Garnet Health Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Garnet Health Medical Center, Middletown, NY in 2024, from traditional Medicare claims. Back to the Garnet Health Medical Center profile, with quality ratings, finances and negotiated rates.
5,742
Medicare inpatient discharges
In 126 published DRGs
1.69
Case mix index
IPPS FY 2027
12%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
4,827
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system1,335 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 349 | $66,210 | $11,074 | $13,639 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 157 | $75,660 | $13,860 | $15,586 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 100 | $46,054 | $6,168 | $9,487 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 66 | $51,793 | $7,183 | $10,669 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 60 | $95,001 | $17,967 | $19,570 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 58 | $57,820 | $7,791 | $11,911 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 55 | $33,728 | $4,326 | $6,948 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 52 | $56,157 | $8,636 | $11,568 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 48 | $74,137 | $10,448 | $15,272 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 46 | $101,095 | $16,063 | $20,826 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 32 | $116,300 | $19,954 | $23,958 | 2.09 |
| Hypertension without MCCMS-DRG 305, medical | 31 | $49,257 | $5,762 | $10,147 | 0.75 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 28 | $129,177 | $20,936 | $26,610 | 2.28 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 26 | $48,300 | $8,196 | $9,950 | 0.97 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 25 | $85,458 | $14,600 | $17,604 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 25 | $56,473 | $9,130 | $11,633 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $125,828 | $23,059 | $25,921 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $141,688 | $30,649 | $29,188 | 3.35 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 17 | $154,321 | $29,158 | $31,790 | 3.18 |
| Hypertension with MCCMS-DRG 304, medical | 17 | $64,344 | $10,240 | $13,255 | 1.15 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 15 | $158,969 | $47,568 | $32,748 | 5.04 |
| Chest painMS-DRG 313, medical | 14 | $41,799 | $5,877 | $8,611 | 0.72 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $109,883 | $23,662 | $22,636 | 2.55 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 12 | $219,831 | $31,054 | $45,285 | 3.27 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $296,274 | $33,558 | $61,032 | 4.04 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $92,007 | $16,265 | $18,953 | 1.83 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $167,272 | $29,390 | $34,458 | 3.46 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $56,065 | $5,287 | $11,549 | 0.72 |
Respiratory system1,041 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 223 | $73,009 | $11,441 | $15,040 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 213 | $76,840 | $14,784 | $15,829 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 192 | $64,273 | $10,921 | $13,240 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 87 | $46,374 | $6,960 | $9,553 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 58 | $52,629 | $9,311 | $10,841 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 44 | $61,468 | $8,546 | $12,662 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 31 | $58,063 | $7,095 | $11,961 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 29 | $81,590 | $12,131 | $16,807 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 22 | $44,711 | $7,999 | $9,211 | 1.05 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $127,008 | $22,755 | $26,164 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 21 | $47,932 | $6,992 | $9,874 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 18 | $211,249 | $58,363 | $43,517 | 6.91 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 17 | $87,426 | $14,089 | $18,010 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $59,449 | $8,523 | $12,246 | 0.96 |
| Pleural effusion with MCCMS-DRG 186, medical | 14 | $85,735 | $13,630 | $17,661 | 1.55 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $140,065 | $37,480 | $28,853 | 4.71 |
| Pneumothorax with CCMS-DRG 200, medical | 12 | $52,187 | $8,427 | $10,750 | 1.08 |
| Pleural effusion with CCMS-DRG 187, medical | 11 | $58,016 | $9,438 | $11,951 | 1.00 |
Infectious and parasitic diseases701 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 | 477 | $88,357 | $17,649 | $18,201 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 93 | $65,350 | $8,417 | $13,462 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 81 | $191,571 | $43,102 | $39,464 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 34 | $228,239 | $66,127 | $47,017 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $100,323 | $17,823 | $20,666 | 2.04 |
