Carle Foundation Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Carle Foundation Hospital, Urbana, IL in 2024, from traditional Medicare claims. Back to the Carle Foundation Hospital profile, with quality ratings, finances and negotiated rates.
4,367
Medicare inpatient discharges
In 126 published DRGs
1.83
Case mix index
IPPS FY 2027
18%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
3,813
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Circulatory system995 discharges in 25 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 315 | $48,796 | $9,252 | $10,052 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 60 | $107,417 | $15,474 | $22,128 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 59 | $65,574 | $11,508 | $13,508 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 50 | $36,533 | $4,963 | $7,526 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 49 | $193,703 | $35,751 | $39,903 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 47 | $87,933 | $12,415 | $18,114 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 45 | $119,720 | $23,765 | $24,662 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 35 | $35,487 | $6,104 | $7,310 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 35 | $138,348 | $21,853 | $28,500 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 34 | $106,320 | $16,582 | $21,902 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $38,937 | $6,425 | $8,021 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 27 | $38,832 | $8,602 | $7,999 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $50,692 | $6,391 | $10,443 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $30,873 | $5,283 | $6,360 | 0.75 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 19 | $168,919 | $31,681 | $34,797 | 5.06 |
| Other vascular procedures with CCMS-DRG 253, surgical | 18 | $105,706 | $18,015 | $21,775 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 16 | $95,026 | $15,054 | $19,575 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $42,291 | $7,478 | $8,712 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $19,801 | $3,147 | $4,079 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 15 | $245,218 | $48,331 | $50,515 | 7.80 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $135,152 | $25,115 | $27,841 | 3.35 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $102,722 | $16,014 | $21,161 | 2.28 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $156,267 | $24,971 | $32,191 | 3.46 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $193,756 | $27,214 | $39,914 | 4.04 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $123,850 | $25,297 | $25,513 | 3.46 |
Respiratory system585 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 153 | $77,444 | $12,082 | $15,953 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 87 | $66,088 | $9,532 | $13,614 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $59,107 | $9,613 | $12,176 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 48 | $49,690 | $6,329 | $10,236 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 46 | $72,091 | $9,646 | $14,851 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 35 | $122,025 | $20,554 | $25,137 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 30 | $40,293 | $6,137 | $8,300 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 25 | $34,093 | $6,476 | $7,023 | 0.96 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $46,146 | $7,795 | $9,506 | 1.10 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 21 | $40,110 | $5,503 | $8,263 | 0.82 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $35,643 | $6,151 | $7,342 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 15 | $198,493 | $33,817 | $40,890 | 4.71 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $135,843 | $15,750 | $27,984 | 1.74 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 13 | $77,528 | $13,977 | $15,971 | 1.90 |
Digestive system525 discharges in 16 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 | 74 | $37,824 | $5,425 | $7,792 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 70 | $42,678 | $6,986 | $8,792 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 68 | $70,249 | $13,471 | $14,471 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 52 | $88,429 | $14,963 | $18,216 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 41 | $41,536 | $6,338 | $8,556 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 34 | $218,610 | $31,286 | $45,034 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 28 | $41,859 | $7,833 | $8,623 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $73,674 | $9,962 | $15,177 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 26 | $78,048 | $14,620 | $16,078 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $41,872 | $5,245 | $8,626 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 17 | $103,412 | $12,809 | $21,303 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 16 | $96,494 | $15,210 | $19,878 | 2.10 |
| Digestive malignancy with CCMS-DRG 375, medical | 16 | $54,901 | $6,559 | $11,310 | 1.20 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 14 | $71,703 | $11,169 | $14,771 | 1.67 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 12 | $94,130 | $14,452 | $19,391 | 2.11 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $77,190 | $11,004 | $15,901 | 1.45 |
Kidney and urinary tract488 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 | 95 | $53,502 | $8,501 | $11,021 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 94 | $37,591 | $5,477 | $7,744 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 76 | $39,350 | $6,662 | $8,106 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 70 | $57,996 | $10,895 | $11,947 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 67 | $58,857 | $11,040 | $12,125 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 45 | $41,136 | $7,254 | $8,474 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $36,041 | $8,968 | $7,425 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 14 | $36,635 | $6,169 | $7,547 | 1.05 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $97,099 | $27,265 | $20,002 | 3.70 |
Nervous system465 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 77 | $97,341 | $13,786 | $20,052 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 69 | $55,131 | $6,957 | $11,357 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 37 | $39,957 | $6,425 | $8,231 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 28 | $74,963 | $13,902 | $15,442 | 1.98 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 27 | $77,365 | $9,254 | $15,937 | 1.32 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 24 | $241,506 | $34,996 | $49,750 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 23 | $59,425 | $10,524 | $12,242 | 1.36 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 21 | $99,361 | $15,633 | $20,468 | 2.27 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 19 | $75,172 | $16,324 | $15,485 | 2.28 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $42,807 | $5,684 | $8,818 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $90,957 | $11,858 | $18,737 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $42,312 | $8,020 | $8,716 | 1.03 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $45,494 | $6,550 | $9,372 | 1.03 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $295,635 | $43,586 | $60,901 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $48,169 | $3,892 | $9,923 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $54,780 | $8,114 | $11,285 | 1.06 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $89,901 | $17,506 | $18,520 | 2.39 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $44,035 | $7,424 | $9,071 | 1.14 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $86,494 | $13,370 | $17,818 | 1.79 |
