Chi St. Lukes Health Baylor Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Chi St. Lukes Health Baylor Medical Center, Houston, TX in 2024, from traditional Medicare claims. Back to the Chi St. Lukes Health Baylor Medical Center profile, with quality ratings, finances and negotiated rates.
2,802
Medicare inpatient discharges
In 102 published DRGs
2.92
Case mix index
IPPS FY 2027
36%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
4,363
Medicare outpatient services
In 49 service groups
Inpatient stays by major diagnostic category
Circulatory system1,008 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 130 | $74,180 | $10,136 | $12,091 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 73 | $400,442 | $41,232 | $65,272 | 4.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 72 | $531,275 | $72,806 | $86,598 | 7.71 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 61 | $300,658 | $39,122 | $49,007 | 5.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 56 | $118,585 | $13,889 | $19,329 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 43 | $183,758 | $22,349 | $29,952 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 41 | $484,478 | $61,461 | $78,970 | 6.25 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 41 | $106,433 | $17,585 | $17,349 | 2.09 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 39 | $312,077 | $45,752 | $50,868 | 5.06 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 38 | $253,413 | $23,309 | $41,306 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 31 | $105,946 | $8,551 | $17,269 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 29 | $70,674 | $6,643 | $11,520 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $52,317 | $5,695 | $8,528 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $121,354 | $11,267 | $19,781 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $160,704 | $21,097 | $26,195 | 2.87 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 22 | $88,675 | $11,942 | $14,454 | 1.58 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 21 | $447,895 | $67,521 | $73,007 | 7.80 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 21 | $67,812 | $6,908 | $11,053 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 20 | $227,396 | $34,553 | $37,066 | 3.35 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $289,739 | $34,523 | $47,227 | 3.46 |
| Chest painMS-DRG 313, medical | 18 | $72,310 | $4,108 | $11,786 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $109,929 | $12,397 | $17,918 | 1.82 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 16 | $754,921 | $113,971 | $123,052 | 9.71 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 16 | $283,631 | $33,975 | $46,232 | 3.90 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $47,832 | $7,334 | $7,797 | 0.97 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $325,947 | $36,592 | $53,129 | 4.16 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 14 | $509,276 | $49,024 | $83,012 | 5.24 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $191,957 | $19,114 | $31,289 | 2.28 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $151,170 | $17,971 | $24,641 | 2.55 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 12 | $248,091 | $30,839 | $40,439 | 3.27 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $71,204 | $6,573 | $11,606 | 0.86 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $202,196 | $30,877 | $32,958 | 4.04 |
Nervous system348 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 52 | $135,065 | $14,442 | $22,016 | 2.00 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 35 | $168,467 | $17,369 | $27,460 | 2.43 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 27 | $287,354 | $33,503 | $46,839 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 24 | $300,757 | $46,634 | $49,023 | 5.67 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 22 | $78,369 | $6,704 | $12,774 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 22 | $62,865 | $7,377 | $10,247 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 21 | $307,371 | $33,011 | $50,102 | 3.79 |
| Seizures with MCCMS-DRG 100, medical | 18 | $122,166 | $12,738 | $19,913 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $95,499 | $8,261 | $15,566 | 1.36 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 16 | $186,299 | $21,623 | $30,367 | 2.95 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $57,024 | $5,721 | $9,295 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $110,178 | $15,149 | $17,959 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 14 | $99,564 | $19,008 | $16,229 | 2.39 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 14 | $51,033 | $7,494 | $8,318 | 1.03 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $74,247 | $6,546 | $12,102 | 1.03 |
| Extracranial procedures with CCMS-DRG 038, surgical | 12 | $66,788 | $12,296 | $10,886 | 1.60 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $139,544 | $12,565 | $22,746 | 1.79 |
Infectious and parasitic diseases313 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 | 193 | $133,936 | $15,521 | $21,832 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 48 | $335,192 | $49,210 | $54,636 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $78,992 | $7,587 | $12,876 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $451,164 | $65,373 | $73,540 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 17 | $93,394 | $17,040 | $15,223 | 2.14 |
Digestive system311 discharges in 12 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 | 46 | $52,305 | $6,023 | $8,526 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $110,266 | $11,982 | $17,973 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 32 | $139,782 | $16,279 | $22,784 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 29 | $79,114 | $11,010 | $12,896 | 1.62 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $116,926 | $7,155 | $19,059 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 26 | $70,148 | $7,345 | $11,434 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $227,783 | $32,596 | $37,129 | 4.52 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 24 | $333,999 | $51,131 | $54,442 | 5.08 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $90,877 | $10,165 | $14,813 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $53,475 | $5,324 | $8,716 | 0.80 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 13 | $281,564 | $30,453 | $45,895 | 4.28 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $101,189 | $17,451 | $16,494 | 2.10 |
Kidney and urinary tract268 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 59 | $79,489 | $9,840 | $12,957 | 1.02 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $76,784 | $12,722 | $12,516 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 42 | $67,588 | $10,856 | $11,017 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 30 | $53,224 | $6,774 | $8,676 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $43,898 | $6,287 | $7,155 | 0.81 |
