Loma Linda University Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Loma Linda University Medical Center, Loma Linda, CA in 2024, from traditional Medicare claims. Back to the Loma Linda University Medical Center profile, with quality ratings, finances and negotiated rates.
3,171
Medicare inpatient discharges
In 95 published DRGs
2.47
Case mix index
IPPS FY 2027
28%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
4,046
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system862 discharges in 27 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 189 | $84,343 | $16,469 | $13,073 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 102 | $153,544 | $42,635 | $23,799 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 57 | $170,886 | $64,591 | $26,487 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 44 | $42,854 | $9,588 | $6,642 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 39 | $164,895 | $28,694 | $25,559 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $76,049 | $15,609 | $11,788 | 1.20 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 30 | $200,086 | $40,905 | $31,013 | 3.18 |
| Syncope and collapseMS-DRG 312, medical | 30 | $92,419 | $11,447 | $14,325 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $139,219 | $22,144 | $21,579 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 26 | $115,737 | $21,247 | $17,939 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $75,927 | $14,233 | $11,769 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 24 | $165,481 | $28,775 | $25,650 | 2.16 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 22 | $229,202 | $52,436 | $35,526 | 3.90 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $189,360 | $38,286 | $29,351 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 21 | $287,170 | $47,950 | $44,511 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 19 | $632,865 | $104,608 | $98,094 | 7.71 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $380,257 | $49,279 | $58,940 | 4.04 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 16 | $460,504 | $69,449 | $71,378 | 5.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 16 | $318,378 | $84,664 | $49,349 | 6.25 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 15 | $306,249 | $69,742 | $47,469 | 5.04 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $100,062 | $13,763 | $15,510 | 1.07 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $68,236 | $15,352 | $10,577 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $46,320 | $9,115 | $7,180 | 0.75 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $106,876 | $20,070 | $16,566 | 1.58 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $90,864 | $13,461 | $14,084 | 0.97 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $427,795 | $67,631 | $66,308 | 5.06 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $233,866 | $43,454 | $36,249 | 3.46 |
Infectious and parasitic diseases529 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 | 317 | $146,667 | $25,006 | $22,733 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 85 | $77,550 | $12,952 | $12,020 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 66 | $500,275 | $78,099 | $77,543 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 47 | $659,953 | $100,290 | $102,293 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $214,355 | $28,928 | $33,225 | 2.04 |
Kidney and urinary tract334 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 | 68 | $122,777 | $21,266 | $19,030 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 67 | $64,302 | $11,736 | $9,967 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $86,608 | $18,130 | $13,424 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 45 | $68,255 | $13,096 | $10,579 | 1.02 |
| Kidney transplantMS-DRG 652, surgical | 39 | $540,437 | $42,565 | $83,768 | 3.00 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $48,095 | $10,022 | $7,455 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $81,601 | $14,364 | $12,648 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $144,228 | $16,014 | $22,355 | 1.35 |
Respiratory system331 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 114 | $148,637 | $17,925 | $23,039 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $125,720 | $21,242 | $19,487 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 40 | $282,035 | $39,821 | $43,715 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 25 | $387,143 | $61,574 | $60,007 | 4.71 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $82,094 | $17,505 | $12,725 | 1.33 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 24 | $427,196 | $80,844 | $66,215 | 6.91 |
| Major chest procedures with CCMS-DRG 164, surgical | 15 | $244,985 | $33,622 | $37,973 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $99,544 | $16,919 | $15,429 | 1.40 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 11 | $237,621 | $24,611 | $36,831 | 1.88 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $90,203 | $12,656 | $13,981 | 0.99 |
Digestive system267 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $173,148 | $26,250 | $26,838 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $72,820 | $12,724 | $11,287 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 35 | $77,795 | $9,962 | $12,058 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $63,336 | $10,310 | $9,817 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 28 | $309,183 | $32,273 | $47,923 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $85,678 | $17,259 | $13,280 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $72,512 | $12,558 | $11,239 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $132,720 | $21,450 | $20,572 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $494,507 | $72,110 | $76,649 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $72,576 | $13,927 | $11,249 | 1.04 |
Nervous system265 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 60 | $213,207 | $26,063 | $33,047 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 41 | $102,028 | $13,034 | $15,814 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 34 | $467,568 | $64,731 | $72,473 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 30 | $181,878 | $24,133 | $28,191 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 27 | $38,023 | $11,423 | $5,894 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $99,102 | $13,472 | $15,361 | 1.06 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 22 | $456,590 | $67,741 | $70,771 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $88,780 | $7,589 | $13,761 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 11 | $386,130 | $41,648 | $59,850 | 1.98 |
