Christianacare Wilmington Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Christianacare Wilmington Hospital, Wilmington, DE in 2024, from traditional Medicare claims. Back to the Christianacare Wilmington Hospital profile, with quality ratings, finances and negotiated rates.
16,137
Medicare inpatient discharges
In 284 published DRGs
2.02
Case mix index
IPPS FY 2027
26%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
10,909
Medicare outpatient services
In 58 service groups
Inpatient stays by major diagnostic category
Circulatory system3,126 discharges in 45 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 803 | $41,251 | $10,048 | $13,406 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 232 | $31,988 | $6,190 | $10,396 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 184 | $236,981 | $43,459 | $77,019 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 170 | $92,621 | $18,067 | $30,102 | 2.16 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 116 | $188,850 | $27,684 | $61,376 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 113 | $25,636 | $5,613 | $8,332 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 108 | $107,225 | $13,364 | $34,848 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 85 | $40,544 | $9,042 | $13,177 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 79 | $56,585 | $12,795 | $18,390 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 76 | $311,090 | $69,651 | $101,104 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 75 | $49,624 | $7,729 | $16,128 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 68 | $66,401 | $18,641 | $21,580 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 64 | $76,769 | $17,512 | $24,950 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 57 | $140,190 | $24,392 | $45,562 | 2.87 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 47 | $170,581 | $43,665 | $55,439 | 5.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 47 | $41,996 | $6,498 | $13,649 | 0.91 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 45 | $194,054 | $48,915 | $63,068 | 5.06 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 43 | $243,015 | $68,387 | $78,980 | 7.80 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 42 | $17,784 | $3,462 | $5,780 | 0.55 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 41 | $98,365 | $31,752 | $31,968 | 4.04 |
| Heart failure and shock with CCMS-DRG 292, medical | 40 | $33,889 | $6,212 | $11,014 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 40 | $30,360 | $7,769 | $9,867 | 1.07 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 39 | $60,584 | $13,911 | $19,690 | 1.83 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 38 | $29,349 | $7,204 | $9,538 | 0.97 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 34 | $175,078 | $39,470 | $56,900 | 3.35 |
| Other vascular procedures with CCMS-DRG 253, surgical | 34 | $84,857 | $20,889 | $27,579 | 2.55 |
| Hypertension without MCCMS-DRG 305, medical | 34 | $29,338 | $5,164 | $9,535 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 33 | $102,118 | $28,173 | $33,188 | 3.46 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 33 | $62,040 | $13,024 | $20,163 | 1.58 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 27 | $139,160 | $31,707 | $45,227 | 3.46 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 26 | $341,224 | $86,191 | $110,898 | 7.71 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 25 | $175,934 | $41,624 | $57,179 | 5.24 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 23 | $150,006 | $33,228 | $48,752 | 4.16 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 22 | $33,383 | $4,872 | $10,849 | 0.72 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 21 | $183,641 | $50,267 | $59,683 | 5.88 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 21 | $183,052 | $39,232 | $59,492 | 4.81 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 19 | $199,154 | $39,834 | $64,725 | 4.78 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 18 | $55,474 | $25,932 | $18,029 | 3.27 |
| Hypertension with MCCMS-DRG 304, medical | 18 | $44,577 | $10,156 | $14,488 | 1.15 |
| Chest painMS-DRG 313, medical | 18 | $26,400 | $5,070 | $8,580 | 0.72 |
| Cardiac defibrillator implant with cardiac catheterization and MCCMS-DRG 275, surgical | 16 | $270,817 | $63,432 | $88,016 | 7.04 |
| Atherosclerosis without MCCMS-DRG 303, medical | 15 | $22,270 | $4,696 | $7,238 | 0.66 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 14 | $61,194 | $14,738 | $19,888 | 1.54 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 12 | $198,041 | $36,680 | $64,363 | 3.90 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 11 | $136,017 | $22,132 | $44,206 | 2.97 |
