Barnes-Jewish Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Barnes-Jewish Hospital, Saint Louis, MO in 2024, from traditional Medicare claims. Back to the Barnes-Jewish Hospital profile, with quality ratings, finances and negotiated rates.
10,160
Medicare inpatient discharges
In 277 published DRGs
2.84
Case mix index
IPPS FY 2027
40%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
9,962
Medicare outpatient services
In 57 service groups
Inpatient stays by major diagnostic category
Circulatory system1,908 discharges in 44 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 273 | $63,751 | $12,227 | $17,340 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 116 | $32,609 | $6,044 | $8,870 | 0.74 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 108 | $354,558 | $75,698 | $96,440 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 94 | $128,789 | $21,932 | $35,031 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 77 | $100,807 | $20,997 | $27,420 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 74 | $179,862 | $40,845 | $48,923 | 4.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 68 | $246,845 | $49,399 | $67,142 | 5.24 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 59 | $22,345 | $4,433 | $6,078 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 51 | $221,388 | $54,746 | $60,217 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 51 | $75,460 | $13,725 | $20,525 | 1.59 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 50 | $241,439 | $53,213 | $65,671 | 5.06 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 49 | $60,094 | $11,078 | $16,346 | 1.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 48 | $106,484 | $21,843 | $28,964 | 2.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 47 | $143,192 | $32,770 | $38,948 | 3.35 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 45 | $118,146 | $25,747 | $32,136 | 3.24 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 43 | $142,597 | $28,250 | $38,786 | 3.46 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 42 | $208,264 | $34,734 | $56,648 | 4.04 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 42 | $57,193 | $8,913 | $15,556 | 0.97 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 37 | $265,394 | $52,513 | $72,187 | 5.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 37 | $57,091 | $8,823 | $15,529 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 37 | $42,925 | $9,016 | $11,676 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 35 | $157,765 | $25,500 | $42,912 | 2.87 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 34 | $178,141 | $34,098 | $48,454 | 4.16 |
| Syncope and collapseMS-DRG 312, medical | 31 | $40,452 | $7,704 | $11,003 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 30 | $103,980 | $14,718 | $28,283 | 1.82 |
| Aortic and heart assist procedures except pulsation balloon with MCCMS-DRG 268, surgical | 27 | $344,158 | $76,654 | $93,611 | 6.85 |
| Hypertension without MCCMS-DRG 305, medical | 26 | $35,466 | $6,226 | $9,647 | 0.75 |
| Heart failure and shock with CCMS-DRG 292, medical | 25 | $50,939 | $8,645 | $13,856 | 0.86 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 23 | $75,045 | $18,133 | $20,412 | 2.28 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 23 | $74,383 | $14,356 | $20,232 | 1.58 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 22 | $192,694 | $35,042 | $52,413 | 4.81 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $45,258 | $7,262 | $12,310 | 0.91 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 17 | $470,195 | $95,306 | $127,893 | 9.71 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 17 | $104,485 | $17,367 | $28,420 | 1.54 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 16 | $148,102 | $29,299 | $40,284 | 3.46 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 16 | $141,077 | $24,832 | $38,373 | 2.97 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 14 | $108,890 | $19,446 | $29,618 | 1.97 |
| Atherosclerosis without MCCMS-DRG 303, medical | 14 | $29,085 | $5,415 | $7,911 | 0.66 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $364,384 | $66,491 | $99,113 | 7.80 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 12 | $138,965 | $27,436 | $37,798 | 2.81 |
| Cardiac congenital and valvular disorders without MCCMS-DRG 307, medical | 12 | $45,127 | $8,622 | $12,274 | 0.94 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 11 | $119,952 | $28,983 | $32,627 | 3.27 |
| Other major cardiovascular procedures without cc/mccMS-DRG 272, surgical | 11 | $120,439 | $17,041 | $32,759 | 2.44 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 11 | $205,619 | $35,948 | $55,928 | 4.14 |
