Mercy Hospital Springfield Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Springfield, Springfield, MO in 2024, from traditional Medicare claims. Back to the Mercy Hospital Springfield profile, with quality ratings, finances and negotiated rates.
4,684
Medicare inpatient discharges
In 134 published DRGs
2.08
Case mix index
IPPS FY 2027
25%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
7,715
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system1,068 discharges in 33 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 251 | $35,863 | $8,493 | $7,424 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 60 | $23,404 | $4,929 | $4,845 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 56 | $80,969 | $11,459 | $16,761 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 51 | $44,965 | $6,819 | $9,308 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 44 | $119,744 | $30,796 | $24,787 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $35,303 | $8,289 | $7,308 | 1.20 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 37 | $87,673 | $20,603 | $18,148 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 35 | $29,852 | $5,903 | $6,179 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 34 | $25,847 | $4,928 | $5,350 | 0.75 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 32 | $56,016 | $10,642 | $11,595 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 30 | $108,516 | $19,007 | $22,463 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $18,574 | $3,214 | $3,845 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 27 | $214,805 | $33,483 | $44,465 | 5.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 27 | $63,997 | $13,211 | $13,247 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $64,621 | $13,606 | $13,377 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $39,887 | $6,052 | $8,257 | 0.91 |
| Chest painMS-DRG 313, medical | 24 | $25,167 | $4,453 | $5,210 | 0.72 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 20 | $142,900 | $39,670 | $29,580 | 6.25 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 19 | $167,801 | $26,115 | $34,735 | 4.04 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 18 | $170,418 | $31,581 | $35,277 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 18 | $270,479 | $53,643 | $55,989 | 7.80 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 18 | $72,308 | $16,160 | $14,968 | 2.28 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $30,004 | $7,252 | $6,211 | 1.07 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $28,043 | $6,084 | $5,805 | 0.97 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $62,325 | $16,295 | $12,901 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $45,165 | $10,361 | $9,349 | 1.58 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $74,530 | $20,173 | $15,428 | 3.46 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $112,783 | $24,937 | $23,346 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 13 | $228,834 | $52,147 | $47,369 | 7.71 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $100,887 | $20,344 | $20,884 | 3.18 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 12 | $72,121 | $17,740 | $14,929 | 2.81 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 12 | $51,939 | $11,639 | $10,751 | 1.83 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $87,328 | $18,072 | $18,077 | 3.46 |
Infectious and parasitic diseases787 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 | 527 | $64,224 | $12,766 | $13,294 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 111 | $147,333 | $32,960 | $30,498 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 100 | $37,213 | $6,674 | $7,703 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 31 | $58,191 | $12,401 | $12,046 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $188,027 | $42,853 | $38,922 | 6.96 |
Respiratory system611 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 147 | $42,815 | $8,783 | $8,863 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 129 | $49,145 | $10,849 | $10,173 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 75 | $37,153 | $8,230 | $7,691 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 53 | $30,131 | $5,498 | $6,237 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 37 | $77,562 | $17,850 | $16,055 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 32 | $43,749 | $9,084 | $9,056 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 25 | $30,806 | $6,461 | $6,377 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $44,819 | $6,943 | $9,277 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 19 | $28,755 | $5,870 | $5,952 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 18 | $124,923 | $16,375 | $25,859 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $29,887 | $5,274 | $6,187 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $231,404 | $49,640 | $47,901 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $131,838 | $29,655 | $27,290 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $37,839 | $6,961 | $7,833 | 1.05 |
