Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Community Hospital, Munster, IN in 2024, from traditional Medicare claims. Back to the Community Hospital profile, with quality ratings, finances and negotiated rates.
4,904
Medicare inpatient discharges
In 140 published DRGs
2.06
Case mix index
IPPS FY 2027
25%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
7,175
Medicare outpatient services
In 51 service groups
Inpatient stays by major diagnostic category
Circulatory system1,321 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 448 | $39,625 | $7,992 | $10,025 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 94 | $104,103 | $21,125 | $26,338 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 62 | $169,002 | $42,713 | $42,757 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 58 | $27,903 | $4,088 | $7,059 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 51 | $29,712 | $5,271 | $7,517 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 43 | $35,385 | $7,356 | $8,952 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 41 | $158,327 | $33,643 | $40,057 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 37 | $72,418 | $12,029 | $18,322 | 2.16 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 36 | $159,686 | $24,425 | $40,401 | 3.46 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $72,263 | $11,247 | $18,283 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 32 | $56,668 | $5,771 | $14,337 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 30 | $29,765 | $4,094 | $7,531 | 0.75 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 29 | $176,166 | $36,333 | $44,570 | 5.06 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 28 | $68,895 | $12,487 | $17,430 | 2.09 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 26 | $71,775 | $19,739 | $18,159 | 3.27 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 23 | $91,990 | $23,097 | $23,273 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $121,749 | $17,801 | $30,803 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $79,559 | $8,929 | $20,128 | 1.82 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 22 | $32,953 | $6,106 | $8,337 | 1.07 |
| Other vascular procedures with CCMS-DRG 253, surgical | 21 | $84,896 | $14,595 | $21,479 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 20 | $47,101 | $9,503 | $11,917 | 1.58 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $25,891 | $2,555 | $6,550 | 0.55 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 19 | $36,943 | $6,035 | $9,347 | 0.97 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 18 | $134,624 | $20,279 | $34,060 | 2.97 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $165,273 | $27,233 | $41,814 | 4.16 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 15 | $171,031 | $32,509 | $43,271 | 4.14 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $104,230 | $23,279 | $26,370 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $64,538 | $14,522 | $16,328 | 2.28 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 12 | $162,811 | $34,371 | $41,191 | 5.88 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $46,412 | $7,292 | $11,742 | 1.15 |
Respiratory system707 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 200 | $47,987 | $10,287 | $12,141 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 117 | $42,718 | $7,821 | $10,808 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 65 | $34,980 | $6,407 | $8,850 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 47 | $27,581 | $4,980 | $6,978 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 45 | $28,545 | $5,461 | $7,222 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $38,400 | $6,905 | $9,715 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 31 | $30,762 | $4,851 | $7,783 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 30 | $79,688 | $17,595 | $20,161 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 27 | $35,469 | $5,390 | $8,974 | 0.96 |
| Major chest procedures with MCCMS-DRG 163, surgical | 20 | $135,797 | $30,925 | $34,357 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $45,909 | $8,513 | $11,615 | 1.40 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 18 | $90,759 | $26,155 | $22,962 | 4.06 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 18 | $57,241 | $11,110 | $14,482 | 1.74 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 14 | $42,523 | $12,027 | $10,758 | 1.81 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $89,431 | $16,581 | $22,626 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $27,283 | $4,075 | $6,903 | 0.82 |
Nervous system613 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 104 | $54,003 | $12,041 | $13,663 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 76 | $45,926 | $5,957 | $11,619 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 37 | $34,243 | $8,123 | $8,664 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 35 | $166,593 | $37,301 | $42,148 | 5.67 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 33 | $24,038 | $7,545 | $6,082 | 1.32 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 30 | $115,991 | $26,375 | $29,346 | 4.42 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 29 | $81,471 | $15,111 | $20,612 | 2.30 |
