Clovis Commuity Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Clovis Commuity Medical Center, Clovis, CA in 2024, from traditional Medicare claims. Back to the Clovis Commuity Medical Center profile, with quality ratings, finances and negotiated rates.
4,163
Medicare inpatient discharges
In 115 published DRGs
1.86
Case mix index
IPPS FY 2027
16%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,188
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases679 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 | 457 | $129,935 | $18,503 | $24,818 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 101 | $66,489 | $8,194 | $12,699 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 81 | $261,721 | $47,640 | $49,989 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 23 | $395,680 | $69,124 | $75,575 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 17 | $131,791 | $18,460 | $25,172 | 2.04 |
Circulatory system669 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 259 | $81,563 | $11,608 | $15,579 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 45 | $112,126 | $29,975 | $21,416 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 42 | $54,594 | $7,092 | $10,428 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 30 | $96,446 | $14,343 | $18,421 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $49,262 | $6,061 | $9,409 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 30 | $133,137 | $21,276 | $25,429 | 2.09 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 22 | $56,871 | $9,060 | $10,862 | 1.07 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $82,165 | $10,274 | $15,693 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $125,869 | $16,402 | $24,041 | 1.82 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 18 | $57,812 | $7,679 | $11,042 | 0.97 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $255,860 | $30,955 | $48,869 | 4.04 |
| Heart failure and shock with CCMS-DRG 292, medical | 17 | $51,026 | $7,346 | $9,746 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $57,556 | $6,710 | $10,993 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 12 | $156,885 | $31,980 | $29,965 | 3.46 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $289,983 | $47,004 | $55,387 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $122,001 | $19,944 | $23,302 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $354,219 | $44,171 | $67,656 | 5.20 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 11 | $169,448 | $42,730 | $32,365 | 4.81 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $101,150 | $20,403 | $19,320 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $60,454 | $8,455 | $11,547 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $31,432 | $6,256 | $6,004 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $216,843 | $35,998 | $41,417 | 2.87 |
Kidney and urinary tract589 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 139 | $42,124 | $6,574 | $8,046 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 115 | $54,427 | $7,411 | $10,396 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 92 | $60,430 | $9,908 | $11,542 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 86 | $100,000 | $16,664 | $19,100 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 68 | $88,808 | $13,271 | $16,962 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 44 | $52,159 | $9,115 | $9,962 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 21 | $224,987 | $36,433 | $42,972 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $80,731 | $10,007 | $15,420 | 1.35 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 12 | $114,089 | $20,376 | $21,791 | 2.38 |
Respiratory system562 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 149 | $82,364 | $11,456 | $15,732 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 115 | $111,497 | $15,311 | $21,296 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 56 | $103,015 | $12,799 | $19,676 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 55 | $80,445 | $9,819 | $15,365 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 45 | $51,586 | $6,979 | $9,853 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 26 | $98,403 | $11,728 | $18,795 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 22 | $44,840 | $6,223 | $8,564 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 20 | $300,081 | $42,393 | $57,316 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $52,068 | $6,704 | $9,945 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $122,188 | $16,736 | $23,338 | 1.74 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $311,680 | $65,050 | $59,531 | 6.91 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $181,921 | $21,362 | $34,747 | 2.55 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $52,199 | $8,081 | $9,970 | 0.96 |
Digestive system432 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 87 | $66,751 | $8,307 | $12,749 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 77 | $47,714 | $6,599 | $9,113 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 45 | $112,516 | $16,298 | $21,491 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $54,471 | $5,806 | $10,404 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 27 | $73,222 | $7,987 | $13,985 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 21 | $322,500 | $47,474 | $61,598 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $64,157 | $11,179 | $12,254 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $154,202 | $20,011 | $29,453 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $104,914 | $14,891 | $20,039 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 15 | $59,216 | $9,063 | $11,310 | 1.04 |
| Digestive malignancy with CCMS-DRG 375, medical | 15 | $76,019 | $10,931 | $14,520 | 1.20 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $32,867 | $3,758 | $6,278 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $82,085 | $15,424 | $15,678 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $99,799 | $12,417 | $19,062 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $117,237 | $12,900 | $22,392 | 1.67 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 11 | $42,837 | $5,004 | $8,182 | 0.63 |
Nervous system274 discharges in 9 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 | 71 | $57,640 | $8,214 | $11,009 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 40 | $51,995 | $10,764 | $9,931 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 32 | $53,323 | $4,882 | $10,185 | 0.69 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 28 | $102,996 | $17,041 | $19,672 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 28 | $54,821 | $6,288 | $10,471 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 20 | $57,864 | $9,057 | $11,052 | 1.06 |
| Seizures without MCCMS-DRG 101, medical | 20 | $51,810 | $7,109 | $9,896 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 18 | $128,121 | $19,041 | $24,471 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $67,952 | $8,995 | $12,979 | 1.03 |
