Elmhurst Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Elmhurst Memorial Hospital, Elmhurst, IL in 2024, from traditional Medicare claims. Back to the Elmhurst Memorial Hospital profile, with quality ratings, finances and negotiated rates.
4,309
Medicare inpatient discharges
In 112 published DRGs
1.81
Case mix index
IPPS FY 2027
23%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
3,939
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Circulatory system836 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 | 352 | $49,613 | $8,142 | $10,270 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 47 | $47,876 | $7,675 | $9,910 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 44 | $29,169 | $4,524 | $6,038 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 43 | $108,440 | $14,521 | $22,447 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $60,043 | $10,245 | $12,429 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 37 | $37,136 | $5,377 | $7,687 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 37 | $148,580 | $16,790 | $30,756 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 34 | $119,806 | $9,801 | $24,800 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $58,751 | $6,262 | $12,162 | 1.08 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $209,165 | $22,559 | $43,297 | 4.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $168,284 | $24,494 | $34,835 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $38,399 | $5,582 | $7,949 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $72,454 | $13,970 | $14,998 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $161,799 | $20,739 | $33,492 | 3.46 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $232,402 | $32,882 | $48,107 | 5.06 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $33,077 | $6,122 | $6,847 | 0.97 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $25,233 | $2,827 | $5,223 | 0.55 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $163,542 | $16,000 | $33,853 | 2.55 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 11 | $429,163 | $43,412 | $88,837 | 7.71 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 11 | $188,786 | $26,936 | $39,079 | 4.81 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $187,875 | $26,370 | $38,890 | 4.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $52,307 | $6,966 | $10,828 | 1.07 |
Musculoskeletal system and connective tissue653 discharges in 19 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 | 165 | $87,778 | $12,056 | $18,170 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 54 | $133,387 | $24,539 | $27,611 | 3.66 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 50 | $130,339 | $16,384 | $26,980 | 2.48 |
| Medical back problems without MCCMS-DRG 552, medical | 49 | $50,036 | $5,950 | $10,357 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 46 | $101,558 | $13,304 | $21,022 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 42 | $200,940 | $30,617 | $41,595 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 39 | $120,283 | $17,893 | $24,899 | 2.96 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 32 | $137,237 | $16,871 | $28,408 | 2.67 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 25 | $32,919 | $4,608 | $6,814 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $99,223 | $14,005 | $20,539 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 19 | $168,805 | $16,722 | $34,943 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $132,819 | $19,017 | $27,493 | 2.95 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 16 | $118,069 | $11,139 | $24,440 | 2.46 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 15 | $36,105 | $4,904 | $7,474 | 0.82 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $92,881 | $12,487 | $19,226 | 2.04 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $238,365 | $41,917 | $49,342 | 6.12 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $76,005 | $10,139 | $15,733 | 1.59 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 11 | $96,403 | $21,226 | $19,955 | 3.33 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $36,949 | $4,731 | $7,648 | 0.90 |
Respiratory system635 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 136 | $65,954 | $10,637 | $13,653 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 116 | $51,361 | $8,239 | $10,632 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 94 | $57,243 | $7,815 | $11,849 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 68 | $46,661 | $6,644 | $9,659 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 36 | $42,029 | $5,860 | $8,700 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 34 | $41,869 | $5,458 | $8,667 | 0.96 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 31 | $33,181 | $4,739 | $6,868 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 29 | $65,784 | $8,693 | $13,617 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 22 | $36,827 | $4,458 | $7,623 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 19 | $116,968 | $16,421 | $24,212 | 2.55 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $106,051 | $15,908 | $21,953 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 18 | $64,605 | $4,961 | $13,373 | 0.85 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $81,024 | $10,102 | $16,772 | 1.74 |
Kidney and urinary tract523 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 | 109 | $36,572 | $4,842 | $7,570 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 97 | $44,712 | $7,214 | $9,255 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 81 | $36,561 | $5,568 | $7,568 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 73 | $61,556 | $10,638 | $12,742 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 66 | $59,403 | $9,922 | $12,296 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 37 | $35,638 | $6,306 | $7,377 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 29 | $59,816 | $8,081 | $12,382 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 17 | $52,846 | $5,525 | $10,939 | 1.05 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $95,104 | $17,665 | $19,686 | 2.59 |
Infectious and parasitic diseases482 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 | 324 | $73,413 | $12,441 | $15,197 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 89 | $45,192 | $6,228 | $9,355 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 41 | $188,158 | $31,967 | $38,949 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $62,835 | $11,963 | $13,007 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $199,645 | $47,099 | $41,326 | 6.96 |
Digestive system458 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 83 | $50,972 | $6,064 | $10,551 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 72 | $38,787 | $4,283 | $8,029 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 44 | $74,129 | $11,235 | $15,345 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 39 | $46,653 | $5,761 | $9,657 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 31 | $62,405 | $7,640 | $12,918 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 27 | $47,323 | $3,728 | $9,796 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $139,434 | $14,821 | $28,863 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 21 | $46,160 | $6,459 | $9,555 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $36,791 | $2,824 | $7,616 | 0.56 |
