Cedars-Sinai Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Cedars-Sinai Medical Center, Los Angeles, CA in 2024, from traditional Medicare claims. Back to the Cedars-Sinai Medical Center profile, with quality ratings, finances and negotiated rates.
15,641
Medicare inpatient discharges
In 271 published DRGs
2.56
Case mix index
IPPS FY 2027
37%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
13,020
Medicare outpatient services
In 54 service groups
Inpatient stays by major diagnostic category
Circulatory system3,722 discharges in 47 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 575 | $233,054 | $15,364 | $25,636 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 434 | $661,469 | $70,525 | $72,762 | 6.25 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 265 | $551,063 | $54,089 | $60,617 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 205 | $258,723 | $18,697 | $28,460 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 187 | $364,621 | $36,079 | $40,108 | 3.24 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 139 | $898,892 | $86,987 | $98,878 | 7.71 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 131 | $350,477 | $26,605 | $38,552 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 117 | $394,209 | $20,186 | $43,363 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 106 | $569,191 | $44,831 | $62,611 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 99 | $534,005 | $35,342 | $58,741 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 98 | $134,412 | $9,038 | $14,785 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 93 | $451,856 | $31,231 | $49,704 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 77 | $117,963 | $7,612 | $12,976 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 75 | $168,624 | $11,462 | $18,549 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 62 | $687,298 | $60,027 | $75,603 | 5.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 62 | $147,242 | $9,680 | $16,197 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 61 | $152,421 | $11,204 | $16,766 | 1.07 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 58 | $923,714 | $77,539 | $101,608 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 57 | $282,851 | $17,931 | $31,114 | 1.58 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 52 | $179,920 | $13,591 | $19,791 | 1.20 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 51 | $775,470 | $56,316 | $85,302 | 5.88 |
| Other vascular procedures with CCMS-DRG 253, surgical | 51 | $333,011 | $27,947 | $36,631 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 48 | $470,550 | $40,022 | $51,760 | 3.46 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 43 | $807,875 | $69,895 | $88,866 | 5.04 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 42 | $159,519 | $9,938 | $17,547 | 0.97 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 41 | $599,392 | $41,947 | $65,933 | 3.27 |
| Chest painMS-DRG 313, medical | 41 | $117,454 | $7,441 | $12,920 | 0.72 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 37 | $414,006 | $35,190 | $45,541 | 3.18 |
| Hypertension without MCCMS-DRG 305, medical | 37 | $113,248 | $7,720 | $12,457 | 0.75 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 35 | $454,756 | $44,218 | $50,023 | 4.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 34 | $91,087 | $5,065 | $10,020 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 31 | $431,608 | $38,711 | $47,477 | 3.46 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 29 | $486,490 | $45,602 | $53,514 | 3.90 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 28 | $379,368 | $25,357 | $41,730 | 2.28 |
| Cardiac congenital and valvular disorders without MCCMS-DRG 307, medical | 27 | $123,930 | $9,887 | $13,632 | 0.94 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 25 | $1,009,459 | $82,374 | $111,041 | 7.80 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 22 | $664,856 | $43,435 | $73,134 | 4.04 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 22 | $218,580 | $16,024 | $24,044 | 1.54 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 20 | $597,793 | $53,251 | $65,757 | 4.81 |
| Heart failure and shock with CCMS-DRG 292, medical | 19 | $150,053 | $9,101 | $16,506 | 0.86 |
| Atherosclerosis without MCCMS-DRG 303, medical | 16 | $113,559 | $6,526 | $12,491 | 0.66 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 13 | $102,963 | $7,384 | $11,326 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 12 | $1,609,453 | $129,038 | $177,040 | 9.71 |
| Cardiac defibrillator implant with cardiac catheterization and MCCMS-DRG 275, surgical | 12 | $1,315,133 | $102,230 | $144,665 | 7.04 |
| Percutaneous cardiovascular procedures without intraluminal device with MCCMS-DRG 250, surgical | 11 | $385,640 | $26,349 | $42,420 | 2.35 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $192,368 | $12,320 | $21,160 | 1.15 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 11 | $814,272 | $53,606 | $89,570 | 4.14 |
