Grandview Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Grandview Medical Center, Birmingham, AL in 2024, from traditional Medicare claims. Back to the Grandview Medical Center profile, with quality ratings, finances and negotiated rates.
4,006
Medicare inpatient discharges
In 120 published DRGs
2.03
Case mix index
IPPS FY 2027
31%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
3,927
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Circulatory system897 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 176 | $88,873 | $6,968 | $5,777 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 127 | $297,351 | $18,444 | $19,328 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 96 | $132,600 | $8,634 | $8,619 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 52 | $79,631 | $4,484 | $5,176 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 47 | $487,093 | $36,991 | $31,661 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $252,359 | $8,692 | $16,403 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 33 | $87,857 | $4,352 | $5,711 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $62,057 | $3,868 | $4,034 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 31 | $233,221 | $11,425 | $15,159 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 28 | $354,880 | $15,403 | $23,067 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 26 | $218,152 | $11,033 | $14,180 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $96,294 | $5,094 | $6,259 | 1.08 |
| Chest painMS-DRG 313, medical | 25 | $63,179 | $3,695 | $4,107 | 0.72 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 24 | $486,831 | $19,677 | $31,644 | 4.04 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $106,612 | $6,296 | $6,930 | 1.20 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 16 | $766,695 | $27,614 | $49,835 | 5.24 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 16 | $605,470 | $32,625 | $39,356 | 5.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $53,819 | $2,165 | $3,498 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $383,399 | $20,845 | $24,921 | 3.35 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $316,162 | $16,462 | $20,551 | 3.46 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $209,447 | $17,367 | $13,614 | 3.18 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $580,680 | $24,065 | $37,744 | 5.20 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $49,570 | $5,654 | $3,222 | 1.07 |
Musculoskeletal system and connective tissue573 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 | 107 | $225,952 | $7,735 | $14,687 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 65 | $406,652 | $19,646 | $26,432 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 59 | $236,017 | $11,444 | $15,341 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $250,824 | $10,996 | $16,304 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 34 | $97,713 | $4,953 | $6,351 | 0.97 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 27 | $314,505 | $14,997 | $20,443 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 25 | $322,475 | $20,238 | $20,961 | 3.49 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 20 | $425,658 | $22,663 | $27,668 | 4.61 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 20 | $158,094 | $10,547 | $10,276 | 2.04 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 19 | $233,451 | $14,288 | $15,174 | 2.46 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $198,828 | $7,951 | $12,924 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 17 | $136,453 | $8,610 | $8,869 | 1.70 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $307,186 | $16,695 | $19,967 | 2.96 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $245,072 | $13,264 | $15,930 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 16 | $146,747 | $6,183 | $9,539 | 1.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $58,580 | $4,093 | $3,808 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 14 | $336,188 | $16,513 | $21,852 | 2.99 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $333,257 | $11,369 | $21,662 | 2.48 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $508,593 | $34,622 | $33,059 | 6.12 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $305,887 | $15,827 | $19,883 | 2.95 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 458, surgical | 11 | $451,208 | $27,863 | $29,329 | 4.53 |
Infectious and parasitic diseases559 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 | 366 | $168,548 | $10,843 | $10,956 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 84 | $68,769 | $5,175 | $4,470 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 62 | $482,192 | $26,782 | $31,342 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $600,248 | $37,158 | $39,016 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $215,818 | $11,238 | $14,028 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $160,684 | $10,497 | $10,444 | 1.84 |
Digestive system453 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 | 83 | $78,249 | $3,497 | $5,086 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 79 | $96,236 | $4,897 | $6,255 | 0.98 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 46 | $248,565 | $7,961 | $16,157 | 1.67 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 43 | $294,052 | $11,065 | $19,113 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $145,598 | $10,194 | $9,464 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 28 | $93,538 | $5,208 | $6,080 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $102,422 | $6,894 | $6,657 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $377,523 | $26,519 | $24,539 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $79,093 | $3,197 | $5,141 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $125,027 | $7,582 | $8,127 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $135,516 | $9,121 | $8,809 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $57,275 | $2,210 | $3,723 | 0.56 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 11 | $719,586 | $40,086 | $46,773 | 5.08 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 11 | $311,230 | $11,317 | $20,230 | 2.50 |
Respiratory system366 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 97 | $95,437 | $6,857 | $6,203 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 81 | $97,204 | $9,100 | $6,318 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $104,402 | $5,196 | $6,786 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $108,005 | $6,383 | $7,020 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $62,499 | $3,538 | $4,062 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $128,224 | $8,131 | $8,335 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $290,361 | $25,377 | $18,873 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $68,360 | $5,216 | $4,443 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $67,805 | $4,817 | $4,407 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $55,445 | $3,929 | $3,604 | 0.82 |
Kidney and urinary tract305 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 103 | $92,598 | $6,297 | $6,019 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 58 | $60,214 | $3,956 | $3,914 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 47 | $58,374 | $4,716 | $3,794 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $88,220 | $8,481 | $5,734 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $173,699 | $8,639 | $11,290 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $68,151 | $5,570 | $4,430 | 1.02 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 12 | $158,919 | $5,204 | $10,330 | 1.05 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $159,615 | $6,402 | $10,375 | 1.35 |
