Jefferson Frankford Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Jefferson Frankford Hospital, Philadelphia, PA in 2024, from traditional Medicare claims. Back to the Jefferson Frankford Hospital profile, with quality ratings, finances and negotiated rates.
4,485
Medicare inpatient discharges
In 120 published DRGs
1.85
Case mix index
IPPS FY 2027
16%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,519
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases1,026 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 | 764 | $64,908 | $14,307 | $17,525 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 108 | $34,020 | $6,748 | $9,185 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 94 | $145,970 | $35,596 | $39,412 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 39 | $219,644 | $50,802 | $59,304 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 21 | $48,126 | $14,319 | $12,994 | 2.04 |
Circulatory system917 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 323 | $39,398 | $9,111 | $10,637 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 66 | $76,424 | $16,367 | $20,634 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 50 | $51,698 | $11,343 | $13,959 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 45 | $24,622 | $5,118 | $6,648 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 44 | $31,629 | $5,843 | $8,540 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 41 | $71,138 | $14,774 | $19,207 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $91,400 | $12,662 | $24,678 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $32,594 | $8,687 | $8,800 | 1.20 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 27 | $102,561 | $24,293 | $27,691 | 3.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 26 | $32,269 | $6,720 | $8,713 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $131,473 | $20,360 | $35,498 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 21 | $101,775 | $16,346 | $27,479 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $43,795 | $7,019 | $11,825 | 1.08 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 18 | $138,597 | $24,624 | $37,421 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 18 | $200,537 | $47,215 | $54,145 | 6.25 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $16,711 | $3,534 | $4,512 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $120,531 | $24,826 | $32,543 | 3.35 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 15 | $79,311 | $24,161 | $21,414 | 4.04 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $182,793 | $54,423 | $49,354 | 7.80 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 13 | $127,922 | $38,495 | $34,539 | 5.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 13 | $107,231 | $15,148 | $28,952 | 2.55 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 13 | $110,774 | $32,503 | $29,909 | 4.16 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $25,255 | $4,858 | $6,819 | 0.75 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $149,848 | $39,980 | $40,459 | 5.06 |
Respiratory system511 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 | 101 | $44,115 | $9,210 | $11,911 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 88 | $38,304 | $8,687 | $10,342 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 72 | $48,376 | $11,005 | $13,062 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 57 | $37,950 | $6,929 | $10,246 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $25,070 | $5,230 | $6,769 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 24 | $44,973 | $9,593 | $12,143 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 23 | $37,704 | $6,423 | $10,180 | 1.05 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $95,031 | $20,597 | $25,658 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $162,389 | $33,826 | $43,845 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $29,386 | $7,172 | $7,934 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $78,777 | $14,211 | $21,270 | 1.74 |
| Major chest trauma with MCCMS-DRG 183, medical | 13 | $60,238 | $10,966 | $16,264 | 1.57 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $26,630 | $6,650 | $7,190 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $30,317 | $5,630 | $8,186 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $25,069 | $5,166 | $6,769 | 0.82 |
Nervous system394 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of nervous system with CCMS-DRG 092, medical | 57 | $29,113 | $6,976 | $7,861 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 55 | $35,947 | $6,869 | $9,706 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 53 | $59,697 | $14,533 | $16,118 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 44 | $29,795 | $9,597 | $8,045 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 22 | $32,549 | $5,685 | $8,788 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 19 | $27,889 | $4,404 | $7,530 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 19 | $51,859 | $11,492 | $14,002 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 18 | $43,333 | $12,522 | $11,700 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $33,344 | $5,122 | $9,003 | 0.80 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 16 | $167,633 | $38,016 | $45,261 | 5.67 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 14 | $61,201 | $17,772 | $16,524 | 2.30 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 13 | $34,292 | $8,454 | $9,259 | 1.32 |
| Other disorders of nervous system without cc/mccMS-DRG 093, medical | 13 | $23,522 | $5,180 | $6,351 | 0.77 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $76,775 | $17,490 | $20,729 | 2.28 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 11 | $40,728 | $10,406 | $10,997 | 2.39 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $93,279 | $14,613 | $25,185 | 2.27 |
Musculoskeletal system and connective tissue393 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 62 | $65,635 | $19,793 | $17,721 | 2.85 |
| Medical back problems without MCCMS-DRG 552, medical | 61 | $30,796 | $6,426 | $8,315 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 49 | $29,060 | $6,080 | $7,846 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 46 | $74,757 | $14,545 | $20,184 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 26 | $75,901 | $15,924 | $20,493 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 25 | $105,957 | $23,200 | $28,608 | 2.95 |
| Medical back problems with MCCMS-DRG 551, medical | 18 | $47,307 | $12,593 | $12,773 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $51,643 | $13,931 | $13,944 | 1.88 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $101,972 | $17,264 | $27,532 | 2.40 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $85,190 | $21,584 | $23,001 | 3.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $31,637 | $5,197 | $8,542 | 0.79 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 12 | $18,065 | $4,981 | $4,878 | 0.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 12 | $46,700 | $9,907 | $12,609 | 1.52 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $30,472 | $7,208 | $8,228 | 1.09 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $32,022 | $5,567 | $8,646 | 0.82 |
