Atrium Health Pineville Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Atrium Health Pineville, Charlotte, NC in 2024, from traditional Medicare claims. Back to the Atrium Health Pineville profile, with quality ratings, finances and negotiated rates.
4,265
Medicare inpatient discharges
In 122 published DRGs
1.76
Case mix index
IPPS FY 2027
20%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
3,176
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system1,030 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 246 | $45,540 | $7,762 | $10,019 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 84 | $44,071 | $5,234 | $9,696 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 83 | $55,053 | $7,571 | $12,112 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 50 | $131,795 | $11,250 | $28,995 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $35,181 | $4,549 | $7,740 | 0.74 |
| Hypertension without MCCMS-DRG 305, medical | 40 | $35,826 | $4,449 | $7,882 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 40 | $185,508 | $19,674 | $40,812 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 39 | $27,868 | $2,714 | $6,131 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 31 | $72,022 | $9,515 | $15,845 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 29 | $76,985 | $12,805 | $16,937 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 27 | $325,616 | $44,782 | $71,635 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 25 | $103,314 | $11,979 | $22,729 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 23 | $293,237 | $39,799 | $64,512 | 7.80 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $60,145 | $5,474 | $13,232 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 21 | $101,248 | $21,844 | $22,275 | 3.46 |
| Chest painMS-DRG 313, medical | 21 | $34,891 | $3,994 | $7,676 | 0.72 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 20 | $81,693 | $14,598 | $17,973 | 2.28 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 19 | $68,390 | $11,244 | $15,046 | 1.83 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 18 | $214,565 | $28,863 | $47,204 | 5.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 18 | $208,235 | $22,621 | $45,812 | 4.04 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 18 | $36,338 | $6,199 | $7,994 | 0.97 |
| Hypertension with MCCMS-DRG 304, medical | 17 | $43,725 | $7,293 | $9,619 | 1.15 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 16 | $59,688 | $4,866 | $13,131 | 1.08 |
| Heart failure and shock with CCMS-DRG 292, medical | 16 | $39,413 | $5,006 | $8,671 | 0.86 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 14 | $276,362 | $32,900 | $60,800 | 5.24 |
| Other vascular procedures with CCMS-DRG 253, surgical | 13 | $175,704 | $15,166 | $38,655 | 2.55 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 13 | $183,484 | $19,054 | $40,366 | 2.97 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $295,364 | $34,919 | $64,980 | 5.20 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $54,742 | $10,244 | $12,043 | 1.58 |
Respiratory system605 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 126 | $53,033 | $7,945 | $11,667 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 121 | $70,810 | $10,327 | $15,578 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 73 | $34,672 | $4,676 | $7,628 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $50,786 | $7,874 | $11,173 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 48 | $43,034 | $5,751 | $9,467 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 45 | $53,065 | $6,792 | $11,674 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 29 | $67,879 | $8,383 | $14,933 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $107,032 | $15,067 | $23,547 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 24 | $32,216 | $5,148 | $7,088 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 23 | $36,611 | $4,401 | $8,054 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 20 | $139,704 | $16,238 | $30,735 | 2.55 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 19 | $47,975 | $5,343 | $10,555 | 0.96 |
Digestive system465 discharges in 13 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 | 107 | $37,573 | $4,320 | $8,266 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 85 | $46,888 | $5,969 | $10,315 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 40 | $103,787 | $13,443 | $22,833 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $88,353 | $11,068 | $19,438 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 31 | $50,438 | $7,700 | $11,096 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 27 | $155,142 | $27,535 | $34,131 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $31,760 | $4,614 | $6,987 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 24 | $21,076 | $2,880 | $4,637 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 24 | $38,995 | $5,638 | $8,579 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $64,228 | $10,655 | $14,130 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 18 | $42,414 | $6,265 | $9,331 | 1.04 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $96,303 | $8,757 | $21,187 | 1.67 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 12 | $31,224 | $3,533 | $6,869 | 0.63 |
Kidney and urinary tract436 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 121 | $34,472 | $4,887 | $7,584 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 81 | $43,071 | $5,385 | $9,476 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 74 | $46,198 | $7,208 | $10,164 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 45 | $51,710 | $9,436 | $11,376 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 45 | $47,214 | $9,958 | $10,387 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 28 | $37,387 | $6,347 | $8,225 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $59,244 | $8,081 | $13,034 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $85,130 | $15,575 | $18,729 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $44,024 | $4,968 | $9,685 | 1.05 |
Infectious and parasitic diseases407 discharges in 4 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 | 296 | $75,650 | $12,206 | $16,643 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 53 | $207,833 | $30,689 | $45,723 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 38 | $40,469 | $6,191 | $8,903 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $187,702 | $41,436 | $41,294 | 6.96 |
Musculoskeletal system and connective tissue374 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 62 | $103,251 | $11,384 | $22,715 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 53 | $40,095 | $5,586 | $8,821 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 52 | $97,393 | $12,900 | $21,426 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 49 | $103,152 | $12,965 | $22,693 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 20 | $26,889 | $4,137 | $5,916 | 0.79 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 19 | $204,216 | $26,381 | $44,927 | 4.61 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 16 | $78,121 | $9,712 | $17,187 | 1.59 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $175,653 | $20,153 | $38,644 | 3.66 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $183,115 | $16,749 | $40,285 | 2.67 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $119,717 | $19,017 | $26,338 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $57,467 | $7,115 | $12,643 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $36,789 | $5,099 | $8,094 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $159,177 | $20,963 | $35,019 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $73,206 | $8,370 | $16,105 | 1.70 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $209,230 | $33,118 | $46,031 | 6.12 |
