Los Robles Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Los Robles Regional Medical Center, Thousand Oaks, CA in 2024, from traditional Medicare claims. Back to the Los Robles Regional Medical Center profile, with quality ratings, finances and negotiated rates.
5,061
Medicare inpatient discharges
In 136 published DRGs
2.05
Case mix index
IPPS FY 2027
21%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
3,350
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system1,006 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 145 | $690,703 | $30,825 | $54,566 | 3.24 |
| Heart failure and shock with MCCMS-DRG 291, medical | 145 | $156,226 | $11,769 | $12,342 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 87 | $109,281 | $7,626 | $8,633 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 85 | $892,045 | $46,794 | $70,472 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 59 | $106,651 | $6,198 | $8,425 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $221,848 | $14,136 | $17,526 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $244,389 | $14,902 | $19,307 | 1.82 |
| Chest painMS-DRG 313, medical | 35 | $74,547 | $5,418 | $5,889 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 32 | $80,124 | $6,591 | $6,330 | 0.75 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 31 | $144,661 | $9,342 | $11,428 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 31 | $76,677 | $4,219 | $6,057 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 30 | $1,003,521 | $62,828 | $79,278 | 6.25 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 29 | $180,856 | $14,531 | $14,288 | 1.58 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 27 | $153,801 | $10,772 | $12,150 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $495,682 | $30,326 | $39,159 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 25 | $300,363 | $20,376 | $23,729 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 25 | $144,710 | $7,821 | $11,432 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $197,662 | $9,110 | $15,615 | 1.08 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 19 | $317,328 | $27,596 | $25,069 | 3.35 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $168,166 | $17,858 | $13,285 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $127,663 | $7,991 | $10,085 | 0.97 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 12 | $737,909 | $38,538 | $58,295 | 3.90 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $289,040 | $19,145 | $22,834 | 2.16 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $121,245 | $6,145 | $9,578 | 0.72 |
Infectious and parasitic diseases871 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 | 623 | $273,364 | $18,239 | $21,596 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 136 | $123,227 | $8,906 | $9,735 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 71 | $667,073 | $47,627 | $52,699 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $1,171,903 | $69,308 | $92,580 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $327,893 | $18,326 | $25,904 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $241,408 | $17,383 | $19,071 | 1.84 |
Musculoskeletal system and connective tissue632 discharges in 19 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 | 104 | $281,248 | $16,994 | $22,219 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 89 | $111,246 | $8,230 | $8,788 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 53 | $293,127 | $19,461 | $23,157 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 45 | $318,692 | $19,152 | $25,177 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 43 | $938,126 | $58,526 | $74,112 | 6.12 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 35 | $90,053 | $6,502 | $7,114 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 32 | $103,014 | $7,556 | $8,138 | 0.90 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 27 | $842,283 | $42,561 | $66,540 | 4.61 |
| Medical back problems with MCCMS-DRG 551, medical | 26 | $179,944 | $15,357 | $14,216 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $408,068 | $26,535 | $32,237 | 2.95 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 23 | $521,620 | $25,668 | $41,208 | 2.96 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $292,249 | $24,258 | $23,088 | 2.67 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $390,195 | $27,713 | $30,825 | 2.99 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $405,377 | $31,462 | $32,025 | 3.49 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $211,209 | $13,576 | $16,685 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 15 | $370,882 | $20,713 | $29,300 | 2.48 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 14 | $109,526 | $7,051 | $8,653 | 0.82 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 12 | $132,266 | $11,341 | $10,449 | 1.30 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 12 | $117,091 | $8,795 | $9,250 | 1.09 |
Nervous system519 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 | 72 | $303,232 | $17,731 | $23,955 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 48 | $140,456 | $8,811 | $11,096 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 44 | $117,214 | $6,767 | $9,260 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 39 | $119,479 | $8,019 | $9,439 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 30 | $135,108 | $11,427 | $10,674 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 28 | $232,737 | $16,969 | $18,386 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 24 | $184,032 | $15,417 | $14,539 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 24 | $137,855 | $8,471 | $10,891 | 1.03 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 22 | $724,830 | $37,437 | $57,262 | 4.42 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 20 | $158,845 | $9,245 | $12,549 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 19 | $197,525 | $12,034 | $15,604 | 1.32 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 17 | $246,947 | $17,204 | $19,509 | 1.81 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 16 | $123,418 | $9,642 | $9,750 | 1.03 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 15 | $479,217 | $24,971 | $37,858 | 2.95 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $212,772 | $15,470 | $16,809 | 1.79 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 14 | $240,539 | $12,799 | $19,003 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $765,050 | $51,923 | $60,439 | 5.67 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $158,684 | $19,021 | $12,536 | 2.39 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 13 | $384,382 | $22,257 | $30,366 | 2.28 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 11 | $146,579 | $12,168 | $11,580 | 1.47 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 061, medical | 11 | $360,648 | $26,513 | $28,491 | 2.80 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $351,541 | $20,610 | $27,772 | 2.27 |
Respiratory system501 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 115 | $240,914 | $15,661 | $19,032 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 111 | $202,466 | $11,903 | $15,995 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 89 | $267,668 | $13,605 | $21,146 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 29 | $442,247 | $24,802 | $34,938 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $114,462 | $7,066 | $9,042 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 24 | $165,624 | $8,371 | $13,084 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 24 | $103,093 | $8,186 | $8,144 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 21 | $110,232 | $8,323 | $8,708 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $179,836 | $13,174 | $14,207 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $230,353 | $10,883 | $18,198 | 1.10 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $124,645 | $8,095 | $9,847 | 1.05 |
| Respiratory signs and symptomsMS-DRG 204, medical | 12 | $89,097 | $6,496 | $7,039 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $533,293 | $46,281 | $42,130 | 4.71 |
