Hendrick Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hendrick Medical Center, Abilene, TX in 2024, from traditional Medicare claims. Back to the Hendrick Medical Center profile, with quality ratings, finances and negotiated rates.
5,663
Medicare inpatient discharges
In 143 published DRGs
1.91
Case mix index
IPPS FY 2027
28%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
4,711
Medicare outpatient services
In 48 service groups
Inpatient stays by major diagnostic category
Circulatory system1,630 discharges in 38 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 204 | $88,045 | $9,042 | $9,509 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 178 | $364,241 | $23,247 | $39,338 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 99 | $65,725 | $5,379 | $7,098 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 98 | $206,502 | $12,107 | $22,302 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 94 | $83,712 | $6,809 | $9,041 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 76 | $50,365 | $4,682 | $5,439 | 0.74 |
| Chest painMS-DRG 313, medical | 68 | $54,005 | $4,551 | $5,833 | 0.72 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 59 | $37,955 | $3,279 | $4,099 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 56 | $452,734 | $36,524 | $48,895 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 56 | $80,682 | $7,826 | $8,714 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 48 | $127,085 | $15,610 | $13,725 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $104,613 | $11,011 | $11,298 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 46 | $277,780 | $20,689 | $30,000 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 38 | $207,352 | $15,791 | $22,394 | 2.28 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 37 | $300,924 | $29,680 | $32,500 | 4.04 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 33 | $396,990 | $37,765 | $42,875 | 5.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 32 | $139,651 | $15,562 | $15,082 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 28 | $71,105 | $5,870 | $7,679 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 28 | $46,734 | $4,380 | $5,047 | 0.75 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 23 | $497,650 | $46,373 | $53,746 | 6.25 |
| Hypertension with MCCMS-DRG 304, medical | 23 | $84,358 | $7,679 | $9,111 | 1.15 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $259,842 | $24,095 | $28,063 | 3.46 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 20 | $55,081 | $6,125 | $5,949 | 0.97 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $228,964 | $18,365 | $24,728 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $218,812 | $26,348 | $23,632 | 3.46 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 19 | $69,635 | $7,275 | $7,521 | 1.07 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 17 | $159,661 | $12,470 | $17,243 | 1.83 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $240,107 | $25,439 | $25,932 | 3.35 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 14 | $503,004 | $49,145 | $54,324 | 5.88 |
| Percutaneous cardiovascular procedures without intraluminal device without MCCMS-DRG 251, surgical | 14 | $126,746 | $10,001 | $13,689 | 1.59 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $331,003 | $30,701 | $35,748 | 4.16 |
| Heart failure and shock with CCMS-DRG 292, medical | 14 | $48,737 | $6,096 | $5,264 | 0.86 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 13 | $551,917 | $60,999 | $59,607 | 7.80 |
| Atherosclerosis without MCCMS-DRG 303, medical | 13 | $53,068 | $3,906 | $5,731 | 0.66 |
| Other heart assist system implantMS-DRG 215, surgical | 12 | $893,516 | $82,632 | $96,500 | 10.21 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 12 | $149,442 | $11,847 | $16,140 | 1.74 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 12 | $324,937 | $29,204 | $35,093 | 3.90 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $68,013 | $3,886 | $7,345 | 0.72 |
Respiratory system692 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 181 | $92,417 | $8,932 | $9,981 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 92 | $94,340 | $11,680 | $10,189 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 89 | $75,248 | $7,229 | $8,127 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 69 | $93,803 | $8,165 | $10,131 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 55 | $62,909 | $5,286 | $6,794 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 32 | $70,168 | $6,511 | $7,578 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 27 | $53,385 | $5,207 | $5,766 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 24 | $75,669 | $6,001 | $8,172 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $211,090 | $19,985 | $22,798 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 23 | $70,919 | $5,634 | $7,659 | 0.85 |
| Major chest procedures with MCCMS-DRG 163, surgical | 19 | $341,096 | $37,197 | $36,838 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $82,515 | $9,323 | $8,912 | 1.40 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 14 | $99,172 | $13,303 | $10,711 | 1.81 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $155,603 | $12,526 | $16,805 | 1.74 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $62,658 | $6,560 | $6,767 | 1.05 |
Infectious and parasitic diseases639 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 | 453 | $128,983 | $14,029 | $13,930 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 81 | $80,327 | $6,586 | $8,675 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 67 | $331,019 | $37,536 | $35,750 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 21 | $151,885 | $13,511 | $16,404 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 17 | $511,630 | $53,246 | $55,256 | 6.96 |