Musculoskeletal system and connective tissue129 discharges in 7 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 | 26 | $154,690 | $26,470 | $23,977 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $164,082 | $24,877 | $25,433 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $248,102 | $37,201 | $38,456 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $211,684 | $28,827 | $32,811 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $93,824 | $11,993 | $14,543 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $227,823 | $29,918 | $35,313 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $202,592 | $26,858 | $31,402 | 2.04 |
Endocrine, nutritional and metabolic123 discharges in 3 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 | $100,307 | $17,154 | $15,548 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 41 | $72,661 | $9,827 | $11,262 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $163,157 | $18,417 | $25,289 | 1.45 |
Transplants, ECMO and tracheostomy (pre-MDC)78 discharges in 3 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 | 40 | $1,697,576 | $269,905 | $263,124 | 21.32 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 20 | $1,209,822 | $173,540 | $187,522 | 14.70 |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy with CCMS-DRG 012, surgical | 18 | $471,091 | $55,469 | $73,019 | 4.00 |
Blood and immune system74 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 | 49 | $49,893 | $12,106 | $7,733 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 25 | $133,210 | $18,524 | $20,648 | 1.40 |
Liver, gallbladder and pancreas58 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 21 | $141,094 | $26,503 | $21,870 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $226,856 | $21,567 | $35,163 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $96,541 | $23,456 | $14,964 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $87,117 | $11,768 | $13,503 | 0.95 |
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 | $70,272 | $11,499 | $10,892 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $129,088 | $20,068 | $20,009 | 1.49 |
Injuries, poisonings and toxic effects of drugs28 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 | $94,364 | $24,752 | $14,626 | 1.82 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 12 | $225,157 | $26,971 | $34,899 | 2.00 |
Other21 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 | 21 | $421,718 | $68,695 | $65,366 | 4.74 |
Mental diseases and disorders11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 11 | $108,643 | $12,164 | $16,840 | 0.95 |
Factors influencing health status11 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 | 11 | $70,332 | $10,949 | $10,901 | 0.80 |
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 | 827 | 717 | $37,634 | $2,671 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 280 | 259 | $12,745 | $1,580 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 189 | 187 | $25,131 | $2,879 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 179 | 173 | $124,768 | $27,481 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 142 | 117 | $19,935 | $1,861 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 123 | 113 | $34,424 | $3,122 | $2,405 |
| Level 2 Intraocular ProceduresAPC 5492 | 119 | 104 | $45,766 | $3,982 | $3,116 |
| Level 1 Intraocular ProceduresAPC 5491 | 112 | 102 | $34,920 | $2,262 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 110 | 106 | $64,410 | $5,044 | $3,918 |
| Level 5 ENT ProceduresAPC 5165 | 102 | 101 | $67,011 | $5,735 | $4,436 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 95 | 92 | $113,539 | $5,651 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 90 | 80 | $47,644 | $3,414 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 84 | 81 | $84,443 | $7,160 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 82 | 79 | $95,335 | $14,516 | $10,772 |
| Level 5 Airway EndoscopyAPC 5155 | 82 | 82 | $78,998 | $6,720 | $5,183 |
| Level 3 Urology and Related ServicesAPC 5373 | 82 | 51 | $24,652 | $1,993 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 74 | 73 | $163,433 | $10,788 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 73 | 65 | $27,537 | $1,572 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 73 | 63 | $44,985 | $3,127 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 73 | 69 | $94,204 | $11,743 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 71 | 67 | $40,823 | $2,783 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 67 | 57 | $41,825 | $4,973 | $3,946 |
| Level 3 Airway EndoscopyAPC 5153 | 61 | 49 | $22,348 | $1,635 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 61 | 56 | $58,294 | $3,668 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 60 | 41 | $41,450 | $3,356 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 55 | 53 | $32,616 | $1,889 | $1,407 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 50 | 46 | $38,111 | $2,289 | $1,780 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 48 | 48 | $128,188 | $21,219 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 43 | 43 | $64,650 | $3,734 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 39 | $11,546 | $1,566 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 40 | 34 | $50,154 | $5,319 | $4,338 |
| Complex GI ProceduresAPC 5331 | 40 | 28 | $36,750 | $5,438 | $4,263 |
| Level 3 Upper GI ProceduresAPC 5303 | 34 | 33 | $35,069 | $3,751 | $2,888 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 34 | $42,304 | $3,061 | $2,389 |
| Level 5 Gynecologic ProceduresAPC 5415 | 34 | 34 | $64,779 | $4,872 | $3,792 |
| Level 3 Lower GI ProceduresAPC 5313 | 30 | 28 | $28,707 | $2,744 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 29 | 29 | $54,228 | $11,476 | $8,569 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 29 | 29 | $183,035 | $38,682 | $29,375 |
| Level 3 Intraocular ProceduresAPC 5493 | 27 | 25 | $51,469 | $5,113 | $4,004 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 23 | $83,865 | $6,380 | $4,982 |
| Level 6 Urology and Related ServicesAPC 5376 | 23 | 22 | $119,154 | $9,681 | $7,291 |
| Level 6 Gynecologic ProceduresAPC 5416 | 22 | 22 | $81,699 | $7,653 | $5,836 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 20 | 20 | $94,372 | $36,422 | $26,719 |
| Level 4 ENT ProceduresAPC 5164 | 18 | 18 | $58,168 | $3,144 | $2,217 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 18 | 17 | $90,935 | $25,180 | $18,465 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 17 | $105,655 | $19,871 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $103,965 | $22,259 | $17,052 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 16 | 16 | $85,866 | $7,545 | $5,682 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $37,828 | $8,339 | $6,514 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 12 | 11 | $63,738 | $3,772 | $2,969 |
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.