Brigham And Womens Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Brigham And Womens Hospital, Boston, MA in 2024, from traditional Medicare claims. Back to the Brigham And Womens Hospital profile, with quality ratings, finances and negotiated rates.
11,164
Medicare inpatient discharges
In 270 published DRGs
2.79
Case mix index
IPPS FY 2027
42%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
11,182
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system2,441 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 | 309 | $94,327 | $14,053 | $24,148 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 185 | $140,885 | $51,021 | $36,067 | 4.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 158 | $327,057 | $78,856 | $83,727 | 7.71 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 134 | $106,478 | $34,385 | $27,258 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 120 | $194,760 | $28,624 | $49,859 | 2.16 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 98 | $265,531 | $58,181 | $67,976 | 5.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 96 | $113,770 | $17,318 | $29,125 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 91 | $152,395 | $27,997 | $39,013 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 90 | $283,730 | $73,537 | $72,635 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 89 | $40,016 | $6,766 | $10,244 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 81 | $177,755 | $31,528 | $45,505 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 71 | $112,019 | $18,723 | $28,677 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 69 | $96,796 | $10,425 | $24,780 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 63 | $90,135 | $13,655 | $23,075 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 58 | $53,132 | $8,606 | $13,602 | 0.86 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 44 | $76,688 | $9,685 | $19,632 | 0.97 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 41 | $65,390 | $9,213 | $16,740 | 0.91 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 40 | $350,100 | $66,466 | $89,626 | 7.80 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 40 | $129,497 | $19,840 | $33,151 | 1.58 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 38 | $227,800 | $55,318 | $58,317 | 5.04 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 38 | $89,514 | $24,391 | $22,916 | 2.28 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 37 | $113,928 | $34,622 | $29,166 | 3.18 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 37 | $44,216 | $10,603 | $11,319 | 1.07 |
| Other heart assist system implantMS-DRG 215, surgical | 36 | $375,973 | $115,340 | $96,249 | 10.21 |
| Other vascular procedures with CCMS-DRG 253, surgical | 33 | $164,245 | $28,180 | $42,047 | 2.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 31 | $231,475 | $41,544 | $59,258 | 3.35 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 27 | $196,616 | $44,077 | $50,334 | 3.90 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 26 | $455,017 | $110,720 | $116,484 | 9.71 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 26 | $374,470 | $68,771 | $95,864 | 5.06 |
| Atherosclerosis without MCCMS-DRG 303, medical | 22 | $45,967 | $5,190 | $11,768 | 0.66 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $48,468 | $6,960 | $12,408 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $153,155 | $38,124 | $39,208 | 3.46 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $169,488 | $33,614 | $43,389 | 3.46 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 18 | $299,740 | $70,338 | $76,734 | 6.21 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 17 | $201,512 | $48,075 | $51,587 | 4.78 |
| Heart failure and shock with CCMS-DRG 292, medical | 17 | $50,365 | $8,131 | $12,894 | 0.86 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 14 | $103,034 | $16,738 | $26,377 | 1.54 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 13 | $372,484 | $71,076 | $95,356 | 4.81 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 13 | $213,585 | $39,733 | $54,678 | 3.27 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $50,140 | $12,393 | $12,836 | 1.15 |
| Chest painMS-DRG 313, medical | 13 | $54,093 | $5,970 | $13,848 | 0.72 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $172,222 | $41,091 | $44,089 | 4.16 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 12 | $130,384 | $21,986 | $33,378 | 1.97 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 11 | $146,852 | $29,496 | $37,594 | 2.97 |