Musculoskeletal system and connective tissue551 discharges in 18 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 | 105 | $188,167 | $12,331 | $20,322 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 80 | $158,589 | $14,310 | $17,128 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 68 | $157,589 | $14,705 | $17,020 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 46 | $339,120 | $26,091 | $36,625 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 33 | $64,378 | $6,370 | $6,953 | 0.97 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 25 | $302,839 | $19,288 | $32,707 | 2.96 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $158,225 | $17,107 | $17,088 | 2.40 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $175,454 | $21,326 | $18,949 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 22 | $149,460 | $14,383 | $16,142 | 2.04 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 20 | $116,144 | $10,205 | $12,544 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $224,989 | $18,037 | $24,299 | 2.48 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $54,361 | $5,661 | $5,871 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $38,592 | $4,894 | $4,168 | 0.79 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 13 | $116,755 | $9,880 | $12,610 | 1.49 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 13 | $124,434 | $13,657 | $13,439 | 1.97 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 12 | $57,649 | $5,529 | $6,226 | 0.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $282,904 | $25,786 | $30,554 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $81,296 | $12,244 | $8,780 | 1.70 |
Digestive system530 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 101 | $74,431 | $6,581 | $8,039 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 94 | $67,992 | $5,074 | $7,343 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 55 | $137,660 | $13,427 | $14,867 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 50 | $189,197 | $16,165 | $20,433 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $89,741 | $8,850 | $9,692 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $48,925 | $5,150 | $5,284 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 29 | $74,608 | $6,044 | $8,058 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 25 | $147,430 | $9,977 | $15,922 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 24 | $86,184 | $10,968 | $9,308 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $41,538 | $3,432 | $4,486 | 0.56 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 16 | $56,296 | $3,561 | $6,080 | 0.63 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $387,047 | $34,083 | $41,801 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $75,263 | $9,920 | $8,128 | 1.45 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 13 | $124,512 | $11,600 | $13,447 | 1.65 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $76,456 | $7,383 | $8,257 | 1.04 |
Kidney and urinary tract527 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 119 | $52,990 | $5,232 | $5,723 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 98 | $77,477 | $7,680 | $8,368 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 85 | $60,621 | $5,852 | $6,547 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 68 | $107,290 | $11,867 | $11,587 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 59 | $103,490 | $10,237 | $11,177 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 42 | $69,891 | $6,831 | $7,548 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $104,349 | $8,667 | $11,270 | 1.35 |
| Renal failure without cc/mccMS-DRG 684, medical | 13 | $41,709 | $3,703 | $4,505 | 0.61 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $157,170 | $18,528 | $16,974 | 2.59 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $251,734 | $27,529 | $27,187 | 3.70 |
Nervous system480 discharges in 18 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 | 74 | $81,752 | $6,386 | $8,829 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 55 | $68,424 | $4,909 | $7,390 | 0.80 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 54 | $93,823 | $7,138 | $10,133 | 1.14 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 50 | $147,401 | $14,539 | $15,919 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 28 | $89,393 | $9,420 | $9,654 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 28 | $61,542 | $5,613 | $6,647 | 0.91 |
| Extracranial procedures with CCMS-DRG 038, surgical | 27 | $139,031 | $10,799 | $15,015 | 1.60 |
| Seizures with MCCMS-DRG 100, medical | 23 | $182,195 | $14,987 | $19,677 | 1.98 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 22 | $75,793 | $6,613 | $8,186 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $82,795 | $6,290 | $8,942 | 1.03 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 15 | $366,762 | $39,461 | $39,610 | 4.42 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 15 | $115,951 | $9,281 | $12,523 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $119,840 | $13,285 | $12,943 | 1.79 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $126,036 | $12,158 | $13,612 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 12 | $113,250 | $9,966 | $12,231 | 1.47 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $78,907 | $17,269 | $8,522 | 2.39 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 11 | $276,127 | $42,166 | $29,822 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $62,687 | $3,666 | $6,770 | 0.69 |
Endocrine, nutritional and metabolic224 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 | 87 | $54,696 | $4,873 | $5,907 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 82 | $89,162 | $8,972 | $9,630 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 31 | $57,909 | $5,344 | $6,254 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 24 | $91,328 | $9,902 | $9,863 | 1.45 |
