Hshs St. John S Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hshs St. John S Hospital, Springfield, IL in 2024, from traditional Medicare claims. Back to the Hshs St. John S Hospital profile, with quality ratings, finances and negotiated rates.
3,572
Medicare inpatient discharges
In 110 published DRGs
2.07
Case mix index
IPPS FY 2027
29%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,660
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Circulatory system1,419 discharges in 39 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 279 | $49,286 | $9,113 | $10,695 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 96 | $120,153 | $23,317 | $26,073 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 88 | $50,552 | $11,389 | $10,970 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 77 | $24,684 | $4,350 | $5,356 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 67 | $179,347 | $36,300 | $38,918 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 63 | $44,580 | $6,068 | $9,674 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 55 | $94,815 | $11,359 | $20,575 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 50 | $59,169 | $8,358 | $12,840 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 47 | $53,739 | $7,060 | $11,661 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 43 | $91,375 | $15,634 | $19,828 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 41 | $21,733 | $3,032 | $4,716 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 37 | $129,534 | $25,598 | $28,109 | 3.46 |
| Syncope and collapseMS-DRG 312, medical | 33 | $40,707 | $5,728 | $8,833 | 0.86 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 32 | $225,956 | $31,106 | $49,033 | 4.04 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $76,340 | $15,230 | $16,566 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $137,723 | $20,879 | $29,886 | 2.87 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 22 | $253,535 | $40,895 | $55,017 | 5.88 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 22 | $218,456 | $42,666 | $47,405 | 6.21 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 22 | $207,465 | $36,032 | $45,020 | 4.78 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 22 | $32,308 | $4,010 | $7,011 | 0.72 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 19 | $342,584 | $59,013 | $74,341 | 7.80 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 19 | $92,987 | $12,158 | $20,178 | 1.83 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 17 | $265,462 | $39,647 | $57,605 | 5.24 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $71,435 | $13,322 | $15,501 | 2.09 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 16 | $165,337 | $26,863 | $35,878 | 3.90 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 15 | $132,565 | $23,787 | $28,767 | 3.18 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 15 | $252,017 | $49,016 | $54,688 | 6.25 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 14 | $368,317 | $59,954 | $79,925 | 7.71 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $212,540 | $42,215 | $46,121 | 5.06 |
| Chest painMS-DRG 313, medical | 14 | $25,344 | $3,918 | $5,500 | 0.72 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 13 | $287,514 | $40,826 | $62,391 | 5.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $156,511 | $23,372 | $33,963 | 3.35 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $43,772 | $10,916 | $9,498 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $33,626 | $7,369 | $7,297 | 1.07 |
| Atherosclerosis without MCCMS-DRG 303, medical | 13 | $30,239 | $4,174 | $6,562 | 0.66 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $190,075 | $37,887 | $41,246 | 5.04 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $30,728 | $4,567 | $6,668 | 0.75 |
| Cardiac pacemaker revision except device replacement with CCMS-DRG 261, surgical | 11 | $110,889 | $12,566 | $24,063 | 1.88 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $28,589 | $6,619 | $6,204 | 0.97 |
Infectious and parasitic diseases454 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 | 316 | $82,368 | $14,386 | $17,874 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 73 | $207,290 | $39,047 | $44,982 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $39,527 | $6,699 | $8,577 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $69,046 | $13,755 | $14,983 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $265,024 | $50,620 | $57,510 | 6.96 |
Respiratory system399 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 115 | $53,040 | $9,304 | $11,510 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 100 | $57,284 | $8,596 | $12,431 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 65 | $59,507 | $11,708 | $12,913 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $93,573 | $19,507 | $20,305 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $47,157 | $6,833 | $10,233 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 24 | $43,358 | $9,804 | $9,409 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $32,299 | $5,182 | $7,009 | 0.82 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 15 | $33,502 | $4,320 | $7,270 | 0.82 |
Nervous system364 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 | 81 | $45,762 | $6,829 | $9,930 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 69 | $83,640 | $14,409 | $18,150 | 2.00 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 27 | $195,080 | $42,601 | $42,332 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 24 | $231,906 | $35,018 | $50,324 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 24 | $66,314 | $13,346 | $14,390 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 19 | $78,166 | $14,282 | $16,962 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $35,772 | $4,960 | $7,762 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 15 | $55,544 | $7,661 | $12,053 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $57,011 | $7,945 | $12,371 | 1.32 |
| Seizures without MCCMS-DRG 101, medical | 15 | $30,533 | $6,291 | $6,626 | 0.91 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 12 | $78,365 | $15,980 | $17,005 | 2.27 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $176,614 | $22,176 | $38,325 | 1.79 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $110,834 | $11,432 | $24,051 | 1.60 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $45,595 | $9,495 | $9,894 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $37,351 | $3,804 | $8,105 | 0.69 |
Digestive system229 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 53 | $33,377 | $6,389 | $7,243 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $66,327 | $12,817 | $14,393 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 37 | $30,690 | $5,143 | $6,660 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $90,645 | $16,551 | $19,670 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $170,725 | $33,424 | $37,047 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $27,101 | $4,175 | $5,881 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $61,546 | $12,220 | $13,356 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $32,507 | $6,453 | $7,054 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $53,613 | $10,315 | $11,634 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $74,448 | $11,093 | $16,155 | 1.62 |
