Lowell General Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lowell General Hospital, Lowell, MA in 2024, from traditional Medicare claims. Back to the Lowell General Hospital profile, with quality ratings, finances and negotiated rates.
4,402
Medicare inpatient discharges
In 116 published DRGs
1.56
Case mix index
IPPS FY 2027
11%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
3,342
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system1,088 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 460 | $21,786 | $9,643 | $10,545 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 81 | $17,904 | $6,302 | $8,665 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 72 | $30,169 | $12,140 | $14,602 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 58 | $15,074 | $5,076 | $7,296 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 52 | $20,839 | $8,790 | $10,086 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 46 | $51,104 | $13,156 | $24,734 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 40 | $42,621 | $17,118 | $20,628 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $68,321 | $20,770 | $33,068 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 35 | $21,013 | $6,188 | $10,170 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 27 | $17,846 | $7,674 | $8,638 | 1.07 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $28,612 | $7,595 | $13,848 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $12,091 | $3,358 | $5,852 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $35,985 | $14,343 | $17,417 | 2.09 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $15,371 | $5,048 | $7,440 | 0.75 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $47,282 | $17,411 | $22,885 | 2.28 |
| Chest painMS-DRG 313, medical | 17 | $16,695 | $4,767 | $8,080 | 0.72 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $65,669 | $27,378 | $31,784 | 3.46 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $16,793 | $7,408 | $8,128 | 0.97 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $82,209 | $35,970 | $39,789 | 5.06 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 11 | $41,004 | $16,021 | $19,846 | 1.97 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $14,154 | $5,534 | $6,851 | 0.86 |
Respiratory system732 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 159 | $25,077 | $9,960 | $12,137 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 155 | $30,933 | $11,963 | $14,972 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 112 | $22,493 | $8,220 | $10,887 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 75 | $15,351 | $5,629 | $7,430 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 45 | $20,457 | $6,636 | $9,901 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 42 | $16,237 | $6,263 | $7,859 | 0.85 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $26,077 | $10,549 | $12,621 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 30 | $55,657 | $20,266 | $26,938 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 25 | $18,422 | $7,091 | $8,916 | 0.96 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 19 | $12,264 | $4,039 | $5,936 | 0.64 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 16 | $16,653 | $5,010 | $8,060 | 0.82 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 13 | $13,959 | $3,768 | $6,756 | 0.63 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $103,616 | $55,461 | $50,150 | 6.91 |
Infectious and parasitic diseases536 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 | 414 | $33,200 | $14,792 | $16,069 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 61 | $22,038 | $7,331 | $10,666 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $90,312 | $36,915 | $43,711 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $122,739 | $52,320 | $59,405 | 6.96 |
Kidney and urinary tract411 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 | 108 | $16,853 | $5,776 | $8,157 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 94 | $20,361 | $8,648 | $9,855 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 64 | $16,305 | $6,446 | $7,891 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 56 | $34,088 | $12,834 | $16,498 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 42 | $27,890 | $10,851 | $13,499 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $18,955 | $7,351 | $9,174 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $30,668 | $9,027 | $14,843 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $23,043 | $7,470 | $11,153 | 1.05 |
Digestive system388 discharges in 12 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 | 95 | $17,962 | $5,400 | $8,694 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 63 | $23,594 | $6,910 | $11,419 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 38 | $18,159 | $5,309 | $8,789 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $34,363 | $13,318 | $16,631 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 33 | $19,356 | $6,714 | $9,368 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 31 | $30,062 | $10,256 | $14,550 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 25 | $47,951 | $16,856 | $23,208 | 2.37 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 16 | $14,722 | $3,443 | $7,125 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $30,583 | $11,299 | $14,802 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $17,035 | $7,471 | $8,245 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $23,172 | $9,748 | $11,215 | 1.45 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $79,476 | $30,914 | $38,467 | 4.52 |
Musculoskeletal system and connective tissue342 discharges in 19 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 | 48 | $37,782 | $15,553 | $18,286 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 44 | $19,275 | $6,658 | $9,329 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 28 | $50,660 | $22,134 | $24,519 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $38,756 | $15,553 | $18,758 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 22 | $18,591 | $6,053 | $8,998 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $32,973 | $12,398 | $15,959 | 1.88 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 16 | $18,946 | $7,077 | $9,170 | 1.00 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $37,211 | $9,623 | $18,010 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $14,673 | $5,568 | $7,102 | 0.79 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $86,945 | $35,062 | $42,081 | 4.61 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 12 | $88,742 | $25,510 | $42,951 | 3.66 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $59,119 | $20,998 | $28,614 | 2.67 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $84,513 | $23,801 | $40,904 | 2.96 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 12 | $23,041 | $7,251 | $11,152 | 1.09 |
| Cervical spinal fusion with MCCMS-DRG 471, surgical | 11 | $102,285 | $35,973 | $49,506 | 4.92 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $59,850 | $23,791 | $28,967 | 2.99 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $30,242 | $11,712 | $14,637 | 1.70 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $17,275 | $5,919 | $8,361 | 0.82 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 11 | $27,429 | $12,123 | $13,276 | 1.56 |