Respiratory system2,313 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 437 | $38,520 | $10,089 | $12,519 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 381 | $53,275 | $13,096 | $17,315 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 283 | $43,437 | $9,551 | $14,117 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 173 | $28,387 | $5,942 | $9,226 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 127 | $42,364 | $7,648 | $13,768 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 92 | $57,026 | $12,021 | $18,533 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 91 | $31,660 | $7,994 | $10,290 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 66 | $29,186 | $6,996 | $9,486 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 65 | $29,657 | $5,930 | $9,638 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 60 | $27,191 | $5,931 | $8,837 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 52 | $75,826 | $18,674 | $24,643 | 2.55 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 51 | $102,452 | $21,162 | $33,297 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 46 | $31,193 | $7,695 | $10,138 | 1.05 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 44 | $60,487 | $13,257 | $19,658 | 1.74 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 41 | $130,808 | $34,025 | $42,513 | 4.06 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 27 | $19,202 | $4,089 | $6,241 | 0.63 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 25 | $52,584 | $13,576 | $17,090 | 1.81 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 24 | $77,854 | $17,037 | $25,302 | 1.90 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 23 | $22,186 | $6,957 | $7,210 | 0.91 |
| Major chest trauma with MCCMS-DRG 183, medical | 22 | $38,495 | $10,906 | $12,511 | 1.57 |
| Pleural effusion with MCCMS-DRG 186, medical | 19 | $45,282 | $12,390 | $14,717 | 1.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 19 | $165,078 | $45,368 | $53,650 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $132,040 | $39,578 | $42,913 | 4.71 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 18 | $76,364 | $17,118 | $24,818 | 1.82 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 18 | $41,390 | $8,536 | $13,452 | 1.10 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 17 | $55,446 | $13,804 | $18,020 | 1.88 |
| Pneumothorax with MCCMS-DRG 199, medical | 16 | $41,991 | $13,191 | $13,647 | 1.77 |
| Bronchitis and asthma without cc/mccMS-DRG 203, medical | 13 | $26,048 | $4,538 | $8,466 | 0.69 |
| Pneumothorax with CCMS-DRG 200, medical | 12 | $25,552 | $6,748 | $8,304 | 1.08 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 11 | $33,799 | $5,405 | $10,985 | 0.76 |
| Major chest trauma without cc/mccMS-DRG 185, medical | 11 | $26,640 | $4,880 | $8,658 | 0.76 |
| Pleural effusion with CCMS-DRG 187, medical | 11 | $31,491 | $7,312 | $10,235 | 1.00 |
Musculoskeletal system and connective tissue1,865 discharges in 44 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 190 | $30,425 | $6,890 | $9,888 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 166 | $74,474 | $16,526 | $24,204 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 146 | $108,129 | $28,837 | $35,142 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 107 | $62,714 | $16,247 | $20,382 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 77 | $58,521 | $14,754 | $19,019 | 1.88 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 76 | $147,136 | $38,413 | $47,819 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 67 | $75,388 | $22,187 | $24,501 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 66 | $102,476 | $23,913 | $33,305 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 63 | $26,279 | $6,258 | $8,541 | 0.90 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 56 | $160,060 | $48,161 | $52,019 | 6.12 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 56 | $75,978 | $18,051 | $24,693 | 2.46 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 55 | $84,974 | $18,991 | $27,616 | 2.40 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 54 | $78,388 | $20,019 | $25,476 | 2.67 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 48 | $37,028 | $6,099 | $12,034 | 0.79 |