Digestive system510 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 104 | $33,725 | $6,601 | $6,981 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 54 | $26,123 | $5,011 | $5,407 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 47 | $53,002 | $11,865 | $10,971 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 40 | $113,990 | $29,338 | $23,596 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 40 | $63,273 | $15,241 | $13,098 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 39 | $63,644 | $14,469 | $13,174 | 1.75 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 36 | $44,143 | $10,931 | $9,138 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 35 | $31,437 | $6,793 | $6,507 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $40,572 | $8,677 | $8,398 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 26 | $23,937 | $5,335 | $4,955 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $22,774 | $3,810 | $4,714 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $30,366 | $10,388 | $6,286 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $26,142 | $6,059 | $5,411 | 0.94 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 11 | $60,780 | $15,764 | $12,581 | 2.50 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $37,112 | $9,901 | $7,682 | 1.45 |
Nervous system386 discharges in 17 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 | 73 | $35,033 | $6,553 | $7,252 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 43 | $66,620 | $13,553 | $13,790 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 36 | $28,434 | $5,117 | $5,886 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 28 | $69,220 | $14,145 | $14,329 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 24 | $137,534 | $29,990 | $28,470 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 24 | $22,650 | $5,933 | $4,689 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $42,986 | $8,754 | $8,898 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $34,895 | $4,579 | $7,223 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 16 | $57,121 | $14,899 | $11,824 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 15 | $123,834 | $32,951 | $25,634 | 5.67 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 15 | $44,045 | $8,769 | $9,117 | 1.36 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 14 | $80,551 | $19,216 | $16,674 | 2.95 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 13 | $49,392 | $9,569 | $10,224 | 1.47 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $54,651 | $11,591 | $11,313 | 1.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $51,943 | $7,414 | $10,752 | 1.14 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $31,254 | $6,669 | $6,470 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $46,498 | $11,600 | $9,625 | 1.79 |
Musculoskeletal system and connective tissue374 discharges in 14 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 | 77 | $60,366 | $12,863 | $12,496 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 45 | $61,204 | $13,462 | $12,669 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 41 | $46,623 | $12,093 | $9,651 | 1.88 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 27 | $49,292 | $10,039 | $10,203 | 1.59 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 26 | $75,711 | $21,427 | $15,672 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $29,828 | $6,053 | $6,174 | 0.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 22 | $94,393 | $27,906 | $19,539 | 4.61 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 22 | $63,399 | $15,426 | $13,124 | 2.40 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 21 | $85,985 | $16,918 | $17,799 | 2.67 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $77,634 | $17,484 | $16,070 | 2.95 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 15 | $29,085 | $5,459 | $6,021 | 0.82 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $84,862 | $22,028 | $17,566 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $96,168 | $28,258 | $19,907 | 6.12 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $52,011 | $12,590 | $10,766 | 2.04 |
Kidney and urinary tract371 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 | 83 | $28,265 | $5,251 | $5,851 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 76 | $39,147 | $8,081 | $8,104 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 71 | $30,096 | $6,049 | $6,230 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 61 | $40,482 | $9,720 | $8,380 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 42 | $38,291 | $10,849 | $7,926 | 1.65 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $37,143 | $8,896 | $7,689 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $30,340 | $6,982 | $6,280 | 1.02 |
Endocrine, nutritional and metabolic165 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 without MCCMS-DRG 641, medical | 48 | $26,805 | $5,031 | $5,549 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 34 | $45,269 | $8,821 | $9,371 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 25 | $43,363 | $9,929 | $8,976 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 22 | $48,258 | $12,252 | $9,989 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 22 | $39,041 | $6,186 | $8,081 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 14 | $27,195 | $7,192 | $5,629 | 1.06 |
Liver, gallbladder and pancreas137 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 | 19 | $60,454 | $10,539 | $12,514 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 19 | $32,416 | $5,865 | $6,710 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 18 | $33,063 | $7,184 | $6,844 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 16 | $66,772 | $12,874 | $13,822 | 1.92 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 16 | $38,981 | $7,183 | $8,069 | 1.03 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 14 | $27,162 | $6,623 | $5,622 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $45,144 | $12,897 | $9,345 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $83,661 | $15,024 | $17,318 | 2.32 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $57,020 | $10,811 | $11,803 | 1.63 |
