Cape Fear Valley Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Cape Fear Valley Medical Center, Fayetteville, NC in 2024, from traditional Medicare claims. Back to the Cape Fear Valley Medical Center profile, with quality ratings, finances and negotiated rates.
4,296
Medicare inpatient discharges
In 114 published DRGs
1.73
Case mix index
IPPS FY 2027
14%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
2,574
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system982 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 325 | $29,360 | $9,693 | $8,162 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 72 | $23,959 | $5,484 | $6,661 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 68 | $39,025 | $11,879 | $10,849 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 50 | $25,828 | $6,546 | $7,180 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $89,476 | $13,063 | $24,874 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $36,050 | $9,490 | $10,022 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 35 | $42,047 | $15,763 | $11,689 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 32 | $17,900 | $3,981 | $4,976 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 31 | $59,383 | $16,595 | $16,509 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 30 | $139,752 | $21,608 | $38,851 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 29 | $48,739 | $7,697 | $13,550 | 1.08 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 28 | $37,085 | $7,017 | $10,310 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 27 | $21,503 | $4,877 | $5,978 | 0.75 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 25 | $251,553 | $35,694 | $69,932 | 4.88 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 18 | $225,087 | $60,022 | $62,574 | 7.80 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $102,780 | $25,922 | $28,573 | 3.35 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 18 | $36,502 | $11,287 | $10,148 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $24,548 | $8,196 | $6,824 | 1.07 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $140,266 | $36,034 | $38,994 | 5.06 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 14 | $65,169 | $15,186 | $18,117 | 1.97 |
| Chest painMS-DRG 313, medical | 14 | $26,206 | $5,108 | $7,285 | 0.72 |
| Atherosclerosis without MCCMS-DRG 303, medical | 13 | $22,131 | $4,919 | $6,152 | 0.66 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $36,901 | $5,580 | $10,258 | 0.72 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $75,629 | $19,417 | $21,025 | 2.55 |
Infectious and parasitic diseases660 discharges in 5 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 | 472 | $54,622 | $14,392 | $15,185 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 88 | $111,897 | $35,791 | $31,107 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 65 | $31,474 | $7,573 | $8,750 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $214,934 | $46,504 | $59,752 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $58,138 | $14,483 | $16,162 | 2.04 |
Respiratory system525 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 130 | $32,382 | $9,180 | $9,002 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 101 | $43,401 | $12,399 | $12,065 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 89 | $28,541 | $9,760 | $7,934 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 44 | $75,035 | $20,286 | $20,860 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 35 | $34,922 | $10,663 | $9,708 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $16,771 | $6,507 | $4,662 | 0.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $22,810 | $6,149 | $6,341 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $39,677 | $13,316 | $11,030 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $18,140 | $6,133 | $5,043 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $33,830 | $8,577 | $9,405 | 1.10 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $77,547 | $18,097 | $21,558 | 2.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 13 | $167,762 | $51,799 | $46,638 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $124,741 | $35,923 | $34,678 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $22,933 | $7,164 | $6,375 | 0.99 |
Kidney and urinary tract422 discharges in 8 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 | 93 | $38,823 | $11,843 | $10,793 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 78 | $42,015 | $10,967 | $11,680 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 77 | $24,029 | $6,606 | $6,680 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $30,847 | $8,787 | $8,575 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 48 | $22,400 | $6,120 | $6,227 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $20,297 | $7,585 | $5,643 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $20,662 | $9,947 | $5,744 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 13 | $16,949 | $8,033 | $4,712 | 1.05 |
Nervous system390 discharges in 15 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 | 79 | $38,356 | $7,449 | $10,663 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 72 | $52,278 | $14,593 | $14,533 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 34 | $31,361 | $5,945 | $8,718 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 25 | $56,482 | $13,984 | $15,702 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 25 | $27,245 | $6,814 | $7,574 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 24 | $47,430 | $9,680 | $13,185 | 1.36 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 18 | $26,521 | $8,493 | $7,373 | 1.14 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 16 | $53,874 | $16,487 | $14,977 | 2.39 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $50,067 | $12,519 | $13,919 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $30,489 | $4,507 | $8,476 | 0.69 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $22,462 | $7,739 | $6,245 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $45,198 | $12,804 | $12,565 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 14 | $22,995 | $7,881 | $6,393 | 1.03 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $95,294 | $33,544 | $26,492 | 4.42 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 11 | $30,588 | $10,971 | $8,503 | 1.51 |
Digestive system357 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 67 | $26,046 | $7,566 | $7,241 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 61 | $45,087 | $13,105 | $12,534 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 51 | $21,616 | $5,847 | $6,009 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 34 | $19,056 | $5,316 | $5,298 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 29 | $34,550 | $12,533 | $9,605 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 29 | $20,970 | $7,248 | $5,830 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 24 | $52,766 | $15,750 | $14,669 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $33,067 | $9,863 | $9,193 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 17 | $126,267 | $33,649 | $35,102 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $29,859 | $7,972 | $8,301 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $11,001 | $3,659 | $3,058 | 0.56 |