| Medical back problems with MCCMS-DRG 551, medical | 47 | $51,218 | $12,976 | $16,646 | 1.70 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 43 | $96,950 | $25,240 | $31,509 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 41 | $84,784 | $24,087 | $27,555 | 2.99 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 38 | $55,758 | $11,996 | $18,121 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 31 | $72,990 | $15,840 | $23,722 | 2.04 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 29 | $122,276 | $28,143 | $39,740 | 3.46 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 29 | $34,378 | $8,018 | $11,173 | 1.09 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 26 | $97,994 | $22,469 | $31,848 | 2.48 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 26 | $64,857 | $12,727 | $21,078 | 1.87 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 23 | $22,548 | $5,590 | $7,328 | 0.82 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 23 | $28,153 | $6,356 | $9,150 | 0.82 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 22 | $84,973 | $22,602 | $27,616 | 3.00 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 22 | $46,063 | $14,874 | $14,970 | 1.97 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 21 | $89,735 | $18,305 | $29,164 | 2.38 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 19 | $77,654 | $14,550 | $25,238 | 1.82 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 18 | $32,771 | $10,342 | $10,651 | 1.43 |
| Cervical spinal fusion with MCCMS-DRG 471, surgical | 17 | $156,067 | $38,758 | $50,722 | 4.92 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 15 | $94,708 | $23,244 | $30,780 | 3.16 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 15 | $33,620 | $6,995 | $10,927 | 1.00 |
| Spinal fusion except cervical with MCCMS-DRG 459, surgical | 14 | $194,150 | $60,604 | $63,099 | 6.63 |
| Soft tissue procedures with CCMS-DRG 501, surgical | 14 | $50,146 | $13,071 | $16,298 | 1.74 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 14 | $52,962 | $11,491 | $17,213 | 1.49 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 13 | $125,393 | $33,033 | $40,753 | 2.49 |
| Connective tissue disorders with CCMS-DRG 546, medical | 12 | $45,349 | $10,088 | $14,738 | 1.20 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 11 | $213,911 | $71,435 | $69,521 | 8.86 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 11 | $202,693 | $53,577 | $65,875 | 6.08 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 11 | $150,838 | $39,590 | $49,022 | 5.19 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 11 | $35,975 | $10,205 | $11,692 | 1.30 |
| Osteomyelitis with MCCMS-DRG 539, medical | 11 | $96,462 | $14,670 | $31,350 | 1.98 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 11 | $52,210 | $11,581 | $16,968 | 1.52 |
Nervous system1,772 discharges in 37 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 | 222 | $36,234 | $7,170 | $11,776 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 195 | $71,387 | $15,465 | $23,201 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 99 | $137,012 | $35,230 | $44,529 | 4.42 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 81 | $32,817 | $5,835 | $10,665 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 79 | $32,485 | $6,888 | $10,558 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 74 | $176,325 | $45,138 | $57,306 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 72 | $46,223 | $10,674 | $15,022 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 67 | $79,862 | $16,046 | $25,955 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 66 | $48,504 | $13,140 | $15,764 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 64 | $32,514 | $7,588 | $10,567 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 63 | $28,022 | $4,454 | $9,107 | 0.69 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 55 | $34,380 | $9,337 | $11,174 | 1.32 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 54 | $36,601 | $7,868 | $11,895 | 1.06 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 42 | $64,051 | $20,012 | $20,817 | 2.39 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 40 | $164,327 | $32,053 | $53,406 | 3.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 40 | $63,478 | $13,034 | $20,630 | 1.47 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 38 | $34,448 | $8,591 | $11,196 | 1.14 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 31 | $58,932 | $16,886 | $19,153 | 2.27 |
| Headaches without MCCMS-DRG 103, medical | 31 | $32,528 | $5,966 | $10,572 | 0.84 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 30 | $90,842 | $14,432 | $29,524 | 1.87 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 30 | $58,640 | $14,152 | $19,058 | 1.79 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 27 | $46,727 | $12,340 | $15,186 | 1.51 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 27 | $44,802 | $10,190 | $14,560 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 25 | $88,338 | $20,575 | $28,710 | 2.28 |