Skin, subcutaneous tissue and breast84 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 65 | $25,225 | $5,794 | $5,222 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $40,308 | $9,286 | $8,344 | 1.49 |
Blood and immune system55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $40,021 | $6,237 | $8,284 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 14 | $48,081 | $8,678 | $9,953 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 12 | $67,499 | $14,400 | $13,972 | 2.19 |
| Coagulation disordersMS-DRG 813, medical | 12 | $78,204 | $19,965 | $16,188 | 1.56 |
Mental diseases and disorders53 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 41 | $33,835 | $8,911 | $7,004 | 1.37 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 12 | $24,958 | $6,125 | $5,166 | 0.95 |
Alcohol and drug use20 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 | 20 | $24,855 | $6,292 | $5,145 | 0.86 |
Ear, nose, mouth and throat17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 17 | $23,929 | $4,547 | $4,953 | 0.74 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 12 | $16,199 | $3,912 | $3,353 | 0.59 |
Other12 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 | 12 | $152,268 | $33,956 | $31,519 | 4.74 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 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 | 11 | $75,092 | $13,273 | $15,544 | 1.60 |
Multiple significant trauma11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with MCCMS-DRG 963, medical | 11 | $115,704 | $20,935 | $23,951 | 2.73 |
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 | 958 | 562 | $13,376 | $1,550 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 768 | 589 | $7,904 | $1,256 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 753 | 701 | $37,335 | $9,303 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 449 | 395 | $7,409 | $1,072 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 412 | 408 | $24,257 | $1,917 | $2,208 |
| Level 2 Intraocular ProceduresAPC 5492 | 401 | 356 | $18,456 | $2,694 | $3,116 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 315 | 305 | $27,795 | $4,709 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 293 | 265 | $6,214 | $1,267 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 232 | 199 | $11,870 | $2,114 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 231 | 228 | $25,819 | $3,805 | $4,358 |
| Comprehensive Observation ServicesAPC 8011 | 218 | 215 | $18,392 | $1,810 | $2,090 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 180 | 177 | $18,679 | $2,079 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 179 | 165 | $21,743 | $3,447 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 155 | 141 | $55,079 | $7,566 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 153 | 148 | $14,178 | $1,878 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 140 | 117 | $17,422 | $2,285 | $2,629 |
| Level 3 Intraocular ProceduresAPC 5493 | 125 | 94 | $22,297 | $3,444 | $4,004 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 123 | 120 | $9,687 | $1,050 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 118 | 116 | $53,815 | $13,770 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 99 | 98 | $28,907 | $7,343 | $8,569 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 96 | 93 | $12,039 | $1,555 | $1,780 |
| Level 4 Airway EndoscopyAPC 5154 | 93 | 87 | $17,113 | $2,442 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 90 | 83 | $36,110 | $4,583 | $5,183 |
| Level 3 Urology and Related ServicesAPC 5373 | 85 | 70 | $14,126 | $1,348 | $1,516 |
| Level 5 ENT ProceduresAPC 5165 | 78 | 76 | $27,601 | $3,873 | $4,436 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 73 | 72 | $115,131 | $17,789 | $21,117 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 70 | 65 | $16,738 | $2,551 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 67 | 65 | $24,177 | $4,369 | $4,982 |
| Level 2 Urology and Related ServicesAPC 5372 | 67 | 67 | $4,927 | $436 | $502 |
| Level 2 Endovascular ProceduresAPC 5192 | 62 | 47 | $19,940 | $3,829 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 60 | 60 | $96,977 | $25,636 | $29,375 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 57 | $19,600 | $2,294 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 50 | 50 | $38,414 | $6,610 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 46 | 46 | $30,069 | $5,563 | $6,514 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 45 | 45 | $76,258 | $23,318 | $26,719 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 35 | $29,210 | $3,571 | $3,946 |
| Level 4 Gynecologic ProceduresAPC 5414 | 36 | 36 | $17,485 | $2,094 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 32 | 32 | $77,582 | $13,085 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 32 | 32 | $13,986 | $1,789 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 31 | 31 | $59,878 | $14,718 | $17,052 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 28 | $9,718 | $1,137 | $1,264 |
| Level 3 Upper GI ProceduresAPC 5303 | 28 | 27 | $13,411 | $2,566 | $2,888 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 27 | 27 | $16,378 | $4,582 | $4,524 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 25 | $6,167 | $1,073 | $1,204 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 22 | 22 | $68,783 | $15,991 | $18,465 |
| Level 4 ENT ProceduresAPC 5164 | 19 | 19 | $16,659 | $2,157 | $2,217 |
| Level 5 Gynecologic ProceduresAPC 5415 | 18 | 18 | $20,538 | $2,962 | $3,792 |
| Complex GI ProceduresAPC 5331 | 14 | 14 | $22,836 | $3,818 | $4,263 |
| Level 2 Nerve ProceduresAPC 5432 | 12 | 12 | $25,100 | $4,119 | $4,674 |
| Cochlear Implant ProcedureAPC 5166 | 11 | 11 | $127,273 | $26,483 | $29,489 |
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.