Musculoskeletal system and connective tissue1,132 discharges in 39 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 | 116 | $94,999 | $17,143 | $25,840 | 2.07 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 74 | $123,216 | $24,761 | $33,515 | 2.96 |
| Medical back problems without MCCMS-DRG 552, medical | 62 | $42,154 | $8,268 | $11,466 | 0.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 61 | $164,608 | $29,661 | $44,773 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 56 | $98,129 | $19,450 | $26,691 | 2.40 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 52 | $312,289 | $65,386 | $84,943 | 6.12 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 42 | $82,266 | $16,366 | $22,376 | 1.97 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 40 | $93,640 | $21,250 | $25,470 | 2.48 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 34 | $81,476 | $17,622 | $22,161 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 33 | $87,909 | $17,017 | $23,911 | 1.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 31 | $148,282 | $30,656 | $40,333 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 29 | $143,606 | $24,775 | $39,061 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 28 | $62,687 | $9,348 | $17,051 | 1.09 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 27 | $91,117 | $22,646 | $24,784 | 2.38 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 27 | $93,385 | $16,562 | $25,401 | 2.04 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 25 | $346,959 | $57,371 | $94,373 | 6.08 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 456, surgical | 24 | $445,292 | $91,486 | $121,119 | 8.43 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 23 | $125,062 | $17,552 | $34,017 | 1.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 23 | $35,815 | $7,471 | $9,742 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 22 | $38,756 | $6,938 | $10,542 | 0.79 |
| Medical back problems with MCCMS-DRG 551, medical | 22 | $58,990 | $14,357 | $16,045 | 1.70 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 21 | $455,852 | $98,518 | $123,992 | 8.86 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 21 | $103,487 | $23,760 | $28,148 | 3.00 |
| Biopsies of musculoskeletal system and connective tissue with MCCMS-DRG 477, surgical | 21 | $137,511 | $30,830 | $37,403 | 3.37 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 20 | $116,641 | $21,248 | $31,726 | 2.49 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 463, surgical | 17 | $192,335 | $39,447 | $52,315 | 5.66 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 17 | $71,297 | $15,441 | $19,393 | 1.87 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 17 | $64,376 | $12,939 | $17,510 | 1.49 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 16 | $158,794 | $33,889 | $43,192 | 3.46 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $154,778 | $36,611 | $42,100 | 4.61 |
| Soft tissue procedures with CCMS-DRG 501, surgical | 14 | $105,572 | $15,377 | $28,716 | 1.74 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 14 | $60,913 | $12,168 | $16,568 | 1.43 |
| Spinal fusion except cervical with MCCMS-DRG 459, surgical | 13 | $326,600 | $73,615 | $88,835 | 6.63 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 13 | $105,634 | $22,875 | $28,732 | 2.67 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $58,968 | $12,646 | $16,039 | 1.59 |
| Connective tissue disorders with CCMS-DRG 546, medical | 13 | $64,424 | $10,621 | $17,523 | 1.20 |
| Aftercare, musculoskeletal system and connective tissue with CCMS-DRG 560, medical | 13 | $37,768 | $9,093 | $10,273 | 1.13 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 12 | $34,907 | $8,707 | $9,495 | 0.82 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $134,037 | $28,519 | $36,458 | 2.99 |
Digestive system1,124 discharges in 27 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 113 | $81,610 | $18,994 | $22,198 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 84 | $36,875 | $6,041 | $10,030 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 77 | $75,769 | $11,677 | $20,609 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 75 | $179,364 | $42,529 | $48,787 | 4.52 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 67 | $89,594 | $20,167 | $24,370 | 2.50 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 67 | $59,871 | $12,427 | $16,285 | 1.60 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 56 | $48,221 | $8,675 | $13,116 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 51 | $82,757 | $17,001 | $22,510 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 51 | $84,934 | $14,889 | $23,102 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 50 | $42,062 | $8,563 | $11,441 | 0.94 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 48 | $183,842 | $49,683 | $50,005 | 5.08 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 42 | $39,295 | $7,091 | $10,688 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 34 | $53,022 | $11,938 | $14,422 | 1.67 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 34 | $70,899 | $16,833 | $19,285 | 2.11 |