| Extracranial procedures with CCMS-DRG 038, surgical | 24 | $63,200 | $13,284 | $20,540 | 1.60 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 24 | $28,488 | $7,873 | $9,259 | 1.03 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 22 | $101,599 | $18,981 | $33,020 | 2.43 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 20 | $87,109 | $27,333 | $28,310 | 3.43 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 061, medical | 18 | $97,769 | $21,232 | $31,775 | 2.80 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 17 | $27,200 | $5,865 | $8,840 | 0.89 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 16 | $296,285 | $82,208 | $96,293 | 8.45 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 15 | $71,873 | $14,372 | $23,359 | 1.81 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 14 | $73,697 | $23,978 | $23,952 | 2.95 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 14 | $74,832 | $18,023 | $24,320 | 2.30 |
| Other disorders of nervous system without cc/mccMS-DRG 093, medical | 13 | $46,048 | $8,625 | $14,966 | 0.77 |
| Extracranial procedures with MCCMS-DRG 037, surgical | 12 | $114,009 | $28,549 | $37,053 | 3.38 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 11 | $57,612 | $11,183 | $18,724 | 1.62 |
Infectious and parasitic diseases1,732 discharges in 12 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 | 1,193 | $63,922 | $15,817 | $20,775 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 189 | $159,907 | $44,258 | $51,970 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 136 | $34,985 | $7,613 | $11,370 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 68 | $205,085 | $58,962 | $66,653 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 28 | $56,705 | $15,522 | $18,429 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 21 | $52,681 | $15,183 | $17,121 | 1.84 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 21 | $30,405 | $7,623 | $9,882 | 1.01 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 20 | $145,424 | $41,060 | $47,263 | 4.43 |
| Viral illness without MCCMS-DRG 866, medical | 15 | $34,096 | $6,616 | $11,081 | 0.92 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 14 | $64,858 | $14,588 | $21,079 | 2.14 |
| Viral illness with MCCMS-DRG 865, medical | 14 | $38,396 | $12,397 | $12,479 | 1.64 |
| Fever and inflammatory conditionsMS-DRG 864, medical | 13 | $24,106 | $7,013 | $7,835 | 0.88 |
Digestive system1,527 discharges in 28 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 | 255 | $26,373 | $5,636 | $8,571 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 251 | $32,983 | $7,355 | $10,719 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 152 | $63,939 | $14,596 | $20,780 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 108 | $63,075 | $18,149 | $20,499 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 88 | $43,674 | $9,821 | $14,194 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 66 | $23,029 | $5,507 | $7,485 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 62 | $114,672 | $34,879 | $37,268 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 60 | $40,323 | $12,520 | $13,105 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 56 | $27,730 | $6,282 | $9,012 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 43 | $43,905 | $12,901 | $14,269 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 42 | $37,330 | $7,206 | $12,132 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 35 | $17,390 | $3,424 | $5,652 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 32 | $52,892 | $11,772 | $17,190 | 1.45 |
| Digestive malignancy with CCMS-DRG 375, medical | 30 | $41,594 | $9,068 | $13,518 | 1.20 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 27 | $68,746 | $20,493 | $22,342 | 2.50 |
| Digestive malignancy with MCCMS-DRG 374, medical | 27 | $73,880 | $15,576 | $24,011 | 2.10 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 25 | $47,333 | $11,365 | $15,383 | 1.60 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 23 | $71,079 | $15,050 | $23,101 | 1.75 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 18 | $60,784 | $15,801 | $19,755 | 2.11 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 18 | $133,695 | $37,490 | $43,451 | 4.28 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 18 | $19,721 | $3,671 | $6,409 | 0.63 |
| Major esophageal disorders with CCMS-DRG 369, medical | 16 | $30,652 | $7,086 | $9,962 | 0.99 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $109,957 | $43,641 | $35,736 | 5.08 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 14 | $59,871 | $13,530 | $19,458 | 1.65 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 13 | $31,012 | $8,111 | $10,079 | 1.07 |