Nervous system343 discharges in 14 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 | 60 | $49,421 | $6,119 | $10,873 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $83,042 | $12,267 | $18,269 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 34 | $52,724 | $8,321 | $11,599 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 26 | $49,099 | $4,602 | $10,802 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $49,927 | $6,027 | $10,984 | 1.06 |
| Seizures without MCCMS-DRG 101, medical | 23 | $55,144 | $5,244 | $12,132 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 22 | $83,018 | $11,861 | $18,264 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 20 | $41,641 | $3,635 | $9,161 | 0.69 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 19 | $49,874 | $6,157 | $10,972 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $95,352 | $10,062 | $20,977 | 1.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 13 | $78,442 | $6,981 | $17,257 | 1.14 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $63,086 | $11,622 | $13,879 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 12 | $49,352 | $5,671 | $10,857 | 1.03 |
| Headaches without MCCMS-DRG 103, medical | 11 | $36,859 | $4,345 | $8,109 | 0.84 |
Endocrine, nutritional and metabolic177 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 63 | $34,279 | $4,419 | $7,541 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 52 | $48,450 | $7,971 | $10,659 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $65,926 | $8,614 | $14,504 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 20 | $40,426 | $4,615 | $8,894 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 20 | $49,637 | $6,397 | $10,920 | 1.06 |
Liver, gallbladder and pancreas156 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 28 | $42,934 | $6,938 | $9,446 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 21 | $80,682 | $9,906 | $17,750 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 19 | $38,809 | $4,683 | $8,538 | 0.86 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 19 | $62,095 | $10,488 | $13,661 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 16 | $67,850 | $7,116 | $14,927 | 1.31 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $105,014 | $15,360 | $23,103 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 14 | $42,233 | $5,626 | $9,291 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $150,993 | $17,359 | $33,218 | 2.32 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 12 | $60,758 | $8,774 | $13,367 | 1.67 |
Skin, subcutaneous tissue and breast82 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 67 | $32,954 | $5,404 | $7,250 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $65,500 | $7,734 | $14,410 | 1.49 |
Blood and immune system75 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 | 35 | $39,257 | $5,575 | $8,637 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 29 | $53,028 | $9,086 | $11,666 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $39,207 | $9,897 | $8,626 | 1.56 |
Factors influencing health status33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 22 | $38,071 | $4,492 | $8,376 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 11 | $62,352 | $7,686 | $13,718 | 1.25 |
Other33 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 | 22 | $187,375 | $29,313 | $41,222 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $114,942 | $17,579 | $25,287 | 2.49 |
Ear, nose, mouth and throat19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 19 | $37,718 | $4,462 | $8,298 | 0.74 |
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 | $83,331 | $9,227 | $18,333 | 1.76 |
Injuries, poisonings and toxic effects of drugs14 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 | 14 | $76,448 | $9,612 | $16,818 | 1.60 |
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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 739 | 715 | $23,485 | $1,925 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 337 | 320 | $93,352 | $9,881 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 170 | 141 | $24,184 | $1,352 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 136 | 136 | $38,609 | $2,056 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 131 | 114 | $41,037 | $3,676 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 109 | 108 | $17,709 | $2,219 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 109 | 98 | $92,301 | $8,019 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 109 | 109 | $52,700 | $4,017 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 106 | 98 | $22,830 | $2,472 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 96 | 93 | $29,299 | $1,970 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 92 | 89 | $14,949 | $1,109 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 89 | 86 | $13,563 | $1,352 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 75 | 73 | $61,055 | $4,985 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 69 | 69 | $250,268 | $19,370 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 67 | 67 | $45,330 | $7,719 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 64 | 63 | $105,110 | $15,078 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 63 | 60 | $34,132 | $2,686 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 54 | 42 | $117,885 | $12,005 | $14,606 |
| Level 3 Urology and Related ServicesAPC 5373 | 49 | 40 | $18,945 | $1,457 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 41 | 41 | $30,297 | $2,477 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 39 | $6,876 | $1,140 | $1,204 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 40 | 36 | $43,381 | $4,303 | $4,524 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 39 | 39 | $57,474 | $4,665 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 38 | 38 | $29,763 | $6,074 | $6,514 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 38 | 38 | $82,266 | $7,613 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 34 | 33 | $52,127 | $3,972 | $4,338 |
| Level 5 Gynecologic ProceduresAPC 5415 | 31 | 31 | $40,544 | $3,331 | $3,792 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $29,696 | $2,161 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 27 | 26 | $147,787 | $25,493 | $26,719 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 26 | $10,491 | $1,151 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 24 | $38,004 | $2,316 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 19 | 19 | $26,769 | $2,681 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 18 | 18 | $14,862 | $2,016 | $2,176 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $154,734 | $27,842 | $29,375 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $89,107 | $15,838 | $17,052 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 13 | $14,312 | $1,215 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $43,255 | $4,900 | $5,183 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $38,584 | $3,934 | $3,946 |
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.