Kidney and urinary tract355 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 68 | $25,932 | $6,376 | $7,002 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 68 | $46,272 | $12,027 | $12,493 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 56 | $24,575 | $5,495 | $6,635 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 45 | $39,218 | $8,428 | $10,589 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 44 | $44,232 | $9,941 | $11,943 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 31 | $33,713 | $7,616 | $9,103 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 18 | $84,005 | $19,949 | $22,681 | 2.59 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $32,100 | $9,802 | $8,667 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $29,307 | $7,322 | $7,913 | 1.05 |
Digestive system317 discharges in 10 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 | 84 | $32,155 | $5,067 | $8,682 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 53 | $69,477 | $13,581 | $18,759 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 51 | $37,583 | $6,650 | $10,147 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 27 | $31,880 | $5,139 | $8,608 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $39,540 | $9,048 | $10,676 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 22 | $37,930 | $6,942 | $10,241 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $131,452 | $35,971 | $35,492 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $53,786 | $11,704 | $14,522 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $36,435 | $7,120 | $9,837 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $41,212 | $10,500 | $11,127 | 1.45 |
Endocrine, nutritional and metabolic211 discharges in 7 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 | 61 | $39,597 | $9,477 | $10,691 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 56 | $29,055 | $5,199 | $7,845 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 36 | $37,860 | $9,400 | $10,222 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 23 | $26,007 | $6,105 | $7,022 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $56,390 | $12,085 | $15,225 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $29,789 | $7,364 | $8,043 | 1.06 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $73,828 | $12,300 | $19,933 | 1.98 |
Blood and immune system70 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 | 26 | $37,583 | $5,124 | $10,148 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 23 | $34,891 | $12,009 | $9,420 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $47,280 | $10,077 | $12,766 | 1.40 |
Liver, gallbladder and pancreas60 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 26 | $69,324 | $14,397 | $18,717 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 21 | $50,063 | $14,382 | $13,517 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $50,322 | $5,916 | $13,587 | 1.09 |
Skin, subcutaneous tissue and breast50 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 37 | $27,334 | $6,121 | $7,380 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $35,384 | $6,410 | $9,554 | 0.91 |
Alcohol and drug use43 discharges in 2 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 | 24 | $24,288 | $5,644 | $6,558 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 19 | $42,837 | $12,890 | $11,566 | 1.78 |
Mental diseases and disorders33 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 | 22 | $27,178 | $11,416 | $7,338 | 1.76 |
| PsychosesMS-DRG 885, medical | 11 | $38,732 | $10,199 | $10,458 | 1.37 |
Injuries, poisonings and toxic effects of drugs32 discharges in 2 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 | 18 | $48,068 | $11,636 | $12,978 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 14 | $57,646 | $11,887 | $15,565 | 1.82 |
Other27 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 | 16 | $149,865 | $28,826 | $40,463 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $101,799 | $18,642 | $27,486 | 2.49 |
Factors influencing health status18 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 | 18 | $33,385 | $5,650 | $9,014 | 0.80 |
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 | $31,267 | $4,371 | $8,442 | 0.74 |
Transplants, ECMO and tracheostomy (pre-MDC)12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $391,371 | $106,615 | $105,670 | 14.70 |
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 | 1,258 | 1,129 | $13,871 | $2,089 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 218 | 215 | $14,938 | $2,229 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 166 | 147 | $9,490 | $1,245 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 161 | 154 | $47,325 | $11,051 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 126 | 121 | $22,007 | $3,995 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 125 | 73 | $8,387 | $1,560 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 114 | 114 | $28,520 | $4,375 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 110 | 108 | $16,832 | $2,437 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 102 | 89 | $13,949 | $2,665 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 86 | 86 | $32,149 | $5,458 | $5,339 |
| Level 5 Airway EndoscopyAPC 5155 | 85 | 83 | $28,876 | $5,169 | $5,183 |
| Level 2 Upper GI ProceduresAPC 5302 | 76 | 61 | $13,060 | $1,474 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 75 | 67 | $7,646 | $1,188 | $1,196 |
| Level 3 Endovascular ProceduresAPC 5193 | 70 | 65 | $60,592 | $9,026 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 67 | 54 | $15,060 | $2,648 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 66 | 63 | $16,697 | $2,413 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 61 | 61 | $144,863 | $21,379 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 50 | 50 | $57,289 | $8,733 | $8,569 |
| Level 1 Nerve ProceduresAPC 5431 | 50 | 46 | $11,692 | $1,451 | $1,407 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 49 | 49 | $40,623 | $6,621 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 38 | 38 | $208,187 | $30,233 | $29,375 |
| Level 2 Vascular ProceduresAPC 5182 | 37 | 36 | $7,606 | $1,145 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 36 | 35 | $16,140 | $2,095 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 29 | $40,939 | $4,250 | $3,946 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 30 | 29 | $53,874 | $8,354 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 28 | 28 | $13,410 | $2,328 | $2,389 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 26 | $18,081 | $2,899 | $2,833 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 20 | $18,845 | $2,948 | $2,930 |
| Level 2 Urology and Related ServicesAPC 5372 | 19 | 18 | $4,258 | $524 | $502 |
| Level 5 ENT ProceduresAPC 5165 | 18 | 18 | $30,968 | $4,533 | $4,436 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 16 | $84,177 | $15,341 | $14,606 |
| Level 6 Urology and Related ServicesAPC 5376 | 18 | 18 | $31,084 | $7,276 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $27,878 | $5,044 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 17 | $31,314 | $4,424 | $4,338 |
| Level 3 Upper GI ProceduresAPC 5303 | 15 | 15 | $18,764 | $2,765 | $2,888 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $79,753 | $16,306 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 11 | $8,232 | $1,314 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $12,646 | $2,176 | $2,176 |
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.