| Digestive malignancy with MCCMS-DRG 374, medical | 34 | $111,865 | $20,161 | $30,427 | 2.10 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 31 | $73,525 | $14,013 | $19,999 | 1.75 |
| Hernia procedures except inguinal and femoral with CCMS-DRG 354, surgical | 29 | $62,703 | $12,327 | $17,055 | 1.72 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 27 | $47,464 | $11,189 | $12,910 | 1.45 |
| Digestive malignancy with CCMS-DRG 375, medical | 26 | $59,765 | $10,629 | $16,256 | 1.20 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 22 | $20,928 | $4,773 | $5,692 | 0.56 |
| Inflammatory bowel disease with MCCMS-DRG 385, medical | 19 | $68,752 | $16,153 | $18,700 | 1.57 |
| Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical | 17 | $49,477 | $10,893 | $13,458 | 1.36 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 17 | $198,543 | $50,418 | $54,004 | 4.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $53,750 | $9,315 | $14,620 | 1.04 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 14 | $111,592 | $14,566 | $30,353 | 1.95 |
| Peritoneal adhesiolysis with MCCMS-DRG 335, surgical | 11 | $221,200 | $34,689 | $60,166 | 3.58 |
| Peritoneal adhesiolysis without cc/mccMS-DRG 337, surgical | 11 | $76,285 | $10,599 | $20,749 | 1.50 |
Nervous system1,118 discharges in 31 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 138 | $210,809 | $39,696 | $57,340 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 94 | $96,241 | $18,007 | $26,178 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 73 | $66,718 | $8,732 | $18,147 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 72 | $40,463 | $11,231 | $11,006 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 57 | $194,813 | $48,631 | $52,989 | 5.67 |
| Seizures without MCCMS-DRG 101, medical | 52 | $38,283 | $6,758 | $10,413 | 0.91 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 47 | $101,659 | $19,409 | $27,651 | 2.43 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 44 | $51,833 | $10,909 | $14,099 | 1.32 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 43 | $113,220 | $14,102 | $30,796 | 1.47 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 39 | $132,670 | $25,577 | $36,086 | 2.95 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 39 | $49,450 | $11,679 | $13,450 | 1.36 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 35 | $81,649 | $19,347 | $22,209 | 2.39 |
| Seizures with MCCMS-DRG 100, medical | 35 | $113,418 | $17,602 | $30,850 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 33 | $65,943 | $14,835 | $17,937 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 32 | $50,121 | $8,889 | $13,633 | 1.03 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 28 | $39,351 | $8,466 | $10,703 | 1.03 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 26 | $145,265 | $26,396 | $39,512 | 3.79 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 26 | $87,516 | $20,011 | $23,804 | 2.28 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 24 | $105,396 | $20,119 | $28,668 | 2.27 |
| Extracranial procedures with CCMS-DRG 038, surgical | 21 | $72,023 | $13,606 | $19,590 | 1.60 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 19 | $81,419 | $14,384 | $22,146 | 1.62 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 19 | $83,405 | $18,041 | $22,686 | 2.23 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 18 | $102,436 | $17,827 | $27,863 | 2.15 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 17 | $44,733 | $7,929 | $12,167 | 1.06 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 16 | $107,747 | $14,818 | $29,307 | 1.51 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 13 | $54,393 | $9,536 | $14,795 | 1.14 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 12 | $372,050 | $77,289 | $101,197 | 8.45 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 12 | $126,603 | $34,876 | $34,436 | 3.85 |
| Nervous system neoplasms without MCCMS-DRG 055, medical | 12 | $76,268 | $8,353 | $20,745 | 1.07 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $99,698 | $15,558 | $27,118 | 1.79 |
| Headaches without MCCMS-DRG 103, medical | 11 | $49,721 | $6,881 | $13,524 | 0.84 |
Respiratory system879 discharges in 25 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 92 | $91,612 | $15,688 | $24,918 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 80 | $102,376 | $15,104 | $27,846 | 1.23 |