Respiratory system1,313 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 216 | $104,573 | $18,553 | $26,771 | 1.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 178 | $114,103 | $25,262 | $29,210 | 2.55 |
| Major chest procedures with MCCMS-DRG 163, surgical | 97 | $231,951 | $50,193 | $59,379 | 4.71 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 90 | $77,969 | $13,117 | $19,960 | 1.33 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 89 | $93,507 | $18,460 | $23,938 | 1.88 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 77 | $145,141 | $29,905 | $37,156 | 1.81 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 61 | $104,689 | $18,314 | $26,800 | 1.74 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 52 | $60,388 | $9,439 | $15,459 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 44 | $52,425 | $7,188 | $13,421 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 42 | $47,827 | $8,818 | $12,244 | 1.05 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 41 | $89,340 | $14,832 | $22,871 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 38 | $77,445 | $11,302 | $19,826 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $93,858 | $13,127 | $24,028 | 1.23 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 28 | $49,453 | $9,276 | $12,660 | 0.91 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $208,969 | $36,730 | $53,496 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 25 | $47,649 | $7,688 | $12,198 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 25 | $124,208 | $21,011 | $31,797 | 1.90 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 24 | $68,166 | $11,026 | $17,450 | 1.10 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 21 | $160,746 | $38,576 | $41,151 | 4.06 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 20 | $51,155 | $9,401 | $13,096 | 0.96 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 19 | $111,583 | $20,257 | $28,565 | 1.82 |
| Major chest trauma with MCCMS-DRG 183, medical | 18 | $65,775 | $15,718 | $16,838 | 1.57 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 15 | $45,567 | $8,223 | $11,665 | 0.85 |
| Pneumothorax with MCCMS-DRG 199, medical | 15 | $98,619 | $17,463 | $25,246 | 1.77 |
| Pleural effusion with MCCMS-DRG 186, medical | 12 | $87,280 | $16,640 | $22,344 | 1.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $455,448 | $80,281 | $116,595 | 6.91 |
Digestive system1,302 discharges in 26 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 | 127 | $107,510 | $22,811 | $27,522 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 114 | $47,996 | $7,393 | $12,287 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 103 | $72,854 | $13,626 | $18,651 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 96 | $85,738 | $17,640 | $21,949 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 92 | $50,178 | $8,990 | $12,846 | 0.94 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 75 | $117,687 | $21,003 | $30,128 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 69 | $53,958 | $9,784 | $13,813 | 0.98 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 64 | $154,583 | $24,462 | $39,573 | 2.50 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 60 | $170,485 | $40,204 | $43,644 | 4.52 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 57 | $252,495 | $56,033 | $64,639 | 5.08 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 53 | $106,783 | $15,044 | $27,337 | 1.45 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 52 | $41,725 | $7,818 | $10,682 | 0.80 |
| Digestive malignancy with MCCMS-DRG 374, medical | 49 | $103,586 | $22,515 | $26,518 | 2.10 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 40 | $73,418 | $16,172 | $18,795 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 39 | $91,478 | $17,454 | $23,418 | 1.75 |
| Digestive malignancy with CCMS-DRG 375, medical | 34 | $49,489 | $11,090 | $12,669 | 1.20 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 27 | $95,807 | $14,713 | $24,527 | 1.60 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 26 | $63,303 | $10,732 | $16,206 | 1.04 |
| Hernia procedures except inguinal and femoral with CCMS-DRG 354, surgical | 22 | $84,486 | $15,845 | $21,628 | 1.72 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 20 | $213,722 | $48,011 | $54,713 | 4.28 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 17 | $119,434 | $19,401 | $30,575 | 2.11 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 14 | $131,370 | $22,964 | $33,631 | 1.95 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $24,260 | $4,940 | $6,210 | 0.56 |
