Henry Ford Macomb - Mt Clemens Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Henry Ford Macomb - Mt Clemens, Clinton Township, MI in 2024, from traditional Medicare claims. Back to the Henry Ford Macomb - Mt Clemens profile, with quality ratings, finances and negotiated rates.
4,140
Medicare inpatient discharges
In 119 published DRGs
1.86
Case mix index
IPPS FY 2027
17%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,082
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Circulatory system1,063 discharges in 27 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 231 | $34,004 | $8,872 | $10,439 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 193 | $36,394 | $11,227 | $11,173 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 66 | $18,679 | $4,310 | $5,734 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 57 | $27,130 | $6,037 | $8,329 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 55 | $26,851 | $5,449 | $8,243 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 46 | $67,354 | $11,514 | $20,678 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 36 | $45,272 | $14,463 | $13,898 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 32 | $36,658 | $6,733 | $11,254 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $34,343 | $7,911 | $10,543 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 31 | $92,065 | $20,607 | $28,264 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $16,937 | $2,783 | $5,200 | 0.55 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 26 | $27,237 | $7,214 | $8,362 | 1.07 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 25 | $90,707 | $23,841 | $27,847 | 3.24 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 24 | $112,632 | $26,244 | $34,578 | 4.04 |
| Hypertension without MCCMS-DRG 305, medical | 18 | $17,952 | $4,530 | $5,511 | 0.75 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $19,993 | $4,387 | $6,138 | 0.72 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 16 | $92,445 | $24,580 | $28,381 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 16 | $151,670 | $36,702 | $46,563 | 4.88 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $36,566 | $7,029 | $11,226 | 0.97 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $98,051 | $25,108 | $30,102 | 3.35 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $68,172 | $13,770 | $20,929 | 2.28 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $225,341 | $59,774 | $69,180 | 7.80 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $165,708 | $37,989 | $50,872 | 5.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $45,902 | $13,632 | $14,092 | 2.09 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $65,264 | $16,958 | $20,036 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $28,698 | $11,794 | $8,810 | 1.58 |
| Chest painMS-DRG 313, medical | 11 | $19,819 | $4,527 | $6,084 | 0.72 |
Respiratory system651 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 135 | $30,314 | $8,730 | $9,306 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 116 | $41,549 | $11,487 | $12,756 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 61 | $41,665 | $7,882 | $12,791 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 52 | $22,291 | $4,966 | $6,843 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 48 | $28,691 | $6,615 | $8,808 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 33 | $41,313 | $9,469 | $12,683 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 32 | $85,884 | $20,224 | $26,366 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 31 | $25,387 | $4,739 | $7,794 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 27 | $29,012 | $5,772 | $8,907 | 0.99 |
| Major chest procedures with CCMS-DRG 164, surgical | 24 | $86,075 | $17,495 | $26,425 | 2.55 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 24 | $22,093 | $5,685 | $6,783 | 0.85 |
| Major chest trauma with CCMS-DRG 184, medical | 18 | $32,155 | $6,206 | $9,872 | 1.05 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $110,784 | $32,290 | $34,011 | 4.71 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 13 | $88,966 | $28,328 | $27,312 | 4.06 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 12 | $67,208 | $12,145 | $20,633 | 1.88 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $20,174 | $5,718 | $6,193 | 0.96 |
Infectious and parasitic diseases597 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 | 412 | $46,653 | $13,306 | $14,323 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 76 | $110,926 | $33,948 | $34,054 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 70 | $25,031 | $6,322 | $7,685 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $168,407 | $50,977 | $51,701 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $40,428 | $13,344 | $12,411 | 2.04 |
Kidney and urinary tract368 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 | 65 | $22,086 | $4,972 | $6,780 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 55 | $39,016 | $10,379 | $11,978 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 55 | $27,705 | $7,619 | $8,505 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $33,794 | $10,395 | $10,375 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 44 | $22,879 | $5,568 | $7,024 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $19,781 | $6,702 | $6,073 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 23 | $32,243 | $8,897 | $9,898 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 20 | $58,305 | $18,819 | $17,900 | 2.59 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 15 | $53,653 | $11,586 | $16,472 | 1.84 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $27,061 | $6,126 | $8,308 | 1.05 |
Digestive system365 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 | 77 | $22,103 | $4,732 | $6,786 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 75 | $30,866 | $6,278 | $9,476 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 50 | $57,900 | $12,081 | $17,775 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $31,495 | $8,457 | $9,669 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $134,723 | $34,301 | $41,360 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $67,780 | $14,929 | $20,808 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $20,733 | $5,964 | $6,365 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $28,881 | $10,142 | $8,867 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $36,914 | $12,413 | $11,333 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $18,416 | $4,713 | $5,654 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $61,180 | $11,623 | $18,782 | 1.67 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $43,170 | $14,309 | $13,253 | 2.10 |
