Gwinnett Hospital System Inc Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Gwinnett Hospital System Inc, Lawrenceville, GA in 2024, from traditional Medicare claims. Back to the Gwinnett Hospital System Inc profile, with quality ratings, finances and negotiated rates.
3,791
Medicare inpatient discharges
In 110 published DRGs
2.31
Case mix index
IPPS FY 2027
31%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
3,244
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system1,199 discharges in 33 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 252 | $106,799 | $25,312 | $22,962 | 3.24 |
| Heart failure and shock with MCCMS-DRG 291, medical | 204 | $72,108 | $11,138 | $15,503 | 1.28 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 84 | $180,476 | $30,037 | $38,802 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 71 | $161,616 | $37,685 | $34,748 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $91,625 | $13,055 | $19,699 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 35 | $139,797 | $13,987 | $30,056 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 34 | $192,494 | $23,185 | $41,386 | 2.87 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 32 | $260,690 | $40,405 | $56,048 | 5.24 |
| Syncope and collapseMS-DRG 312, medical | 30 | $63,861 | $7,320 | $13,730 | 0.86 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 27 | $223,514 | $36,842 | $48,055 | 5.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 26 | $175,836 | $26,015 | $37,805 | 3.35 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $57,966 | $10,266 | $12,463 | 1.20 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 25 | $259,232 | $46,374 | $55,735 | 5.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 23 | $408,417 | $65,148 | $87,810 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 22 | $100,454 | $17,067 | $21,598 | 2.16 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 21 | $157,591 | $31,464 | $33,882 | 3.90 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $66,153 | $8,615 | $14,223 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $124,344 | $21,142 | $26,734 | 2.09 |
| Chest painMS-DRG 313, medical | 20 | $43,132 | $7,416 | $9,273 | 0.72 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 18 | $272,392 | $47,296 | $58,564 | 5.06 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $47,661 | $6,039 | $10,247 | 0.75 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $144,923 | $18,540 | $31,158 | 2.28 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $170,971 | $30,049 | $36,759 | 4.16 |
| Other vascular procedures with CCMS-DRG 253, surgical | 14 | $152,177 | $23,287 | $32,718 | 2.55 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 14 | $239,285 | $51,034 | $51,446 | 6.25 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $57,997 | $10,151 | $12,469 | 1.15 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 13 | $115,843 | $24,861 | $24,906 | 3.18 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $65,138 | $7,310 | $14,005 | 0.74 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $74,271 | $12,607 | $15,968 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $46,970 | $9,840 | $10,098 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $251,713 | $24,625 | $54,118 | 3.46 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $32,728 | $5,529 | $7,036 | 0.55 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 11 | $246,333 | $23,618 | $52,962 | 2.97 |
Infectious and parasitic diseases553 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 | 410 | $109,340 | $16,368 | $23,508 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 65 | $267,489 | $44,132 | $57,510 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 64 | $55,787 | $8,597 | $11,994 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $117,276 | $15,124 | $25,214 | 2.04 |
Respiratory system461 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 108 | $97,120 | $14,208 | $20,881 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 94 | $77,880 | $11,242 | $16,744 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 52 | $99,889 | $11,176 | $21,476 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 43 | $67,842 | $9,380 | $14,586 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 27 | $78,894 | $10,781 | $16,962 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $50,280 | $7,691 | $10,810 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 25 | $59,521 | $8,800 | $12,797 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 23 | $46,365 | $8,736 | $9,968 | 0.99 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 18 | $82,673 | $15,383 | $17,775 | 1.90 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $125,944 | $20,061 | $27,078 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 15 | $47,645 | $7,664 | $10,244 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $245,449 | $49,183 | $52,771 | 6.91 |
Musculoskeletal system and connective tissue364 discharges in 16 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 | 56 | $112,767 | $15,167 | $24,245 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 45 | $56,491 | $8,510 | $12,145 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 43 | $144,609 | $23,226 | $31,091 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 33 | $119,786 | $16,658 | $25,754 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 23 | $50,892 | $7,325 | $10,942 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $174,257 | $23,311 | $37,465 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 20 | $44,581 | $7,162 | $9,585 | 0.79 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $212,852 | $30,646 | $45,763 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $93,712 | $19,286 | $20,148 | 2.40 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 15 | $397,508 | $51,995 | $85,464 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $293,739 | $35,835 | $63,154 | 4.61 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 13 | $67,484 | $12,397 | $14,509 | 1.52 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $188,031 | $22,968 | $40,427 | 3.49 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $91,898 | $16,549 | $19,758 | 2.04 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $91,073 | $12,701 | $19,581 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $61,649 | $9,254 | $13,255 | 1.09 |
Kidney and urinary tract336 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 | 78 | $71,634 | $11,065 | $15,401 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 69 | $76,358 | $11,964 | $16,417 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 58 | $46,622 | $7,263 | $10,024 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 52 | $77,686 | $13,614 | $16,702 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 42 | $49,306 | $7,700 | $10,601 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $53,701 | $8,862 | $11,546 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $72,703 | $11,007 | $15,631 | 1.35 |