Kidney and urinary tract455 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 99 | $102,783 | $6,971 | $8,120 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 84 | $157,606 | $12,809 | $12,451 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 80 | $189,230 | $14,876 | $14,949 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 72 | $113,955 | $7,557 | $9,002 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $119,246 | $10,193 | $9,420 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 37 | $108,003 | $9,013 | $8,532 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $476,048 | $33,158 | $37,608 | 3.70 |
Digestive system422 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 | 105 | $96,455 | $6,963 | $7,620 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $222,071 | $16,635 | $17,544 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 40 | $108,406 | $6,585 | $8,564 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 36 | $567,081 | $42,367 | $44,799 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 35 | $118,060 | $8,036 | $9,327 | 0.94 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $118,963 | $8,648 | $9,398 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 29 | $371,869 | $22,448 | $29,378 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 22 | $126,543 | $11,915 | $9,997 | 1.28 |
| Digestive malignancy with MCCMS-DRG 374, medical | 21 | $205,995 | $15,927 | $16,274 | 2.10 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $150,588 | $9,256 | $11,896 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $83,743 | $4,302 | $6,616 | 0.56 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 12 | $814,754 | $61,441 | $64,366 | 5.08 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $248,347 | $14,075 | $19,619 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $218,967 | $12,611 | $17,298 | 1.62 |
Endocrine, nutritional and metabolic175 discharges in 6 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 | 62 | $150,109 | $11,932 | $11,859 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 42 | $105,539 | $6,358 | $8,338 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 24 | $109,532 | $7,945 | $8,653 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 20 | $119,997 | $7,174 | $9,480 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 14 | $255,528 | $15,406 | $20,187 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $162,449 | $13,397 | $12,833 | 1.45 |
Liver, gallbladder and pancreas126 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 21 | $296,624 | $14,417 | $23,433 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 17 | $238,540 | $16,406 | $18,845 | 1.76 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 14 | $185,609 | $15,355 | $14,663 | 1.67 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $322,375 | $20,370 | $25,468 | 2.32 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $107,347 | $7,016 | $8,480 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $108,764 | $8,995 | $8,592 | 0.95 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $150,537 | $10,168 | $11,892 | 1.09 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $121,987 | $10,169 | $9,637 | 1.03 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 11 | $229,608 | $17,632 | $18,139 | 1.83 |
Blood and immune system91 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 | 51 | $159,848 | $13,363 | $12,628 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 26 | $93,573 | $7,861 | $7,392 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 14 | $119,929 | $11,517 | $9,474 | 1.20 |
Skin, subcutaneous tissue and breast72 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $88,526 | $7,220 | $6,994 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 21 | $132,095 | $7,459 | $10,436 | 0.91 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $150,023 | $12,346 | $11,852 | 1.49 |
Mental diseases and disorders53 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 | 42 | $147,655 | $16,464 | $11,665 | 1.76 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 11 | $105,224 | $8,615 | $8,313 | 0.95 |
Injuries, poisonings and toxic effects of drugs40 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 | 14 | $137,480 | $9,872 | $10,861 | 1.03 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $321,326 | $17,632 | $25,385 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $200,449 | $14,872 | $15,835 | 1.82 |
Alcohol and drug use32 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 | 17 | $117,013 | $8,031 | $9,244 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 15 | $164,356 | $14,902 | $12,984 | 1.78 |
Ear, nose, mouth and throat31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 31 | $90,960 | $5,977 | $7,186 | 0.74 |
Factors influencing health status23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Rehabilitation with cc/mccMS-DRG 945, medical | 23 | $142,280 | $12,799 | $11,240 | 1.51 |
Other12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 12 | $1,240,707 | $67,623 | $98,016 |
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 | 793 | 752 | $64,938 | $2,654 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 507 | 480 | $244,959 | $14,314 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 199 | 190 | $526,935 | $27,206 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 174 | 172 | $84,172 | $2,860 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 151 | 143 | $33,735 | $1,956 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 139 | 128 | $38,324 | $1,853 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 104 | 98 | $81,172 | $4,921 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 95 | 95 | $38,326 | $1,586 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 95 | 87 | $193,097 | $11,871 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 90 | 84 | $56,395 | $3,411 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 85 | 81 | $112,040 | $5,309 | $3,946 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 81 | 80 | $126,498 | $5,581 | $4,358 |
| Level 5 Airway EndoscopyAPC 5155 | 74 | 74 | $138,147 | $6,781 | $5,183 |
| Level 3 Vascular ProceduresAPC 5183 | 73 | 73 | $67,456 | $3,121 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 70 | 69 | $43,293 | $2,783 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 69 | 69 | $176,429 | $7,057 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 57 | $67,013 | $3,389 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 54 | 53 | $202,655 | $11,476 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 36 | 36 | $104,873 | $6,388 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 31 | 29 | $77,762 | $3,550 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 31 | 31 | $152,359 | $5,599 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 31 | 29 | $277,260 | $19,867 | $14,606 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 30 | 30 | $330,038 | $19,805 | $15,763 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 30 | $66,841 | $3,062 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 29 | $35,118 | $1,656 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 27 | $66,274 | $3,734 | $2,930 |
| Complex GI ProceduresAPC 5331 | 26 | 23 | $128,490 | $5,583 | $4,263 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $23,373 | $1,567 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 23 | 22 | $35,868 | $1,568 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 22 | $63,644 | $3,171 | $2,373 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 20 | $75,509 | $3,751 | $2,888 |
| Level 7 Radiation TherapyAPC 5627 | 20 | 18 | $234,669 | $7,936 | $6,121 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $219,040 | $10,383 | $8,164 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $60,981 | $2,800 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $100,738 | $4,872 | $3,792 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $128,723 | $5,736 | $4,436 |
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.