| Peritoneal adhesiolysis with MCCMS-DRG 335, surgical | 13 | $182,531 | $36,400 | $46,728 | 3.58 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 13 | $83,980 | $17,864 | $21,499 | 1.65 |
| Other digestive system o.r. procedures with CCMS-DRG 357, surgical | 12 | $127,249 | $20,733 | $32,576 | 2.20 |
Musculoskeletal system and connective tissue1,287 discharges in 37 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 | 167 | $85,392 | $18,670 | $21,860 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 121 | $124,550 | $36,003 | $31,885 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 102 | $116,551 | $21,295 | $29,837 | 2.07 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 88 | $168,552 | $60,311 | $43,149 | 6.12 |
| Medical back problems without MCCMS-DRG 552, medical | 60 | $50,102 | $9,338 | $12,826 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 55 | $140,722 | $35,081 | $36,025 | 3.49 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 51 | $129,644 | $28,613 | $33,189 | 2.96 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 51 | $64,922 | $10,841 | $16,620 | 1.09 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 47 | $174,108 | $31,654 | $44,572 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 34 | $117,020 | $21,259 | $29,957 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 34 | $119,400 | $18,806 | $30,566 | 1.82 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 33 | $107,722 | $19,928 | $27,577 | 1.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 30 | $121,340 | $47,367 | $31,063 | 4.61 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 28 | $166,059 | $60,483 | $42,511 | 6.08 |
| Medical back problems with MCCMS-DRG 551, medical | 28 | $135,697 | $24,264 | $34,738 | 1.70 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 27 | $125,325 | $24,011 | $32,083 | 2.40 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 25 | $44,119 | $7,975 | $11,295 | 0.82 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 23 | $209,244 | $44,403 | $53,566 | 2.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $92,539 | $26,817 | $23,690 | 2.67 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 20 | $176,658 | $32,122 | $45,224 | 3.00 |
| Spinal fusion except cervical with MCCMS-DRG 459, surgical | 19 | $153,791 | $56,152 | $39,370 | 6.63 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $186,178 | $33,475 | $47,662 | 2.99 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 16 | $166,065 | $45,889 | $42,513 | 5.19 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 16 | $80,632 | $13,222 | $20,642 | 1.49 |
| Cervical spinal fusion with MCCMS-DRG 471, surgical | 15 | $205,417 | $56,276 | $52,587 | 4.92 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 14 | $227,274 | $88,490 | $58,182 | 8.86 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 14 | $162,732 | $34,466 | $41,659 | 3.33 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $87,143 | $16,211 | $22,309 | 1.59 |
| Connective tissue disorders with CCMS-DRG 546, medical | 14 | $76,326 | $10,489 | $19,540 | 1.20 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $120,968 | $26,748 | $30,968 | 2.48 |
| Soft tissue procedures with CCMS-DRG 501, surgical | 13 | $134,780 | $20,603 | $34,504 | 1.74 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 13 | $179,663 | $31,051 | $45,994 | 3.16 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $92,143 | $19,195 | $23,589 | 2.04 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 13 | $66,486 | $14,435 | $17,020 | 1.43 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $43,507 | $8,639 | $11,138 | 0.90 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 463, surgical | 11 | $248,090 | $62,098 | $63,511 | 5.66 |
| Back and neck procedures except spinal fusion with MCC or disc device or neurostimulatorMS-DRG 518, surgical | 11 | $224,896 | $44,769 | $57,573 | 3.65 |
Nervous system1,160 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 | 174 | $195,745 | $43,610 | $50,111 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 137 | $101,775 | $21,220 | $26,054 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 64 | $64,411 | $10,052 | $16,489 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 61 | $202,088 | $57,502 | $51,735 | 5.67 |