Digestive system603 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 103 | $59,357 | $8,476 | $12,228 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 103 | $54,185 | $6,356 | $11,162 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 88 | $82,862 | $16,434 | $17,070 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 62 | $49,422 | $6,326 | $10,181 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 38 | $85,749 | $11,857 | $17,664 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 32 | $113,652 | $20,813 | $23,412 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $203,240 | $41,770 | $41,867 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 24 | $50,912 | $7,606 | $10,488 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 23 | $78,979 | $12,902 | $16,270 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 22 | $62,022 | $15,225 | $12,776 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 19 | $88,208 | $12,140 | $18,171 | 1.45 |
| Digestive malignancy with CCMS-DRG 375, medical | 18 | $50,926 | $8,703 | $10,491 | 1.20 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $94,296 | $9,426 | $19,425 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $40,489 | $4,437 | $8,341 | 0.56 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 12 | $63,965 | $9,777 | $13,177 | 1.07 |
Nervous system537 discharges in 15 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 | 96 | $62,777 | $8,444 | $12,932 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 79 | $88,210 | $17,336 | $18,171 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 70 | $52,311 | $6,674 | $10,776 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 57 | $69,599 | $9,134 | $14,337 | 1.06 |
| Seizures without MCCMS-DRG 101, medical | 45 | $67,442 | $7,847 | $13,893 | 0.91 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 38 | $81,431 | $15,499 | $16,775 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 36 | $85,892 | $18,238 | $17,694 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 22 | $41,120 | $5,176 | $8,471 | 0.69 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 16 | $78,416 | $21,115 | $16,154 | 2.30 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 16 | $68,142 | $15,665 | $14,037 | 1.81 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 14 | $75,268 | $10,951 | $15,505 | 1.47 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $69,428 | $11,291 | $14,302 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $62,083 | $9,102 | $12,789 | 1.03 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $73,622 | $7,681 | $15,166 | 0.87 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 11 | $54,269 | $11,505 | $11,179 | 1.32 |
Kidney and urinary tract500 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 143 | $66,472 | $10,060 | $13,693 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 113 | $50,429 | $6,908 | $10,388 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 80 | $76,606 | $14,648 | $15,781 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 61 | $89,529 | $14,032 | $18,443 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 50 | $57,398 | $7,387 | $11,824 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 31 | $51,811 | $9,066 | $10,673 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 22 | $55,042 | $10,920 | $11,339 | 1.35 |
Musculoskeletal system and connective tissue307 discharges in 10 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 | 67 | $101,425 | $18,106 | $20,894 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 37 | $50,806 | $7,750 | $10,466 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 35 | $65,987 | $16,469 | $13,593 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 34 | $46,676 | $6,525 | $9,615 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 32 | $97,469 | $18,634 | $20,079 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 26 | $108,609 | $26,513 | $22,373 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 23 | $54,124 | $6,322 | $11,150 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 22 | $92,288 | $17,822 | $19,011 | 2.40 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 16 | $58,450 | $8,114 | $12,041 | 1.00 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $94,909 | $29,524 | $19,551 | 3.49 |
Endocrine, nutritional and metabolic209 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 | 65 | $51,679 | $6,512 | $10,646 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 63 | $66,718 | $11,224 | $13,744 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 41 | $61,578 | $7,550 | $12,685 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 40 | $65,499 | $12,725 | $13,493 | 1.45 |
Liver, gallbladder and pancreas155 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 25 | $69,688 | $9,489 | $14,356 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $76,961 | $14,087 | $15,854 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 17 | $75,356 | $16,796 | $15,523 | 1.92 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 17 | $75,419 | $6,346 | $15,536 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 15 | $74,013 | $6,767 | $15,247 | 0.95 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 14 | $58,851 | $8,512 | $12,123 | 1.03 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 12 | $61,412 | $11,419 | $12,651 | 1.31 |
