Kaleida Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Kaleida Health, Buffalo, NY in 2024, from traditional Medicare claims. Back to the Kaleida Health profile, with quality ratings, finances and negotiated rates.
4,764
Medicare inpatient discharges
In 133 published DRGs
2.24
Case mix index
IPPS FY 2027
30%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
4,901
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Circulatory system1,358 discharges in 37 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 210 | $34,221 | $11,677 | $13,004 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 182 | $71,328 | $31,337 | $27,105 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 164 | $124,433 | $45,638 | $47,284 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 70 | $42,972 | $14,402 | $16,329 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 42 | $43,497 | $11,408 | $16,529 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $31,405 | $14,684 | $11,934 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 39 | $187,453 | $62,476 | $71,232 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $18,915 | $6,052 | $7,188 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 35 | $14,768 | $3,701 | $5,612 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 33 | $44,477 | $17,987 | $16,901 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 33 | $61,932 | $27,639 | $23,534 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 32 | $24,522 | $7,314 | $9,318 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 31 | $79,037 | $21,804 | $30,034 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 30 | $32,983 | $7,711 | $12,534 | 0.86 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 28 | $149,586 | $36,052 | $56,843 | 4.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 27 | $109,785 | $33,572 | $41,718 | 3.35 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 25 | $176,596 | $41,276 | $67,107 | 5.20 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 19 | $202,583 | $40,804 | $76,982 | 5.24 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $22,467 | $6,111 | $8,538 | 0.75 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 18 | $57,223 | $21,966 | $21,745 | 2.28 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 18 | $83,790 | $35,999 | $31,840 | 3.90 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 17 | $234,846 | $65,311 | $89,241 | 7.71 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $75,679 | $33,056 | $28,758 | 3.46 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 17 | $160,583 | $61,135 | $61,022 | 6.21 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $22,181 | $8,514 | $8,429 | 1.08 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $79,592 | $25,244 | $30,245 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $40,383 | $13,915 | $15,345 | 1.58 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 14 | $172,717 | $51,480 | $65,632 | 5.88 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $201,543 | $51,503 | $76,586 | 4.16 |
| Heart failure and shock with CCMS-DRG 292, medical | 14 | $29,479 | $7,531 | $11,202 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $25,611 | $10,225 | $9,732 | 1.07 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 13 | $115,547 | $38,435 | $43,908 | 3.27 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $187,532 | $54,755 | $71,262 | 5.06 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $32,928 | $10,453 | $12,513 | 1.15 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 11 | $148,039 | $47,568 | $56,255 | 4.81 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 11 | $102,330 | $46,230 | $38,885 | 4.78 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $29,105 | $8,334 | $11,060 | 0.97 |
Infectious and parasitic diseases645 discharges in 6 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 | 449 | $54,285 | $18,478 | $20,628 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 76 | $156,694 | $47,148 | $59,544 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 64 | $26,029 | $8,997 | $9,891 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 31 | $191,991 | $66,611 | $72,957 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $39,683 | $16,796 | $15,080 | 2.04 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 11 | $83,354 | $22,082 | $31,675 | 2.14 |
Nervous system635 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 94 | $73,867 | $19,529 | $28,070 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 94 | $39,220 | $8,731 | $14,903 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 39 | $38,429 | $11,704 | $14,603 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 33 | $21,429 | $8,047 | $8,143 | 0.91 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 32 | $110,059 | $27,641 | $41,823 | 2.95 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 30 | $181,255 | $53,007 | $68,877 | 5.67 |