| Peritoneal adhesiolysis without cc/mccMS-DRG 337, surgical | 12 | $36,083 | $10,503 | $11,727 | 1.50 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 11 | $48,214 | $15,639 | $15,670 | 1.95 |
| Other digestive system diagnoses without cc/mccMS-DRG 395, medical | 11 | $19,918 | $4,198 | $6,473 | 0.65 |
Kidney and urinary tract1,372 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 280 | $36,343 | $8,896 | $11,811 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 272 | $25,680 | $5,894 | $8,346 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 235 | $29,342 | $6,451 | $9,536 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 217 | $47,129 | $11,641 | $15,317 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 91 | $54,488 | $13,761 | $17,709 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 70 | $44,034 | $10,819 | $14,311 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 34 | $35,806 | $10,153 | $11,637 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 32 | $122,226 | $33,947 | $39,723 | 3.70 |
| Renal failure without cc/mccMS-DRG 684, medical | 24 | $18,457 | $3,935 | $5,999 | 0.61 |
| Kidney transplantMS-DRG 652, surgical | 21 | $255,103 | $26,005 | $82,908 | 3.00 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 20 | $97,626 | $24,146 | $31,728 | 2.59 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 16 | $45,507 | $11,301 | $14,790 | 1.48 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 16 | $76,295 | $17,185 | $24,796 | 2.38 |
| Urinary stones without MCCMS-DRG 694, medical | 16 | $18,677 | $5,443 | $6,070 | 0.78 |
| Kidney and urinary tract signs and symptoms without MCCMS-DRG 696, medical | 15 | $23,913 | $4,993 | $7,772 | 0.69 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 13 | $29,238 | $7,206 | $9,502 | 1.05 |
Endocrine, nutritional and metabolic601 discharges in 10 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 | 158 | $48,078 | $10,599 | $15,625 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 132 | $34,429 | $5,881 | $11,190 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 100 | $29,151 | $6,209 | $9,474 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 64 | $49,945 | $10,948 | $16,232 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 45 | $38,519 | $7,834 | $12,519 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 44 | $50,175 | $12,466 | $16,307 | 1.65 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 22 | $74,901 | $16,645 | $24,343 | 1.98 |
| Other endocrine, nutritional and metabolic o.r. procedures with CCMS-DRG 629, surgical | 13 | $88,607 | $17,977 | $28,797 | 2.26 |
| Diabetes without cc/mccMS-DRG 639, medical | 12 | $19,536 | $4,248 | $6,349 | 0.62 |
| Endocrine disorders without cc/mccMS-DRG 645, medical | 11 | $20,880 | $5,051 | $6,786 | 0.76 |
Liver, gallbladder and pancreas385 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 | 43 | $59,936 | $14,049 | $19,479 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 41 | $38,668 | $8,413 | $12,567 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 40 | $54,367 | $13,592 | $17,669 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 37 | $26,662 | $5,826 | $8,665 | 0.86 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 35 | $91,023 | $19,114 | $29,583 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 33 | $44,368 | $12,319 | $14,420 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 33 | $41,400 | $7,496 | $13,455 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 27 | $68,008 | $14,167 | $22,102 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 22 | $35,226 | $8,482 | $11,448 | 1.10 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 18 | $46,288 | $12,067 | $15,044 | 1.67 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 15 | $60,818 | $18,422 | $19,766 | 2.32 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 15 | $38,586 | $7,444 | $12,540 | 1.03 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 14 | $25,912 | $5,109 | $8,421 | 0.80 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 12 | $33,619 | $9,818 | $10,926 | 1.31 |
Skin, subcutaneous tissue and breast287 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 164 | $27,087 | $6,339 | $8,803 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 58 | $49,735 | $11,626 | $16,164 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 36 | $40,700 | $6,333 | $13,228 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 18 | $45,312 | $13,746 | $14,727 | 1.75 |
