Lenox Hill Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lenox Hill Hospital, New York, NY in 2024, from traditional Medicare claims. Back to the Lenox Hill Hospital profile, with quality ratings, finances and negotiated rates.
4,039
Medicare inpatient discharges
In 132 published DRGs
2.40
Case mix index
IPPS FY 2027
36%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
5,690
Medicare outpatient services
In 46 service groups
Inpatient stays by major diagnostic category
Circulatory system1,125 discharges in 38 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 171 | $148,632 | $15,102 | $30,470 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 108 | $260,906 | $50,642 | $53,486 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 84 | $165,337 | $31,865 | $33,894 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 49 | $76,415 | $9,239 | $15,665 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 46 | $109,324 | $14,264 | $22,411 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 40 | $167,999 | $17,234 | $34,440 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 40 | $88,678 | $7,822 | $18,179 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 36 | $396,522 | $72,646 | $81,287 | 6.25 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 34 | $272,885 | $44,878 | $55,941 | 3.35 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 32 | $181,876 | $25,838 | $37,285 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 31 | $494,875 | $101,499 | $101,449 | 9.71 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 27 | $200,289 | $37,336 | $41,059 | 4.04 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 26 | $310,389 | $64,378 | $63,630 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 26 | $112,470 | $13,630 | $23,056 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $230,090 | $33,899 | $47,168 | 2.87 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 25 | $278,965 | $53,216 | $57,188 | 5.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 24 | $498,713 | $88,474 | $102,236 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $109,546 | $9,276 | $22,457 | 1.08 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 21 | $154,573 | $17,763 | $31,687 | 1.58 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $119,928 | $12,506 | $24,585 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $70,613 | $5,135 | $14,476 | 0.55 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 17 | $153,647 | $25,727 | $31,498 | 2.97 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 15 | $351,572 | $62,831 | $72,072 | 5.04 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $239,086 | $23,772 | $49,013 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $181,045 | $23,162 | $37,114 | 2.28 |
| Chest painMS-DRG 313, medical | 14 | $74,081 | $6,951 | $15,187 | 0.72 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $97,632 | $9,648 | $20,015 | 0.97 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $233,272 | $43,522 | $47,821 | 3.90 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 12 | $293,786 | $49,728 | $60,226 | 5.24 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $182,005 | $31,464 | $37,311 | 3.18 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $133,964 | $27,609 | $27,463 | 2.55 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $238,718 | $34,544 | $48,937 | 4.16 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $62,931 | $7,612 | $12,901 | 0.75 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 12 | $180,403 | $19,899 | $36,983 | 1.54 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $135,488 | $33,196 | $27,775 | 3.46 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $71,205 | $9,574 | $14,597 | 0.91 |
| Cardiac congenital and valvular disorders without MCCMS-DRG 307, medical | 11 | $103,678 | $9,912 | $21,254 | 0.94 |
| Other endovascular cardiac valve procedures with MCCMS-DRG 319, surgical | 11 | $424,139 | $62,886 | $86,948 | 4.36 |
Infectious and parasitic diseases749 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 | 576 | $133,038 | $20,711 | $27,273 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 63 | $337,051 | $55,821 | $69,096 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $70,531 | $9,950 | $14,459 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $492,969 | $83,487 | $101,059 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $174,347 | $20,715 | $35,741 | 2.04 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 12 | $275,948 | $35,381 | $56,569 | 4.43 |
Musculoskeletal system and connective tissue525 discharges in 20 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 | 136 | $99,541 | $18,363 | $20,406 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 45 | $205,885 | $64,750 | $42,206 | 6.12 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $147,192 | $21,638 | $30,174 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 39 | $64,596 | $9,681 | $13,242 | 0.97 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 25 | $106,964 | $20,656 | $21,928 | 1.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 25 | $62,676 | $8,681 | $12,848 | 0.90 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 23 | $208,936 | $37,461 | $42,832 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $215,314 | $32,052 | $44,139 | 2.95 |