| Digestive malignancy with CCMS-DRG 375, medical | 16 | $59,843 | $7,283 | $12,388 | 1.20 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $83,770 | $9,738 | $17,340 | 1.45 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $191,207 | $28,242 | $39,580 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $101,049 | $10,096 | $20,917 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $62,689 | $10,077 | $12,977 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $53,777 | $10,204 | $11,132 | 1.62 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 12 | $36,424 | $3,377 | $7,540 | 0.63 |
Nervous system269 discharges in 11 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 | 56 | $49,662 | $5,669 | $10,280 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 41 | $79,745 | $12,210 | $16,507 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 35 | $55,245 | $8,443 | $11,436 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 29 | $37,400 | $3,583 | $7,742 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 20 | $39,863 | $5,565 | $8,252 | 0.91 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 19 | $40,307 | $8,330 | $8,344 | 1.32 |
| Seizures with MCCMS-DRG 100, medical | 17 | $95,916 | $12,792 | $19,855 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $195,614 | $27,467 | $40,492 | 4.42 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 14 | $88,577 | $14,663 | $18,335 | 2.39 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 13 | $81,319 | $13,132 | $16,833 | 2.27 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 11 | $27,048 | $4,643 | $5,599 | 0.89 |
Endocrine, nutritional and metabolic148 discharges in 4 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 | 61 | $37,648 | $4,714 | $7,793 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 42 | $42,648 | $7,710 | $8,828 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 31 | $31,379 | $5,457 | $6,495 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $60,457 | $9,657 | $12,515 | 1.45 |
Skin, subcutaneous tissue and breast127 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 88 | $37,756 | $5,305 | $7,815 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 39 | $47,359 | $9,189 | $9,803 | 1.49 |
Other53 discharges in 3 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 | 20 | $169,334 | $30,079 | $35,052 | 4.74 |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 17 | $190,594 | $22,799 | $39,453 | |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 16 | $108,395 | $21,677 | $22,438 |
Liver, gallbladder and pancreas42 discharges in 3 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 | 18 | $92,746 | $10,068 | $19,198 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $60,793 | $6,846 | $12,584 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $42,294 | $4,311 | $8,755 | 0.86 |
Blood and immune system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 21 | $36,176 | $5,433 | $7,489 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $77,283 | $9,382 | $15,998 | 1.40 |
Injuries, poisonings and toxic effects of drugs17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 17 | $76,864 | $12,844 | $15,911 | 1.82 |
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 | $53,416 | $5,226 | $11,057 | 0.80 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $41,961 | $4,347 | $8,686 | 0.74 |
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 | 563 | 532 | $25,986 | $2,029 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 339 | 327 | $67,272 | $10,522 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 263 | 261 | $23,842 | $2,182 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 260 | 234 | $13,758 | $1,199 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 187 | 172 | $14,783 | $1,439 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 181 | 168 | $31,083 | $3,889 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 156 | 150 | $75,208 | $8,799 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 150 | 130 | $22,681 | $2,613 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 135 | 132 | $43,485 | $5,169 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 133 | 132 | $38,738 | $4,296 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 130 | 105 | $14,810 | $1,530 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 119 | 119 | $106,348 | $15,482 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 111 | 105 | $19,188 | $2,362 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 94 | 86 | $6,079 | $506 | $502 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 86 | 72 | $22,377 | $2,598 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 84 | 79 | $120,977 | $14,800 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 81 | 75 | $24,881 | $2,110 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 81 | 81 | $23,768 | $2,416 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 62 | 61 | $14,078 | $1,197 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 58 | 58 | $59,349 | $8,349 | $8,569 |
| Level 2 Intraocular ProceduresAPC 5492 | 57 | 55 | $29,277 | $3,017 | $3,116 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 49 | 46 | $25,424 | $2,818 | $2,930 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 48 | 48 | $181,364 | $20,850 | $21,117 |
| Level 1 Nerve ProceduresAPC 5431 | 47 | 47 | $12,644 | $1,427 | $1,407 |
| Level 2 Endovascular ProceduresAPC 5192 | 45 | 43 | $44,583 | $4,223 | $4,338 |
| Level 4 Gynecologic ProceduresAPC 5414 | 40 | 40 | $20,053 | $2,302 | $2,389 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 39 | 39 | $72,425 | $8,116 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 35 | 34 | $46,792 | $4,933 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 32 | 32 | $51,827 | $5,008 | $5,183 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 30 | $8,563 | $1,209 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 28 | $37,421 | $2,833 | $2,833 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 25 | $193,681 | $29,507 | $29,375 |
| Complex GI ProceduresAPC 5331 | 23 | 18 | $38,279 | $4,303 | $4,263 |
| Level 5 Gynecologic ProceduresAPC 5415 | 22 | 22 | $29,188 | $3,420 | $3,792 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 20 | $15,279 | $1,284 | $1,264 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 18 | 16 | $50,912 | $6,427 | $6,514 |
| Level 4 Vascular ProceduresAPC 5184 | 17 | 17 | $35,256 | $3,912 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $19,407 | $2,147 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 16 | $120,853 | $16,825 | $17,052 |
| Level 6 Urology and Related ServicesAPC 5376 | 16 | 16 | $56,794 | $6,693 | $7,291 |
| Level 6 Gynecologic ProceduresAPC 5416 | 15 | 15 | $38,651 | $5,703 | $5,836 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $33,175 | $4,425 | $4,436 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 12 | $32,372 | $2,881 | $2,888 |
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.