| Seizures with MCCMS-DRG 100, medical | 56 | $123,268 | $22,604 | $31,557 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 54 | $83,076 | $15,061 | $21,268 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 49 | $80,363 | $17,534 | $20,573 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 48 | $65,296 | $10,382 | $16,716 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 47 | $66,538 | $9,099 | $17,034 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 46 | $113,787 | $18,321 | $29,130 | 1.47 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 40 | $108,420 | $25,077 | $27,756 | 2.43 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 36 | $136,078 | $30,673 | $34,836 | 2.95 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 33 | $93,002 | $23,833 | $23,809 | 2.39 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 32 | $139,108 | $33,421 | $35,612 | 2.28 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 29 | $64,892 | $10,352 | $16,612 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 23 | $59,385 | $13,693 | $15,202 | 1.36 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 22 | $147,169 | $31,554 | $37,675 | 3.43 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 20 | $75,182 | $16,963 | $19,247 | 1.62 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 20 | $102,312 | $24,693 | $26,192 | 2.27 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 19 | $296,119 | $87,367 | $75,807 | 8.45 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 18 | $92,201 | $22,673 | $23,604 | 2.15 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 16 | $89,324 | $18,884 | $22,867 | 1.81 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $59,423 | $13,576 | $15,212 | 1.32 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 14 | $232,438 | $42,941 | $59,504 | 3.85 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 14 | $62,772 | $8,389 | $16,070 | 0.87 |
| Ventricular shunt procedures with MCCMS-DRG 031, surgical | 13 | $161,439 | $36,429 | $41,328 | 4.12 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 13 | $77,491 | $11,341 | $19,838 | 1.14 |
| Extracranial procedures with CCMS-DRG 038, surgical | 12 | $140,679 | $16,887 | $36,014 | 1.60 |
| Nervous system neoplasms without MCCMS-DRG 055, medical | 12 | $50,967 | $10,411 | $13,048 | 1.07 |
| Headaches without MCCMS-DRG 103, medical | 12 | $52,808 | $7,450 | $13,519 | 0.84 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $99,256 | $22,679 | $25,410 | 1.79 |
Kidney and urinary tract698 discharges in 16 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 | 122 | $83,542 | $16,557 | $21,387 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 77 | $90,544 | $15,487 | $23,179 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 73 | $39,346 | $8,731 | $10,072 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 73 | $50,314 | $10,542 | $12,880 | 1.02 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 66 | $42,191 | $7,659 | $10,801 | 0.81 |
| Major bladder procedures with CCMS-DRG 654, surgical | 61 | $144,451 | $27,228 | $36,980 | 2.74 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 58 | $87,541 | $13,619 | $22,411 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 40 | $83,320 | $13,116 | $21,330 | 1.35 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 31 | $85,625 | $17,220 | $21,920 | 1.84 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 21 | $251,018 | $48,845 | $64,261 | 3.70 |
| Kidney transplantMS-DRG 652, surgical | 14 | $371,332 | $32,414 | $95,061 | 3.00 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $213,848 | $39,556 | $54,745 | 2.59 |
| Transurethral procedures with CCMS-DRG 669, surgical | 14 | $64,353 | $15,920 | $16,474 | 1.53 |
| Kidney and ureter procedures for neoplasm with MCCMS-DRG 656, surgical | 12 | $194,531 | $30,993 | $49,800 | 3.14 |
| Major bladder procedures with MCCMS-DRG 653, surgical | 11 | $288,896 | $65,371 | $73,957 | 5.41 |
| Urinary stones without MCCMS-DRG 694, medical | 11 | $43,748 | $7,131 | $11,200 | 0.78 |