| Medical back problems with MCCMS-DRG 551, medical | 20 | $97,887 | $15,992 | $20,067 | 1.70 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 18 | $356,353 | $62,054 | $73,052 | 6.08 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 18 | $136,430 | $31,261 | $27,968 | 2.96 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 15 | $57,244 | $8,429 | $11,735 | 0.82 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 14 | $178,294 | $31,427 | $36,550 | 2.99 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 14 | $74,976 | $11,204 | $15,370 | 1.09 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $173,060 | $33,476 | $35,477 | 3.49 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $119,864 | $20,937 | $24,572 | 2.04 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 13 | $196,799 | $28,187 | $40,344 | 1.82 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 11 | $154,534 | $26,307 | $31,679 | 3.00 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $130,681 | $22,512 | $26,790 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $55,216 | $8,088 | $11,319 | 0.79 |
Digestive system432 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 51 | $149,990 | $23,543 | $30,748 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 50 | $77,959 | $10,372 | $15,982 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 46 | $68,674 | $7,204 | $14,078 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 45 | $165,690 | $24,272 | $33,967 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 38 | $317,133 | $49,876 | $65,012 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 35 | $97,463 | $13,635 | $19,980 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $95,299 | $15,384 | $19,536 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $63,276 | $6,423 | $12,971 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $74,768 | $9,891 | $15,327 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $177,858 | $22,441 | $36,461 | 1.45 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $504,433 | $76,822 | $103,409 | 5.08 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 14 | $78,490 | $14,239 | $16,090 | 1.60 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $193,973 | $23,530 | $39,765 | 1.62 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 13 | $130,105 | $20,509 | $26,671 | 2.11 |
| Inguinal and femoral hernia procedures with CCMS-DRG 351, surgical | 13 | $111,377 | $15,604 | $22,832 | 1.46 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $117,051 | $24,968 | $23,995 | 2.50 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $232,649 | $19,198 | $47,693 | 2.10 |
Nervous system294 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 46 | $307,556 | $52,857 | $63,049 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 44 | $220,657 | $26,494 | $45,235 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 29 | $87,982 | $7,127 | $18,036 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 27 | $91,069 | $18,059 | $18,669 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 27 | $70,330 | $10,987 | $14,418 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 24 | $100,203 | $14,295 | $20,542 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 20 | $128,623 | $10,356 | $26,368 | 1.02 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 14 | $169,729 | $22,094 | $34,794 | 2.23 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 14 | $117,504 | $22,322 | $24,088 | 2.39 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $461,204 | $74,366 | $94,547 | 5.67 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 13 | $200,267 | $34,515 | $41,055 | 3.85 |
| Seizures without MCCMS-DRG 101, medical | 12 | $142,227 | $9,432 | $29,157 | 0.91 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 11 | $234,614 | $34,571 | $48,096 | 2.95 |
Respiratory system240 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $102,787 | $16,286 | $21,071 | 1.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 29 | $132,652 | $25,353 | $27,194 | 2.55 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $126,331 | $16,542 | $25,898 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 25 | $82,546 | $12,623 | $16,922 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $103,614 | $11,065 | $21,241 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $74,305 | $10,143 | $15,232 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $301,386 | $39,788 | $61,784 | 2.70 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 13 | $97,363 | $19,767 | $19,959 | 1.88 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $53,851 | $9,994 | $11,039 | 0.96 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $136,848 | $18,810 | $28,054 | 1.74 |
Kidney and urinary tract208 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $108,854 | $14,539 | $22,315 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 46 | $85,028 | $15,570 | $17,431 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 39 | $102,027 | $17,716 | $20,916 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $60,729 | $7,789 | $12,449 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 30 | $64,631 | $8,376 | $13,249 | 0.90 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $303,606 | $51,564 | $62,239 | 3.70 |
Endocrine, nutritional and metabolic112 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 | 48 | $94,863 | $13,027 | $19,447 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 34 | $64,624 | $7,471 | $13,248 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $76,185 | $9,198 | $15,618 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $85,368 | $14,542 | $17,500 | 1.65 |
Skin, subcutaneous tissue and breast61 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 45 | $59,571 | $8,739 | $12,212 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 16 | $98,079 | $14,618 | $20,106 | 1.49 |
