Atrium Health Navicent The Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Atrium Health Navicent The Medical Center, Macon, GA in 2024, from traditional Medicare claims. Back to the Atrium Health Navicent The Medical Center profile, with quality ratings, finances and negotiated rates.
3,883
Medicare inpatient discharges
In 129 published DRGs
2.14
Case mix index
IPPS FY 2027
33%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
3,513
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system1,198 discharges in 35 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 186 | $57,451 | $10,057 | $11,892 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 131 | $179,097 | $23,979 | $37,073 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 61 | $29,866 | $6,117 | $6,182 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 58 | $202,395 | $36,998 | $41,896 | 4.88 |
| Syncope and collapseMS-DRG 312, medical | 57 | $42,912 | $7,034 | $8,883 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 53 | $73,773 | $12,188 | $15,271 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 47 | $23,364 | $4,404 | $4,836 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 42 | $67,052 | $7,339 | $13,880 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 40 | $107,787 | $16,874 | $22,312 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 40 | $125,364 | $13,372 | $25,950 | 1.82 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 36 | $193,645 | $29,367 | $40,085 | 3.90 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $72,229 | $10,377 | $14,951 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 32 | $93,546 | $17,229 | $19,364 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 31 | $173,652 | $21,019 | $35,946 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 30 | $65,062 | $16,469 | $13,468 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 24 | $258,514 | $46,440 | $53,512 | 6.25 |
| Chest painMS-DRG 313, medical | 23 | $33,131 | $6,028 | $6,858 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $128,415 | $25,702 | $26,582 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $48,534 | $7,324 | $10,047 | 0.91 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 19 | $290,211 | $44,294 | $60,074 | 7.80 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 19 | $174,086 | $32,569 | $36,036 | 4.78 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $135,404 | $25,326 | $28,029 | 3.46 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 17 | $257,208 | $26,031 | $53,242 | 4.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $36,277 | $8,444 | $7,509 | 1.07 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 15 | $204,819 | $34,411 | $42,398 | 5.20 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 14 | $143,440 | $23,806 | $29,692 | 3.18 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 14 | $97,220 | $14,261 | $20,124 | 1.83 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 14 | $189,434 | $46,956 | $39,213 | 6.21 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 13 | $202,770 | $40,345 | $41,973 | 5.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $144,500 | $27,790 | $29,912 | 4.04 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $262,859 | $39,052 | $54,412 | 5.06 |
| Cardiac defibrillator implant with cardiac catheterization and MCCMS-DRG 275, surgical | 12 | $395,243 | $64,179 | $81,815 | 7.04 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $53,591 | $9,494 | $11,093 | 1.58 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $46,912 | $8,081 | $9,711 | 0.97 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $151,392 | $24,470 | $31,338 | 3.46 |
Musculoskeletal system and connective tissue507 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 75 | $101,310 | $15,527 | $20,971 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 74 | $43,909 | $7,409 | $9,089 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 39 | $128,242 | $22,097 | $26,546 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 37 | $157,455 | $23,325 | $32,593 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 37 | $79,485 | $16,130 | $16,453 | 2.11 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 33 | $118,082 | $17,343 | $24,443 | 2.40 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 31 | $86,280 | $14,072 | $17,860 | 1.88 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 26 | $118,687 | $21,536 | $24,568 | 2.96 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 18 | $49,709 | $6,806 | $10,290 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 17 | $75,217 | $15,807 | $15,570 | 2.04 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 17 | $73,298 | $13,051 | $15,173 | 1.97 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $85,172 | $13,625 | $17,631 | 1.70 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 14 | $90,515 | $17,971 | $18,737 | 2.48 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 14 | $40,142 | $7,744 | $8,309 | 1.00 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $37,347 | $7,994 | $7,731 | 1.09 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $174,504 | $28,800 | $36,122 | 4.61 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $67,210 | $12,539 | $13,912 | 1.59 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $206,319 | $37,377 | $42,708 | 6.12 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 11 | $73,710 | $11,195 | $15,258 | 1.49 |