Endocrine, nutritional and metabolic268 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 80 | $87,870 | $11,705 | $16,783 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 78 | $50,048 | $6,471 | $9,559 | 0.78 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 34 | $99,221 | $16,735 | $18,951 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 28 | $46,186 | $7,531 | $8,822 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $105,754 | $12,926 | $20,199 | 1.45 |
| Other endocrine, nutritional and metabolic o.r. procedures with CCMS-DRG 629, surgical | 15 | $112,641 | $17,645 | $21,514 | 2.26 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $70,610 | $8,920 | $13,487 | 1.06 |
Musculoskeletal system and connective tissue252 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 47 | $93,454 | $17,993 | $17,850 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $86,246 | $18,510 | $16,473 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 27 | $50,078 | $8,003 | $9,565 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 25 | $35,559 | $7,377 | $6,792 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 24 | $102,192 | $16,381 | $19,519 | 1.88 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 21 | $35,607 | $5,177 | $6,801 | 0.79 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 17 | $115,341 | $23,067 | $22,030 | 3.00 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $218,699 | $33,976 | $41,772 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $68,267 | $8,550 | $13,039 | 1.09 |
| Amputation for musculoskeletal system and connective tissue disorders with CCMS-DRG 475, surgical | 11 | $119,979 | $18,379 | $22,916 | 2.14 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $73,964 | $13,009 | $14,127 | 1.59 |
Liver, gallbladder and pancreas172 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 34 | $108,374 | $16,718 | $20,699 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 32 | $43,554 | $7,268 | $8,319 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 26 | $136,600 | $18,761 | $26,091 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 19 | $116,259 | $13,918 | $22,205 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $113,667 | $15,327 | $21,710 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 18 | $67,018 | $9,330 | $12,800 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 14 | $133,724 | $21,471 | $25,541 | 2.32 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $50,408 | $8,643 | $9,628 | 1.03 |
Skin, subcutaneous tissue and breast68 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 57 | $44,824 | $6,873 | $8,561 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $59,834 | $12,303 | $11,428 | 1.49 |
Blood and immune system53 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $100,672 | $12,801 | $19,228 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 13 | $129,081 | $19,353 | $24,654 | 2.19 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $63,066 | $7,057 | $12,046 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 11 | $99,915 | $11,428 | $19,084 | 1.20 |
Injuries, poisonings and toxic effects of drugs32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 17 | $82,676 | $13,307 | $15,791 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 15 | $78,525 | $14,224 | $14,998 | 1.82 |
Mental diseases and disorders30 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 | 16 | $54,693 | $15,331 | $10,446 | 1.76 |
| PsychosesMS-DRG 885, medical | 14 | $45,580 | $11,552 | $8,706 | 1.37 |
Blood cancers and poorly differentiated neoplasms28 discharges in 2 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 | 17 | $48,755 | $11,970 | $9,312 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 11 | $291,183 | $32,604 | $55,616 | 3.13 |
Other26 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 | 26 | $339,660 | $45,712 | $64,875 | 4.74 |
Factors influencing health status17 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 | 17 | $38,023 | $6,641 | $7,262 | 0.80 |
Alcohol and drug use12 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 | 12 | $50,103 | $7,833 | $9,570 | 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 |
|---|---|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 415 | 366 | $8,729 | $1,581 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 282 | 276 | $26,927 | $2,856 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 269 | 257 | $17,887 | $3,159 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 233 | 233 | $37,694 | $5,593 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 197 | 177 | $17,864 | $1,870 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 188 | 164 | $12,722 | $2,780 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 159 | 139 | $14,647 | $1,992 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 152 | 150 | $32,487 | $7,116 | $5,339 |
| Comprehensive Observation ServicesAPC 8011 | 130 | 129 | $28,223 | $2,681 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 106 | 105 | $76,364 | $14,262 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 101 | 97 | $28,038 | $5,065 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 91 | 89 | $16,683 | $3,122 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 91 | 86 | $69,244 | $11,861 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 75 | $18,974 | $3,370 | $2,629 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 80 | 80 | $23,468 | $3,687 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 66 | 64 | $24,274 | $3,363 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 63 | 62 | $7,026 | $1,545 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 62 | 61 | $14,454 | $1,568 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 59 | 59 | $17,265 | $3,017 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 54 | 54 | $52,525 | $6,386 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 53 | 53 | $46,809 | $11,471 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 50 | 48 | $153,387 | $27,482 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 31 | 31 | $59,946 | $11,004 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 29 | 29 | $36,207 | $5,599 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 26 | 25 | $101,772 | $19,107 | $14,606 |
| Level 1 Nerve ProceduresAPC 5431 | 23 | 22 | $16,872 | $1,891 | $1,407 |
| Level 3 Upper GI ProceduresAPC 5303 | 22 | 21 | $28,381 | $3,751 | $2,888 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 16 | $19,078 | $1,654 | $1,264 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $101,905 | $18,686 | $15,763 |
| Complex GI ProceduresAPC 5331 | 16 | 15 | $33,651 | $5,571 | $4,263 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 12 | $20,945 | $2,724 | $2,176 |
| Level 5 ENT ProceduresAPC 5165 | 12 | 12 | $30,457 | $5,736 | $4,436 |
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.