Digestive system293 discharges in 12 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 | 60 | $48,211 | $6,937 | $10,365 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $61,512 | $7,976 | $13,225 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $103,868 | $15,685 | $22,332 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $56,212 | $10,952 | $12,086 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $105,670 | $17,261 | $22,719 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 20 | $87,197 | $13,676 | $18,747 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $37,446 | $6,501 | $8,051 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $76,508 | $14,407 | $16,449 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 18 | $231,576 | $32,556 | $49,789 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $61,800 | $12,700 | $13,287 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $43,859 | $7,641 | $9,430 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $52,789 | $8,613 | $11,350 | 1.04 |
Nervous system256 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 61 | $137,568 | $17,238 | $29,577 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 47 | $67,888 | $8,627 | $14,596 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 24 | $97,043 | $16,226 | $20,864 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $49,867 | $9,082 | $10,721 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 19 | $206,002 | $21,234 | $44,290 | 1.98 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 18 | $77,499 | $10,600 | $16,662 | 1.32 |
| Seizures without MCCMS-DRG 101, medical | 18 | $62,885 | $7,893 | $13,520 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $69,443 | $7,478 | $14,930 | 0.80 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $223,824 | $37,608 | $48,122 | 4.42 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $56,780 | $7,957 | $12,208 | 1.03 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $60,628 | $9,926 | $13,035 | 1.03 |
Endocrine, nutritional and metabolic128 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 with MCCMS-DRG 640, medical | 54 | $68,948 | $10,664 | $14,824 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 31 | $85,676 | $11,845 | $18,420 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $48,415 | $7,276 | $10,409 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $52,020 | $7,901 | $11,184 | 0.90 |
Blood and immune system64 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 | 34 | $66,386 | $8,033 | $14,273 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 30 | $84,831 | $12,473 | $18,239 | 1.40 |
Skin, subcutaneous tissue and breast47 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $44,482 | $7,704 | $9,564 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 17 | $71,782 | $10,815 | $15,433 | 1.49 |
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 | 18 | $221,954 | $36,671 | $47,720 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $97,129 | $19,125 | $20,883 | 2.49 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 14 | $92,355 | $13,742 | $19,856 | 1.76 |
Injuries, poisonings and toxic effects of drugs13 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 | 13 | $92,780 | $13,566 | $19,948 | 1.60 |
Mental diseases and disorders11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 11 | $89,337 | $10,780 | $19,208 | 1.37 |
Alcohol and drug use11 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 | 11 | $39,347 | $6,483 | $8,460 | 0.86 |
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 | $53,923 | $7,825 | $11,594 | 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 | 507 | 480 | $22,376 | $1,990 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 278 | 276 | $29,651 | $2,110 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 247 | 243 | $160,763 | $20,116 | $21,117 |
| Level 1 Intraocular ProceduresAPC 5491 | 162 | 105 | $14,502 | $1,659 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 155 | 146 | $13,385 | $1,163 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 132 | 126 | $92,166 | $8,499 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 126 | 122 | $24,808 | $2,279 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 115 | 107 | $17,459 | $1,378 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 102 | 97 | $100,188 | $10,356 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 99 | 94 | $39,328 | $3,783 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 97 | 96 | $37,267 | $4,264 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 93 | 92 | $111,505 | $14,301 | $14,606 |
| Level 4 Urology and Related ServicesAPC 5374 | 92 | 80 | $32,064 | $2,491 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 74 | 71 | $24,957 | $2,099 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 73 | 73 | $83,760 | $8,269 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 67 | 58 | $21,152 | $1,465 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 64 | 60 | $42,161 | $4,160 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 58 | $27,415 | $2,558 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 57 | 55 | $58,005 | $5,290 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 50 | 48 | $7,143 | $1,176 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 48 | 48 | $41,210 | $2,711 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 45 | 44 | $53,605 | $4,948 | $5,183 |
| Level 1 Nerve ProceduresAPC 5431 | 42 | 34 | $18,931 | $1,426 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 40 | 32 | $36,809 | $3,962 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 36 | 34 | $22,745 | $1,985 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 29 | 29 | $39,481 | $3,678 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 27 | 27 | $49,382 | $6,282 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 26 | 26 | $211,290 | $28,804 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $76,762 | $7,610 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 26 | 26 | $23,233 | $2,301 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 25 | $16,871 | $1,181 | $1,196 |
| Complex GI ProceduresAPC 5331 | 25 | 23 | $41,238 | $4,210 | $4,263 |
| Level 6 Urology and Related ServicesAPC 5376 | 25 | 25 | $50,069 | $6,909 | $7,291 |
| Level 8 Urology and Related ServicesAPC 5378 | 25 | 24 | $91,749 | $17,036 | $17,428 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 24 | 24 | $140,772 | $15,616 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 22 | $41,088 | $2,265 | $2,373 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 23 | 23 | $138,823 | $14,983 | $17,052 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 18 | $17,212 | $1,255 | $1,264 |
| Level 3 Upper GI ProceduresAPC 5303 | 19 | 19 | $28,730 | $2,822 | $2,888 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 17 | 17 | $105,333 | $27,101 | $26,719 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $48,119 | $4,330 | $4,436 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 12 | $24,896 | $2,818 | $2,930 |
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.