Blood and immune system55 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 30 | $65,447 | $8,916 | $13,417 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 25 | $81,307 | $14,884 | $16,668 | 1.40 |
Factors influencing health status53 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 38 | $52,697 | $5,991 | $10,803 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 15 | $55,687 | $8,389 | $11,416 | 0.80 |
Injuries, poisonings and toxic effects of drugs42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 17 | $79,680 | $9,972 | $16,334 | 1.03 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $109,934 | $16,971 | $22,536 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $186,055 | $23,165 | $38,141 | 1.82 |
Liver, gallbladder and pancreas41 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 15 | $119,156 | $16,524 | $24,427 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $105,775 | $17,436 | $21,684 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $104,352 | $17,633 | $21,392 | 1.76 |
Other32 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 | 21 | $253,938 | $49,647 | $52,057 | 4.74 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 11 | $234,398 | $69,428 | $48,051 |
Mental diseases and disorders25 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 | 25 | $90,909 | $17,535 | $18,636 | 1.76 |
Ear, nose, mouth and throat20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 20 | $78,739 | $6,696 | $16,141 | 0.74 |
Male reproductive system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major male pelvic procedures without cc/mccMS-DRG 708, surgical | 13 | $70,095 | $11,751 | $14,369 | 1.46 |
HIV infections12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| HIV with major related condition with MCCMS-DRG 974, medical | 12 | $85,656 | $31,095 | $17,560 | 2.92 |
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 | 1,999 | 1,326 | $18,247 | $2,059 | $1,752 |
| Level 2 Intraocular ProceduresAPC 5492 | 413 | 370 | $24,074 | $3,579 | $3,116 |
| Level 4 Urology and Related ServicesAPC 5374 | 292 | 272 | $21,732 | $3,049 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 228 | 217 | $16,459 | $1,427 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 215 | 207 | $42,838 | $4,490 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 172 | 167 | $16,794 | $1,409 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 165 | 164 | $35,341 | $2,601 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 163 | 163 | $34,191 | $6,370 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 153 | 152 | $41,211 | $5,158 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 142 | 141 | $20,749 | $2,825 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 130 | 109 | $60,467 | $10,577 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 103 | 91 | $18,019 | $1,810 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 87 | 81 | $13,047 | $1,710 | $1,445 |
| Level 8 Urology and Related ServicesAPC 5378 | 86 | 84 | $88,310 | $19,954 | $17,428 |
| Level 3 Vascular ProceduresAPC 5183 | 81 | 79 | $21,558 | $2,792 | $2,405 |
| Level 4 Gynecologic ProceduresAPC 5414 | 79 | 77 | $20,857 | $2,769 | $2,389 |
| Level 5 Airway EndoscopyAPC 5155 | 73 | 72 | $36,170 | $5,890 | $5,183 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 72 | 72 | $20,798 | $2,512 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 66 | 66 | $101,207 | $23,374 | $21,117 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 61 | 59 | $53,843 | $12,912 | $10,772 |
| Level 2 Endovascular ProceduresAPC 5192 | 61 | 52 | $32,304 | $5,130 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 52 | 50 | $28,328 | $3,355 | $2,930 |
| Level 5 ENT ProceduresAPC 5165 | 52 | 52 | $30,956 | $5,053 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 52 | 50 | $8,129 | $1,378 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 52 | 49 | $38,791 | $4,702 | $3,946 |
| Level 4 Airway EndoscopyAPC 5154 | 51 | 49 | $24,810 | $3,282 | $2,833 |
| Comprehensive Observation ServicesAPC 8011 | 50 | 48 | $25,140 | $2,457 | $2,090 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 47 | 47 | $52,397 | $7,863 | $6,514 |
| Level 3 Intraocular ProceduresAPC 5493 | 43 | 38 | $29,306 | $4,581 | $4,004 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 41 | 40 | $25,827 | $3,047 | $2,636 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 39 | 37 | $20,450 | $2,097 | $1,780 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 38 | 38 | $38,057 | $5,852 | $4,982 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 30 | 28 | $39,027 | $5,931 | $4,524 |
| Level 3 Lower GI ProceduresAPC 5313 | 29 | 27 | $19,190 | $2,455 | $2,176 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $51,623 | $9,946 | $8,164 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 29 | 29 | $152,685 | $33,006 | $26,719 |
| Level 3 Upper GI ProceduresAPC 5303 | 28 | 28 | $18,560 | $3,435 | $2,888 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 27 | 27 | $63,860 | $10,376 | $8,569 |
| Level 6 Urology and Related ServicesAPC 5376 | 27 | 27 | $36,789 | $8,347 | $7,291 |
| Level 1 Nerve ProceduresAPC 5431 | 27 | 27 | $19,188 | $1,720 | $1,407 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $116,947 | $22,941 | $18,465 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 20 | $16,329 | $1,523 | $1,264 |
| Level 4 Endovascular ProceduresAPC 5194 | 20 | 20 | $61,520 | $18,060 | $14,606 |
| Level 4 ENT ProceduresAPC 5164 | 16 | 16 | $24,595 | $2,889 | $2,217 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 14 | $89,095 | $17,928 | $15,763 |
| Level 2 Nerve ProceduresAPC 5432 | 12 | 12 | $29,279 | $5,879 | $4,674 |
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.