Infectious and parasitic diseases2,019 discharges in 9 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 | 1,247 | $330,924 | $23,772 | $36,402 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 305 | $920,692 | $73,223 | $101,276 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 231 | $168,556 | $10,617 | $18,541 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 60 | $1,332,141 | $106,665 | $146,536 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 49 | $329,289 | $21,343 | $36,222 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 36 | $241,775 | $17,579 | $26,595 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 34 | $731,873 | $62,258 | $80,506 | 4.43 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 31 | $340,150 | $22,146 | $37,417 | 2.14 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 26 | $132,501 | $11,049 | $14,575 | 1.01 |
Musculoskeletal system and connective tissue1,920 discharges in 49 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 | 212 | $285,219 | $20,099 | $31,374 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 146 | $170,720 | $9,846 | $18,779 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 134 | $710,617 | $69,664 | $78,168 | 6.12 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 94 | $346,963 | $22,073 | $38,166 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 83 | $466,289 | $40,775 | $51,292 | 3.66 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 73 | $282,573 | $20,174 | $31,083 | 1.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 70 | $444,126 | $37,534 | $48,854 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 61 | $365,868 | $22,570 | $40,245 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 58 | $404,495 | $31,577 | $44,494 | 2.96 |
| Medical back problems with MCCMS-DRG 551, medical | 52 | $247,954 | $18,319 | $27,275 | 1.70 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 49 | $365,418 | $26,173 | $40,196 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 46 | $128,505 | $8,817 | $14,136 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 44 | $643,144 | $45,965 | $70,746 | 2.95 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 42 | $550,768 | $52,278 | $60,584 | 4.61 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 39 | $325,340 | $29,481 | $35,787 | 2.67 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 38 | $1,097,779 | $105,415 | $120,756 | 8.86 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 37 | $399,516 | $26,553 | $43,947 | 2.38 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 37 | $228,164 | $12,169 | $25,098 | 1.09 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 33 | $807,524 | $66,592 | $88,828 | 6.08 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 32 | $211,265 | $15,385 | $23,239 | 1.43 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 31 | $398,201 | $29,928 | $43,802 | 2.48 |
| Back and neck procedures except spinal fusion with MCC or disc device or neurostimulatorMS-DRG 518, surgical | 31 | $422,324 | $39,083 | $46,456 | 3.65 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 31 | $155,611 | $7,846 | $17,117 | 0.79 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 30 | $131,835 | $8,803 | $14,502 | 0.82 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 28 | $278,851 | $21,705 | $30,674 | 2.04 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 463, surgical | 26 | $887,904 | $79,073 | $97,669 | 5.66 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 26 | $788,413 | $56,433 | $86,725 | 5.19 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 24 | $493,250 | $34,345 | $54,258 | 2.99 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 22 | $593,577 | $39,982 | $65,293 | 3.00 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 22 | $336,622 | $25,702 | $37,028 | 2.46 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 456, surgical | 18 | $1,116,885 | $99,950 | $122,857 | 8.43 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 18 | $436,910 | $37,948 | $48,060 | 3.33 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 17 | $254,749 | $16,465 | $28,022 | 1.59 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 17 | $554,399 | $34,388 | $60,984 | 1.82 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 16 | $403,408 | $33,703 | $44,375 | 3.16 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 15 | $298,632 | $17,675 | $32,850 | 1.87 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 15 | $236,357 | $16,055 | $25,999 | 1.49 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 15 | $262,932 | $14,755 | $28,923 | 1.52 |
| Biopsies of musculoskeletal system and connective tissue with MCCMS-DRG 477, surgical | 14 | $629,449 | $39,099 | $69,239 | 3.37 |
| Knee procedures without principal diagnosis of infection without cc/mccMS-DRG 489, surgical | 14 | $173,243 | $13,093 | $19,057 | 1.24 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 14 | $173,077 | $13,819 | $19,038 | 1.30 |
| Spinal fusion except cervical with MCCMS-DRG 459, surgical | 13 | $748,026 | $72,764 | $82,283 | 6.63 |
| Knee procedures without principal diagnosis of infection with cc/mccMS-DRG 488, surgical | 13 | $253,506 | $21,281 | $27,886 | 2.11 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 13 | $516,187 | $39,405 | $56,781 | 3.46 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 13 | $271,522 | $17,533 | $29,867 | 1.56 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 11 | $256,670 | $25,953 | $28,234 | 2.49 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 11 | $150,873 | $9,118 | $16,596 | 0.88 |