| Kidney transplantMS-DRG 652, surgical | 27 | $339,176 | $22,040 | $55,286 | 3.00 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $246,454 | $38,739 | $40,172 | 3.70 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $70,554 | $9,134 | $11,500 | 1.17 |
Liver, gallbladder and pancreas181 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 40 | $173,675 | $16,377 | $28,309 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 24 | $94,714 | $13,292 | $15,438 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 23 | $96,589 | $15,067 | $15,744 | 1.83 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 22 | $148,435 | $22,145 | $24,195 | 2.89 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 20 | $69,832 | $8,892 | $11,383 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 16 | $93,352 | $6,086 | $15,216 | 0.86 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 14 | $300,648 | $57,121 | $49,006 | 5.51 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $64,994 | $6,969 | $10,594 | 1.03 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $73,471 | $13,687 | $11,976 | 1.63 |
Respiratory system145 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $90,368 | $11,067 | $14,730 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $78,221 | $9,703 | $12,750 | 1.33 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 27 | $120,160 | $14,848 | $19,586 | 1.81 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $220,083 | $23,465 | $35,873 | 2.70 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $154,129 | $13,504 | $25,123 | 1.74 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $201,713 | $27,078 | $32,879 | 4.71 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $64,556 | $9,736 | $10,523 | 1.23 |
Endocrine, nutritional and metabolic49 discharges in 2 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 | 31 | $85,210 | $10,896 | $13,889 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $58,304 | $4,524 | $9,504 | 0.78 |
Transplants, ECMO and tracheostomy (pre-MDC)43 discharges in 1 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 | 43 | $1,628,860 | $261,000 | $265,504 | 21.32 |
Musculoskeletal system and connective tissue42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 15 | $43,763 | $6,867 | $7,133 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $147,812 | $17,592 | $24,093 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 13 | $286,091 | $34,207 | $46,633 | 3.66 |
Injuries, poisonings and toxic effects of drugs35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 23 | $124,526 | $15,961 | $20,298 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $57,278 | $6,926 | $9,336 | 1.03 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 21 | $58,088 | $5,755 | $9,468 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $66,051 | $10,977 | $10,766 | 1.40 |
Other13 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 | 13 | $473,822 | $59,569 | $77,233 | 4.74 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $34,634 | $6,142 | $5,645 | 0.88 |
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 1 Intraocular ProceduresAPC 5491 | 806 | 531 | $11,341 | $1,703 | $1,752 |
| Level 2 Intraocular ProceduresAPC 5492 | 292 | 249 | $24,520 | $2,971 | $3,116 |
| Level 1 Endovascular ProceduresAPC 5191 | 259 | 257 | $31,381 | $2,123 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 250 | 226 | $14,272 | $1,383 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 211 | 202 | $185,510 | $20,239 | $21,117 |
| Comprehensive Observation ServicesAPC 8011 | 170 | 160 | $30,219 | $1,997 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 166 | 157 | $20,233 | $1,173 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 122 | 114 | $80,226 | $8,432 | $8,874 |
| Level 4 Airway EndoscopyAPC 5154 | 113 | 85 | $24,234 | $2,650 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 108 | 107 | $45,739 | $4,125 | $4,436 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 93 | 92 | $62,164 | $5,113 | $5,339 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 93 | 91 | $12,330 | $1,718 | $1,780 |
| Level 3 Vascular ProceduresAPC 5183 | 92 | 90 | $33,792 | $2,304 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 85 | 83 | $33,671 | $3,730 | $3,918 |
| Level 3 Upper GI ProceduresAPC 5303 | 83 | 78 | $31,141 | $2,794 | $2,888 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 75 | 75 | $88,524 | $8,147 | $8,569 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 74 | 72 | $45,216 | $4,142 | $4,358 |
| Complex GI ProceduresAPC 5331 | 73 | 60 | $42,187 | $3,918 | $4,263 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 69 | 64 | $31,775 | $2,069 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 69 | 62 | $30,452 | $2,285 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 67 | 64 | $89,416 | $10,555 | $10,772 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 66 | 66 | $311,432 | $26,667 | $26,719 |
| Level 4 Urology and Related ServicesAPC 5374 | 61 | 54 | $31,963 | $2,343 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 60 | 56 | $63,228 | $3,915 | $3,946 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 58 | 58 | $69,566 | $7,453 | $8,164 |
| Level 3 Intraocular ProceduresAPC 5493 | 56 | 47 | $35,671 | $3,789 | $4,004 |
| Level 4 Endovascular ProceduresAPC 5194 | 54 | 48 | $140,689 | $14,590 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 52 | 51 | $30,447 | $2,408 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 48 | 48 | $74,650 | $6,272 | $6,514 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 47 | 38 | $24,369 | $2,855 | $2,969 |
| Level 3 Airway EndoscopyAPC 5153 | 43 | 40 | $27,619 | $1,222 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 42 | 42 | $17,928 | $2,133 | $2,176 |
| Level 2 Endovascular ProceduresAPC 5192 | 39 | 38 | $52,733 | $3,894 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 37 | 37 | $254,589 | $28,773 | $29,375 |
| Level 3 Urology and Related ServicesAPC 5373 | 35 | 30 | $21,174 | $1,454 | $1,516 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 34 | $49,513 | $4,816 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 31 | 31 | $39,980 | $4,893 | $5,183 |
| Level 1 Nerve ProceduresAPC 5431 | 29 | 27 | $22,992 | $1,377 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 27 | 26 | $11,690 | $1,169 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 25 | $16,972 | $1,140 | $1,196 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $31,979 | $2,624 | $2,930 |
| Level 8 Urology and Related ServicesAPC 5378 | 22 | 21 | $183,984 | $17,024 | $17,428 |
| Implantation of Drug Infusion DeviceAPC 5471 | 20 | 20 | $163,629 | $14,861 | $14,829 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 18 | 18 | $68,549 | $5,507 | $5,682 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 15 | $73,141 | $4,366 | $4,524 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 15 | 15 | $217,932 | $17,362 | $18,465 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 13 | $78,015 | $6,415 | $7,291 |
| Cochlear Implant ProcedureAPC 5166 | 12 | 12 | $326,275 | $29,369 | $29,489 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $152,375 | $16,395 | $17,052 |
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.