Endocrine, nutritional and metabolic282 discharges in 7 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 | 120 | $35,952 | $9,908 | $9,995 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 47 | $22,251 | $6,074 | $6,186 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 41 | $35,578 | $10,756 | $9,891 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 27 | $25,362 | $7,123 | $7,051 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 20 | $37,876 | $8,249 | $10,530 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $67,787 | $12,261 | $18,845 | 1.65 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $37,755 | $12,570 | $10,496 | 1.98 |
Musculoskeletal system and connective tissue245 discharges in 12 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 | 53 | $57,418 | $14,731 | $15,962 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 32 | $58,521 | $15,215 | $16,269 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 26 | $33,087 | $7,294 | $9,198 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $70,725 | $21,687 | $19,662 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $84,423 | $22,018 | $23,470 | 2.99 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 21 | $25,846 | $6,464 | $7,185 | 0.90 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $150,251 | $20,454 | $41,770 | 2.67 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $75,233 | $14,034 | $20,915 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 12 | $53,707 | $10,747 | $14,930 | 1.52 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $168,694 | $28,541 | $46,897 | 3.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $24,319 | $5,846 | $6,761 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $26,455 | $7,487 | $7,355 | 1.09 |
Liver, gallbladder and pancreas113 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 24 | $47,077 | $14,676 | $13,087 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 22 | $60,053 | $12,678 | $16,695 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 17 | $56,220 | $13,639 | $15,629 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $55,280 | $9,757 | $15,368 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $27,519 | $7,915 | $7,650 | 0.95 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 12 | $33,046 | $8,505 | $9,187 | 1.03 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $45,153 | $7,891 | $12,553 | 1.09 |
Blood and immune system103 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 54 | $28,800 | $10,449 | $8,007 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 37 | $21,511 | $6,961 | $5,980 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 12 | $28,500 | $11,800 | $7,923 | 1.56 |
Mental diseases and disorders82 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 63 | $31,489 | $9,620 | $8,754 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 19 | $46,196 | $12,814 | $12,842 | 1.76 |
Skin, subcutaneous tissue and breast76 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 42 | $18,959 | $6,544 | $5,270 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 20 | $33,505 | $11,757 | $9,314 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $28,590 | $5,823 | $7,948 | 0.91 |
Other29 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 MCCMS-DRG 981, surgical | 29 | $118,328 | $32,601 | $32,895 | 4.74 |
Injuries, poisonings and toxic effects of drugs19 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 | 19 | $33,592 | $10,884 | $9,339 | 1.60 |
Alcohol and drug use11 discharges in 1 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 | 11 | $20,135 | $7,318 | $5,598 | 0.86 |
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 | 635 | 570 | $20,003 | $1,901 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 197 | 145 | $979 | $479 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 184 | 183 | $21,837 | $2,035 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 160 | 157 | $9,650 | $1,118 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 146 | 138 | $3,432 | $1,414 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 135 | 132 | $45,909 | $9,695 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 107 | 101 | $8,999 | $1,342 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 104 | 99 | $13,008 | $2,189 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 73 | 70 | $64,050 | $8,075 | $8,874 |
| Level 3 Upper GI ProceduresAPC 5303 | 68 | 65 | $36,262 | $2,619 | $2,888 |
| Level 2 Vascular ProceduresAPC 5182 | 67 | 59 | $5,479 | $1,124 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 66 | 65 | $15,738 | $4,065 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 65 | 64 | $27,524 | $5,040 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 51 | 44 | $28,835 | $3,944 | $4,338 |
| Complex GI ProceduresAPC 5331 | 47 | 43 | $40,092 | $3,935 | $4,263 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 41 | 41 | $50,565 | $7,424 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 35 | 34 | $12,503 | $3,646 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 33 | $12,814 | $2,277 | $2,373 |
| Level 5 Airway EndoscopyAPC 5155 | 32 | 31 | $23,903 | $4,822 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 30 | 30 | $16,749 | $2,638 | $2,833 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 27 | 27 | $92,408 | $19,308 | $21,117 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 22 | $20,304 | $3,872 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 26 | $19,588 | $2,250 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 26 | 23 | $10,970 | $2,456 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 23 | $9,740 | $1,915 | $2,141 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 23 | $9,313 | $1,726 | $2,176 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 22 | $91,354 | $13,214 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $8,208 | $2,200 | $2,389 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 20 | 20 | $68,373 | $14,813 | $15,763 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $193,800 | $27,374 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $22,564 | $7,073 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 17 | 16 | $12,935 | $2,686 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $8,270 | $1,007 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $12,070 | $3,042 | $3,792 |
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.