Memorial Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Medical Center, Modesto, CA in 2024, from traditional Medicare claims. Back to the Memorial Medical Center profile, with quality ratings, finances and negotiated rates.
4,622
Medicare inpatient discharges
In 122 published DRGs
1.92
Case mix index
IPPS FY 2027
21%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
3,595
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases952 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 | 650 | $100,716 | $17,372 | $25,280 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 140 | $56,896 | $8,488 | $14,281 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 106 | $265,594 | $49,132 | $66,664 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 34 | $122,951 | $18,321 | $30,861 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $312,747 | $64,050 | $78,499 | 6.96 |
Circulatory system934 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 226 | $73,342 | $11,290 | $18,409 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 60 | $72,073 | $8,121 | $18,090 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 48 | $48,150 | $6,129 | $12,086 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 46 | $82,170 | $10,617 | $20,625 | 1.20 |
| Chest painMS-DRG 313, medical | 41 | $56,628 | $5,758 | $14,214 | 0.72 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 39 | $88,206 | $14,456 | $22,140 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $155,571 | $15,477 | $39,048 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 37 | $168,491 | $42,646 | $42,291 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $83,237 | $9,165 | $20,892 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 34 | $203,505 | $27,516 | $51,080 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 32 | $37,372 | $3,862 | $9,380 | 0.55 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 29 | $277,136 | $51,020 | $69,561 | 5.06 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 26 | $220,589 | $59,131 | $55,368 | 6.25 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 24 | $51,992 | $9,374 | $13,050 | 1.07 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 23 | $124,447 | $19,378 | $31,236 | 2.16 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $49,287 | $5,920 | $12,371 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $94,005 | $17,814 | $23,595 | 2.09 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 19 | $338,706 | $44,071 | $85,015 | 5.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $158,043 | $32,568 | $39,669 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $70,143 | $7,834 | $17,606 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $131,351 | $18,172 | $32,969 | 2.28 |
| Other vascular procedures with CCMS-DRG 253, surgical | 16 | $119,926 | $24,121 | $30,101 | 2.55 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $52,113 | $10,510 | $13,080 | 1.15 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $189,371 | $32,264 | $47,532 | 3.18 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $58,258 | $14,077 | $14,623 | 1.58 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 11 | $509,760 | $83,166 | $127,950 | 7.80 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $180,812 | $34,706 | $45,384 | 3.46 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $63,967 | $7,657 | $16,056 | 0.97 |
Digestive system547 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 96 | $57,602 | $8,637 | $14,458 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 91 | $55,594 | $6,146 | $13,954 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 54 | $101,469 | $18,231 | $25,469 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 42 | $77,503 | $13,882 | $19,453 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 35 | $73,349 | $11,564 | $18,411 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 32 | $62,036 | $8,190 | $15,571 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 28 | $63,577 | $6,677 | $15,958 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 23 | $244,000 | $42,433 | $61,244 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $124,102 | $19,826 | $31,150 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $92,212 | $14,139 | $23,145 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 18 | $50,934 | $8,362 | $12,784 | 1.04 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 17 | $120,432 | $21,648 | $30,228 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $108,018 | $14,080 | $27,113 | 1.45 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 15 | $84,104 | $16,712 | $21,110 | 1.95 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $215,148 | $41,493 | $54,002 | 5.08 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 13 | $61,917 | $9,357 | $15,541 | 1.07 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 11 | $264,293 | $46,678 | $66,338 | 4.28 |
Respiratory system499 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 113 | $75,716 | $11,054 | $19,005 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 106 | $73,744 | $11,136 | $18,510 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $93,956 | $15,226 | $23,583 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $72,228 | $8,866 | $18,129 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 36 | $57,822 | $6,557 | $14,513 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 35 | $152,327 | $23,901 | $38,234 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $73,347 | $11,745 | $18,410 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $48,992 | $7,284 | $12,297 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $240,908 | $42,659 | $60,468 | 4.71 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $58,926 | $8,215 | $14,790 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $66,131 | $9,175 | $16,599 | 0.99 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 11 | $135,748 | $16,927 | $34,073 | 1.81 |
Kidney and urinary tract395 discharges in 9 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 | 89 | $79,418 | $14,301 | $19,934 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 69 | $51,439 | $6,746 | $12,911 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 53 | $50,122 | $7,752 | $12,581 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 52 | $67,422 | $12,924 | $16,923 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 44 | $55,363 | $8,742 | $13,896 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $62,955 | $9,559 | $15,802 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 18 | $80,085 | $11,902 | $20,101 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $153,656 | $34,164 | $38,568 | 3.70 |
| Urinary stones without MCCMS-DRG 694, medical | 11 | $46,078 | $6,258 | $11,566 | 0.78 |
Musculoskeletal system and connective tissue346 discharges in 13 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 | 73 | $107,187 | $15,919 | $26,904 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 46 | $115,841 | $18,485 | $29,076 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 41 | $72,301 | $8,027 | $18,148 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 34 | $126,594 | $18,657 | $31,775 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 33 | $163,735 | $32,773 | $41,097 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 19 | $151,746 | $26,074 | $38,088 | 2.95 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 18 | $142,727 | $23,150 | $35,825 | 2.67 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $184,347 | $22,618 | $46,271 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $65,528 | $7,202 | $16,448 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $50,423 | $6,751 | $12,656 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $71,824 | $8,303 | $18,028 | 1.09 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $113,153 | $18,542 | $28,401 | 2.04 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $118,364 | $15,623 | $29,709 | 1.70 |