| Seizures with MCCMS-DRG 100, medical | 29 | $61,252 | $20,082 | $23,276 | 1.98 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 28 | $66,954 | $20,605 | $25,443 | 2.43 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 26 | $190,532 | $44,442 | $72,402 | 4.42 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 26 | $27,219 | $4,868 | $10,343 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $32,234 | $9,684 | $12,249 | 1.06 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 23 | $49,750 | $15,719 | $18,905 | 1.81 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 22 | $58,354 | $16,559 | $22,175 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 21 | $42,524 | $12,543 | $16,159 | 1.47 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 21 | $52,046 | $17,361 | $19,777 | 1.79 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 18 | $85,055 | $26,046 | $32,321 | 2.30 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 14 | $50,873 | $15,177 | $19,332 | 1.62 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 13 | $64,178 | $17,391 | $24,388 | 1.87 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $71,470 | $21,760 | $27,158 | 2.39 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $40,723 | $8,067 | $15,475 | 1.03 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $36,061 | $8,231 | $13,703 | 0.87 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $42,105 | $12,474 | $16,000 | 1.36 |
Respiratory system566 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 153 | $40,286 | $11,816 | $15,309 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 102 | $41,145 | $15,039 | $15,635 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 95 | $30,886 | $11,961 | $11,737 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $34,125 | $10,105 | $12,968 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 37 | $97,301 | $27,573 | $36,974 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 29 | $28,053 | $8,422 | $10,660 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $21,644 | $6,748 | $8,225 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $50,854 | $11,379 | $19,325 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 18 | $55,250 | $16,404 | $20,995 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $24,415 | $7,565 | $9,278 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 14 | $104,876 | $35,064 | $39,853 | 4.71 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $258,973 | $76,376 | $98,410 | 6.91 |
Digestive system433 discharges in 14 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 | 64 | $24,715 | $6,911 | $9,392 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 63 | $46,790 | $16,738 | $17,780 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 58 | $30,643 | $8,593 | $11,644 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 43 | $91,713 | $20,706 | $34,851 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 29 | $195,947 | $52,787 | $74,460 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 29 | $42,598 | $11,971 | $16,187 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $32,144 | $6,532 | $12,215 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 22 | $21,004 | $3,986 | $7,982 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $22,797 | $8,737 | $8,663 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 18 | $69,510 | $14,634 | $26,414 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 18 | $33,675 | $15,480 | $12,797 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 15 | $31,172 | $8,928 | $11,845 | 1.04 |
| Digestive malignancy with CCMS-DRG 375, medical | 15 | $27,004 | $11,137 | $10,262 | 1.20 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $44,157 | $13,650 | $16,780 | 1.45 |
Kidney and urinary tract337 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 78 | $49,167 | $15,437 | $18,684 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 75 | $23,519 | $8,001 | $8,937 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 72 | $49,497 | $14,056 | $18,809 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $21,315 | $6,573 | $8,100 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $45,094 | $12,785 | $17,136 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $38,784 | $12,114 | $14,738 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $26,813 | $9,097 | $10,189 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 14 | $126,479 | $38,230 | $48,062 | 3.70 |
Musculoskeletal system and connective tissue240 discharges in 12 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 | 43 | $58,203 | $19,553 | $22,117 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 34 | $66,545 | $18,798 | $25,287 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 29 | $29,696 | $7,773 | $11,285 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 17 | $202,599 | $59,970 | $76,988 | 6.12 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 17 | $54,723 | $23,929 | $20,795 | 2.67 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $64,545 | $17,099 | $24,527 | 1.88 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 17 | $91,351 | $28,282 | $34,714 | 2.96 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $48,643 | $14,787 | $18,485 | 1.59 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 14 | $103,998 | $34,226 | $39,519 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $111,257 | $26,478 | $42,278 | 2.95 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $112,453 | $29,980 | $42,732 | 3.49 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $24,624 | $9,081 | $9,357 | 1.00 |
Endocrine, nutritional and metabolic184 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 without MCCMS-DRG 641, medical | 73 | $21,362 | $6,724 | $8,117 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 57 | $41,874 | $11,546 | $15,912 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 30 | $31,608 | $6,730 | $12,011 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $58,991 | $12,792 | $22,417 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $47,437 | $17,132 | $18,026 | 1.98 |
