Methodist Hospital Stone Oak Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Methodist Hospital Stone Oak, San Antonio, TX in 2024, from traditional Medicare claims. Back to the Methodist Hospital Stone Oak profile, with quality ratings, finances and negotiated rates.
3,639
Medicare inpatient discharges
In 121 published DRGs
1.96
Case mix index
IPPS FY 2027
28%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
2,132
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system705 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 | 167 | $98,772 | $7,694 | $9,680 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 53 | $61,110 | $4,779 | $5,989 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 44 | $47,517 | $3,938 | $4,657 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 36 | $354,371 | $20,105 | $34,728 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $165,554 | $9,927 | $16,224 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $182,025 | $10,631 | $17,838 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 29 | $53,669 | $3,910 | $5,260 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 29 | $37,020 | $2,635 | $3,628 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $265,674 | $17,015 | $26,036 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $57,177 | $6,339 | $5,603 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $166,513 | $13,643 | $16,318 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $97,349 | $4,965 | $9,540 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $193,134 | $13,666 | $18,927 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $123,884 | $5,806 | $12,141 | 1.08 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 16 | $115,929 | $10,047 | $11,361 | 1.58 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 15 | $288,996 | $19,062 | $28,322 | 2.97 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 14 | $58,275 | $3,778 | $5,711 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $81,442 | $6,057 | $7,981 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $205,182 | $21,723 | $20,108 | 3.35 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $433,270 | $33,422 | $42,460 | 5.06 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $422,660 | $28,205 | $41,421 | 3.90 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $87,145 | $6,131 | $8,540 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $80,148 | $5,669 | $7,855 | 0.97 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $168,945 | $19,473 | $16,557 | 3.46 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $255,817 | $26,098 | $25,070 | 4.16 |
| Chest painMS-DRG 313, medical | 11 | $56,159 | $4,317 | $5,504 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $112,937 | $12,596 | $11,068 | 2.09 |
Musculoskeletal system and connective tissue633 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 87 | $67,579 | $5,515 | $6,623 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 49 | $334,547 | $37,771 | $32,786 | 6.12 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 48 | $167,207 | $12,642 | $16,386 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 43 | $163,145 | $11,133 | $15,988 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 37 | $146,062 | $11,603 | $14,314 | 2.07 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 37 | $91,780 | $10,836 | $8,994 | 1.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 32 | $252,631 | $28,111 | $24,758 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 32 | $221,761 | $18,058 | $21,733 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 30 | $105,362 | $11,571 | $10,325 | 2.04 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 27 | $136,782 | $13,550 | $13,405 | 2.40 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 25 | $219,181 | $17,611 | $21,480 | 3.33 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 24 | $47,826 | $4,840 | $4,687 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 21 | $84,014 | $8,580 | $8,233 | 1.49 |
| Medical back problems with MCCMS-DRG 551, medical | 20 | $86,345 | $9,533 | $8,462 | 1.70 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 16 | $283,532 | $19,117 | $27,786 | 3.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $307,215 | $16,235 | $30,107 | 2.67 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 16 | $120,468 | $9,390 | $11,806 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 16 | $208,462 | $14,538 | $20,429 | 2.48 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $49,604 | $3,955 | $4,861 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 12 | $85,468 | $6,341 | $8,376 | 1.09 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $233,870 | $19,183 | $22,919 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 11 | $96,764 | $11,387 | $9,483 | 1.87 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 11 | $212,813 | $18,473 | $20,856 | 3.16 |
Infectious and parasitic diseases538 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 | 417 | $133,174 | $11,646 | $13,051 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 63 | $68,787 | $5,593 | $6,741 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $319,991 | $30,138 | $31,359 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $145,414 | $12,312 | $14,251 | 2.04 |
Nervous system403 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 52 | $148,962 | $10,247 | $14,598 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 42 | $222,956 | $25,089 | $21,850 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 39 | $83,758 | $5,587 | $8,208 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 34 | $68,136 | $7,358 | $6,677 | 1.36 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 27 | $130,783 | $13,893 | $12,817 | 2.43 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 25 | $85,836 | $4,169 | $8,412 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 25 | $59,279 | $4,534 | $5,809 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 22 | $111,921 | $11,665 | $10,968 | 1.98 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 19 | $154,523 | $17,258 | $15,143 | 2.95 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $79,941 | $5,452 | $7,834 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $112,832 | $10,233 | $11,058 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 14 | $428,747 | $22,289 | $42,017 | 3.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 13 | $100,240 | $5,068 | $9,824 | 1.03 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 13 | $109,670 | $13,694 | $10,748 | 2.27 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 12 | $102,767 | $9,664 | $10,071 | 1.62 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $80,669 | $5,471 | $7,906 | 1.06 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $75,146 | $4,263 | $7,364 | 0.87 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $82,986 | $7,815 | $8,133 | 1.36 |