| Aftercare, musculoskeletal system and connective tissue with MCCMS-DRG 559, medical | 11 | $279,579 | $19,774 | $30,754 | 1.85 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $197,066 | $11,263 | $21,677 | 1.00 |
Digestive system1,609 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 197 | $160,552 | $10,506 | $17,661 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 185 | $135,703 | $8,043 | $14,927 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 143 | $297,079 | $20,281 | $32,679 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 122 | $358,506 | $26,375 | $39,436 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 105 | $249,892 | $18,208 | $27,488 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 101 | $229,621 | $15,363 | $25,258 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 86 | $162,798 | $9,810 | $17,908 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 83 | $996,471 | $75,676 | $109,612 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 83 | $147,807 | $7,805 | $16,259 | 0.80 |
| Digestive malignancy with MCCMS-DRG 374, medical | 57 | $438,425 | $27,146 | $48,227 | 2.10 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 44 | $221,776 | $17,782 | $24,395 | 1.67 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 41 | $377,251 | $28,272 | $41,498 | 2.50 |
| Digestive malignancy with CCMS-DRG 375, medical | 38 | $207,830 | $13,167 | $22,861 | 1.20 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 36 | $269,111 | $17,213 | $29,602 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 32 | $147,712 | $10,568 | $16,248 | 1.04 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 32 | $201,352 | $10,319 | $22,149 | 0.97 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 31 | $820,835 | $64,676 | $90,292 | 5.08 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 25 | $99,331 | $5,140 | $10,926 | 0.56 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 21 | $699,078 | $55,400 | $76,899 | 4.28 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 21 | $309,646 | $20,849 | $34,061 | 1.75 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 20 | $311,644 | $17,176 | $34,281 | 1.60 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 18 | $195,452 | $11,111 | $21,500 | 1.07 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 17 | $293,787 | $22,889 | $32,317 | 2.11 |
| Hernia procedures except inguinal and femoral with CCMS-DRG 354, surgical | 17 | $269,668 | $17,633 | $29,664 | 1.72 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 16 | $282,306 | $21,720 | $31,054 | 1.95 |
| Other digestive system o.r. procedures with CCMS-DRG 357, surgical | 14 | $436,678 | $24,544 | $48,035 | 2.20 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 13 | $260,746 | $21,008 | $28,682 | 1.65 |
| Peritoneal adhesiolysis with MCCMS-DRG 335, surgical | 11 | $411,132 | $37,184 | $45,225 | 3.58 |
Respiratory system1,562 discharges in 27 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 330 | $259,500 | $18,265 | $28,545 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 235 | $223,597 | $15,078 | $24,596 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 89 | $146,002 | $8,527 | $16,060 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 88 | $232,733 | $12,624 | $25,601 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 76 | $161,694 | $10,087 | $17,786 | 0.99 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 68 | $251,817 | $19,680 | $27,700 | 1.88 |
| Major chest procedures with CCMS-DRG 164, surgical | 59 | $322,205 | $27,276 | $35,443 | 2.55 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 58 | $165,617 | $10,324 | $18,218 | 0.96 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 54 | $478,788 | $44,715 | $52,667 | 4.06 |
| Major chest procedures with MCCMS-DRG 163, surgical | 52 | $755,038 | $62,458 | $83,054 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 42 | $214,473 | $14,890 | $23,592 | 1.40 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 41 | $299,596 | $20,954 | $32,956 | 1.81 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 38 | $289,805 | $20,225 | $31,879 | 1.74 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $348,855 | $21,199 | $38,374 | 1.23 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 33 | $252,037 | $19,157 | $27,724 | 1.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 32 | $293,166 | $20,928 | $32,248 | 1.90 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 32 | $610,974 | $42,107 | $67,207 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 29 | $263,767 | $10,294 | $29,014 | 1.05 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 26 | $155,412 | $8,122 | $17,095 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 26 | $148,283 | $8,978 | $16,311 | 0.85 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 25 | $186,871 | $9,763 | $20,556 | 0.91 |
| Major chest trauma with MCCMS-DRG 183, medical | 24 | $330,788 | $18,078 | $36,387 | 1.57 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 18 | $1,287,860 | $94,012 | $141,665 | 6.91 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 15 | $142,387 | $12,026 | $15,663 | 1.10 |
| Pleural effusion with MCCMS-DRG 186, medical | 15 | $256,179 | $16,635 | $28,180 | 1.55 |