Nervous system333 discharges in 14 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 | 59 | $22,797 | $6,909 | $11,034 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 43 | $33,292 | $13,119 | $16,114 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 30 | $18,978 | $6,406 | $9,185 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 28 | $18,648 | $7,314 | $9,025 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 28 | $27,719 | $13,651 | $13,416 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 22 | $18,864 | $4,522 | $9,130 | 0.69 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 19 | $68,859 | $29,393 | $33,328 | 4.42 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 18 | $43,996 | $14,914 | $21,294 | 1.79 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $25,269 | $10,145 | $12,230 | 1.36 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $20,166 | $9,987 | $9,760 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $19,117 | $5,863 | $9,252 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 15 | $22,557 | $7,975 | $10,918 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $25,542 | $9,946 | $12,362 | 1.32 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $20,357 | $7,623 | $9,853 | 1.03 |
Endocrine, nutritional and metabolic211 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 | 67 | $15,903 | $5,490 | $7,697 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 58 | $26,202 | $9,291 | $12,682 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 44 | $14,583 | $6,456 | $7,058 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 30 | $25,034 | $11,552 | $12,117 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $14,826 | $6,698 | $7,176 | 1.06 |
Skin, subcutaneous tissue and breast86 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 54 | $15,837 | $6,104 | $7,665 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $25,680 | $11,168 | $12,429 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $16,737 | $6,965 | $8,101 | 0.91 |
Liver, gallbladder and pancreas69 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $39,954 | $13,329 | $19,338 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $31,294 | $12,655 | $15,146 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $49,216 | $15,464 | $23,820 | 1.92 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $22,391 | $7,676 | $10,837 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $41,673 | $14,018 | $20,170 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $24,353 | $8,239 | $11,787 | 1.09 |
Blood and immune system68 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 35 | $20,185 | $6,871 | $9,770 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 17 | $33,078 | $13,191 | $16,010 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $25,173 | $10,830 | $12,184 | 1.40 |
Injuries, poisonings and toxic effects of drugs42 discharges in 3 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 | 17 | $24,212 | $11,374 | $11,718 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 13 | $22,315 | $7,856 | $10,801 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $41,890 | $14,040 | $20,275 | 1.82 |
Alcohol and drug use29 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 | 29 | $17,946 | $6,479 | $8,686 | 0.86 |
Mental diseases and disorders18 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 | 18 | $33,951 | $13,389 | $16,432 | 1.76 |
Factors influencing health status18 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 | 18 | $20,600 | $5,977 | $9,970 | 0.80 |
Other17 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 | 17 | $70,221 | $33,442 | $33,987 | 4.74 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $18,436 | $5,047 | $8,923 | 0.74 |
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 | 828 | 731 | $8,872 | $2,304 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 317 | 287 | $7,972 | $1,368 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 247 | 237 | $27,201 | $12,326 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 154 | 134 | $4,471 | $1,607 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 145 | 142 | $14,557 | $4,935 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 137 | 131 | $8,095 | $1,716 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 131 | 130 | $15,367 | $2,477 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 128 | 125 | $16,687 | $6,024 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 122 | 114 | $10,445 | $2,616 | $2,405 |
| Level 1 Intraocular ProceduresAPC 5491 | 120 | 95 | $6,026 | $1,976 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 86 | 80 | $13,682 | $4,228 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 84 | 78 | $10,834 | $2,929 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 74 | 70 | $14,777 | $2,407 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 56 | 47 | $7,120 | $1,652 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 49 | 44 | $36,056 | $10,167 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 46 | 45 | $8,812 | $2,404 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 46 | 44 | $13,428 | $3,135 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 46 | 41 | $19,148 | $4,887 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 45 | 42 | $13,679 | $3,189 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 45 | 39 | $7,009 | $2,424 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 44 | 42 | $5,741 | $1,319 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 34 | $11,537 | $2,960 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 35 | 35 | $40,897 | $9,822 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 32 | $7,353 | $2,675 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 25 | $5,312 | $1,313 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 25 | 25 | $26,975 | $8,281 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 24 | $28,571 | $5,580 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 24 | 22 | $46,423 | $15,726 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 23 | 22 | $60,141 | $23,794 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 22 | $35,227 | $18,334 | $15,763 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 21 | 21 | $67,709 | $30,104 | $26,719 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $5,124 | $1,452 | $1,264 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 17 | 13 | $21,832 | $5,852 | $4,524 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $15,580 | $3,990 | $3,792 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $14,472 | $5,857 | $5,183 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 14 | $17,620 | $4,702 | $3,946 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 12 | $8,076 | $3,270 | $2,888 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $12,454 | $2,755 | $2,217 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $73,652 | $30,536 | $29,375 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | $46,652 | $21,799 | $18,465 |
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.