Nervous system434 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 53 | $89,394 | $15,622 | $18,505 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 51 | $47,190 | $8,164 | $9,768 | 1.02 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 45 | $60,443 | $11,015 | $12,512 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 36 | $96,013 | $17,753 | $19,875 | 2.28 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 28 | $201,392 | $32,325 | $41,688 | 4.42 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 23 | $39,357 | $6,443 | $8,147 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 22 | $77,613 | $15,158 | $16,066 | 1.98 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 19 | $102,798 | $16,454 | $21,279 | 2.23 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 19 | $53,000 | $9,791 | $10,971 | 1.32 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 18 | $75,393 | $13,429 | $15,606 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 17 | $36,390 | $7,644 | $7,533 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $60,131 | $8,157 | $12,447 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $42,420 | $8,397 | $8,781 | 1.03 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 13 | $33,254 | $7,255 | $6,883 | 0.92 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $121,826 | $17,813 | $25,218 | 2.39 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $47,149 | $7,948 | $9,760 | 1.06 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $65,960 | $14,707 | $13,654 | 1.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $53,615 | $8,343 | $11,098 | 1.14 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $87,552 | $15,922 | $18,123 | 2.27 |
Infectious and parasitic diseases426 discharges in 7 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 | 285 | $93,253 | $14,676 | $19,303 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 50 | $211,463 | $39,730 | $43,773 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 36 | $56,496 | $7,977 | $11,695 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $231,596 | $45,451 | $47,940 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 15 | $92,177 | $14,790 | $19,081 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $215,472 | $32,896 | $44,603 | 4.43 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 11 | $90,983 | $16,876 | $18,833 | 2.14 |
Respiratory system389 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 70 | $66,820 | $11,337 | $13,832 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 59 | $76,413 | $13,112 | $15,817 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 52 | $50,208 | $8,573 | $10,393 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $80,161 | $10,134 | $16,593 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 30 | $40,641 | $6,668 | $8,413 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $117,325 | $20,176 | $24,286 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $52,383 | $10,510 | $10,843 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 16 | $76,885 | $12,238 | $15,915 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 15 | $47,407 | $6,950 | $9,813 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 15 | $284,430 | $48,649 | $58,877 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $166,200 | $35,747 | $34,403 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $52,926 | $7,929 | $10,956 | 1.05 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 11 | $108,180 | $29,271 | $22,393 | 4.06 |
Digestive system304 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 62 | $41,539 | $7,740 | $8,599 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 52 | $73,055 | $14,072 | $15,122 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 37 | $44,218 | $6,427 | $9,153 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 32 | $33,888 | $6,436 | $7,015 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 29 | $79,293 | $17,210 | $16,414 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 27 | $276,713 | $40,635 | $57,280 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $46,787 | $10,583 | $9,685 | 1.28 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $22,284 | $4,840 | $4,613 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $63,851 | $9,727 | $13,217 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $54,872 | $8,003 | $11,359 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $54,487 | $7,554 | $11,279 | 1.04 |
Kidney and urinary tract264 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 50 | $43,143 | $7,177 | $8,931 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 44 | $73,057 | $10,935 | $15,123 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 43 | $41,997 | $6,284 | $8,693 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $63,626 | $12,548 | $13,171 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $49,778 | $9,208 | $10,304 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 25 | $32,082 | $8,703 | $6,641 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $49,640 | $10,163 | $10,275 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $129,317 | $28,658 | $26,769 | 3.70 |