Infectious and parasitic diseases397 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 282 | $97,235 | $14,585 | $20,030 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 70 | $189,624 | $34,719 | $39,063 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $47,229 | $7,019 | $9,729 | 1.03 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 12 | $86,846 | $14,329 | $17,890 | 2.14 |
Musculoskeletal system and connective tissue330 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 83 | $51,171 | $6,668 | $10,541 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $86,041 | $14,802 | $17,724 | 2.07 |
| Medical back problems with MCCMS-DRG 551, medical | 30 | $72,535 | $11,833 | $14,942 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 25 | $56,039 | $7,105 | $11,544 | 1.09 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $102,680 | $17,668 | $21,152 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 20 | $45,677 | $5,894 | $9,409 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $162,605 | $23,178 | $33,497 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $71,597 | $13,423 | $14,749 | 1.88 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 15 | $132,591 | $20,104 | $27,314 | 2.04 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 15 | $43,819 | $5,468 | $9,027 | 0.82 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 12 | $110,295 | $16,415 | $22,721 | 1.82 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 12 | $60,483 | $4,763 | $12,460 | 1.00 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $94,708 | $17,716 | $19,510 | 2.67 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $33,129 | $6,042 | $6,825 | 0.82 |
Endocrine, nutritional and metabolic196 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 with MCCMS-DRG 640, medical | 60 | $55,383 | $9,457 | $11,409 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 42 | $33,648 | $5,699 | $6,932 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 39 | $37,768 | $5,909 | $7,780 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 22 | $78,444 | $12,860 | $16,160 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $88,003 | $13,085 | $18,129 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 16 | $52,124 | $7,354 | $10,737 | 1.06 |
Liver, gallbladder and pancreas105 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 22 | $73,734 | $14,188 | $15,189 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 21 | $51,473 | $7,746 | $10,604 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $79,991 | $10,626 | $16,478 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 15 | $43,231 | $6,262 | $8,906 | 0.86 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 14 | $100,402 | $13,998 | $20,683 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $92,793 | $12,396 | $19,115 | 1.76 |
Skin, subcutaneous tissue and breast96 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 64 | $32,533 | $6,206 | $6,702 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $73,064 | $11,322 | $15,051 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $55,970 | $6,325 | $11,530 | 0.91 |
Blood and immune system70 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 | 26 | $56,273 | $10,782 | $11,592 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 25 | $42,880 | $6,619 | $8,833 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 19 | $75,630 | $12,385 | $15,580 | 1.56 |
Injuries, poisonings and toxic effects of drugs59 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 25 | $92,904 | $12,799 | $19,138 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 21 | $47,879 | $7,065 | $9,863 | 1.03 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $54,776 | $10,971 | $11,284 | 1.60 |
Other25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $159,007 | $34,468 | $32,755 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $133,585 | $17,000 | $27,519 | 2.49 |
Alcohol and drug use18 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 | 18 | $31,387 | $6,513 | $6,466 | 0.86 |
Factors influencing health status13 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 | 13 | $45,005 | $5,859 | $9,271 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 303 | 285 | $22,531 | $1,936 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 295 | 195 | $2,193 | $487 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 291 | 263 | $10,147 | $1,346 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 284 | 269 | $11,312 | $1,096 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 279 | 267 | $50,085 | $10,349 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 192 | 191 | $21,703 | $2,119 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 183 | 170 | $14,534 | $2,279 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 172 | 126 | $7,531 | $1,446 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 170 | 97 | $8,033 | $678 | $1,752 |
| Level 4 ENT ProceduresAPC 5164 | 113 | 24 | $4,511 | $522 | $2,217 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 107 | 107 | $32,168 | $4,121 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 95 | 90 | $21,963 | $1,853 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 88 | 85 | $54,223 | $8,445 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 68 | 55 | $10,094 | $1,192 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 67 | 65 | $33,324 | $4,812 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 61 | 57 | $12,924 | $2,567 | $2,629 |
| Level 3 Upper GI ProceduresAPC 5303 | 58 | 58 | $13,000 | $2,771 | $2,888 |
| Level 2 Endovascular ProceduresAPC 5192 | 57 | 48 | $31,017 | $4,061 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 46 | $18,445 | $3,738 | $3,918 |
| Level 3 Lower GI ProceduresAPC 5313 | 52 | 52 | $17,224 | $1,963 | $2,176 |
| Level 5 ENT ProceduresAPC 5165 | 50 | 50 | $34,976 | $4,226 | $4,436 |
| Level 4 Vascular ProceduresAPC 5184 | 50 | 49 | $44,957 | $3,965 | $3,946 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 50 | 48 | $112,144 | $20,261 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 45 | 44 | $85,633 | $15,208 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 45 | 43 | $24,133 | $2,421 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 43 | $47,407 | $4,802 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 44 | 44 | $34,555 | $6,085 | $6,514 |
| Complex GI ProceduresAPC 5331 | 44 | 31 | $26,960 | $3,910 | $4,263 |
| Level 4 Gynecologic ProceduresAPC 5414 | 44 | 43 | $13,158 | $2,145 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 43 | 43 | $43,970 | $8,038 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 43 | 43 | $55,969 | $7,875 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 42 | 41 | $4,631 | $1,124 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 40 | 39 | $29,392 | $2,757 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 38 | 31 | $9,489 | $811 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 34 | 33 | $15,058 | $2,061 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 28 | $24,050 | $2,807 | $2,930 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 26 | 26 | $157,113 | $27,578 | $29,375 |
| Level 3 ENT ProceduresAPC 5163 | 25 | 22 | $6,548 | $575 | $1,106 |
| Level 4 Endovascular ProceduresAPC 5194 | 24 | 21 | $84,136 | $14,535 | $14,606 |
| Level 5 Airway EndoscopyAPC 5155 | 17 | 17 | $47,319 | $5,040 | $5,183 |
| Cochlear Implant ProcedureAPC 5166 | 17 | 17 | $126,515 | $29,266 | $29,489 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 13 | $27,625 | $3,434 | $3,792 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 15 | $9,837 | $1,040 | $1,196 |
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.