Kaweah Delta Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Kaweah Delta, Visalia, CA in 2024, from traditional Medicare claims. Back to the Kaweah Delta profile, with quality ratings, finances and negotiated rates.
4,100
Medicare inpatient discharges
In 120 published DRGs
1.87
Case mix index
IPPS FY 2027
19%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
3,825
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system1,044 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 264 | $51,180 | $13,130 | $17,248 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 67 | $31,005 | $7,081 | $10,449 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 53 | $33,946 | $8,370 | $11,440 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 48 | $88,784 | $18,333 | $29,920 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $54,175 | $15,992 | $18,257 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 46 | $64,529 | $21,464 | $21,746 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 44 | $104,314 | $36,685 | $35,154 | 3.35 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 40 | $180,416 | $51,720 | $60,800 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 33 | $40,058 | $8,918 | $13,500 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 29 | $60,766 | $22,136 | $20,478 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $36,134 | $12,216 | $12,177 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 27 | $24,649 | $4,859 | $8,307 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $121,306 | $30,450 | $40,880 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $43,522 | $10,231 | $14,667 | 1.08 |
| Other vascular procedures with CCMS-DRG 253, surgical | 20 | $109,292 | $27,091 | $36,831 | 2.55 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 20 | $31,087 | $9,152 | $10,476 | 0.97 |
| Heart failure and shock with CCMS-DRG 292, medical | 19 | $32,687 | $8,431 | $11,016 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 18 | $33,331 | $7,025 | $11,233 | 0.75 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 17 | $305,344 | $72,421 | $102,901 | 7.80 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 16 | $87,347 | $27,101 | $29,436 | 2.81 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $207,901 | $55,726 | $70,063 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 16 | $58,935 | $16,332 | $19,861 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $43,077 | $10,652 | $14,517 | 1.07 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 15 | $222,592 | $53,359 | $75,014 | 5.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $92,199 | $23,691 | $31,071 | 2.28 |
| Chest painMS-DRG 313, medical | 14 | $21,772 | $6,807 | $7,337 | 0.72 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $124,714 | $36,784 | $42,029 | 3.46 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 12 | $103,212 | $43,985 | $34,782 | 4.81 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 12 | $95,019 | $34,635 | $32,021 | 3.27 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $51,180 | $10,931 | $17,247 | 1.15 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $237,505 | $44,063 | $80,039 | 3.46 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 11 | $119,072 | $29,231 | $40,127 | 1.97 |
Respiratory system625 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 160 | $52,572 | $13,073 | $17,717 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 95 | $64,830 | $16,962 | $21,848 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 76 | $34,730 | $7,946 | $11,704 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 52 | $70,162 | $13,550 | $23,645 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $46,148 | $10,724 | $15,552 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 37 | $47,209 | $9,297 | $15,910 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 37 | $126,670 | $28,329 | $42,688 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 30 | $28,736 | $7,743 | $9,684 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 19 | $31,528 | $7,880 | $10,625 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 17 | $209,882 | $72,925 | $70,730 | 6.91 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 15 | $25,676 | $5,429 | $8,653 | 0.63 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $63,149 | $14,531 | $21,281 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 12 | $43,880 | $16,803 | $14,788 | 1.74 |
| Pleural effusion with MCCMS-DRG 186, medical | 12 | $55,375 | $16,374 | $18,661 | 1.55 |
Kidney and urinary tract480 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 120 | $32,373 | $7,597 | $10,910 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 99 | $42,665 | $11,752 | $14,378 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 87 | $32,307 | $8,479 | $10,888 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $59,902 | $16,452 | $20,187 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $51,804 | $14,719 | $17,458 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 29 | $27,612 | $9,903 | $9,305 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $132,448 | $46,134 | $44,635 | 3.70 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 14 | $88,883 | $21,016 | $29,954 | 2.38 |
Nervous system419 discharges in 16 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 | 74 | $43,422 | $9,582 | $14,633 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 61 | $72,368 | $19,663 | $24,388 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 39 | $37,045 | $7,467 | $12,484 | 0.80 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 29 | $52,798 | $17,992 | $17,793 | 1.81 |
| Seizures without MCCMS-DRG 101, medical | 26 | $43,612 | $8,953 | $14,697 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 23 | $66,699 | $20,052 | $22,478 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 21 | $32,665 | $6,382 | $11,008 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $46,421 | $12,012 | $15,644 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $86,294 | $18,751 | $29,081 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 19 | $45,602 | $9,995 | $15,368 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 18 | $57,112 | $13,903 | $19,247 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 17 | $41,535 | $12,343 | $13,997 | 1.32 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $39,700 | $10,733 | $13,379 | 1.14 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $134,161 | $26,165 | $45,212 | 2.28 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $32,585 | $11,021 | $10,981 | 1.06 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 12 | $60,733 | $23,746 | $20,467 | 2.30 |