| Seizures with MCCMS-DRG 100, medical | 21 | $46,427 | $12,646 | $11,746 | 1.98 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 20 | $59,673 | $11,807 | $15,097 | 1.81 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 20 | $55,706 | $16,168 | $14,094 | 2.39 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 20 | $35,025 | $4,311 | $8,861 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 20 | $29,305 | $4,656 | $7,414 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 19 | $49,498 | $9,137 | $12,523 | 1.47 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 17 | $25,025 | $4,791 | $6,331 | 0.89 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 15 | $38,474 | $6,262 | $9,734 | 1.14 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $56,380 | $15,231 | $14,264 | 2.28 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $45,086 | $11,783 | $11,407 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $32,972 | $5,910 | $8,342 | 1.03 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 14 | $48,738 | $13,357 | $12,331 | 2.27 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $43,848 | $6,050 | $11,094 | 1.06 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 12 | $98,839 | $25,106 | $25,006 | 3.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $34,816 | $3,226 | $8,808 | 0.69 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $30,600 | $6,290 | $7,742 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $39,964 | $8,596 | $10,111 | 1.36 |
Kidney and urinary tract474 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 95 | $26,667 | $5,050 | $6,747 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 87 | $34,296 | $6,858 | $8,677 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 83 | $25,620 | $4,339 | $6,482 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 66 | $43,117 | $9,230 | $10,909 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $49,407 | $9,828 | $12,500 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 30 | $33,423 | $6,441 | $8,456 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 18 | $40,910 | $8,291 | $10,350 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 16 | $85,787 | $24,949 | $21,704 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 15 | $63,029 | $15,775 | $15,946 | 2.59 |
Musculoskeletal system and connective tissue420 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 77 | $30,348 | $5,364 | $7,678 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 48 | $62,465 | $12,755 | $15,804 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 38 | $116,761 | $20,839 | $29,541 | 3.66 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 27 | $64,206 | $11,152 | $16,244 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 27 | $59,476 | $13,715 | $15,047 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 23 | $91,881 | $22,860 | $23,246 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $91,045 | $19,260 | $23,034 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $70,197 | $16,878 | $17,760 | 2.48 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 17 | $63,901 | $12,360 | $16,167 | 1.97 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $105,815 | $15,932 | $26,771 | 2.96 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $28,956 | $4,904 | $7,326 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 15 | $76,429 | $14,560 | $19,337 | 2.40 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 14 | $23,582 | $4,588 | $5,966 | 0.82 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 13 | $90,589 | $19,228 | $22,919 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $23,514 | $4,408 | $5,949 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $35,414 | $5,761 | $8,960 | 1.09 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $130,916 | $40,888 | $33,122 | 6.12 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $34,904 | $8,632 | $8,831 | 1.70 |
Infectious and parasitic diseases418 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 | 283 | $64,304 | $12,183 | $16,269 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 67 | $111,110 | $32,595 | $28,111 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $38,884 | $5,819 | $9,838 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $156,282 | $45,426 | $39,539 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $84,083 | $11,846 | $21,273 | 2.04 |
Digestive system412 discharges in 14 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 | 63 | $28,644 | $4,400 | $7,247 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 61 | $36,717 | $5,733 | $9,289 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 51 | $61,895 | $11,203 | $15,659 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 48 | $68,700 | $14,335 | $17,381 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 27 | $109,905 | $30,447 | $27,806 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 27 | $43,031 | $9,321 | $10,887 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $25,521 | $4,485 | $6,457 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $46,179 | $7,847 | $11,683 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 22 | $29,130 | $5,897 | $7,370 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 14 | $55,654 | $8,907 | $14,080 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $63,697 | $11,001 | $16,115 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $71,369 | $7,870 | $18,056 | 1.45 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $58,911 | $14,199 | $14,904 | 2.10 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $34,555 | $6,945 | $8,742 | 1.20 |
Endocrine, nutritional and metabolic219 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 without MCCMS-DRG 641, medical | 60 | $27,747 | $4,740 | $7,020 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 53 | $40,018 | $8,107 | $10,125 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 34 | $26,958 | $4,916 | $6,820 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 26 | $33,711 | $6,539 | $8,529 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $42,283 | $8,136 | $10,698 | 1.45 |
| Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders witMS-DRG 622, surgical | 12 | $83,127 | $22,758 | $21,031 | 3.83 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $59,057 | $9,000 | $14,941 | 1.65 |