Nervous system300 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 | 70 | $30,293 | $6,438 | $9,300 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 32 | $52,466 | $12,521 | $16,107 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 22 | $24,636 | $9,326 | $7,563 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 21 | $23,913 | $5,787 | $7,341 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $34,549 | $7,421 | $10,607 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 18 | $77,609 | $13,263 | $23,826 | 1.98 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 15 | $72,989 | $19,782 | $22,408 | 2.39 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $23,347 | $5,238 | $7,167 | 0.80 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $36,397 | $8,927 | $11,174 | 1.32 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $43,781 | $7,346 | $13,441 | 1.14 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $48,809 | $11,332 | $14,984 | 1.79 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 061, medical | 12 | $74,777 | $19,205 | $22,956 | 2.80 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 12 | $34,011 | $9,538 | $10,441 | 1.36 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $59,415 | $8,732 | $18,240 | 1.60 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $32,769 | $4,991 | $10,060 | 0.87 |
Musculoskeletal system and connective tissue224 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 | 52 | $62,475 | $14,124 | $19,180 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 47 | $25,704 | $5,952 | $7,891 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 29 | $63,952 | $15,330 | $19,633 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $23,704 | $5,720 | $7,277 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $57,349 | $16,881 | $17,606 | 2.40 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $23,346 | $4,965 | $7,167 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $74,623 | $18,957 | $22,909 | 2.95 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $122,463 | $45,202 | $37,596 | 6.12 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $102,492 | $18,804 | $31,465 | 3.49 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $58,381 | $14,697 | $17,923 | 2.04 |
Endocrine, nutritional and metabolic176 discharges in 6 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 | 58 | $18,791 | $4,470 | $5,769 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 47 | $36,551 | $8,999 | $11,221 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 31 | $26,561 | $5,535 | $8,154 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $41,455 | $9,502 | $12,727 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $39,862 | $11,652 | $12,238 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $28,234 | $7,270 | $8,668 | 1.06 |
Skin, subcutaneous tissue and breast102 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 64 | $21,804 | $5,617 | $6,694 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 25 | $29,305 | $10,468 | $8,997 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $30,077 | $5,901 | $9,234 | 0.91 |
Blood and immune system100 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 46 | $23,826 | $5,446 | $7,314 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 38 | $31,904 | $9,804 | $9,795 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 16 | $56,523 | $10,458 | $17,353 | 1.56 |
Liver, gallbladder and pancreas74 discharges in 5 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 | 20 | $59,457 | $9,981 | $18,253 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 18 | $31,121 | $6,539 | $9,554 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $18,645 | $5,931 | $5,724 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $23,463 | $5,105 | $7,203 | 0.95 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $61,283 | $11,587 | $18,814 | 1.92 |
Factors influencing health status45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 32 | $21,141 | $4,807 | $6,490 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 13 | $19,483 | $7,827 | $5,981 | 1.25 |
Mental diseases and disorders25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 13 | $52,276 | $12,810 | $16,049 | 1.76 |
| PsychosesMS-DRG 885, medical | 12 | $56,776 | $14,420 | $17,430 | 1.37 |
Ear, nose, mouth and throat19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 19 | $23,214 | $4,594 | $7,127 | 0.74 |
Other17 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 | 17 | $109,676 | $35,165 | $33,671 | 4.74 |
Alcohol and drug use14 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 | 14 | $28,114 | $5,082 | $8,631 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 930 | 854 | $15,809 | $1,889 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 319 | 311 | $42,883 | $9,641 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 203 | 201 | $14,580 | $2,022 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 199 | 186 | $6,761 | $1,110 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 145 | 122 | $12,774 | $2,394 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 125 | 124 | $12,528 | $2,237 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 107 | 107 | $32,567 | $3,971 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 106 | 102 | $17,695 | $3,631 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 73 | 73 | $69,593 | $14,343 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 71 | 66 | $40,756 | $7,713 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 68 | 56 | $6,405 | $1,317 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 65 | 65 | $26,433 | $5,020 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 64 | 37 | $9,754 | $1,407 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 54 | 53 | $60,818 | $18,877 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 53 | 52 | $50,417 | $7,079 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 47 | 42 | $14,495 | $2,388 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 46 | 43 | $13,655 | $2,571 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 45 | 44 | $28,092 | $4,803 | $5,183 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 42 | 42 | $10,483 | $1,973 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 32 | 32 | $6,299 | $1,128 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 32 | 31 | $6,850 | $1,124 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 30 | $22,018 | $4,011 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $13,326 | $2,147 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 29 | 29 | $37,383 | $7,766 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 26 | 26 | $13,051 | $2,572 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $12,089 | $2,089 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $20,466 | $4,576 | $4,982 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 19 | $19,011 | $3,653 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $113,867 | $27,258 | $29,375 |
| Level 1 Nerve ProceduresAPC 5431 | 17 | 16 | $8,085 | $1,275 | $1,407 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | 16 | $9,235 | $2,687 | $2,888 |
| Level 6 Urology and Related ServicesAPC 5376 | 16 | 15 | $38,262 | $6,481 | $7,291 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $9,931 | $1,191 | $1,264 |
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.