| Major chest procedures with CCMS-DRG 164, surgical | 77 | $80,159 | $19,587 | $21,803 | 2.55 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 57 | $83,840 | $17,838 | $22,804 | 1.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 51 | $83,047 | $13,479 | $22,589 | 1.33 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 44 | $107,671 | $16,349 | $29,286 | 1.74 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 41 | $122,819 | $25,673 | $33,407 | 2.70 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 37 | $123,585 | $20,383 | $33,615 | 1.90 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 33 | $50,076 | $8,164 | $13,621 | 0.99 |
| Major chest trauma with CCMS-DRG 184, medical | 33 | $52,499 | $9,108 | $14,280 | 1.05 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $46,955 | $9,268 | $12,772 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 32 | $101,306 | $15,546 | $27,555 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 29 | $44,740 | $6,369 | $12,169 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 28 | $303,297 | $65,682 | $82,497 | 6.91 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 26 | $69,239 | $7,457 | $18,833 | 0.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 25 | $178,518 | $44,826 | $48,557 | 4.71 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 24 | $57,883 | $14,654 | $15,744 | 1.88 |
| Major chest trauma with MCCMS-DRG 183, medical | 23 | $80,095 | $12,451 | $21,786 | 1.57 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 21 | $173,205 | $40,221 | $47,112 | 4.06 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 19 | $68,875 | $14,257 | $18,734 | 1.82 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 16 | $68,376 | $9,566 | $18,598 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $52,381 | $7,172 | $14,248 | 0.85 |
| Other respiratory system o.r. procedures without cc/mccMS-DRG 168, surgical | 15 | $49,840 | $10,707 | $13,556 | 1.36 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $43,100 | $6,768 | $11,723 | 0.82 |
| Pneumothorax with MCCMS-DRG 199, medical | 13 | $83,183 | $16,974 | $22,626 | 1.77 |
Kidney and urinary tract819 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 119 | $64,513 | $15,767 | $17,548 | 1.65 |
| Kidney transplantMS-DRG 652, surgical | 98 | $255,559 | $19,666 | $69,512 | 3.00 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 97 | $43,713 | $8,871 | $11,890 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 78 | $67,311 | $14,653 | $18,309 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 75 | $44,313 | $8,160 | $12,053 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 58 | $31,354 | $7,200 | $8,528 | 0.81 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 56 | $57,067 | $10,190 | $15,522 | 1.35 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $56,266 | $8,904 | $15,304 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 34 | $129,765 | $28,683 | $35,296 | 2.59 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 27 | $344,239 | $45,898 | $93,633 | 4.50 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 26 | $77,615 | $12,118 | $21,111 | 1.84 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 19 | $109,565 | $23,264 | $29,802 | 2.38 |
| Major bladder procedures with CCMS-DRG 654, surgical | 18 | $140,637 | $26,902 | $38,253 | 2.74 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $136,256 | $41,383 | $37,062 | 3.70 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 16 | $38,883 | $8,041 | $10,576 | 1.05 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 15 | $55,636 | $11,897 | $15,133 | 1.48 |
| Kidney transplant with hemodialysis without MCCMS-DRG 651, surgical | 13 | $299,565 | $22,873 | $81,482 | 3.46 |
| Kidney and ureter procedures for neoplasm with MCCMS-DRG 656, surgical | 12 | $143,555 | $28,696 | $39,047 | 3.14 |
Infectious and parasitic diseases761 discharges in 10 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 | 421 | $116,515 | $19,269 | $31,692 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 118 | $239,680 | $53,134 | $65,193 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 72 | $52,695 | $9,540 | $14,333 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 34 | $283,236 | $59,535 | $77,040 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 31 | $61,526 | $15,183 | $16,735 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 24 | $65,497 | $14,593 | $17,815 | 2.14 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 19 | $310,114 | $63,664 | $84,351 | 4.43 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 15 | $34,341 | $6,845 | $9,341 | 1.01 |