| Disorders of pancreas except malignancy without cc/mccMS-DRG 440, medical | 12 | $41,682 | $3,753 | $8,587 | 0.62 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $116,777 | $14,733 | $24,056 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 11 | $56,821 | $8,688 | $11,705 | 1.10 |
Skin, subcutaneous tissue and breast136 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 94 | $45,614 | $7,197 | $9,396 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 31 | $83,850 | $12,587 | $17,273 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $46,848 | $7,567 | $9,651 | 0.91 |
Blood and immune system110 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 | 57 | $66,796 | $6,806 | $13,760 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $93,997 | $13,669 | $19,363 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 15 | $51,214 | $10,682 | $10,550 | 1.20 |
| Coagulation disordersMS-DRG 813, medical | 12 | $63,238 | $14,189 | $13,027 | 1.56 |
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 | $195,179 | $41,128 | $40,207 | 4.74 |
Injuries, poisonings and toxic effects of drugs24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 13 | $54,633 | $8,486 | $11,254 | 1.03 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 11 | $56,710 | $7,683 | $11,682 | 0.86 |
Ear, nose, mouth and throat17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 17 | $42,443 | $6,519 | $8,743 | 0.74 |
Alcohol and drug use16 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 | 16 | $53,368 | $6,832 | $10,994 | 0.86 |
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 | $69,711 | $15,179 | $14,360 | 1.76 |
Factors influencing health status11 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 | 11 | $37,437 | $6,589 | $7,712 | 0.80 |
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 | 1,200 | 1,072 | $24,981 | $2,384 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 400 | 283 | $13,136 | $2,009 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 357 | 353 | $14,671 | $2,563 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 321 | 295 | $7,932 | $1,402 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 255 | 245 | $40,428 | $12,843 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 204 | 176 | $9,500 | $1,667 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 204 | 201 | $24,224 | $4,967 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 178 | 143 | $17,559 | $1,761 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 175 | 156 | $24,179 | $4,422 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 158 | 150 | $17,873 | $2,731 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 154 | 114 | $23,604 | $4,978 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 141 | 122 | $18,743 | $3,042 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 107 | 99 | $54,530 | $10,083 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 90 | 78 | $10,251 | $1,410 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 77 | 76 | $14,625 | $2,465 | $2,141 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 67 | 67 | $35,705 | $7,675 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 61 | 58 | $19,649 | $3,028 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 57 | 56 | $14,349 | $2,511 | $2,176 |
| Level 2 Intraocular ProceduresAPC 5492 | 57 | 52 | $17,464 | $3,428 | $3,116 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 52 | 51 | $13,108 | $2,073 | $1,780 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 51 | 51 | $57,378 | $10,193 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 46 | 46 | $32,134 | $6,210 | $5,339 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 39 | $24,359 | $3,184 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 35 | $58,342 | $17,628 | $14,606 |
| Level 6 Urology and Related ServicesAPC 5376 | 36 | 36 | $33,780 | $8,617 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 35 | 35 | $38,591 | $5,580 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 31 | 31 | $19,590 | $2,772 | $2,389 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 27 | 27 | $94,060 | $24,649 | $21,117 |
| Level 3 Intraocular ProceduresAPC 5493 | 27 | 21 | $23,037 | $4,461 | $4,004 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 20 | 19 | $170,327 | $34,657 | $29,375 |
| Complex GI ProceduresAPC 5331 | 20 | 16 | $21,316 | $5,046 | $4,263 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $33,271 | $9,391 | $8,164 |
| Level 3 Upper GI ProceduresAPC 5303 | 19 | 18 | $15,759 | $3,398 | $2,888 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $30,641 | $4,911 | $4,436 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $86,144 | $20,002 | $17,052 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 15 | $27,537 | $4,558 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $8,208 | $1,430 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 14 | 14 | $25,331 | $3,322 | $2,833 |
| Level 2 Urology and Related ServicesAPC 5372 | 14 | $3,495 | $481 | $502 | |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | $107,993 | $33,053 | $26,719 |
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.