Franciscan Health Indianapolis Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Franciscan Health Indianapolis, Indianapolis, IN in 2024, from traditional Medicare claims. Back to the Franciscan Health Indianapolis profile, with quality ratings, finances and negotiated rates.
4,553
Medicare inpatient discharges
In 125 published DRGs
2.24
Case mix index
IPPS FY 2027
24%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
2,818
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system1,060 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 189 | $54,513 | $8,617 | $11,175 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 92 | $102,902 | $21,156 | $21,095 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 69 | $82,544 | $10,947 | $16,922 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 57 | $31,467 | $4,805 | $6,451 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 50 | $123,349 | $11,371 | $25,287 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 45 | $101,464 | $12,821 | $20,800 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 44 | $60,286 | $8,784 | $12,359 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 44 | $40,922 | $5,601 | $8,389 | 0.86 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 41 | $278,719 | $35,528 | $57,137 | 5.24 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 40 | $162,609 | $18,907 | $33,335 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 35 | $69,845 | $6,297 | $14,318 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 29 | $64,793 | $11,295 | $13,283 | 2.09 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 27 | $224,655 | $25,555 | $46,054 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 27 | $188,666 | $41,730 | $38,677 | 6.25 |
| Other vascular procedures with CCMS-DRG 253, surgical | 26 | $80,461 | $16,632 | $16,494 | 2.55 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 26 | $26,145 | $3,372 | $5,360 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 25 | $203,443 | $24,691 | $41,706 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 24 | $191,924 | $34,106 | $39,344 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $46,984 | $5,762 | $9,632 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $161,217 | $15,667 | $33,049 | 2.28 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $152,916 | $24,437 | $31,348 | 3.35 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 18 | $238,374 | $40,458 | $48,867 | 5.06 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 15 | $383,778 | $51,675 | $78,675 | 7.71 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $168,474 | $26,534 | $34,537 | 4.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 15 | $40,952 | $6,289 | $8,395 | 0.97 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $140,236 | $23,912 | $28,748 | 3.46 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $45,342 | $4,406 | $9,295 | 0.75 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $284,335 | $35,026 | $58,289 | 5.20 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $58,774 | $3,022 | $12,049 | 0.72 |
Infectious and parasitic diseases856 discharges in 6 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 | 603 | $86,394 | $12,881 | $17,711 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 93 | $45,364 | $6,474 | $9,300 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 84 | $147,202 | $32,104 | $30,176 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 34 | $77,674 | $13,311 | $15,923 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 28 | $245,958 | $43,510 | $50,421 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 14 | $61,860 | $12,415 | $12,681 | 1.84 |
Respiratory system582 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 | 223 | $67,553 | $11,172 | $13,848 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 102 | $66,301 | $8,780 | $13,592 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 80 | $51,559 | $7,541 | $10,570 | 1.23 |
| Major chest procedures with MCCMS-DRG 163, surgical | 26 | $178,090 | $29,289 | $36,508 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 26 | $39,903 | $6,048 | $8,180 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 24 | $64,798 | $10,581 | $13,284 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $111,266 | $8,688 | $22,809 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 19 | $176,375 | $15,616 | $36,157 | 2.55 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $55,760 | $4,819 | $11,431 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 14 | $79,953 | $9,545 | $16,390 | 1.90 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $45,131 | $7,227 | $9,252 | 1.10 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 11 | $110,283 | $12,089 | $22,608 | 1.81 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $113,559 | $18,577 | $23,280 | 2.70 |
Digestive system444 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 68 | $68,283 | $12,195 | $13,998 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 65 | $47,858 | $6,636 | $9,811 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 55 | $88,374 | $15,476 | $18,117 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 49 | $31,258 | $4,984 | $6,408 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 39 | $114,953 | $26,449 | $23,565 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 38 | $36,115 | $6,275 | $7,404 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 33 | $29,254 | $5,190 | $5,997 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $52,994 | $8,652 | $10,864 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 25 | $72,071 | $10,220 | $14,775 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $57,246 | $10,434 | $11,735 | 1.62 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 11 | $127,389 | $33,012 | $26,115 | 5.08 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $63,726 | $11,789 | $13,064 | 1.75 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $37,885 | $6,531 | $7,766 | 1.04 |
Kidney and urinary tract442 discharges in 9 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 | 81 | $69,732 | $11,052 | $14,295 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 77 | $35,534 | $6,027 | $7,285 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 71 | $36,895 | $4,976 | $7,563 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 66 | $47,115 | $10,238 | $9,659 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 61 | $43,635 | $7,512 | $8,945 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 33 | $45,266 | $6,721 | $9,280 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 23 | $46,491 | $9,154 | $9,531 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 19 | $60,046 | $16,263 | $12,309 | 2.59 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 11 | $101,297 | $12,404 | $20,766 | 1.84 |
Nervous system368 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 94 | $62,232 | $12,766 | $12,757 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 70 | $46,444 | $6,398 | $9,521 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 23 | $45,261 | $5,216 | $9,279 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 21 | $35,942 | $7,063 | $7,368 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 21 | $47,589 | $6,597 | $9,756 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 20 | $43,470 | $11,022 | $8,911 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 17 | $99,136 | $12,074 | $20,323 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $71,757 | $11,288 | $14,710 | 1.79 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 15 | $136,491 | $29,215 | $27,981 | 4.42 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 13 | $45,902 | $9,010 | $9,410 | 1.32 |