| Viral illness without MCCMS-DRG 866, medical | 14 | $38,476 | $5,802 | $10,466 | 0.92 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $73,626 | $17,875 | $20,026 | 2.04 |
Blood cancers and poorly differentiated neoplasms478 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 108 | $62,026 | $11,366 | $16,871 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 71 | $250,764 | $41,076 | $68,208 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 58 | $118,973 | $23,710 | $32,361 | 2.44 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 37 | $128,461 | $19,203 | $34,941 | 1.57 |
| Acute leukemia with MCCMS-DRG 834, medical | 35 | $340,219 | $68,144 | $92,539 | 5.60 |
| Chemotherapy with acute leukemia as secondary diagnosis with CC or high dose chemotherapMS-DRG 838, medical | 35 | $92,333 | $19,977 | $25,114 | 2.00 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 29 | $274,706 | $67,191 | $74,720 | 4.84 |
| Lymphoma and non-acute leukemia with other procedures with MCCMS-DRG 823, surgical | 27 | $266,149 | $47,767 | $72,392 | 4.50 |
| Chemotherapy with acute leukemia as secondary diagnosis without cc/mccMS-DRG 839, medical | 23 | $50,348 | $12,632 | $13,695 | 1.30 |
| Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wiMS-DRG 829, surgical | 15 | $82,941 | $23,613 | $22,560 | 3.15 |
| Lymphoma and non-acute leukemia with other procedures with CCMS-DRG 824, surgical | 14 | $222,421 | $32,099 | $60,499 | 2.23 |
| Acute leukemia with CCMS-DRG 835, medical | 14 | $168,213 | $26,563 | $45,754 | 2.24 |
| Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcMS-DRG 843, medical | 12 | $99,305 | $17,272 | $27,011 | 1.86 |
Liver, gallbladder and pancreas335 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 51 | $75,570 | $15,488 | $20,555 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 42 | $108,117 | $17,810 | $29,408 | 1.76 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 38 | $93,042 | $23,477 | $25,307 | 2.89 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 35 | $93,417 | $17,960 | $25,409 | 1.92 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 32 | $66,113 | $13,489 | $17,983 | 1.63 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 24 | $181,693 | $40,287 | $49,420 | 5.51 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 23 | $52,172 | $9,909 | $14,191 | 1.09 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 22 | $63,078 | $7,240 | $17,157 | 0.95 |
| Pancreas, liver and shunt procedures without cc/mccMS-DRG 407, surgical | 18 | $93,382 | $18,221 | $25,400 | 2.15 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 14 | $79,503 | $11,478 | $21,625 | 1.10 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 13 | $49,684 | $12,459 | $13,514 | 1.67 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 12 | $58,012 | $9,695 | $15,779 | 1.03 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $61,299 | $7,845 | $16,673 | 0.86 |
Transplants, ECMO and tracheostomy (pre-MDC)317 discharges in 10 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 | 60 | $826,674 | $200,199 | $224,855 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 47 | $1,176,730 | $286,466 | $320,071 | 27.10 |
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 46 | $256,794 | $56,347 | $69,848 | 6.18 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 45 | $1,704,939 | $399,444 | $463,743 | 36.84 |
| Liver transplant with MCC or intestinal transplantMS-DRG 005, surgical | 30 | $522,096 | $102,130 | $142,010 | 10.35 |
| Allogeneic bone marrow transplantMS-DRG 014, medical | 23 | $452,295 | $121,078 | $123,024 | 11.46 |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy with CCMS-DRG 012, surgical | 20 | $142,040 | $31,557 | $38,635 | 4.00 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 17 | $588,704 | $142,774 | $160,128 | 14.70 |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy with MCCMS-DRG 011, surgical | 15 | $211,851 | $50,112 | $57,623 | 5.16 |
| Lung transplantMS-DRG 007, surgical | 14 | $618,478 | $119,944 | $168,226 | 12.27 |
Blood and immune system236 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 105 | $32,412 | $8,275 | $8,816 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 35 | $65,615 | $13,797 | $17,847 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 29 | $102,452 | $13,017 | $27,867 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 28 | $132,317 | $20,664 | $35,990 | 2.19 |
| Coagulation disordersMS-DRG 813, medical | 22 | $201,475 | $54,703 | $54,801 | 1.56 |
| Reticuloendothelial and immunity disorders with MCCMS-DRG 814, medical | 17 | $147,843 | $22,925 | $40,213 | 2.13 |