| Pneumothorax with CCMS-DRG 200, medical | 12 | $246,860 | $11,470 | $27,155 | 1.08 |
| Pneumothorax with MCCMS-DRG 199, medical | 11 | $315,867 | $19,732 | $34,745 | 1.77 |
Kidney and urinary tract1,293 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 212 | $134,683 | $8,229 | $14,815 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 190 | $281,585 | $20,413 | $30,974 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 187 | $181,982 | $13,412 | $20,018 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 156 | $149,373 | $9,061 | $16,431 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 135 | $231,441 | $16,097 | $25,459 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 104 | $155,034 | $10,632 | $17,054 | 1.02 |
| Kidney transplantMS-DRG 652, surgical | 72 | $1,037,203 | $34,273 | $114,092 | 3.00 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 62 | $505,993 | $46,705 | $55,659 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 46 | $237,953 | $14,796 | $26,175 | 1.35 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 43 | $1,162,614 | $51,689 | $127,888 | 4.50 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 31 | $546,082 | $37,862 | $60,069 | 2.59 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 24 | $312,667 | $26,362 | $34,393 | 2.38 |
| Kidney transplant with hemodialysis without MCCMS-DRG 651, surgical | 16 | $1,091,853 | $39,458 | $120,104 | 3.46 |
| Kidney and ureter procedures for neoplasm with MCCMS-DRG 656, surgical | 15 | $632,499 | $49,602 | $69,575 | 3.14 |
Nervous system1,183 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 132 | $378,360 | $26,155 | $41,620 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 113 | $622,118 | $51,809 | $68,433 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 100 | $169,270 | $10,372 | $18,620 | 1.02 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 53 | $394,181 | $27,871 | $43,360 | 2.43 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 49 | $173,378 | $13,988 | $19,072 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 49 | $154,217 | $10,791 | $16,964 | 1.03 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 46 | $426,960 | $28,125 | $46,966 | 2.28 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 41 | $152,784 | $8,134 | $16,806 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 39 | $306,851 | $23,041 | $33,754 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 39 | $343,335 | $26,207 | $37,767 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 39 | $223,936 | $9,678 | $24,633 | 0.91 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 38 | $372,004 | $37,483 | $40,920 | 3.43 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 38 | $336,069 | $27,188 | $36,968 | 2.39 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 35 | $175,647 | $11,455 | $19,321 | 1.14 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 34 | $341,875 | $21,596 | $37,606 | 1.47 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 30 | $1,308,731 | $98,413 | $143,960 | 5.67 |
| Extracranial procedures with CCMS-DRG 038, surgical | 28 | $196,483 | $16,957 | $21,613 | 1.60 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 28 | $284,800 | $14,766 | $31,328 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 28 | $200,667 | $12,622 | $22,073 | 1.32 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 24 | $149,398 | $6,779 | $16,434 | 0.69 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 24 | $155,274 | $11,117 | $17,080 | 1.03 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 22 | $513,309 | $35,609 | $56,464 | 2.95 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 22 | $247,469 | $23,788 | $27,222 | 2.15 |
| Headaches without MCCMS-DRG 103, medical | 21 | $129,927 | $8,831 | $14,292 | 0.84 |
| Spinal procedures without cc/mccMS-DRG 030, surgical | 20 | $316,298 | $24,991 | $34,793 | 2.32 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 14 | $200,997 | $19,804 | $22,110 | 1.81 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $163,119 | $9,792 | $17,943 | 1.06 |
| Spinal procedures with MCCMS-DRG 028, surgical | 13 | $558,718 | $58,312 | $61,459 | 6.03 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 13 | $153,349 | $9,266 | $16,868 | 0.87 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 13 | $445,978 | $27,929 | $49,058 | 2.27 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 12 | $206,883 | $25,181 | $22,757 | 2.30 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 12 | $320,668 | $23,566 | $35,273 | 2.23 |
Liver, gallbladder and pancreas522 discharges in 14 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 | 73 | $318,110 | $21,410 | $34,992 | 1.76 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 63 | $149,776 | $9,079 | $16,475 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 62 | $190,903 | $11,495 | $20,999 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 45 | $259,759 | $18,749 | $28,573 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 41 | $294,902 | $22,467 | $32,439 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 41 | $380,422 | $24,693 | $41,846 | 1.83 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 33 | $882,060 | $61,454 | $97,027 | 5.51 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 31 | $288,264 | $17,857 | $31,709 | 1.63 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 29 | $279,435 | $20,470 | $30,738 | 1.67 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 26 | $510,002 | $29,585 | $56,100 | 2.89 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 25 | $203,657 | $9,796 | $22,402 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 21 | $535,092 | $34,696 | $58,860 | 2.32 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 19 | $233,900 | $12,083 | $25,729 | 1.10 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 13 | $199,749 | $11,451 | $21,972 | 1.03 |
