Community Hospital Of The Monterey Peninsula Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Community Hospital Of The Monterey Peninsula, Monterey, CA in 2024, from traditional Medicare claims. Back to the Community Hospital Of The Monterey Peninsula profile, with quality ratings, finances and negotiated rates.
4,375
Medicare inpatient discharges
In 123 published DRGs
2.00
Case mix index
IPPS FY 2027
22%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,510
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system830 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 245 | $123,140 | $15,289 | $30,908 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 82 | $224,267 | $34,706 | $56,291 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 52 | $243,178 | $52,529 | $61,038 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 45 | $134,814 | $16,327 | $33,838 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $80,789 | $6,854 | $20,278 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $134,455 | $13,465 | $33,748 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 32 | $66,815 | $8,666 | $16,771 | 0.86 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 30 | $438,372 | $57,440 | $110,031 | 3.90 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 27 | $222,841 | $37,699 | $55,933 | 3.18 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $168,435 | $23,085 | $42,277 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 22 | $568,546 | $94,701 | $142,705 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $135,928 | $22,566 | $34,118 | 2.16 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 19 | $392,839 | $69,641 | $98,602 | 5.04 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $89,187 | $8,434 | $22,386 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $107,893 | $10,947 | $27,081 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $148,816 | $17,574 | $37,353 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $253,436 | $35,065 | $63,612 | 2.87 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $609,459 | $97,063 | $152,974 | 7.80 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $222,980 | $36,089 | $55,968 | 3.35 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $61,242 | $4,654 | $15,372 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $236,821 | $24,765 | $59,442 | 2.28 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 12 | $276,035 | $45,175 | $69,285 | 3.27 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $91,018 | $9,844 | $22,845 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $64,231 | $7,120 | $16,122 | 0.75 |
Infectious and parasitic diseases793 discharges in 4 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 | 554 | $175,068 | $24,566 | $43,942 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 141 | $78,804 | $10,195 | $19,780 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 76 | $385,316 | $68,320 | $96,714 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $180,645 | $22,454 | $45,342 | 2.04 |
Respiratory system544 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 192 | $136,842 | $18,542 | $34,347 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 108 | $95,407 | $13,087 | $23,947 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $94,214 | $12,383 | $23,648 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 39 | $78,343 | $9,717 | $19,664 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 38 | $97,285 | $10,848 | $24,419 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 37 | $74,668 | $7,941 | $18,742 | 0.82 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 20 | $87,518 | $7,888 | $21,967 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 18 | $165,177 | $19,394 | $41,459 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $67,847 | $9,605 | $17,029 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $118,383 | $15,079 | $29,714 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $310,150 | $47,145 | $77,848 | 4.71 |
Musculoskeletal system and connective tissue462 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 60 | $129,394 | $18,845 | $32,478 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 48 | $150,847 | $20,756 | $37,862 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 42 | $62,480 | $9,485 | $15,682 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 31 | $132,501 | $21,496 | $33,258 | 2.11 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 29 | $153,148 | $26,199 | $38,440 | 2.48 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 25 | $210,757 | $47,633 | $52,900 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 24 | $199,725 | $63,439 | $50,131 | 6.12 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $201,006 | $30,656 | $50,452 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 22 | $76,887 | $9,878 | $19,299 | 1.09 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 18 | $56,390 | $7,472 | $14,154 | 0.79 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $99,534 | $16,239 | $24,983 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $59,076 | $8,743 | $14,828 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $238,096 | $36,874 | $59,762 | 3.49 |
| Back and neck procedures except spinal fusion with MCC or disc device or neurostimulatorMS-DRG 518, surgical | 14 | $179,617 | $40,104 | $45,084 | 3.65 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $160,610 | $24,961 | $40,313 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $117,544 | $21,057 | $29,504 | 2.04 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $195,565 | $39,129 | $49,087 | 3.66 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $108,707 | $15,876 | $27,286 | 1.59 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 11 | $140,223 | $19,242 | $35,196 | 1.97 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $242,971 | $36,077 | $60,986 | 2.99 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $56,439 | $8,043 | $14,166 | 0.82 |
Digestive system421 discharges in 15 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 | 79 | $65,910 | $7,539 | $16,543 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 61 | $84,963 | $9,679 | $21,326 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $181,263 | $21,981 | $45,497 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 33 | $54,253 | $7,362 | $13,618 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 30 | $193,286 | $27,470 | $48,515 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 24 | $455,433 | $76,131 | $114,314 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $71,295 | $9,047 | $17,895 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 22 | $72,708 | $10,620 | $18,250 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $101,640 | $13,335 | $25,512 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 18 | $105,168 | $17,349 | $26,397 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 17 | $95,308 | $15,028 | $23,922 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $44,736 | $4,748 | $11,229 | 0.56 |
| Digestive malignancy with MCCMS-DRG 374, medical | 15 | $309,601 | $38,301 | $77,710 | 2.10 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 13 | $157,786 | $26,064 | $39,604 | 2.50 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 12 | $145,932 | $21,272 | $36,629 | 2.11 |