| Minor skin disorders without MCCMS-DRG 607, medical | 11 | $55,910 | $11,806 | $18,171 | 0.89 |
Blood and immune system260 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 | 98 | $31,685 | $6,635 | $10,297 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 91 | $58,754 | $14,831 | $19,095 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 32 | $132,477 | $23,318 | $43,055 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 23 | $32,517 | $9,065 | $10,568 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 16 | $47,235 | $17,732 | $15,351 | 2.19 |
Injuries, poisonings and toxic effects of drugs170 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 40 | $33,798 | $7,977 | $10,984 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 39 | $55,155 | $14,599 | $17,925 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 37 | $48,649 | $13,181 | $15,811 | 1.60 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 24 | $54,015 | $14,886 | $17,555 | 2.00 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 17 | $21,942 | $6,401 | $7,131 | 0.86 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 13 | $151,466 | $29,465 | $49,226 | 3.72 |
Other166 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 53 | $181,724 | $44,566 | $59,060 | 4.74 |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 36 | $135,993 | $32,161 | $44,198 | |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 27 | $80,194 | $18,911 | $26,063 | 2.49 |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 17 | $115,447 | $29,416 | $37,520 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 17 | $100,803 | $23,291 | $32,761 | 3.38 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 16 | $57,344 | $13,616 | $18,637 | 1.70 |
Mental diseases and disorders95 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 53 | $47,050 | $12,738 | $15,291 | 1.76 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 21 | $45,648 | $6,477 | $14,835 | 0.95 |
| PsychosesMS-DRG 885, medical | 21 | $62,081 | $11,048 | $20,176 | 1.37 |
Alcohol and drug use81 discharges in 2 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 | 48 | $28,087 | $6,291 | $9,128 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 33 | $42,211 | $13,527 | $13,719 | 1.78 |
Blood cancers and poorly differentiated neoplasms80 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 25 | $140,600 | $29,209 | $45,695 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 23 | $66,781 | $12,584 | $21,704 | 1.21 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 18 | $81,108 | $15,877 | $26,360 | 1.57 |
| Acute leukemia with MCCMS-DRG 834, medical | 14 | $157,328 | $52,202 | $51,132 | 5.60 |
Ear, nose, mouth and throat77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 31 | $26,085 | $5,347 | $8,478 | 0.74 |
| Otitis media and uri without MCCMS-DRG 153, medical | 19 | $20,260 | $4,573 | $6,584 | 0.73 |
| Dental and oral diseases with CCMS-DRG 158, medical | 16 | $27,330 | $6,479 | $8,882 | 0.94 |
| Other ear, nose, mouth and throat diagnoses with CCMS-DRG 155, medical | 11 | $28,340 | $6,963 | $9,211 | 0.95 |
Factors influencing health status73 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 45 | $31,471 | $5,352 | $10,228 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 15 | $12,695 | $4,653 | $4,126 | 0.59 |
| Signs and symptoms with MCCMS-DRG 947, medical | 13 | $54,591 | $10,622 | $17,742 | 1.25 |
Multiple significant trauma66 discharges in 4 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 | 25 | $113,763 | $32,890 | $36,973 | 3.88 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 14 | $79,503 | $21,723 | $25,838 | 2.73 |
| Other multiple significant trauma with CCMS-DRG 964, medical | 14 | $36,577 | $11,781 | $11,888 | 1.50 |
| Other o.r. procedures for multiple significant trauma with MCCMS-DRG 957, surgical | 13 | $189,673 | $55,820 | $61,644 | 7.23 |
Transplants, ECMO and tracheostomy (pre-MDC)56 discharges in 2 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 | 29 | $535,809 | $187,035 | $174,138 | 21.32 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 27 | $343,823 | $108,580 | $111,742 | 14.70 |
HIV infections21 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 | 21 | $82,361 | $24,544 | $26,767 | 2.92 |
Eye12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of the eye without MCCMS-DRG 125, medical | 12 | $20,148 | $5,693 | $6,548 | 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 | 1,883 | 1,781 | $13,217 | $2,141 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 1,029 | 988 | $42,898 | $11,371 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 660 | 648 | $21,210 | $2,313 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 556 | 538 | $6,397 | $1,280 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 546 | 465 | $9,630 | $1,591 | $1,516 |