Endocrine, nutritional and metabolic355 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 | 118 | $262,272 | $17,931 | $28,850 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 90 | $129,889 | $7,784 | $14,288 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 52 | $155,016 | $9,310 | $17,052 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 47 | $230,603 | $17,551 | $25,366 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 27 | $240,518 | $16,140 | $26,457 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 21 | $158,306 | $10,223 | $17,414 | 1.06 |
Skin, subcutaneous tissue and breast275 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 157 | $136,479 | $9,031 | $15,013 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 53 | $209,212 | $16,062 | $23,013 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 21 | $145,534 | $9,598 | $16,009 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures with MCCMS-DRG 579, surgical | 18 | $478,017 | $43,952 | $52,582 | 3.34 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 15 | $273,706 | $16,635 | $30,108 | 1.75 |
| Major skin disorders without MCCMS-DRG 596, medical | 11 | $156,883 | $10,640 | $17,257 | 1.01 |
Other216 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 | 86 | $741,573 | $62,722 | $81,573 | 4.74 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 29 | $837,542 | $80,872 | $92,130 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 22 | $665,067 | $47,947 | $73,157 | 3.38 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 20 | $400,212 | $27,642 | $44,023 | 2.49 |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 17 | $575,784 | $45,409 | $63,336 | |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 16 | $476,630 | $33,803 | $52,429 | |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 14 | $481,351 | $43,188 | $52,949 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 12 | $238,228 | $18,150 | $26,205 | 1.70 |
Transplants, ECMO and tracheostomy (pre-MDC)207 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 | 69 | $3,991,515 | $351,751 | $439,067 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 39 | $3,718,436 | $366,697 | $409,028 | 27.10 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 36 | $2,172,667 | $192,079 | $238,993 | 14.70 |
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 19 | $562,850 | $69,813 | $61,913 | 6.18 |
| Liver transplant with MCC or intestinal transplantMS-DRG 005, surgical | 18 | $2,409,905 | $144,139 | $265,090 | 10.35 |
| Lung transplantMS-DRG 007, surgical | 15 | $2,422,738 | $152,077 | $266,501 | 12.27 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 11 | $1,749,260 | $351,900 | $192,419 | 36.84 |
Injuries, poisonings and toxic effects of drugs199 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 | 88 | $282,542 | $20,638 | $31,080 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 42 | $195,272 | $12,061 | $21,480 | 1.03 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 28 | $507,761 | $44,103 | $55,854 | 3.72 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 25 | $252,298 | $18,240 | $27,753 | 2.00 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 16 | $197,948 | $17,308 | $21,774 | 1.60 |
Blood cancers and poorly differentiated neoplasms197 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 79 | $187,011 | $14,241 | $20,571 | 1.21 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 39 | $328,273 | $32,542 | $36,110 | 2.44 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 34 | $661,613 | $48,122 | $72,777 | 3.13 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 28 | $315,335 | $17,702 | $34,687 | 1.57 |
| Acute leukemia with MCCMS-DRG 834, medical | 17 | $1,087,824 | $91,211 | $119,661 | 5.60 |
Blood and immune system176 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 61 | $219,940 | $10,845 | $24,193 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 33 | $229,618 | $15,563 | $25,258 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 29 | $172,217 | $12,932 | $18,944 | 1.20 |
| Coagulation disordersMS-DRG 813, medical | 29 | $231,573 | $16,885 | $25,473 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 24 | $338,572 | $26,549 | $37,243 | 2.19 |
Ear, nose, mouth and throat54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 30 | $115,417 | $7,406 | $12,696 | 0.74 |
| Major head and neck procedures with CCMS-DRG 141, surgical | 12 | $380,764 | $24,316 | $41,884 | 2.07 |
| Other ear, nose, mouth and throat diagnoses with CCMS-DRG 155, medical | 12 | $121,607 | $10,044 | $13,377 | 0.95 |
Mental diseases and disorders40 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 | 29 | $230,225 | $18,091 | $25,325 | 1.76 |
