Beth Israel Deaconess Hospital Plymouth Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Beth Israel Deaconess Hospital Plymouth, Plymouth, MA in 2024, from traditional Medicare claims. Back to the Beth Israel Deaconess Hospital Plymouth profile, with quality ratings, finances and negotiated rates.
5,124
Medicare inpatient discharges
In 123 published DRGs
1.51
Case mix index
IPPS FY 2027
12%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,672
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Circulatory system1,024 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 | 237 | $21,191 | $9,182 | $10,045 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 129 | $27,320 | $11,589 | $12,950 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 84 | $14,252 | $5,071 | $6,756 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 78 | $12,296 | $5,976 | $5,829 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 64 | $20,884 | $6,119 | $9,899 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 59 | $22,526 | $7,709 | $10,677 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 50 | $35,263 | $15,684 | $16,715 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 36 | $29,676 | $15,992 | $14,066 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $16,285 | $9,124 | $7,719 | 1.20 |
| Hypertension without MCCMS-DRG 305, medical | 28 | $12,272 | $5,068 | $5,817 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $51,878 | $12,405 | $24,590 | 1.82 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 24 | $17,760 | $4,679 | $8,418 | 0.72 |
| Chest painMS-DRG 313, medical | 23 | $10,986 | $4,841 | $5,207 | 0.72 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $10,552 | $3,243 | $5,002 | 0.55 |
| Other vascular procedures with CCMS-DRG 253, surgical | 18 | $56,664 | $19,923 | $26,859 | 2.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $65,454 | $21,651 | $31,025 | 2.87 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 17 | $15,894 | $6,744 | $7,534 | 0.97 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $12,583 | $7,381 | $5,964 | 1.07 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 13 | $33,361 | $14,281 | $15,813 | 1.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $77,504 | $16,543 | $36,737 | 2.28 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $23,653 | $11,472 | $11,211 | 1.58 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $105,809 | $26,881 | $50,153 | 3.46 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 11 | $28,380 | $11,870 | $13,452 | 1.54 |
Infectious and parasitic diseases806 discharges in 6 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 | 606 | $31,916 | $14,632 | $15,128 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 99 | $16,300 | $6,973 | $7,726 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 55 | $72,158 | $35,621 | $34,203 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $35,637 | $13,605 | $16,892 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $142,230 | $58,441 | $67,417 | 6.96 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 11 | $14,111 | $7,736 | $6,688 | 1.01 |
Respiratory system689 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 191 | $29,255 | $12,313 | $13,867 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 111 | $24,393 | $9,202 | $11,562 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $25,659 | $9,295 | $12,162 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 50 | $14,684 | $5,308 | $6,960 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 45 | $17,890 | $6,607 | $8,480 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 43 | $22,560 | $7,246 | $10,694 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 39 | $21,141 | $10,283 | $10,021 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 33 | $20,649 | $5,999 | $9,788 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 23 | $14,686 | $5,628 | $6,961 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 19 | $22,512 | $6,718 | $10,671 | 0.96 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 14 | $37,659 | $14,010 | $17,850 | 1.81 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 13 | $15,740 | $12,456 | $7,461 | 1.90 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $59,065 | $16,174 | $27,997 | 2.55 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 12 | $30,522 | $13,550 | $14,467 | 1.74 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $16,394 | $6,763 | $7,771 | 1.05 |
Digestive system557 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 | 160 | $12,393 | $5,289 | $5,874 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 79 | $17,445 | $6,755 | $8,269 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 61 | $19,171 | $9,461 | $9,087 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 58 | $34,545 | $13,059 | $16,375 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 40 | $14,241 | $6,570 | $6,750 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 38 | $14,196 | $5,032 | $6,729 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 27 | $50,706 | $15,311 | $24,035 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $29,638 | $12,252 | $14,048 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $101,215 | $36,813 | $47,976 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $16,310 | $6,841 | $7,731 | 1.04 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $26,757 | $16,374 | $12,683 | 2.10 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $53,503 | $12,104 | $25,360 | 1.67 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $22,124 | $8,687 | $10,487 | 1.20 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $18,066 | $10,563 | $8,563 | 1.45 |
Musculoskeletal system and connective tissue531 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 | 157 | $40,803 | $13,742 | $19,341 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 57 | $14,245 | $6,743 | $6,752 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 49 | $14,880 | $7,274 | $7,053 | 1.09 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 47 | $40,015 | $15,096 | $18,967 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 32 | $21,827 | $12,781 | $10,346 | 1.82 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 25 | $55,175 | $21,840 | $26,153 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 23 | $66,043 | $24,196 | $31,305 | 2.99 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $49,949 | $15,484 | $23,676 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 23 | $11,384 | $5,908 | $5,396 | 0.90 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 22 | $78,389 | $35,603 | $37,156 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 17 | $91,858 | $47,776 | $43,541 | 6.12 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 17 | $13,561 | $6,077 | $6,428 | 0.82 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $22,872 | $11,936 | $10,841 | 1.70 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 13 | $36,305 | $17,674 | $17,208 | 2.49 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 12 | $57,557 | $19,246 | $27,282 | 2.48 |