Liver, gallbladder and pancreas88 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $60,852 | $12,761 | $15,395 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $66,299 | $10,366 | $16,774 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $65,351 | $11,949 | $16,534 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 12 | $59,652 | $7,063 | $15,092 | 1.10 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $90,362 | $15,822 | $22,862 | 2.32 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $36,612 | $4,632 | $9,263 | 0.86 |
Skin, subcutaneous tissue and breast79 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 50 | $24,527 | $4,861 | $6,205 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 29 | $34,931 | $9,188 | $8,837 | 1.49 |
Blood and immune system75 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 24 | $28,756 | $5,612 | $7,275 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $51,121 | $7,726 | $12,934 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 15 | $53,361 | $12,773 | $13,500 | 2.19 |
| Coagulation disordersMS-DRG 813, medical | 15 | $49,173 | $9,671 | $12,441 | 1.56 |
Injuries, poisonings and toxic effects of drugs26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 13 | $111,572 | $25,601 | $28,228 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $48,154 | $9,888 | $12,183 | 1.60 |
Blood cancers and poorly differentiated neoplasms20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 20 | $52,971 | $9,867 | $13,402 | 1.57 |
Other18 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 | 18 | $94,439 | $27,341 | $23,893 | 4.74 |
Mental diseases and disorders14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 14 | $34,634 | $10,731 | $8,762 | 1.76 |
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 | 1,533 | 1,363 | $19,566 | $2,011 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 607 | 603 | $30,564 | $2,178 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 483 | 425 | $16,999 | $2,363 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 362 | 322 | $11,736 | $1,416 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 319 | 299 | $68,663 | $8,674 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 302 | 272 | $9,578 | $1,198 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 281 | 168 | $13,940 | $1,740 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 264 | 244 | $25,452 | $3,774 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 244 | 192 | $14,307 | $1,491 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 209 | 199 | $49,984 | $10,389 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 187 | 152 | $18,877 | $2,511 | $2,629 |
| Level 4 Endovascular ProceduresAPC 5194 | 166 | 145 | $75,278 | $14,473 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 153 | 149 | $159,500 | $20,511 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 133 | 131 | $34,120 | $5,119 | $5,339 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 132 | 123 | $13,167 | $1,748 | $1,780 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 122 | 115 | $16,694 | $2,094 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 111 | 111 | $31,130 | $4,167 | $4,358 |
| Level 4 Vascular ProceduresAPC 5184 | 104 | 96 | $32,116 | $3,955 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 103 | 96 | $39,740 | $4,239 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 91 | 84 | $12,763 | $1,447 | $1,407 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 83 | 83 | $45,637 | $7,944 | $8,164 |
| Level 5 Airway EndoscopyAPC 5155 | 72 | 72 | $32,111 | $5,129 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 71 | 66 | $17,803 | $2,556 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 68 | 64 | $21,380 | $2,765 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 68 | 67 | $8,693 | $1,177 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 67 | 67 | $33,971 | $8,399 | $8,569 |
| Level 5 ENT ProceduresAPC 5165 | 66 | 66 | $30,343 | $4,320 | $4,436 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 63 | 60 | $19,179 | $2,423 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 61 | 58 | $12,330 | $1,121 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 56 | 56 | $18,723 | $2,341 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 55 | 53 | $16,360 | $1,245 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 50 | 47 | $21,347 | $2,853 | $2,930 |
| Level 4 ENT ProceduresAPC 5164 | 49 | 49 | $18,466 | $2,360 | $2,217 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 48 | 48 | $84,428 | $27,486 | $26,719 |
| Level 3 Lower GI ProceduresAPC 5313 | 45 | 45 | $14,046 | $2,179 | $2,176 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 43 | 43 | $67,823 | $15,855 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 42 | 40 | $37,249 | $4,886 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 37 | 37 | $99,436 | $28,406 | $29,375 |
| Level 2 Intraocular ProceduresAPC 5492 | 29 | 24 | $22,810 | $3,040 | $3,116 |
| Level 5 Gynecologic ProceduresAPC 5415 | 25 | 22 | $30,199 | $3,575 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $25,459 | $6,252 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 19 | 19 | $68,020 | $16,651 | $17,052 |
| Level 3 Upper GI ProceduresAPC 5303 | 18 | 18 | $18,927 | $2,870 | $2,888 |
| Level 6 Urology and Related ServicesAPC 5376 | 18 | 18 | $25,934 | $7,024 | $7,291 |
| Level 2 Urology and Related ServicesAPC 5372 | 17 | 17 | $14,033 | $511 | $502 |
| Level 3 ENT ProceduresAPC 5163 | 16 | 15 | $10,791 | $1,141 | $1,106 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 14 | $18,676 | $5,111 | $4,524 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 13 | 12 | $16,110 | $2,674 | $2,969 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 12 | 11 | $66,459 | $12,422 | $15,549 |
| Complex GI ProceduresAPC 5331 | 12 | 11 | $21,705 | $4,269 | $4,263 |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $20,472 | $3,916 | $4,004 |
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.