| PsychosesMS-DRG 885, medical | 11 | $178,999 | $14,776 | $19,690 | 1.37 |
Factors influencing health status32 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 | 32 | $147,872 | $8,519 | $16,266 | 0.80 |
HIV infections31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| HIV with major related condition with MCCMS-DRG 974, medical | 31 | $496,786 | $42,285 | $54,646 | 2.92 |
Multiple significant trauma16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 16 | $933,958 | $74,010 | $102,735 | 3.88 |
Alcohol and drug use13 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 | 13 | $130,299 | $8,360 | $14,333 | 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 | 1,222 | 1,164 | $67,382 | $2,652 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 831 | 742 | $30,657 | $1,569 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 768 | 670 | $38,456 | $1,843 | $1,445 |
| Level 2 Urology and Related ServicesAPC 5372 | 713 | 278 | $8,481 | $658 | $502 |
| Level 3 Vascular ProceduresAPC 5183 | 706 | 537 | $51,372 | $3,098 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 694 | 684 | $64,206 | $2,866 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 621 | 564 | $233,410 | $11,753 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 580 | 559 | $221,497 | $14,365 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 518 | 443 | $36,508 | $1,964 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 452 | 442 | $131,998 | $7,073 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 430 | 409 | $94,687 | $5,008 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 389 | 383 | $124,963 | $5,593 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 366 | 338 | $76,280 | $2,760 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 321 | 262 | $65,180 | $3,403 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 317 | 298 | $326,758 | $27,051 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 308 | 304 | $222,637 | $10,898 | $8,164 |
| Level 1 Nerve ProceduresAPC 5431 | 264 | 236 | $64,818 | $1,877 | $1,407 |
| Complex GI ProceduresAPC 5331 | 242 | 161 | $76,668 | $5,490 | $4,263 |
| Level 4 Endovascular ProceduresAPC 5194 | 233 | 223 | $305,444 | $19,783 | $14,606 |
| Level 4 Airway EndoscopyAPC 5154 | 212 | 176 | $95,296 | $3,650 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 207 | 200 | $18,465 | $1,560 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 200 | 189 | $81,751 | $3,678 | $2,930 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 188 | 184 | $79,407 | $3,135 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 178 | 178 | $158,541 | $11,474 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 173 | 157 | $107,923 | $5,598 | $4,338 |
| Level 4 Vascular ProceduresAPC 5184 | 157 | 144 | $144,206 | $5,383 | $3,946 |
| Level 3 Upper GI ProceduresAPC 5303 | 144 | 126 | $55,185 | $3,517 | $2,888 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 141 | 138 | $120,304 | $6,252 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 140 | 138 | $47,904 | $1,561 | $1,196 |
| Level 5 Airway EndoscopyAPC 5155 | 137 | 135 | $169,822 | $6,736 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 137 | 134 | $82,093 | $3,387 | $2,636 |
| Level 5 ENT ProceduresAPC 5165 | 114 | 110 | $111,710 | $5,685 | $4,436 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 113 | 111 | $267,265 | $21,031 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 105 | 87 | $58,611 | $1,615 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 89 | 87 | $42,016 | $2,715 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 75 | 74 | $298,422 | $22,258 | $17,052 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 64 | 64 | $642,827 | $38,079 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 51 | 50 | $59,792 | $3,062 | $2,389 |
| Level 7 Radiation TherapyAPC 5627 | 49 | 44 | $147,873 | $7,936 | $6,121 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 43 | 43 | $324,115 | $36,422 | $26,719 |
| Level 5 Gynecologic ProceduresAPC 5415 | 42 | 42 | $93,367 | $4,756 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 38 | 37 | $126,727 | $8,803 | $6,514 |
| Level 2 Nerve ProceduresAPC 5432 | 29 | 27 | $136,869 | $6,331 | $4,674 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 26 | 25 | $177,334 | $9,940 | $7,546 |
| Level 6 Urology and Related ServicesAPC 5376 | 26 | 25 | $113,519 | $9,681 | $7,291 |
| Level 8 Urology and Related ServicesAPC 5378 | 24 | 24 | $203,273 | $23,100 | $17,428 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 23 | 23 | $528,404 | $27,263 | $21,011 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 23 | $270,725 | $25,186 | $18,465 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 19 | 19 | $195,876 | $7,540 | $5,682 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 19 | 18 | $126,501 | $15,080 | $11,550 |
| Level 6 Gynecologic ProceduresAPC 5416 | 16 | 16 | $121,682 | $7,653 | $5,836 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 15 | 15 | $264,517 | $19,978 | $15,549 |
| Level 4 ENT ProceduresAPC 5164 | 14 | 14 | $105,388 | $3,149 | $2,217 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 14 | $112,055 | $6,291 | $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.