Infectious and parasitic diseases694 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 | 382 | $128,876 | $22,826 | $32,992 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 101 | $310,159 | $61,597 | $79,401 | 5.00 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 37 | $112,587 | $20,157 | $28,822 | 1.84 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 36 | $39,080 | $9,539 | $10,004 | 1.01 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 35 | $357,251 | $71,360 | $91,456 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 32 | $59,398 | $11,028 | $15,206 | 1.03 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 24 | $198,652 | $42,110 | $50,855 | 4.43 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 18 | $113,986 | $19,625 | $29,180 | 2.14 |
| Fever and inflammatory conditionsMS-DRG 864, medical | 17 | $48,675 | $8,789 | $12,461 | 0.88 |
| Viral illness with MCCMS-DRG 865, medical | 12 | $93,943 | $17,681 | $24,049 | 1.64 |
Blood cancers and poorly differentiated neoplasms420 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 68 | $192,770 | $38,372 | $49,349 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 65 | $58,254 | $13,353 | $14,913 | 1.21 |
| Acute leukemia with MCCMS-DRG 834, medical | 58 | $283,061 | $68,429 | $72,464 | 5.60 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 53 | $143,446 | $31,550 | $36,722 | 2.44 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 29 | $292,357 | $66,453 | $74,843 | 4.84 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 28 | $93,785 | $17,786 | $24,009 | 1.57 |
| Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedurMS-DRG 827, surgical | 21 | $121,911 | $22,705 | $31,209 | 2.32 |
| Lymphoma and leukemia with major o.r. procedures with CCMS-DRG 821, surgical | 18 | $120,749 | $22,457 | $30,912 | 2.23 |
| Acute leukemia with CCMS-DRG 835, medical | 17 | $142,204 | $24,082 | $36,404 | 2.24 |
| Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcMS-DRG 843, medical | 16 | $153,116 | $23,813 | $39,198 | 1.86 |
| Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedurMS-DRG 828, surgical | 12 | $99,091 | $15,293 | $25,367 | 1.64 |
| Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wiMS-DRG 829, surgical | 12 | $124,255 | $37,036 | $31,809 | 3.15 |
| Chemotherapy with acute leukemia as secondary diagnosis with CC or high dose chemotherapMS-DRG 838, medical | 12 | $60,949 | $21,848 | $15,603 | 2.00 |
| Lymphoma and non-acute leukemia with other procedures with CCMS-DRG 824, surgical | 11 | $112,719 | $23,928 | $28,856 | 2.23 |
Liver, gallbladder and pancreas350 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 59 | $88,882 | $18,872 | $22,754 | 1.76 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 58 | $158,372 | $29,410 | $40,543 | 2.89 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 48 | $84,505 | $15,322 | $21,633 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 43 | $56,183 | $11,130 | $14,383 | 1.09 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 30 | $109,242 | $21,473 | $27,966 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 23 | $55,185 | $9,014 | $14,127 | 0.95 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 22 | $94,778 | $17,045 | $24,263 | 1.67 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 19 | $199,280 | $53,266 | $51,016 | 5.51 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 19 | $69,180 | $11,628 | $17,710 | 1.10 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $101,430 | $16,215 | $25,966 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $159,848 | $18,064 | $40,921 | 1.92 |
Endocrine, nutritional and metabolic313 discharges in 9 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 | 93 | $89,028 | $14,130 | $22,791 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 51 | $55,466 | $7,801 | $14,199 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 32 | $86,265 | $17,126 | $22,084 | 1.65 |
| Diabetes with CCMS-DRG 638, medical | 30 | $61,637 | $8,486 | $15,779 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 29 | $41,364 | $10,970 | $10,589 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 26 | $75,771 | $14,448 | $19,397 | 1.45 |
| Adrenal and pituitary procedures with cc/mccMS-DRG 614, surgical | 23 | $99,224 | $23,247 | $25,401 | 2.25 |
| O.r. procedures for obesity with CCMS-DRG 620, surgical | 15 | $67,782 | $15,802 | $17,352 | 1.62 |
| Adrenal and pituitary procedures without cc/mccMS-DRG 615, surgical | 14 | $71,919 | $15,024 | $18,411 | 1.47 |
Blood and immune system237 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 60 | $147,584 | $30,643 | $37,781 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 41 | $81,525 | $15,301 | $20,870 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 38 | $65,791 | $8,408 | $16,843 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 35 | $63,978 | $11,585 | $16,378 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 34 | $150,063 | $33,093 | $38,416 | 2.19 |
