraocular ProceduresAPC 5492 | 137 | 128 | $32,013 | $3,033 | $3,116 |
| Level 3 Vascular ProceduresAPC 5183 | 132 | 121 | $20,369 | $2,377 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 116 | 114 | $179,398 | $20,549 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 108 | 107 | $29,909 | $3,854 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 102 | 95 | $15,191 | $1,202 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 84 | 72 | $24,761 | $2,590 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 78 | 71 | $68,297 | $8,738 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 78 | 67 | $10,494 | $1,421 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 66 | $36,024 | $4,204 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 67 | 65 | $22,459 | $2,560 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 65 | 45 | $25,613 | $4,283 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 53 | 43 | $9,790 | $1,424 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 50 | 49 | $24,434 | $2,430 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 49 | 49 | $54,109 | $8,431 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 46 | 46 | $86,332 | $15,569 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 44 | 39 | $22,312 | $1,942 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 39 | 27 | $13,932 | $1,526 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 33 | 29 | $106,240 | $14,417 | $14,606 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 29 | $49,726 | $5,146 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 27 | $27,212 | $2,816 | $2,833 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 24 | 23 | $116,190 | $27,585 | $26,719 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 23 | 23 | $157,226 | $29,207 | $29,375 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 23 | 18 | $22,947 | $4,024 | $4,524 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 20 | $8,888 | $1,112 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 18 | 18 | $17,730 | $2,148 | $2,176 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $70,976 | $8,075 | $8,164 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 17 | 14 | $9,697 | $1,757 | $1,780 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $12,909 | $1,121 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 15 | $34,200 | $3,494 | $3,792 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $47,419 | $4,903 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 13 | $28,420 | $2,351 | $2,389 |
| Level 3 Intraocular ProceduresAPC 5493 | 12 | 12 | $41,129 | $3,930 | $4,004 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $25,868 | $2,866 | $2,930 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.