Musculoskeletal system and connective tissue217 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 | 45 | $87,208 | $14,158 | $18,924 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 35 | $43,887 | $6,270 | $9,524 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 31 | $82,954 | $15,347 | $18,001 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 26 | $95,523 | $21,247 | $20,728 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $130,699 | $25,139 | $28,362 | 3.66 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $121,976 | $25,913 | $26,469 | 3.49 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $89,277 | $16,795 | $19,373 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $93,262 | $12,502 | $20,238 | 2.04 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 11 | $107,767 | $21,648 | $23,386 | 2.96 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $61,874 | $11,070 | $13,427 | 1.59 |
Kidney and urinary tract211 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 55 | $50,412 | $10,749 | $10,939 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 35 | $31,031 | $6,322 | $6,734 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $29,655 | $5,299 | $6,435 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $40,802 | $8,096 | $8,854 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $53,312 | $11,881 | $11,569 | 1.65 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $48,610 | $9,213 | $10,548 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $40,067 | $6,220 | $8,694 | 1.02 |
Endocrine, nutritional and metabolic78 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 | 29 | $43,215 | $9,085 | $9,378 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 20 | $29,559 | $5,705 | $6,414 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $32,119 | $4,919 | $6,970 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $66,818 | $10,847 | $14,499 | 1.45 |
Blood and immune system54 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 | 22 | $39,193 | $5,625 | $8,505 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $41,732 | $10,700 | $9,056 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 15 | $105,714 | $16,165 | $22,940 | 1.56 |
Skin, subcutaneous tissue and breast51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 36 | $29,874 | $5,389 | $6,483 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $53,293 | $10,246 | $11,565 | 1.49 |
Liver, gallbladder and pancreas51 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $31,322 | $6,067 | $6,797 | 0.86 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 14 | $79,028 | $11,936 | $17,149 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $91,646 | $11,403 | $19,887 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $36,507 | $7,754 | $7,922 | 1.09 |
Other23 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 | 23 | $202,501 | $33,011 | $43,943 | 4.74 |
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 | $39,168 | $5,649 | $8,499 | 0.86 |
Injuries, poisonings and toxic effects of drugs11 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 | 11 | $45,609 | $11,552 | $9,897 | 1.60 |
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 Intraocular ProceduresAPC 5491 | 713 | 427 | $17,354 | $1,686 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 400 | 400 | $26,945 | $2,147 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 292 | 282 | $60,985 | $10,334 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 223 | 215 | $149,638 | $20,007 | $21,117 |
| Comprehensive Observation ServicesAPC 8011 | 216 | 207 | $23,307 | $1,993 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 137 | 132 | $15,463 | $1,167 | $1,220 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 127 | 127 | $68,263 | $8,153 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 122 | 116 | $13,805 | $1,381 | $1,445 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 116 | 110 | $140,071 | $28,399 | $29,375 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 115 | 112 | $41,493 | $5,268 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 95 | 93 | $67,230 | $8,432 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 94 | 81 | $42,353 | $2,512 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 86 | 83 | $17,900 | $2,292 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 77 | 76 | $75,943 | $15,149 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 74 | 71 | $24,862 | $2,285 | $2,373 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 67 | 67 | $40,768 | $6,210 | $6,514 |
| Level 5 Urology and Related ServicesAPC 5375 | 64 | 60 | $32,098 | $3,750 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 52 | 52 | $42,172 | $3,921 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 52 | 41 | $20,881 | $1,497 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 44 | 44 | $58,750 | $7,696 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 43 | 43 | $25,743 | $2,092 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 37 | 35 | $92,172 | $13,745 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 37 | 37 | $102,721 | $16,335 | $17,052 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 31 | 31 | $13,447 | $1,145 | $1,196 |
| Level 2 Intraocular ProceduresAPC 5492 | 30 | 26 | $28,690 | $2,994 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 17 | $14,872 | $2,543 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 26 | 25 | $22,781 | $2,651 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 25 | 21 | $47,740 | $3,860 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 18 | $17,605 | $1,303 | $1,407 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 20 | $60,221 | $18,532 | $18,465 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $12,511 | $1,179 | $1,204 |
| Level 5 Gynecologic ProceduresAPC 5415 | 19 | 19 | $34,417 | $3,647 | $3,792 |
| Level 3 Upper GI ProceduresAPC 5303 | 18 | 18 | $21,016 | $2,820 | $2,888 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $22,987 | $2,302 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 15 | $17,436 | $1,166 | $1,264 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 15 | 15 | $94,300 | $20,090 | $21,011 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 15 | 14 | $15,032 | $1,721 | $1,780 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 14 | $31,086 | $3,805 | $3,946 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 11 | $62,693 | $15,662 | $17,428 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $37,707 | $4,802 | $4,982 |
| Level 5 ENT ProceduresAPC 5165 | 12 | 12 | $38,269 | $4,312 | $4,436 |
| Complex GI ProceduresAPC 5331 | 12 | $20,934 | $4,196 | $4,263 | |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $26,733 | $3,848 | $4,004 |
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.