Nervous system309 discharges in 13 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 | 48 | $68,498 | $8,505 | $17,193 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 37 | $50,859 | $9,644 | $12,766 | 1.14 |
| Seizures without MCCMS-DRG 101, medical | 32 | $62,881 | $7,635 | $15,783 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 31 | $96,605 | $17,277 | $24,248 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 31 | $57,652 | $6,413 | $14,471 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 20 | $107,017 | $16,948 | $26,861 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 19 | $208,317 | $41,056 | $52,288 | 4.42 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $73,851 | $8,803 | $18,536 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 17 | $73,649 | $13,428 | $18,486 | 1.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 17 | $76,947 | $10,929 | $19,314 | 1.32 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $54,002 | $5,361 | $13,554 | 0.69 |
| Extracranial procedures with CCMS-DRG 038, surgical | 13 | $77,692 | $14,220 | $19,501 | 1.60 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $69,411 | $8,244 | $17,422 | 1.06 |
Endocrine, nutritional and metabolic260 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 | 95 | $75,929 | $11,672 | $19,058 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 54 | $48,441 | $6,532 | $12,159 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 31 | $46,087 | $7,699 | $11,568 | 0.90 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 28 | $77,583 | $12,777 | $19,473 | 1.52 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 27 | $111,471 | $18,941 | $27,979 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 25 | $80,348 | $12,220 | $20,167 | 1.45 |
Liver, gallbladder and pancreas152 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 30 | $84,734 | $17,959 | $21,268 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $107,182 | $14,526 | $26,903 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 18 | $52,083 | $7,335 | $13,073 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 17 | $57,855 | $7,567 | $14,522 | 0.95 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 17 | $67,267 | $9,813 | $16,884 | 1.09 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 14 | $68,190 | $15,127 | $17,116 | 1.67 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $132,891 | $19,914 | $33,356 | 2.32 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $107,475 | $16,899 | $26,976 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $91,824 | $14,947 | $23,048 | 1.63 |
Skin, subcutaneous tissue and breast101 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 67 | $48,959 | $7,263 | $12,289 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 17 | $85,731 | $13,276 | $21,518 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 17 | $51,029 | $7,255 | $12,808 | 0.91 |
Blood and immune system73 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 | 45 | $64,571 | $12,779 | $16,207 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $52,694 | $7,859 | $13,226 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 11 | $73,159 | $13,327 | $18,363 | 1.56 |
Factors influencing health status17 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 | 17 | $54,688 | $6,406 | $13,727 | 0.80 |
Ear, nose, mouth and throat13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 13 | $54,445 | $6,144 | $13,666 | 0.74 |
Other13 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 CCMS-DRG 982, surgical | 13 | $152,238 | $22,757 | $38,212 | 2.49 |
Mental diseases and disorders11 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 | 11 | $92,165 | $14,058 | $23,134 | 1.76 |
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 | 406 | 248 | $14,410 | $2,276 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 352 | 331 | $33,220 | $2,657 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 314 | 314 | $39,122 | $2,876 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 285 | 254 | $12,969 | $1,848 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 160 | 156 | $9,941 | $1,547 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 140 | 128 | $13,544 | $1,889 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 138 | 128 | $108,829 | $11,520 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 135 | 132 | $81,166 | $14,301 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 122 | 122 | $50,964 | $6,930 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 122 | 122 | $23,742 | $3,019 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 122 | 121 | $42,996 | $5,514 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 104 | 99 | $21,625 | $3,139 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 98 | 82 | $33,294 | $5,017 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 76 | 53 | $13,405 | $1,988 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 68 | 67 | $59,300 | $5,350 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 60 | 59 | $19,600 | $2,845 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 56 | 52 | $24,420 | $3,733 | $2,930 |
| Level 4 Urology and Related ServicesAPC 5374 | 55 | 52 | $23,612 | $3,415 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 53 | 52 | $11,929 | $1,545 | $1,196 |
| Level 2 Urology and Related ServicesAPC 5372 | 48 | 23 | $6,905 | $654 | $502 |
| Level 4 Airway EndoscopyAPC 5154 | 47 | 46 | $16,460 | $3,668 | $2,833 |
| Level 4 Endovascular ProceduresAPC 5194 | 47 | 46 | $146,170 | $19,871 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 44 | 42 | $179,637 | $27,482 | $21,117 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 41 | 40 | $122,114 | $36,422 | $26,719 |
| Level 2 Vascular ProceduresAPC 5182 | 38 | 35 | $23,250 | $1,569 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 32 | $31,874 | $5,084 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 36 | 36 | $59,956 | $11,398 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 34 | $21,773 | $2,881 | $2,389 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 33 | $98,508 | $21,219 | $15,763 |
| Level 5 ENT ProceduresAPC 5165 | 32 | 32 | $35,515 | $5,736 | $4,436 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 31 | 30 | $44,850 | $6,388 | $4,982 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 30 | 30 | $43,336 | $6,775 | $4,524 |
| Level 3 Upper GI ProceduresAPC 5303 | 29 | 27 | $23,748 | $3,751 | $2,888 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 21 | 21 | $21,863 | $2,783 | $2,141 |
| Implantation of Drug Infusion DeviceAPC 5471 | 21 | 20 | $73,189 | $20,238 | $14,829 |
| Level 5 Airway EndoscopyAPC 5155 | 20 | 20 | $40,339 | $6,781 | $5,183 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 20 | 20 | $171,342 | $38,667 | $29,375 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 18 | $38,444 | $3,389 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $61,393 | $11,005 | $8,164 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $106,532 | $21,933 | $17,052 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $27,047 | $4,872 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $48,035 | $8,803 | $6,514 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $11,205 | $1,663 | $1,264 |
| Complex GI ProceduresAPC 5331 | 12 | $38,507 | $5,118 | $4,263 | |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $18,796 | $2,867 | $2,217 |
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.