Endocrine, nutritional and metabolic136 discharges in 4 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 | $60,346 | $9,974 | $12,492 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $38,142 | $6,380 | $7,895 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 21 | $59,132 | $9,866 | $12,240 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $71,758 | $10,263 | $14,854 | 1.45 |
Other54 discharges in 2 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 | 33 | $226,550 | $32,567 | $46,896 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 21 | $134,253 | $17,544 | $27,790 | 2.49 |
Blood and immune system50 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $73,005 | $10,430 | $15,112 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $34,142 | $6,610 | $7,067 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 11 | $56,436 | $12,392 | $11,682 | 1.56 |
Multiple significant trauma28 discharges in 2 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 | 16 | $172,466 | $28,281 | $35,701 | 3.88 |
| Other multiple significant trauma with CCMS-DRG 964, medical | 12 | $65,711 | $9,806 | $13,602 | 1.50 |
Injuries, poisonings and toxic effects of drugs20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 20 | $60,232 | $14,233 | $12,468 | 1.82 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $29,873 | $6,427 | $6,184 | 0.88 |
Mental diseases and disorders16 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 | 16 | $36,603 | $12,970 | $7,577 | 1.76 |
Transplants, ECMO and tracheostomy (pre-MDC)13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 13 | $627,191 | $144,943 | $129,828 | 21.32 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $78,004 | $11,763 | $16,147 | 1.63 |
Factors influencing health status13 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 | 13 | $54,728 | $6,123 | $11,329 | 0.80 |
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 Endovascular ProceduresAPC 5191 | 513 | 509 | $36,622 | $2,052 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 301 | 274 | $20,140 | $1,904 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 212 | 203 | $9,867 | $1,117 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 206 | 198 | $11,338 | $1,300 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 197 | 192 | $66,447 | $9,863 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 168 | 151 | $18,825 | $2,226 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 162 | 151 | $79,322 | $7,994 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 130 | 121 | $43,549 | $4,040 | $4,338 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 125 | 119 | $150,720 | $19,097 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 94 | 87 | $32,687 | $4,021 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 86 | 75 | $12,387 | $1,364 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 85 | 81 | $107,114 | $13,234 | $14,606 |
| Level 4 Urology and Related ServicesAPC 5374 | 78 | 70 | $19,409 | $2,451 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 77 | 76 | $42,537 | $5,096 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 73 | 70 | $100,230 | $14,583 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 71 | 66 | $19,055 | $2,643 | $2,833 |
| Level 5 Urology and Related ServicesAPC 5375 | 69 | 66 | $27,131 | $3,644 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 66 | 66 | $39,740 | $7,909 | $8,569 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 64 | 63 | $111,093 | $26,825 | $29,375 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 55 | 55 | $14,778 | $1,986 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 54 | 48 | $33,227 | $3,633 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 54 | 52 | $12,190 | $2,026 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 51 | 47 | $19,245 | $2,609 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 45 | 42 | $5,989 | $1,126 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 43 | $35,532 | $4,437 | $4,982 |
| Level 3 Airway EndoscopyAPC 5153 | 44 | 43 | $14,057 | $1,179 | $1,264 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 41 | 41 | $143,782 | $25,409 | $26,719 |
| Level 4 Gynecologic ProceduresAPC 5414 | 40 | 39 | $17,916 | $2,216 | $2,389 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 34 | 32 | $69,537 | $7,344 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 31 | $24,378 | $2,463 | $2,636 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 31 | 29 | $96,558 | $16,149 | $18,465 |
| Level 5 Gynecologic ProceduresAPC 5415 | 29 | 29 | $32,450 | $3,206 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 27 | 27 | $34,873 | $5,828 | $6,514 |
| Level 5 Airway EndoscopyAPC 5155 | 24 | 24 | $28,343 | $4,874 | $5,183 |
| Level 5 ENT ProceduresAPC 5165 | 19 | 19 | $29,864 | $4,170 | $4,436 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 19 | 19 | $91,071 | $15,738 | $17,052 |
| Level 3 Upper GI ProceduresAPC 5303 | 19 | 18 | $14,895 | $2,584 | $2,888 |
| Level 6 Gynecologic ProceduresAPC 5416 | 19 | 19 | $49,971 | $5,383 | $5,836 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 18 | 18 | $24,074 | $2,178 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $13,458 | $1,145 | $1,196 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 12 | 12 | $71,643 | $19,385 | $21,011 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $17,677 | $2,293 | $2,217 |
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.