Digestive system366 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 | 70 | $54,692 | $4,328 | $5,360 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 51 | $104,494 | $13,606 | $10,240 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $113,912 | $11,470 | $11,163 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $66,250 | $5,555 | $6,493 | 0.98 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 31 | $248,722 | $26,894 | $24,375 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $74,631 | $6,786 | $7,314 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 24 | $62,107 | $5,045 | $6,087 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $47,637 | $4,272 | $4,668 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 21 | $82,309 | $8,941 | $8,066 | 1.67 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $34,440 | $2,637 | $3,375 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $73,402 | $6,016 | $7,193 | 1.04 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $95,827 | $10,152 | $9,391 | 1.62 |
Kidney and urinary tract281 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 59 | $98,544 | $8,044 | $9,657 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 54 | $86,258 | $8,819 | $8,453 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 52 | $56,504 | $5,031 | $5,537 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 42 | $69,536 | $6,851 | $6,815 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 33 | $55,296 | $4,521 | $5,419 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 27 | $59,219 | $5,463 | $5,803 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 14 | $205,703 | $21,733 | $20,159 | 3.70 |
Respiratory system252 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $99,955 | $7,803 | $9,796 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 68 | $91,654 | $9,689 | $8,982 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $101,335 | $7,290 | $9,931 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $217,916 | $16,703 | $21,356 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $71,768 | $4,420 | $7,033 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $210,174 | $13,110 | $20,597 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $109,607 | $8,482 | $10,741 | 1.40 |
Endocrine, nutritional and metabolic167 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 | 60 | $76,944 | $7,825 | $7,541 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 37 | $56,678 | $4,453 | $5,554 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 25 | $55,381 | $4,688 | $5,427 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $87,433 | $8,382 | $8,568 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 17 | $102,461 | $8,547 | $10,041 | 1.65 |
| Adrenal and pituitary procedures without cc/mccMS-DRG 615, surgical | 11 | $54,988 | $7,792 | $5,389 | 1.47 |
Liver, gallbladder and pancreas131 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 21 | $115,982 | $10,132 | $11,366 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 20 | $119,241 | $11,841 | $11,686 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 18 | $86,013 | $9,867 | $8,429 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 17 | $96,837 | $9,152 | $9,490 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 17 | $107,718 | $6,425 | $10,556 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 15 | $105,399 | $9,900 | $10,329 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $104,056 | $14,255 | $10,198 | 2.32 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $77,742 | $5,895 | $7,619 | 1.03 |
Blood and immune system43 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 31 | $78,024 | $8,902 | $7,646 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 12 | $167,029 | $14,956 | $16,369 | 2.19 |
Injuries, poisonings and toxic effects of drugs34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 21 | $62,596 | $5,749 | $6,134 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $105,295 | $9,335 | $10,319 | 1.82 |
Other29 discharges in 2 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 | 18 | $307,330 | $46,039 | $30,118 | |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 11 | $259,250 | $22,615 | $25,406 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $38,387 | $4,150 | $3,762 | 0.88 |
Mental diseases and disorders21 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 | 21 | $64,449 | $9,505 | $6,316 | 1.76 |
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 | $63,235 | $3,875 | $6,197 | 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 |
|---|---|---|---|---|---|
| Level 4 Musculoskeletal ProceduresAPC 5114 | 333 | 322 | $45,461 | $4,887 | $5,339 |
| Comprehensive Observation ServicesAPC 8011 | 286 | 275 | $38,668 | $1,891 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 132 | 132 | $44,303 | $3,867 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 122 | 115 | $128,986 | $9,772 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 110 | 110 | $81,399 | $7,171 | $8,164 |
| Level 1 Endovascular ProceduresAPC 5191 | 107 | 103 | $57,566 | $2,009 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 102 | 100 | $267,221 | $18,918 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 79 | 72 | $144,177 | $7,807 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 70 | 61 | $8,342 | $1,090 | $1,204 |
| Level 3 Vascular ProceduresAPC 5183 | 58 | 56 | $31,028 | $2,167 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 52 | 51 | $22,481 | $1,108 | $1,196 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 46 | 45 | $284,333 | $24,684 | $26,719 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 45 | 44 | $33,950 | $2,236 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 42 | 38 | $206,599 | $13,553 | $14,606 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 40 | 40 | $26,803 | $1,088 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 36 | 35 | $18,300 | $1,320 | $1,445 |
| Complex GI ProceduresAPC 5331 | 36 | 30 | $46,605 | $3,940 | $4,263 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 35 | 35 | $78,777 | $5,870 | $6,514 |
| Level 5 Urology and Related ServicesAPC 5375 | 34 | 33 | $30,881 | $3,577 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 33 | $197,904 | $14,505 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 31 | 31 | $84,647 | $7,628 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 30 | 29 | $31,052 | $2,589 | $2,833 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 26 | $26,586 | $2,407 | $2,629 |
| Level 8 Urology and Related ServicesAPC 5378 | 28 | 28 | $178,230 | $15,267 | $17,428 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 26 | $32,676 | $1,813 | $2,141 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 23 | $24,370 | $1,171 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 24 | 24 | $73,004 | $3,951 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 22 | $40,280 | $2,387 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 22 | 21 | $22,771 | $1,335 | $1,407 |
| Level 3 Upper GI ProceduresAPC 5303 | 19 | 18 | $23,799 | $2,648 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 19 | $25,409 | $1,940 | $2,176 |
| Level 3 Urology and Related ServicesAPC 5373 | 17 | 14 | $21,080 | $1,408 | $1,516 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 16 | 16 | $256,520 | $17,304 | $18,465 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 13 | $66,456 | $3,799 | $3,946 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $38,873 | $3,434 | $3,792 |
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.