Liver, gallbladder and pancreas86 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 25 | $51,351 | $14,960 | $19,513 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 23 | $57,923 | $16,099 | $22,011 | 1.76 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $99,766 | $18,535 | $37,911 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $39,853 | $15,578 | $15,144 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $23,076 | $5,307 | $8,769 | 0.86 |
Blood and immune system78 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 31 | $49,152 | $13,830 | $18,678 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 25 | $26,043 | $7,721 | $9,897 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 22 | $49,261 | $12,826 | $18,719 | 1.56 |
Other51 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 | 29 | $163,157 | $47,575 | $62,000 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $81,310 | $24,552 | $30,898 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 11 | $110,317 | $30,218 | $41,920 | 3.38 |
Skin, subcutaneous tissue and breast45 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 45 | $21,905 | $7,529 | $8,324 | 0.88 |
Factors influencing health status44 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 44 | $14,743 | $5,136 | $5,602 | 0.59 |
Injuries, poisonings and toxic effects of drugs25 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 | 13 | $70,527 | $15,841 | $26,800 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $35,763 | $15,128 | $13,590 | 1.82 |
Mental diseases and disorders21 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 | 21 | $51,713 | $14,677 | $19,651 | 1.76 |
Transplants, ECMO and tracheostomy (pre-MDC)16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 16 | $764,167 | $179,652 | $290,384 | 21.32 |
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 | 1,053 | 948 | $14,441 | $2,272 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 485 | 483 | $6,352 | $2,447 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 355 | 343 | $41,463 | $12,055 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 271 | 224 | $6,637 | $1,669 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 243 | 231 | $16,600 | $4,281 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 240 | 214 | $10,042 | $2,891 | $2,629 |
| Level 2 Urology and Related ServicesAPC 5372 | 232 | 219 | $2,861 | $557 | $502 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 162 | 161 | $38,591 | $22,970 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 142 | 126 | $4,523 | $1,598 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 140 | 125 | $10,787 | $2,561 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 126 | 119 | $15,585 | $4,568 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 123 | 113 | $17,354 | $10,013 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 119 | 114 | $6,698 | $1,333 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 115 | 114 | $24,099 | $4,828 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 100 | 100 | $47,686 | $8,820 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 92 | 92 | $19,970 | $9,674 | $8,569 |
| Level 6 Urology and Related ServicesAPC 5376 | 73 | 69 | $18,721 | $8,128 | $7,291 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 65 | 65 | $62,586 | $31,608 | $29,375 |
| Level 2 Vascular ProceduresAPC 5182 | 58 | 55 | $3,963 | $1,312 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 58 | 54 | $30,197 | $16,916 | $14,606 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 54 | 54 | $14,943 | $7,097 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 52 | 51 | $11,273 | $2,590 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 51 | 46 | $12,092 | $4,828 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 50 | 50 | $18,546 | $2,921 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 47 | 47 | $10,902 | $2,298 | $2,141 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 46 | 45 | $53,632 | $17,684 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 43 | $28,024 | $6,035 | $5,339 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 30 | 26 | $20,065 | $3,220 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 25 | 23 | $11,484 | $2,225 | $2,176 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $70,840 | $21,500 | $18,465 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 23 | 23 | $12,937 | $6,309 | $5,682 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 22 | $32,934 | $5,504 | $4,982 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 21 | 21 | $35,744 | $18,976 | $17,052 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $21,979 | $4,202 | $3,792 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 18 | $15,585 | $2,591 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 16 | 16 | $96,279 | $31,189 | $26,719 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $29,451 | $5,782 | $5,183 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 15 | 15 | $44,532 | $23,290 | $21,011 |
| Complex GI ProceduresAPC 5331 | 15 | 15 | $19,987 | $4,814 | $4,263 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $5,851 | $1,358 | $1,196 |
| Level 6 Gynecologic ProceduresAPC 5416 | 12 | 12 | $33,616 | $6,383 | $5,836 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $19,465 | $3,163 | $2,833 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $11,434 | $3,235 | $2,888 |
| Level 8 Urology and Related ServicesAPC 5378 | 11 | 11 | $56,977 | $19,701 | $17,428 |
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.