Kidney and urinary tract444 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 101 | $14,624 | $8,364 | $6,932 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 80 | $22,402 | $11,747 | $10,618 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 74 | $11,892 | $5,381 | $5,637 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 71 | $10,716 | $6,216 | $5,079 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 48 | $23,368 | $10,188 | $11,076 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 28 | $11,448 | $6,804 | $5,426 | 1.02 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 17 | $21,041 | $7,119 | $9,973 | 1.05 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 13 | $38,555 | $17,420 | $18,275 | 2.59 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $25,557 | $10,047 | $12,114 | 1.35 |
Nervous system374 discharges in 12 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 | $20,795 | $6,989 | $9,857 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 40 | $13,741 | $8,596 | $6,513 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 40 | $29,413 | $14,633 | $13,942 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 36 | $15,819 | $5,383 | $7,498 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 35 | $17,024 | $7,464 | $8,069 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 30 | $28,076 | $12,581 | $13,308 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 28 | $23,581 | $15,793 | $11,177 | 2.39 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 26 | $37,384 | $17,106 | $17,720 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 25 | $21,864 | $14,721 | $10,364 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 20 | $14,354 | $6,142 | $6,804 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $14,648 | $6,868 | $6,943 | 1.06 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $17,994 | $4,238 | $8,529 | 0.69 |
Endocrine, nutritional and metabolic206 discharges in 6 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 | 64 | $11,101 | $5,019 | $5,262 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 49 | $21,386 | $9,590 | $10,137 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 33 | $16,086 | $6,165 | $7,625 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 23 | $14,903 | $7,372 | $7,064 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $22,239 | $9,811 | $10,541 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $18,887 | $11,955 | $8,952 | 1.65 |
Liver, gallbladder and pancreas128 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 | 23 | $21,403 | $7,872 | $10,145 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 18 | $20,007 | $5,610 | $9,483 | 0.86 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 15 | $19,594 | $12,580 | $9,287 | 1.76 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 13 | $28,671 | $14,583 | $13,590 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $28,995 | $14,448 | $13,743 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $45,805 | $11,445 | $21,712 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $27,747 | $12,413 | $13,152 | 1.63 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $11,251 | $7,680 | $5,333 | 1.03 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 11 | $19,737 | $5,174 | $9,355 | 0.80 |
Skin, subcutaneous tissue and breast91 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 72 | $10,787 | $5,647 | $5,113 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $19,137 | $11,042 | $9,071 | 1.49 |
Blood and immune system86 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 47 | $17,130 | $12,050 | $8,120 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 26 | $17,279 | $6,429 | $8,190 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $20,161 | $10,127 | $9,556 | 1.40 |
Alcohol and drug use58 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 | 34 | $15,945 | $5,677 | $7,558 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 24 | $29,309 | $13,367 | $13,892 | 1.78 |
Mental diseases and disorders51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 31 | $24,408 | $12,048 | $11,569 | 1.76 |
| PsychosesMS-DRG 885, medical | 20 | $17,565 | $10,176 | $8,326 | 1.37 |
Factors influencing health status32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 19 | $14,997 | $4,194 | $7,109 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $11,860 | $5,512 | $5,622 | 0.80 |
Ear, nose, mouth and throat20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 20 | $14,069 | $4,724 | $6,669 | 0.74 |
Injuries, poisonings and toxic effects of drugs16 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 | 16 | $28,987 | $11,266 | $13,740 | 1.60 |
Other11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $37,367 | $17,476 | $17,712 | 2.49 |
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 | 1,230 | 1,078 | $9,505 | $2,335 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 371 | 356 | $37,513 | $12,443 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 202 | 180 | $5,563 | $1,634 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 186 | 185 | $11,757 | $2,514 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 185 | 164 | $8,479 | $1,605 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 167 | 166 | $23,225 | $6,121 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 157 | 126 | $12,900 | $2,962 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 152 | 144 | $15,710 | $4,427 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 119 | 116 | $12,539 | $2,768 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 102 | 101 | $19,775 | $4,889 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 101 | 94 | $8,984 | $1,339 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 79 | 78 | $12,959 | $2,691 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 69 | $6,470 | $1,381 | $1,220 |
| Level 3 Lower GI ProceduresAPC 5313 | 50 | 49 | $9,793 | $2,379 | $2,176 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 49 | 49 | $12,283 | $2,431 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 43 | $16,332 | $2,960 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 38 | $4,940 | $1,370 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 38 | 38 | $52,634 | $18,334 | $15,763 |
| Level 6 Urology and Related ServicesAPC 5376 | 38 | 37 | $21,611 | $8,254 | $7,291 |
| Level 5 Gynecologic ProceduresAPC 5415 | 35 | 34 | $22,380 | $4,256 | $3,792 |
| Level 3 Endovascular ProceduresAPC 5193 | 30 | 29 | $38,790 | $10,167 | $8,874 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $13,072 | $2,675 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 27 | $12,503 | $3,262 | $2,930 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 24 | $20,692 | $7,488 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $67,102 | $9,822 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 22 | $17,534 | $4,891 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 19 | $11,231 | $1,733 | $1,516 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 18 | 18 | $21,863 | $5,580 | $4,982 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 15 | 15 | $97,647 | $31,609 | $26,719 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $7,577 | $1,452 | $1,264 |
| Level 3 Upper GI ProceduresAPC 5303 | 13 | 12 | $13,641 | $3,277 | $2,888 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | $20,702 | $4,702 | $3,946 | |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | 11 | $11,917 | $5,841 | $4,524 |
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.