Nervous system303 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 53 | $175,969 | $10,978 | $11,438 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 52 | $108,895 | $5,191 | $7,078 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 25 | $97,857 | $3,582 | $6,361 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 24 | $104,349 | $4,940 | $6,783 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 18 | $172,759 | $10,300 | $11,229 | 1.98 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $143,712 | $6,696 | $9,341 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $104,967 | $5,382 | $6,823 | 1.03 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 16 | $179,629 | $13,581 | $11,676 | 2.28 |
| Extracranial procedures with CCMS-DRG 038, surgical | 15 | $227,947 | $8,748 | $14,817 | 1.60 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $80,791 | $6,668 | $5,251 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $163,360 | $10,302 | $10,618 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $93,693 | $5,879 | $6,090 | 1.06 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $166,320 | $5,933 | $10,811 | 1.14 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $151,630 | $9,137 | $9,856 | 1.79 |
Liver, gallbladder and pancreas160 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 20 | $181,079 | $8,726 | $11,770 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 18 | $294,136 | $14,427 | $19,119 | 2.32 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 17 | $68,345 | $3,700 | $4,442 | 0.86 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 16 | $359,097 | $14,028 | $23,341 | 2.89 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $244,089 | $9,447 | $15,866 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 16 | $138,334 | $10,719 | $8,992 | 1.92 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 16 | $71,537 | $4,952 | $4,650 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 16 | $165,684 | $10,412 | $10,769 | 1.76 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 14 | $669,769 | $32,264 | $43,535 | 5.51 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $181,220 | $5,342 | $11,779 | 1.31 |
Endocrine, nutritional and metabolic139 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 | 56 | $129,514 | $7,359 | $8,418 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 36 | $55,927 | $3,996 | $3,635 | 0.78 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 18 | $145,721 | $7,519 | $9,472 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 16 | $74,703 | $4,636 | $4,856 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $105,985 | $7,797 | $6,889 | 1.45 |
Mental diseases and disorders134 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 108 | $72,843 | $6,987 | $4,735 | 1.37 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 14 | $61,993 | $5,236 | $4,030 | 0.95 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $74,365 | $8,994 | $4,834 | 1.76 |
Skin, subcutaneous tissue and breast38 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $52,115 | $4,582 | $3,387 | 0.88 |
Other22 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 | 22 | $440,108 | $29,099 | $28,607 | 4.74 |
Factors influencing health status16 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 | 16 | $73,136 | $4,110 | $4,754 | 0.80 |
Blood and immune system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $77,535 | $4,361 | $5,040 | 0.90 |
Injuries, poisonings and toxic effects of drugs14 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 | 14 | $103,581 | $6,473 | $6,733 | 1.60 |
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 | $66,295 | $3,101 | $4,309 | 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 |
|---|---|---|---|---|---|
| Level 2 Upper GI ProceduresAPC 5302 | 396 | 350 | $38,359 | $1,198 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 364 | 356 | $304,166 | $17,671 | $21,117 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 336 | 329 | $213,693 | $8,888 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 276 | 272 | $56,983 | $1,865 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 274 | 265 | $149,657 | $4,405 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 147 | 147 | $126,281 | $3,703 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 144 | 141 | $102,253 | $2,073 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 135 | 131 | $250,790 | $13,184 | $15,763 |
| Comprehensive Observation ServicesAPC 8011 | 130 | 130 | $54,031 | $1,693 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 128 | 109 | $28,440 | $956 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 124 | 123 | $82,448 | $1,959 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 106 | 102 | $56,835 | $1,032 | $1,196 |
| Level 3 Endovascular ProceduresAPC 5193 | 99 | 91 | $179,287 | $6,995 | $8,874 |
| Level 5 Airway EndoscopyAPC 5155 | 95 | 95 | $137,578 | $4,442 | $5,183 |
| Level 4 Urology and Related ServicesAPC 5374 | 91 | 85 | $78,491 | $2,160 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 80 | 74 | $90,960 | $3,329 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 77 | 77 | $167,741 | $6,780 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 69 | 69 | $221,508 | $7,179 | $8,569 |
| Level 1 Nerve ProceduresAPC 5431 | 63 | 52 | $75,262 | $1,194 | $1,407 |
| Level 2 Endovascular ProceduresAPC 5192 | 55 | 53 | $91,419 | $3,452 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 50 | 49 | $75,256 | $1,845 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 49 | 41 | $60,069 | $1,270 | $1,516 |
| Level 8 Urology and Related ServicesAPC 5378 | 44 | 43 | $237,955 | $13,227 | $17,428 |
| Complex GI ProceduresAPC 5331 | 43 | 40 | $110,240 | $3,606 | $4,263 |
| Level 3 Upper GI ProceduresAPC 5303 | 40 | 37 | $71,026 | $2,288 | $2,888 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 34 | $121,480 | $3,270 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 39 | 36 | $227,625 | $10,741 | $14,606 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 38 | 38 | $399,334 | $24,179 | $26,719 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 37 | 37 | $157,546 | $5,475 | $6,514 |
| Level 3 Airway EndoscopyAPC 5153 | 32 | 30 | $63,360 | $1,075 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 32 | 32 | $76,713 | $1,868 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 28 | $102,597 | $2,133 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 26 | $119,156 | $2,231 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 28 | $116,946 | $2,308 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 27 | 27 | $80,648 | $2,072 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 26 | $19,629 | $1,060 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 24 | $331,440 | $25,711 | $29,375 |
| Level 5 ENT ProceduresAPC 5165 | 23 | 23 | $132,673 | $3,882 | $4,436 |
| Level 5 Gynecologic ProceduresAPC 5415 | 20 | 20 | $111,448 | $2,994 | $3,792 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 18 | 18 | $182,105 | $4,333 | $4,982 |
| Level 6 Gynecologic ProceduresAPC 5416 | 16 | 16 | $128,603 | $5,026 | $5,836 |
| Level 4 ENT ProceduresAPC 5164 | 14 | 14 | $81,941 | $2,136 | $2,217 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $366,747 | $14,535 | $17,052 |
| Level 7 Urology and Related ServicesAPC 5377 | 14 | 14 | $124,619 | $9,044 | $10,388 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 13 | $354,241 | $16,535 | $18,465 |
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.