| Reticuloendothelial and immunity disorders with MCCMS-DRG 814, medical | 17 | $149,700 | $25,452 | $38,323 | 2.13 |
| Reticuloendothelial and immunity disorders with CCMS-DRG 815, medical | 12 | $69,460 | $10,623 | $17,782 | 0.99 |
Transplants, ECMO and tracheostomy (pre-MDC)236 discharges in 7 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 | 72 | $1,222,379 | $276,447 | $312,929 | 21.32 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 55 | $1,772,622 | $425,177 | $453,791 | 36.84 |
| Allogeneic bone marrow transplantMS-DRG 014, medical | 40 | $355,350 | $136,574 | $90,969 | 11.46 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 19 | $1,507,223 | $309,645 | $385,849 | 27.10 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 18 | $665,337 | $123,406 | $170,326 | 14.70 |
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 17 | $207,784 | $54,354 | $53,193 | 6.18 |
| Lung transplantMS-DRG 007, surgical | 15 | $877,982 | $155,355 | $224,763 | 12.27 |
Injuries, poisonings and toxic effects of drugs182 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 | 66 | $124,251 | $22,413 | $31,808 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 45 | $48,715 | $10,056 | $12,471 | 1.03 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 25 | $211,318 | $39,517 | $54,097 | 3.72 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 24 | $121,826 | $21,144 | $31,187 | 2.00 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 22 | $99,489 | $17,837 | $25,469 | 1.60 |
Other170 discharges in 8 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 | 53 | $282,919 | $57,808 | $72,427 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 23 | $127,143 | $26,031 | $32,549 | 2.49 |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 21 | $117,165 | $44,016 | $29,994 | |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 19 | $116,607 | $34,548 | $29,851 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 17 | $208,905 | $41,519 | $53,480 | 3.38 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 14 | $165,043 | $80,856 | $42,251 | |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 12 | $117,221 | $42,228 | $30,009 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 11 | $92,016 | $18,421 | $23,556 | 1.70 |
Skin, subcutaneous tissue and breast133 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 52 | $48,178 | $8,497 | $12,333 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 17 | $82,856 | $14,537 | $21,211 | 1.49 |
| Minor skin disorders without MCCMS-DRG 607, medical | 17 | $42,921 | $8,896 | $10,988 | 0.89 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $42,139 | $9,012 | $10,788 | 0.91 |
| Minor skin disorders with MCCMS-DRG 606, medical | 12 | $97,750 | $15,964 | $25,024 | 1.59 |
| Skin graft except for skin ulcer or cellulitis with CCMS-DRG 577, surgical | 11 | $87,344 | $28,579 | $22,360 | 2.65 |
| Other skin, subcutaneous tissue and breast procedures with MCCMS-DRG 579, surgical | 11 | $108,507 | $32,543 | $27,778 | 3.34 |
Factors influencing health status69 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 | 42 | $62,064 | $8,166 | $15,888 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 27 | $110,218 | $16,544 | $28,216 | 1.25 |
Female reproductive system59 discharges in 3 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 | 32 | $127,561 | $19,735 | $32,656 | 1.97 |
| Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with CCMS-DRG 740, surgical | 15 | $113,191 | $14,736 | $28,977 | 1.79 |
| Uterine and adnexa procedures for non-malignancy with cc/mccMS-DRG 742, surgical | 12 | $109,751 | $19,080 | $28,096 | 1.78 |
Mental diseases and disorders51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 24 | $112,653 | $20,054 | $28,839 | 1.76 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 16 | $44,488 | $10,059 | $11,389 | 0.95 |
| PsychosesMS-DRG 885, medical | 11 | $155,814 | $23,821 | $39,888 | 1.37 |
Male reproductive system25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major male pelvic procedures without cc/mccMS-DRG 708, surgical | 14 | $71,652 | $12,676 | $18,343 | 1.46 |
| Major male pelvic procedures with cc/mccMS-DRG 707, surgical | 11 | $92,425 | $20,262 | $23,661 | 1.96 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 12 | $114,349 | $18,741 | $29,273 | 2.07 |