Endocrine, nutritional and metabolic234 discharges in 8 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 | 70 | $59,794 | $10,729 | $16,264 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 51 | $35,065 | $6,746 | $9,538 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 27 | $93,703 | $11,560 | $25,487 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 25 | $40,748 | $7,767 | $11,083 | 0.90 |
| Thyroid, parathyroid and thyroglossal procedures with CCMS-DRG 626, surgical | 18 | $62,419 | $12,994 | $16,978 | 1.49 |
| Endocrine disorders with MCCMS-DRG 643, medical | 16 | $90,138 | $15,688 | $24,518 | 1.65 |
| Adrenal and pituitary procedures with cc/mccMS-DRG 614, surgical | 14 | $108,501 | $20,022 | $29,512 | 2.25 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $51,682 | $8,100 | $14,057 | 1.06 |
Mental diseases and disorders198 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 167 | $70,766 | $12,510 | $19,248 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 31 | $77,327 | $19,167 | $21,033 | 1.76 |
Injuries, poisonings and toxic effects of drugs158 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 57 | $82,689 | $16,970 | $22,491 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 36 | $57,479 | $9,120 | $15,634 | 1.03 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 26 | $181,272 | $39,498 | $49,306 | 3.72 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 24 | $107,272 | $20,688 | $29,178 | 2.00 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 15 | $104,717 | $16,704 | $28,483 | 1.60 |
Skin, subcutaneous tissue and breast138 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 56 | $37,914 | $7,744 | $10,312 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 23 | $58,636 | $12,384 | $15,949 | 1.49 |
| Minor skin disorders without MCCMS-DRG 607, medical | 17 | $38,103 | $7,268 | $10,364 | 0.89 |
| Skin graft except for skin ulcer or cellulitis with CCMS-DRG 577, surgical | 15 | $112,620 | $19,023 | $30,633 | 2.65 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 15 | $71,177 | $15,423 | $19,360 | 1.75 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 12 | $31,715 | $7,396 | $8,626 | 0.91 |
Ear, nose, mouth and throat90 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 35 | $83,612 | $15,835 | $22,742 | 2.07 |
| Major head and neck procedures without cc/mccMS-DRG 142, surgical | 17 | $63,637 | $12,786 | $17,309 | 1.54 |
| Dental and oral diseases with CCMS-DRG 158, medical | 15 | $46,872 | $7,259 | $12,749 | 0.94 |
| Ear, nose, mouth and throat malignancy with MCCMS-DRG 146, medical | 12 | $79,309 | $18,978 | $21,572 | 2.11 |
| Other ear, nose, mouth and throat o.r. procedures without cc/mccMS-DRG 145, surgical | 11 | $48,671 | $7,434 | $13,239 | 1.22 |
Other74 discharges in 4 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 | 30 | $259,690 | $49,361 | $70,636 | 4.74 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 16 | $148,606 | $25,629 | $40,421 | 3.38 |
| Multiple level combined anterior and posterior spinal fusion except cervical with MCC orMS-DRG 426 | 14 | $443,225 | $105,212 | $120,557 | |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 14 | $105,881 | $22,732 | $28,800 | 2.49 |
Female reproductive system59 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for ovarian or adnexal malignancy with CCMS-DRG 737, surgical | 20 | $102,750 | $17,221 | $27,948 | 1.97 |
| Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with CCMS-DRG 740, surgical | 14 | $88,268 | $13,206 | $24,009 | 1.79 |
| D&c, conization, laparoscopy and tubal interruption with cc/mccMS-DRG 744, surgical | 13 | $120,223 | $14,535 | $32,701 | 1.88 |
| Uterine and adnexa procedures for non-malignancy with cc/mccMS-DRG 742, surgical | 12 | $73,857 | $14,114 | $20,089 | 1.78 |
Multiple significant trauma42 discharges in 3 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 | $231,445 | $49,488 | $62,953 | 3.88 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 13 | $147,947 | $28,796 | $40,241 | 2.73 |
| Other multiple significant trauma with CCMS-DRG 964, medical | 13 | $39,993 | $12,902 | $10,878 | 1.50 |
Alcohol and drug use25 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 without MCCMS-DRG 897, medical | 13 | $43,168 | $7,513 | $11,742 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 12 | $62,736 | $14,902 | $17,064 | 1.78 |
Factors influencing health status24 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 | 24 | $48,716 | $8,100 | $13,251 | 0.80 |
Eye11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of the eye without MCCMS-DRG 125, medical | 11 | $40,492 | $7,322 | $11,014 | 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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 851 | 800 | $11,907 | $1,114 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 659 | 481 | $11,351 | $1,634 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 606 | 480 | $9,289 | $1,321 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 526 | 494 | $14,352 | $2,220 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 442 | 388 | $20,240 | $1,868 | $2,141 |