Digestive system368 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 77 | $36,445 | $9,700 | $12,282 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 62 | $31,584 | $7,461 | $10,644 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 45 | $56,130 | $18,263 | $18,916 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $203,821 | $40,361 | $68,688 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 26 | $33,150 | $9,631 | $11,172 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $33,966 | $6,575 | $11,446 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $58,049 | $16,884 | $19,563 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $90,230 | $23,532 | $30,407 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $51,410 | $13,023 | $17,325 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 16 | $79,412 | $18,365 | $26,762 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $49,711 | $14,897 | $16,753 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $59,353 | $15,943 | $20,002 | 1.67 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $43,182 | $11,903 | $14,552 | 1.20 |
Musculoskeletal system and connective tissue284 discharges in 11 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 | $78,403 | $21,277 | $26,422 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 51 | $69,406 | $20,983 | $23,390 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 35 | $156,807 | $49,383 | $52,844 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 32 | $144,315 | $66,054 | $48,634 | 6.12 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $88,816 | $28,299 | $29,931 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 20 | $57,586 | $15,888 | $19,407 | 1.59 |
| Medical back problems without MCCMS-DRG 552, medical | 19 | $49,006 | $9,319 | $16,515 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $26,161 | $7,142 | $8,816 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $80,549 | $24,947 | $27,145 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $41,155 | $8,467 | $13,869 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $54,055 | $16,435 | $18,217 | 1.70 |
Endocrine, nutritional and metabolic269 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 | 107 | $57,123 | $13,643 | $19,251 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 84 | $29,322 | $7,561 | $9,882 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 38 | $42,326 | $8,740 | $14,264 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $55,080 | $14,183 | $18,562 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 17 | $70,530 | $21,296 | $23,769 | 1.98 |
Infectious and parasitic diseases252 discharges in 4 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 | 175 | $90,587 | $21,114 | $30,528 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 37 | $207,110 | $50,116 | $69,796 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $299,059 | $83,379 | $100,783 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $41,908 | $10,084 | $14,123 | 1.03 |
Liver, gallbladder and pancreas121 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 23 | $25,818 | $9,722 | $8,701 | 0.95 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 22 | $60,672 | $20,062 | $20,447 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 20 | $60,529 | $19,594 | $20,398 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 17 | $33,517 | $10,109 | $11,295 | 1.09 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 16 | $32,103 | $10,372 | $10,819 | 1.03 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $74,930 | $15,659 | $25,251 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $96,413 | $24,292 | $32,491 | 2.32 |
Skin, subcutaneous tissue and breast99 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 73 | $29,104 | $8,525 | $9,808 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 26 | $41,937 | $14,354 | $14,133 | 1.49 |
Other36 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 | 22 | $141,516 | $44,654 | $47,691 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 14 | $97,977 | $23,449 | $33,018 | 2.49 |
Factors influencing health status30 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 | 30 | $25,408 | $5,528 | $8,562 | 0.59 |
Alcohol and drug use19 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 | 19 | $31,618 | $7,882 | $10,655 | 0.86 |
Blood and immune system16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $33,140 | $8,953 | $11,168 | 0.90 |
Mental diseases and disorders14 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 | 14 | $61,700 | $16,216 | $20,793 | 1.76 |
Transplants, ECMO and tracheostomy (pre-MDC)13 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 | 13 | $580,525 | $147,013 | $195,637 | 14.70 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 11 | $67,857 | $19,434 | $22,868 | 1.82 |
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 | 826 | 747 | $21,020 | $2,673 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 605 | 604 | $17,117 | $2,830 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 258 | 252 | $46,809 | $14,238 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 226 | 153 | $2,453 | $654 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 214 | 202 | $62,319 | $11,812 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 173 | 169 | $17,438 | $3,103 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 161 | 156 | $8,060 | $1,574 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 154 | 146 | $26,970 | $6,836 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 112 | 110 | $31,620 | $5,510 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 102 | 99 | $10,297 | $1,848 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 83 | 68 | $21,084 | $3,376 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 82 | 82 | $61,196 | $11,475 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 82 | 76 | $22,463 | $4,965 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 81 | 75 | $8,738 | $1,959 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 80 | 74 | $87,534 | $19,621 | $14,606 |
| Level 2 Intraocular ProceduresAPC 5492 | 71 | 67 | $15,334 | $3,927 | $3,116 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 69 | 69 | $49,320 | $21,219 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 68 | 64 | $26,856 | $3,334 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 65 | 65 | $51,524 | $11,005 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 57 | 54 | $15,011 | $3,115 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 37 | 36 | $38,796 | $5,599 | $4,338 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 34 | $24,334 | $5,235 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 30 | 30 | $35,841 | $6,388 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 27 | $11,666 | $1,515 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 26 | $9,827 | $1,531 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 17 | $10,489 | $2,505 | $2,141 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 20 | 20 | $150,643 | $38,684 | $29,375 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 16 | $25,306 | $3,722 | $2,930 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $21,317 | $4,871 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $37,230 | $8,803 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $10,277 | $2,747 | $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.