Huntington Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Huntington Hospital, Pasadena, CA in 2024, from traditional Medicare claims. Back to the Huntington Hospital profile, with quality ratings, finances and negotiated rates.
4,761
Medicare inpatient discharges
In 123 published DRGs
2.08
Case mix index
IPPS FY 2027
22%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
3,268
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases992 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 | 667 | $177,714 | $18,876 | $26,657 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 149 | $89,789 | $9,194 | $13,468 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 110 | $416,649 | $51,830 | $62,497 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 50 | $512,674 | $64,549 | $76,901 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $189,464 | $19,356 | $28,420 | 2.04 |
Circulatory system844 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 | 233 | $116,839 | $12,154 | $17,526 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 91 | $142,113 | $30,679 | $21,317 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 64 | $77,511 | $8,084 | $11,627 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 49 | $258,127 | $46,953 | $38,719 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 45 | $69,951 | $6,219 | $10,493 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $114,349 | $14,864 | $17,152 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 27 | $149,927 | $17,922 | $22,489 | 2.09 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 26 | $186,855 | $28,958 | $28,028 | 3.18 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $126,776 | $12,094 | $19,016 | 1.20 |
| Hypertension without MCCMS-DRG 305, medical | 25 | $76,746 | $6,378 | $11,512 | 0.75 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 24 | $147,816 | $15,484 | $22,172 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 24 | $86,753 | $9,472 | $13,013 | 1.07 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 20 | $324,941 | $53,113 | $48,741 | 5.04 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $85,334 | $7,969 | $12,800 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $64,878 | $4,370 | $9,732 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $161,164 | $20,633 | $24,175 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $125,360 | $16,140 | $18,804 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $234,579 | $35,345 | $35,187 | 3.35 |
| Chest painMS-DRG 313, medical | 15 | $62,656 | $6,543 | $9,398 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 14 | $598,557 | $70,308 | $89,784 | 7.71 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $187,572 | $25,398 | $28,136 | 2.87 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 13 | $290,877 | $38,217 | $43,632 | 4.04 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 11 | $300,956 | $45,116 | $45,143 | 5.24 |
Musculoskeletal system and connective tissue644 discharges in 19 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 | 84 | $103,587 | $17,469 | $15,538 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 80 | $93,200 | $8,435 | $13,980 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 58 | $142,228 | $18,849 | $21,334 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 50 | $214,108 | $42,096 | $32,116 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 49 | $280,359 | $57,769 | $42,054 | 6.12 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 47 | $165,437 | $33,591 | $24,816 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 34 | $134,050 | $19,034 | $20,107 | 2.11 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 32 | $152,770 | $23,684 | $22,916 | 2.48 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 27 | $190,410 | $28,593 | $28,562 | 2.96 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 26 | $84,581 | $7,783 | $12,687 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 23 | $77,583 | $6,462 | $11,637 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 23 | $82,986 | $8,928 | $12,448 | 1.09 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 21 | $205,377 | $28,157 | $30,807 | 2.95 |
| Medical back problems with MCCMS-DRG 551, medical | 21 | $112,764 | $14,964 | $16,915 | 1.70 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 18 | $146,861 | $22,330 | $22,029 | 2.40 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 14 | $404,723 | $62,353 | $60,708 | 6.08 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $85,699 | $14,534 | $12,855 | 1.59 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 12 | $150,547 | $12,425 | $22,582 | 1.52 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $178,030 | $32,356 | $26,705 | 3.49 |
Respiratory system580 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 150 | $152,670 | $14,986 | $22,901 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 134 | $133,777 | $12,350 | $20,067 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 42 | $114,985 | $10,298 | $17,248 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 31 | $86,437 | $8,518 | $12,966 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $124,627 | $11,759 | $18,694 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 30 | $76,732 | $7,004 | $11,510 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 26 | $111,425 | $12,143 | $16,714 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 22 | $128,429 | $9,561 | $19,264 | 1.05 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 22 | $98,979 | $8,601 | $14,847 | 0.96 |
| Major chest trauma with MCCMS-DRG 183, medical | 21 | $177,129 | $14,366 | $26,569 | 1.57 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 17 | $209,882 | $13,795 | $31,482 | 1.74 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $322,304 | $30,494 | $48,346 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $89,861 | $7,985 | $13,479 | 0.85 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 13 | $149,205 | $15,133 | $22,381 | 1.81 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $435,807 | $62,353 | $65,371 | 6.91 |
Digestive system499 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 78 | $101,120 | $8,986 | $15,168 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 74 | $71,849 | $6,725 | $10,777 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 55 | $160,860 | $18,516 | $24,129 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 41 | $67,138 | $6,802 | $10,071 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 34 | $193,829 | $21,836 | $29,074 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $128,174 | $11,972 | $19,226 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $368,161 | $48,684 | $55,224 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 23 | $127,594 | $15,653 | $19,139 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $80,401 | $8,455 | $12,060 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 20 | $147,876 | $15,385 | $22,181 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 20 | $98,045 | $9,229 | $14,707 | 1.04 |
| Digestive malignancy with MCCMS-DRG 374, medical | 18 | $159,340 | $17,717 | $23,901 | 2.10 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $104,264 | $11,839 | $15,640 | 1.45 |