Nervous system411 discharges in 16 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 | 72 | $104,581 | $9,965 | $26,250 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 51 | $150,897 | $19,434 | $37,875 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 35 | $79,622 | $7,740 | $19,985 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 30 | $75,389 | $13,500 | $18,923 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 28 | $126,476 | $20,764 | $31,745 | 1.98 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 27 | $89,638 | $11,307 | $22,499 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 24 | $71,105 | $10,233 | $17,847 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 20 | $74,923 | $6,402 | $18,806 | 0.69 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 19 | $192,454 | $18,729 | $48,306 | 1.87 |
| Seizures without MCCMS-DRG 101, medical | 19 | $91,894 | $9,035 | $23,065 | 0.91 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 17 | $314,767 | $48,739 | $79,007 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $126,283 | $17,921 | $31,697 | 1.79 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $148,984 | $24,617 | $37,395 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 13 | $103,023 | $13,956 | $25,859 | 1.47 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $169,606 | $27,524 | $42,571 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 12 | $123,655 | $13,875 | $31,037 | 1.36 |
Kidney and urinary tract354 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 72 | $114,337 | $17,130 | $28,699 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 60 | $91,628 | $10,053 | $22,999 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 59 | $71,955 | $11,759 | $18,061 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 58 | $65,118 | $7,470 | $16,345 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 52 | $134,089 | $15,373 | $33,656 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $72,227 | $10,375 | $18,129 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $311,131 | $52,800 | $78,094 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $114,655 | $12,771 | $28,778 | 1.35 |
Endocrine, nutritional and metabolic163 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 64 | $113,924 | $13,367 | $28,595 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 41 | $62,486 | $7,624 | $15,684 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $146,195 | $13,775 | $36,695 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $104,582 | $17,169 | $26,250 | 1.65 |
| Diabetes with CCMS-DRG 638, medical | 14 | $55,979 | $9,181 | $14,051 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $99,020 | $10,837 | $24,854 | 1.06 |
Skin, subcutaneous tissue and breast130 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 94 | $69,873 | $8,559 | $17,538 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 23 | $140,330 | $17,327 | $35,223 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $74,446 | $9,083 | $18,686 | 0.91 |
Liver, gallbladder and pancreas112 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 26 | $140,975 | $16,623 | $35,385 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 17 | $153,682 | $20,859 | $38,574 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 15 | $198,233 | $22,944 | $49,757 | 2.32 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $66,320 | $8,667 | $16,646 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $184,973 | $27,712 | $46,428 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 13 | $97,405 | $12,135 | $24,449 | 1.31 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 13 | $254,735 | $31,857 | $63,938 | 1.92 |
Alcohol and drug use46 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 | 32 | $50,160 | $8,502 | $12,590 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 14 | $125,931 | $18,064 | $31,609 | 1.78 |
Other30 discharges in 2 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 | 16 | $434,865 | $77,047 | $109,151 | 4.74 |
| Concomitant left atrial appendage closure and cardiac ablationMS-DRG 317 | 14 | $418,885 | $66,969 | $105,140 |
Factors influencing health status25 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 | 25 | $67,227 | $7,575 | $16,874 | 0.80 |
Ear, nose, mouth and throat19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 19 | $69,591 | $6,873 | $17,467 | 0.74 |
Injuries, poisonings and toxic effects of drugs18 discharges in 1 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 | 18 | $120,645 | $17,865 | $30,282 | 1.60 |
Mental diseases and disorders17 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 | 17 | $155,300 | $21,110 | $38,980 | 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 | 1,017 | 918 | $22,597 | $3,068 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 404 | 306 | $9,874 | $1,816 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 177 | 174 | $69,287 | $16,858 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 162 | 159 | $221,977 | $31,513 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 160 | 142 | $35,676 | $5,805 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 155 | 152 | $35,064 | $6,409 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 152 | 152 | $34,390 | $3,297 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 152 | 129 | $17,000 | $2,142 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 116 | 107 | $17,244 | $3,576 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 103 | 47 | $12,184 | $2,285 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 100 | 85 | $32,013 | $3,910 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 74 | 70 | $19,191 | $3,145 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 56 | 50 | $11,025 | $1,797 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 55 | 53 | $100,976 | $24,536 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 49 | $48,176 | $8,265 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 41 | 39 | $75,304 | $13,828 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 36 | $10,994 | $1,803 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 35 | 35 | $18,601 | $3,508 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 35 | 35 | $34,036 | $4,562 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 33 | $20,673 | $3,882 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 32 | 32 | $49,819 | $12,837 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 30 | $16,571 | $3,632 | $2,373 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 30 | 30 | $158,226 | $25,727 | $17,052 |
| Level 3 Lower GI ProceduresAPC 5313 | 27 | 26 | $19,693 | $3,223 | $2,176 |
| Level 1 Intraocular ProceduresAPC 5491 | 26 | 23 | $25,151 | $2,613 | $1,752 |
| Level 2 Endovascular ProceduresAPC 5192 | 25 | 23 | $39,289 | $6,416 | $4,338 |
| Complex GI ProceduresAPC 5331 | 25 | 19 | $41,033 | $5,627 | $4,263 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 21 | $24,590 | $4,202 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 21 | $33,029 | $7,203 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 20 | $27,355 | $4,277 | $2,930 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $47,139 | $10,306 | $6,514 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 18 | $28,321 | $4,082 | $2,888 |
| Level 5 ENT ProceduresAPC 5165 | 18 | 18 | $32,970 | $6,614 | $4,436 |
| Level 2 Urology and Related ServicesAPC 5372 | 18 | 15 | $5,274 | $766 | $502 |
| Level 3 Airway EndoscopyAPC 5153 | 16 | 16 | $14,258 | $1,904 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $42,866 | $7,999 | $5,183 |
| Level 4 Vascular ProceduresAPC 5184 | 15 | 12 | $30,385 | $6,165 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | 12 | $101,341 | $21,206 | $14,606 |
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.