| Level 4 Airway EndoscopyAPC 5154 | 365 | 280 | $14,697 | $2,588 | $2,833 |
| Level 1 Nerve ProceduresAPC 5431 | 360 | 337 | $16,859 | $1,341 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 345 | 291 | $18,818 | $2,806 | $3,116 |
| Level 3 Urology and Related ServicesAPC 5373 | 330 | 164 | $11,577 | $1,365 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 328 | 321 | $19,040 | $2,026 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 309 | 279 | $15,152 | $1,889 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 293 | 282 | $35,807 | $4,911 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 270 | 231 | $53,017 | $8,034 | $8,874 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 242 | 238 | $45,639 | $7,368 | $8,164 |
| Level 4 Vascular ProceduresAPC 5184 | 238 | 202 | $42,043 | $3,389 | $3,946 |
| Complex GI ProceduresAPC 5331 | 225 | 133 | $18,691 | $3,267 | $4,263 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 214 | 208 | $14,098 | $1,657 | $1,780 |
| Level 4 Urology and Related ServicesAPC 5374 | 209 | 174 | $19,743 | $2,376 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 202 | 200 | $32,041 | $3,948 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 199 | 190 | $20,049 | $2,155 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 175 | 166 | $39,850 | $3,522 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 159 | 138 | $9,525 | $1,128 | $1,204 |
| Level 5 ENT ProceduresAPC 5165 | 153 | 150 | $32,264 | $4,070 | $4,436 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 138 | 138 | $58,774 | $9,699 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 131 | 127 | $9,874 | $1,128 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 125 | 115 | $83,820 | $13,720 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 112 | 88 | $16,184 | $2,407 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 110 | 93 | $29,891 | $3,902 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 108 | 106 | $69,034 | $14,228 | $15,763 |
| Level 3 Upper GI ProceduresAPC 5303 | 108 | 93 | $14,850 | $2,612 | $2,888 |
| Level 7 Radiation TherapyAPC 5627 | 101 | 92 | $84,753 | $5,522 | $6,121 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 99 | 99 | $122,870 | $19,253 | $21,117 |
| Level 4 Gynecologic ProceduresAPC 5414 | 96 | 94 | $18,377 | $2,170 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 89 | 86 | $35,747 | $4,416 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 88 | 81 | $24,408 | $2,605 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 78 | 76 | $11,170 | $2,007 | $2,176 |
| Level 3 Airway EndoscopyAPC 5153 | 77 | 68 | $11,275 | $1,175 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 74 | 73 | $26,211 | $4,851 | $5,183 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 66 | 66 | $115,027 | $25,138 | $26,719 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 65 | 46 | $26,656 | $4,246 | $4,524 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 64 | 64 | $32,129 | $7,619 | $8,569 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 53 | 53 | $80,571 | $17,454 | $18,465 |
| Level 3 Intraocular ProceduresAPC 5493 | 53 | 46 | $24,062 | $3,635 | $4,004 |
| Level 5 Gynecologic ProceduresAPC 5415 | 51 | 40 | $44,443 | $3,527 | $3,792 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 51 | 47 | $23,385 | $2,580 | $2,969 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 47 | 47 | $105,734 | $26,974 | $29,375 |
| Level 4 ENT ProceduresAPC 5164 | 40 | 28 | $17,843 | $1,484 | $2,217 |
| Level 2 Nerve ProceduresAPC 5432 | 39 | 36 | $44,077 | $4,127 | $4,674 |
| Level 8 Urology and Related ServicesAPC 5378 | 32 | 32 | $50,193 | $15,771 | $17,428 |
| Level 6 Gynecologic ProceduresAPC 5416 | 31 | 31 | $52,978 | $5,357 | $5,836 |
| Level 2 Urology and Related ServicesAPC 5372 | 27 | 20 | $4,784 | $465 | $502 |
| Level 6 Urology and Related ServicesAPC 5376 | 25 | 25 | $46,202 | $6,566 | $7,291 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 23 | $28,271 | $5,772 | $6,514 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 18 | 18 | $66,769 | $18,221 | $21,011 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 16 | 16 | $49,586 | $6,334 | $7,546 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $63,676 | $15,671 | $17,052 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 12 | 12 | $22,973 | $2,413 | $2,547 |
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.