| Digestive malignancy with CCMS-DRG 375, medical | 15 | $93,594 | $11,107 | $14,039 | 1.20 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $44,846 | $4,434 | $6,727 | 0.56 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 11 | $327,941 | $46,635 | $49,191 | 5.08 |
Kidney and urinary tract370 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 103 | $70,730 | $6,782 | $10,610 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 88 | $94,271 | $10,092 | $14,141 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 56 | $137,227 | $15,628 | $20,584 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 51 | $120,947 | $12,767 | $18,142 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 48 | $74,900 | $8,262 | $11,235 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $81,200 | $9,160 | $12,180 | 1.02 |
Nervous system369 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 65 | $193,209 | $18,937 | $28,981 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 40 | $102,547 | $8,497 | $15,382 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 26 | $373,770 | $48,551 | $56,065 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 21 | $142,757 | $16,443 | $21,414 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $73,263 | $11,839 | $10,989 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 20 | $98,619 | $7,991 | $14,793 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 19 | $318,549 | $54,579 | $47,782 | 5.67 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 19 | $210,475 | $19,371 | $31,571 | 2.27 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 17 | $155,564 | $23,714 | $23,335 | 2.43 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 15 | $124,946 | $17,666 | $18,742 | 2.39 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 15 | $147,449 | $12,712 | $22,117 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $131,073 | $11,363 | $19,661 | 1.32 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $83,261 | $9,577 | $12,489 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $106,253 | $7,148 | $15,938 | 0.80 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 13 | $149,608 | $14,237 | $22,441 | 1.51 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $321,141 | $24,650 | $48,171 | 2.28 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $126,683 | $16,282 | $19,002 | 1.79 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 11 | $120,055 | $8,505 | $18,008 | 0.92 |
Endocrine, nutritional and metabolic188 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 | 70 | $106,979 | $12,367 | $16,047 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 49 | $69,575 | $6,788 | $10,436 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 29 | $164,623 | $14,033 | $24,693 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 22 | $69,345 | $7,531 | $10,402 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 18 | $135,379 | $13,934 | $20,307 | 1.65 |
Skin, subcutaneous tissue and breast103 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 58 | $64,503 | $7,765 | $9,675 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 20 | $115,998 | $12,791 | $17,400 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $87,074 | $8,359 | $13,061 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 11 | $118,859 | $13,233 | $17,829 | 1.75 |
Liver, gallbladder and pancreas64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 21 | $87,111 | $10,031 | $13,067 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $163,775 | $15,725 | $24,566 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $70,488 | $6,927 | $10,573 | 0.86 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 12 | $211,591 | $19,125 | $31,739 | 1.76 |
Blood and immune system42 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 | 19 | $123,019 | $7,771 | $18,453 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $104,033 | $12,761 | $15,605 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $120,154 | $14,760 | $18,023 | 1.56 |
Injuries, poisonings and toxic effects of drugs27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 16 | $224,490 | $15,715 | $33,673 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $123,856 | $13,834 | $18,578 | 1.60 |
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 | $69,661 | $7,907 | $10,449 | 0.86 |
Other13 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 | 13 | $554,841 | $68,211 | $83,226 | 4.74 |
Multiple significant trauma12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 12 | $261,836 | $34,092 | $39,275 | 3.88 |
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 | 968 | 924 | $42,540 | $2,664 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 415 | 403 | $74,124 | $14,410 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 206 | 206 | $37,641 | $2,865 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 192 | 189 | $46,482 | $5,620 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 134 | 129 | $12,020 | $1,588 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 104 | 95 | $26,997 | $3,121 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 103 | 100 | $55,765 | $7,021 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 95 | 84 | $26,468 | $3,415 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 91 | 79 | $41,225 | $5,596 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 87 | 82 | $35,628 | $5,069 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 83 | 80 | $91,451 | $27,482 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 78 | 70 | $69,974 | $11,863 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 66 | 66 | $20,901 | $1,873 | $1,445 |
| Level 6 Urology and Related ServicesAPC 5376 | 65 | 65 | $44,974 | $9,531 | $7,291 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 56 | 56 | $98,422 | $11,004 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 46 | 43 | $11,423 | $1,565 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 38 | 38 | $37,656 | $3,387 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 35 | 35 | $123,149 | $20,613 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 33 | 32 | $46,344 | $5,057 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 33 | 32 | $93,323 | $19,871 | $14,606 |
| Level 3 Urology and Related ServicesAPC 5373 | 33 | 29 | $20,477 | $1,984 | $1,516 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 31 | 31 | $90,235 | $22,259 | $17,052 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 30 | 30 | $75,651 | $6,220 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 30 | 30 | $61,282 | $11,470 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $30,000 | $3,171 | $2,373 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 28 | 27 | $84,861 | $25,178 | $18,465 |
| Level 3 Airway EndoscopyAPC 5153 | 23 | 22 | $23,136 | $1,663 | $1,264 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $20,911 | $1,563 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 20 | 19 | $31,173 | $2,776 | $2,176 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 17 | $28,229 | $3,668 | $2,833 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 17 | 17 | $97,171 | $9,943 | $7,546 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 16 | $49,235 | $2,783 | $2,141 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $52,800 | $4,872 | $3,792 |
| Level 5 ENT ProceduresAPC 5165 | 15 | 14 | $50,725 | $5,411 | $4,436 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $36,483 | $3,734 | $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.