| Seizures without MCCMS-DRG 101, medical | 13 | $54,622 | $6,170 | $11,197 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 12 | $89,639 | $9,399 | $18,376 | 1.47 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 11 | $214,162 | $34,713 | $43,903 | 5.67 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $56,430 | $6,689 | $11,568 | 1.14 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $32,893 | $4,203 | $6,743 | 0.69 |
Musculoskeletal system and connective tissue181 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 50 | $87,017 | $13,571 | $17,838 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 35 | $109,360 | $19,346 | $22,419 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $84,594 | $12,768 | $17,342 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $38,888 | $6,030 | $7,972 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 15 | $195,109 | $34,180 | $39,997 | 6.12 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $103,637 | $19,554 | $21,246 | 2.99 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $88,219 | $15,383 | $18,085 | 2.40 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $35,928 | $7,217 | $7,365 | 1.09 |
Endocrine, nutritional and metabolic150 discharges in 5 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 | 54 | $51,048 | $8,490 | $10,465 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 44 | $36,261 | $5,150 | $7,433 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $38,871 | $5,820 | $7,969 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $78,931 | $9,413 | $16,181 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 14 | $64,531 | $11,173 | $13,229 | 1.65 |
Liver, gallbladder and pancreas146 discharges in 9 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 | 27 | $69,367 | $11,018 | $14,220 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 20 | $96,638 | $14,218 | $19,811 | 2.32 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 19 | $73,349 | $13,572 | $15,036 | 1.92 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 15 | $66,836 | $11,165 | $13,701 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 14 | $64,296 | $11,391 | $13,181 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $47,652 | $7,245 | $9,769 | 1.09 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $79,547 | $13,221 | $16,307 | 1.83 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 12 | $57,875 | $11,128 | $11,864 | 1.67 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $23,678 | $5,220 | $4,854 | 0.86 |
Blood and immune system77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 26 | $66,349 | $10,756 | $13,601 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 22 | $50,324 | $5,330 | $10,316 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $87,495 | $10,018 | $17,937 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 12 | $61,949 | $7,948 | $12,699 | 1.20 |
Skin, subcutaneous tissue and breast65 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 46 | $39,114 | $5,730 | $8,018 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $91,087 | $10,019 | $18,673 | 1.49 |
Blood cancers and poorly differentiated neoplasms64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 20 | $123,458 | $19,262 | $25,309 | 2.44 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 17 | $64,417 | $8,470 | $13,206 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 15 | $191,253 | $27,741 | $39,207 | 3.13 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 12 | $148,934 | $32,142 | $30,532 | 4.84 |
Injuries, poisonings and toxic effects of drugs42 discharges in 3 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 | 14 | $60,444 | $9,435 | $12,391 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 14 | $88,041 | $14,081 | $18,048 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 14 | $35,345 | $6,944 | $7,246 | 1.03 |
Transplants, ECMO and tracheostomy (pre-MDC)35 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 13 | $132,689 | $39,321 | $27,201 | 6.18 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $768,127 | $135,906 | $157,466 | 21.32 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 11 | $2,948,093 | $495,728 | $604,359 | 36.84 |
Other27 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 | 27 | $211,698 | $30,786 | $43,398 | 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 | $56,008 | $10,947 | $11,482 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 344 | 343 | $42,138 | $2,121 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 332 | 322 | $25,389 | $1,939 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 259 | 239 | $12,751 | $1,155 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 200 | 194 | $22,790 | $2,278 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 181 | 151 | $14,090 | $1,361 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 170 | 131 | $22,918 | $2,063 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 139 | 138 | $42,821 | $4,126 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 98 | 98 | $82,701 | $7,446 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 90 | 84 | $37,605 | $2,658 | $2,833 |
| Level 3 Endovascular ProceduresAPC 5193 | 88 | 84 | $88,437 | $8,382 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 78 | 75 | $7,061 | $1,368 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 73 | 71 | $71,405 | $10,344 | $10,772 |
| Level 2 Vascular ProceduresAPC 5182 | 67 | 65 | $9,543 | $1,162 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 63 | 54 | $41,966 | $3,986 | $3,946 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 63 | 60 | $142,059 | $19,949 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 48 | $45,728 | $5,129 | $5,339 |
| Level 5 Airway EndoscopyAPC 5155 | 48 | 47 | $48,777 | $4,969 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 47 | 38 | $21,099 | $2,506 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 47 | 36 | $12,174 | $1,473 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 45 | 45 | $105,207 | $7,911 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 40 | 40 | $62,610 | $4,149 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 32 | 30 | $42,018 | $4,223 | $4,436 |
| Level 4 Endovascular ProceduresAPC 5194 | 31 | 30 | $115,395 | $14,305 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 31 | 31 | $161,945 | $28,255 | $29,375 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 30 | 30 | $45,670 | $6,168 | $6,514 |
| Level 3 Airway EndoscopyAPC 5153 | 23 | 22 | $18,021 | $1,232 | $1,264 |
| Level 4 Urology and Related ServicesAPC 5374 | 22 | 20 | $29,203 | $2,522 | $2,629 |
| Level 3 Upper GI ProceduresAPC 5303 | 21 | 21 | $30,353 | $2,780 | $2,888 |
| Level 5 Urology and Related ServicesAPC 5375 | 16 | 16 | $35,172 | $3,756 | $3,918 |
| Complex GI ProceduresAPC 5331 | 15 | 14 | $37,678 | $4,137 | $4,263 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $13,453 | $2,337 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $121,961 | $12,956 | $15,763 |
| Level 2 Urology and Related ServicesAPC 5372 | 13 | $4,882 | $486 | $502 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $49,619 | $4,722 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 11 | $13,823 | $985 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | $23,929 | $2,270 | $2,389 |
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.