| Level 2 Urology and Related ServicesAPC 5372 | 497 | 373 | $2,580 | $537 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 359 | 289 | $11,752 | $2,751 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 342 | 337 | $20,437 | $4,512 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 326 | 292 | $6,673 | $1,501 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 302 | 296 | $20,337 | $4,080 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 276 | 272 | $10,316 | $2,500 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 263 | 258 | $82,909 | $16,826 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 244 | 237 | $29,933 | $5,645 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 215 | 202 | $73,135 | $9,168 | $8,874 |
| Level 4 Vascular ProceduresAPC 5184 | 197 | 172 | $19,076 | $3,984 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 193 | 148 | $10,690 | $2,749 | $2,636 |
| Level 5 Airway EndoscopyAPC 5155 | 181 | 180 | $23,461 | $5,379 | $5,183 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 178 | 171 | $177,645 | $21,753 | $21,117 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 177 | 157 | $13,544 | $3,019 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 169 | 169 | $33,934 | $8,575 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 151 | 149 | $11,549 | $2,452 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 150 | 148 | $23,739 | $5,142 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 141 | 141 | $36,305 | $8,976 | $8,569 |
| Level 1 Intraocular ProceduresAPC 5491 | 139 | 96 | $11,829 | $1,788 | $1,752 |
| Level 2 Vascular ProceduresAPC 5182 | 118 | 111 | $3,938 | $1,276 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 115 | 110 | $9,935 | $2,941 | $2,833 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 105 | 102 | $12,762 | $2,509 | $2,373 |
| Level 5 ENT ProceduresAPC 5165 | 100 | 100 | $19,948 | $4,583 | $4,436 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 97 | 96 | $154,959 | $29,123 | $26,719 |
| Level 2 Intraocular ProceduresAPC 5492 | 92 | 87 | $18,816 | $3,107 | $3,116 |
| Level 3 Airway EndoscopyAPC 5153 | 90 | 88 | $6,377 | $1,334 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 90 | 88 | $131,130 | $31,237 | $29,375 |
| Level 5 Gynecologic ProceduresAPC 5415 | 88 | 82 | $17,026 | $3,970 | $3,792 |
| Level 2 Endovascular ProceduresAPC 5192 | 81 | 79 | $30,335 | $4,506 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 76 | 73 | $11,939 | $2,118 | $2,141 |
| Level 6 Gynecologic ProceduresAPC 5416 | 70 | 70 | $20,301 | $6,040 | $5,836 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 69 | 66 | $15,414 | $6,879 | $6,514 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 59 | 58 | $6,537 | $1,261 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 51 | 48 | $111,109 | $15,918 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 49 | 49 | $10,837 | $2,152 | $2,176 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 41 | 37 | $110,502 | $20,257 | $18,465 |
| Level 3 Upper GI ProceduresAPC 5303 | 35 | 35 | $10,166 | $3,061 | $2,888 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 32 | 32 | $80,203 | $17,871 | $17,052 |
| Level 1 Nerve ProceduresAPC 5431 | 32 | 32 | $11,287 | $1,440 | $1,407 |
| Complex GI ProceduresAPC 5331 | 27 | 17 | $15,939 | $3,881 | $4,263 |
| Level 6 Urology and Related ServicesAPC 5376 | 24 | 23 | $30,510 | $7,606 | $7,291 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 23 | 22 | $18,912 | $7,810 | $7,546 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 21 | 21 | $18,755 | $5,467 | $4,524 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 21 | 21 | $64,652 | $11,440 | $11,550 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 20 | 20 | $11,691 | $2,720 | $2,547 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 19 | 19 | $86,954 | $21,952 | $21,011 |
| Level 7 Radiation TherapyAPC 5627 | 18 | 16 | $34,887 | $6,225 | $6,121 |
| Level 4 ENT ProceduresAPC 5164 | 14 | 14 | $13,748 | $2,574 | $2,217 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 12 | 12 | $75,924 | $16,009 | $15,549 |
| Cochlear Implant ProcedureAPC 5166 | 12 | 12 | $208,711 | $31,909 | $29,489 |
| Implantation of Drug Infusion DeviceAPC 5471 | 12 | 12 | $81,754 | $13,518 | $14,829 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 11 | $52,484 | $5,970 | $5,682 | |
| Level 8 Urology and Related ServicesAPC 5378 | 11 | 11 | $112,509 | $18,529 | $17,428 |
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.