Multiple significant trauma12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with MCCMS-DRG 963, medical | 12 | $115,613 | $29,433 | $29,597 | 2.73 |
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 | 1,552 | 1,396 | $6,429 | $1,369 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 1,113 | 987 | $19,420 | $2,309 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 873 | 805 | $16,195 | $2,717 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 694 | 615 | $9,687 | $1,607 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 516 | 318 | $8,815 | $1,648 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 473 | 465 | $30,753 | $2,483 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 447 | 436 | $103,252 | $23,590 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 408 | 323 | $22,325 | $3,157 | $2,833 |
| Level 1 Nerve ProceduresAPC 5431 | 381 | 301 | $10,549 | $1,643 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 309 | 260 | $21,479 | $2,973 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 263 | 261 | $38,195 | $4,890 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 253 | 188 | $16,303 | $2,855 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 221 | 198 | $64,586 | $10,166 | $8,874 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 220 | 219 | $57,927 | $9,282 | $8,164 |
| Level 5 Urology and Related ServicesAPC 5375 | 208 | 180 | $41,974 | $4,383 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 196 | 194 | $45,153 | $6,090 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 194 | 191 | $60,723 | $12,232 | $10,772 |
| Level 2 Vascular ProceduresAPC 5182 | 192 | 192 | $6,045 | $1,356 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 165 | 162 | $24,914 | $2,710 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 158 | 155 | $19,273 | $2,370 | $2,141 |
| Level 5 Airway EndoscopyAPC 5155 | 152 | 142 | $37,701 | $5,779 | $5,183 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 134 | 129 | $9,893 | $1,364 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 132 | 96 | $37,477 | $3,454 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 127 | 127 | $31,110 | $9,706 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 123 | 117 | $37,674 | $3,262 | $2,930 |
| Complex GI ProceduresAPC 5331 | 123 | 88 | $24,887 | $4,837 | $4,263 |
| Level 5 ENT ProceduresAPC 5165 | 115 | 113 | $44,557 | $4,966 | $4,436 |
| Level 3 Upper GI ProceduresAPC 5303 | 113 | 110 | $15,547 | $3,279 | $2,888 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 104 | 104 | $34,843 | $7,412 | $6,514 |
| Level 4 Endovascular ProceduresAPC 5194 | 103 | 98 | $79,551 | $17,155 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 100 | 92 | $17,207 | $2,644 | $2,389 |
| Level 2 Urology and Related ServicesAPC 5372 | 95 | 86 | $5,015 | $581 | $502 |
| Level 3 Airway EndoscopyAPC 5153 | 92 | 83 | $15,484 | $1,421 | $1,264 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 89 | 88 | $54,349 | $5,580 | $4,982 |
| Level 7 Radiation TherapyAPC 5627 | 87 | 72 | $40,920 | $6,653 | $6,121 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 85 | 83 | $34,367 | $12,971 | $11,550 |
| Level 3 Lower GI ProceduresAPC 5313 | 76 | 70 | $15,246 | $2,339 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 66 | 66 | $56,410 | $19,242 | $17,052 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 62 | 62 | $86,074 | $33,589 | $29,375 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 57 | 57 | $108,735 | $31,611 | $26,719 |
| Level 2 Endovascular ProceduresAPC 5192 | 50 | 49 | $40,145 | $4,842 | $4,338 |
| Level 8 Urology and Related ServicesAPC 5378 | 35 | 33 | $78,484 | $19,976 | $17,428 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 35 | 27 | $30,138 | $4,849 | $4,524 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 33 | $74,537 | $17,778 | $15,763 |
| Level 6 Urology and Related ServicesAPC 5376 | 31 | 29 | $50,429 | $7,581 | $7,291 |
| Implantation of Drug Infusion DeviceAPC 5471 | 31 | 31 | $73,829 | $16,349 | $14,829 |
| Level 4 ENT ProceduresAPC 5164 | 26 | 25 | $21,487 | $2,543 | $2,217 |
| Level 5 Gynecologic ProceduresAPC 5415 | 25 | 25 | $52,780 | $4,256 | $3,792 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 23 | 23 | $51,896 | $23,612 | $21,011 |
| Level 2 Nerve ProceduresAPC 5432 | 22 | 22 | $54,667 | $5,700 | $4,674 |
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.