Liver, gallbladder and pancreas101 discharges in 6 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 | 25 | $144,959 | $11,125 | $15,656 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 21 | $75,345 | $6,740 | $8,137 | 1.09 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 16 | $65,060 | $6,736 | $7,026 | 0.95 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $80,586 | $14,495 | $8,703 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $150,453 | $12,576 | $16,249 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 12 | $120,000 | $8,648 | $12,960 | 1.31 |
Skin, subcutaneous tissue and breast86 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 68 | $55,116 | $5,564 | $5,952 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $92,435 | $10,186 | $9,983 | 1.49 |
Other58 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 | 28 | $292,955 | $36,554 | $31,639 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 19 | $213,702 | $18,942 | $23,080 | 2.49 |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 11 | $288,374 | $22,525 | $31,144 |
Injuries, poisonings and toxic effects of drugs38 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 16 | $71,970 | $6,805 | $7,773 | 1.03 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 11 | $294,193 | $29,263 | $31,773 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $82,059 | $11,263 | $8,862 | 1.60 |
Blood and immune system33 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 | 17 | $55,211 | $5,835 | $5,963 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $87,114 | $9,131 | $9,408 | 1.40 |
Factors influencing health status29 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 | 29 | $72,036 | $5,216 | $7,780 | 0.80 |
Mental diseases and disorders18 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 | 18 | $60,328 | $12,307 | $6,515 | 1.76 |
Ear, nose, mouth and throat16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $71,848 | $4,636 | $7,760 | 0.74 |
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 | $63,162 | $5,281 | $6,821 | 0.86 |
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 Nerve ProceduresAPC 5431 | 424 | 304 | $15,873 | $1,292 | $1,407 |
| Comprehensive Observation ServicesAPC 8011 | 386 | 369 | $41,807 | $1,996 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 367 | 367 | $40,516 | $2,156 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 295 | 286 | $147,112 | $10,529 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 271 | 251 | $19,042 | $1,305 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 247 | 236 | $20,713 | $1,177 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 203 | 125 | $21,741 | $1,497 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 186 | 178 | $80,372 | $4,990 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 182 | 163 | $41,576 | $2,334 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 164 | 160 | $140,099 | $8,472 | $8,874 |
| Level 1 Intraocular ProceduresAPC 5491 | 154 | 103 | $34,120 | $834 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 147 | 146 | $57,618 | $4,088 | $4,358 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 144 | 143 | $113,804 | $8,278 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 132 | 112 | $44,952 | $2,548 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 104 | 97 | $61,641 | $3,719 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 103 | 100 | $33,501 | $2,053 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 85 | 83 | $196,345 | $20,600 | $21,117 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 84 | 83 | $48,386 | $2,529 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 73 | 66 | $59,167 | $4,157 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 70 | 69 | $98,328 | $7,790 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 59 | 59 | $68,449 | $4,794 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 56 | 56 | $26,184 | $1,152 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 52 | 52 | $39,672 | $1,937 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 50 | 49 | $210,562 | $14,201 | $14,606 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 49 | 46 | $27,822 | $1,301 | $1,780 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 48 | 47 | $19,975 | $920 | $1,196 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 48 | 46 | $267,595 | $25,895 | $26,719 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 47 | 47 | $201,810 | $16,616 | $17,052 |
| Level 4 Airway EndoscopyAPC 5154 | 42 | 41 | $32,327 | $2,550 | $2,833 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 41 | 39 | $196,384 | $15,822 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 37 | $42,465 | $2,732 | $2,930 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 38 | 38 | $348,971 | $29,155 | $29,375 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 37 | 32 | $97,186 | $4,717 | $4,524 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 30 | 30 | $101,873 | $6,133 | $6,514 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 28 | $50,283 | $4,610 | $5,183 |
| Level 3 Upper GI ProceduresAPC 5303 | 25 | 24 | $43,151 | $2,750 | $2,888 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 22 | 22 | $85,547 | $5,585 | $5,682 |
| Level 2 Urology and Related ServicesAPC 5372 | 22 | 13 | $6,661 | $491 | $502 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 20 | $32,535 | $1,743 | $2,176 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 19 | $67,202 | $4,110 | $3,946 |
| Level 3 Airway EndoscopyAPC 5153 | 18 | 17 | $33,148 | $1,269 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $75,227 | $4,380 | $4,436 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $46,396 | $2,335 | $2,389 |
| Complex GI ProceduresAPC 5331 | 15 | 14 | $59,563 | $4,262 | $4,263 |
| Level 3 Intraocular ProceduresAPC 5493 | 15 | 12 | $59,909 | $2,113 | $4,004 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 12 | 12 | $262,255 | $20,435 | $21,011 |
| Cochlear Implant ProcedureAPC 5166 | 11 | 11 | $241,775 | $29,749 | $29,489 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $61,403 | $3,710 | $3,792 |
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.