Mission Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mission Regional Medical Center, Mission Viejo, CA in 2024, from traditional Medicare claims. Back to the Mission Regional Medical Center profile, with quality ratings, finances and negotiated rates.
4,143
Medicare inpatient discharges
In 118 published DRGs
2.07
Case mix index
IPPS FY 2027
23%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
3,841
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases945 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 | 694 | $101,956 | $16,693 | $21,309 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 128 | $56,801 | $8,307 | $11,872 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 79 | $280,275 | $44,335 | $58,577 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $437,885 | $61,504 | $91,518 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 20 | $106,950 | $16,418 | $22,352 | 2.04 |
Circulatory system644 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 143 | $74,898 | $10,964 | $15,654 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 63 | $122,582 | $28,876 | $25,620 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $78,278 | $13,345 | $16,360 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $96,016 | $15,435 | $20,067 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $74,238 | $10,590 | $15,516 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $43,587 | $5,953 | $9,110 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 32 | $149,323 | $25,634 | $31,209 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $31,648 | $3,632 | $6,614 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $64,809 | $6,998 | $13,545 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 21 | $75,501 | $19,977 | $15,780 | 2.28 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 19 | $158,479 | $57,333 | $33,122 | 6.25 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 18 | $92,353 | $13,045 | $19,302 | 1.58 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 17 | $147,580 | $44,872 | $30,844 | 4.88 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $210,501 | $45,437 | $43,995 | 5.06 |
| Syncope and collapseMS-DRG 312, medical | 16 | $66,443 | $7,083 | $13,887 | 0.86 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 15 | $339,708 | $47,231 | $70,999 | 5.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $91,828 | $17,933 | $19,192 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $112,771 | $28,368 | $23,569 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $93,291 | $18,132 | $19,498 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $77,623 | $7,933 | $16,223 | 1.08 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 11 | $186,071 | $32,671 | $38,889 | 3.90 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $54,304 | $7,375 | $11,349 | 0.97 |
Respiratory system563 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 193 | $99,806 | $14,948 | $20,859 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 105 | $92,762 | $11,309 | $19,387 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $82,297 | $11,907 | $17,200 | 1.23 |
| Major chest procedures with MCCMS-DRG 163, surgical | 36 | $271,644 | $42,406 | $56,774 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 22 | $90,748 | $8,465 | $18,966 | 1.05 |
| Major chest procedures with CCMS-DRG 164, surgical | 21 | $159,270 | $20,163 | $33,287 | 2.55 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 21 | $62,648 | $8,041 | $13,093 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 20 | $130,537 | $24,972 | $27,282 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $66,132 | $11,205 | $13,822 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $50,128 | $6,194 | $10,477 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 18 | $503,460 | $70,351 | $105,223 | 6.91 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $58,179 | $5,800 | $12,159 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 17 | $100,263 | $15,492 | $20,955 | 1.90 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $49,473 | $7,506 | $10,340 | 0.96 |
Musculoskeletal system and connective tissue474 discharges in 18 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 | 76 | $107,127 | $17,791 | $22,389 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 51 | $118,191 | $17,466 | $24,702 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 49 | $59,165 | $7,657 | $12,366 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 35 | $267,206 | $50,457 | $55,846 | 6.12 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 31 | $145,971 | $27,758 | $30,508 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 30 | $50,285 | $6,473 | $10,510 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 27 | $46,500 | $7,375 | $9,719 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 24 | $127,812 | $17,824 | $26,713 | 2.40 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $115,641 | $16,796 | $24,169 | 1.88 |
| Medical back problems with MCCMS-DRG 551, medical | 20 | $91,175 | $14,293 | $19,056 | 1.70 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $177,854 | $32,405 | $37,171 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 16 | $146,092 | $25,412 | $30,533 | 2.99 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $218,638 | $39,875 | $45,695 | 4.61 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $160,741 | $29,435 | $33,595 | 3.49 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $133,215 | $26,621 | $27,842 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $123,556 | $18,345 | $25,823 | 2.04 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 12 | $133,194 | $19,183 | $27,838 | 2.38 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $73,523 | $12,637 | $15,366 | 1.59 |
Digestive system426 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 71 | $49,894 | $8,417 | $10,428 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 52 | $44,898 | $6,409 | $9,384 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 48 | $81,331 | $16,301 | $16,998 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 46 | $41,133 | $6,486 | $8,597 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 38 | $130,855 | $20,199 | $27,349 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 22 | $87,993 | $15,040 | $18,390 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 22 | $49,114 | $8,109 | $10,265 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 21 | $114,750 | $13,817 | $23,983 | 1.67 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 21 | $29,196 | $3,648 | $6,102 | 0.56 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $63,240 | $11,671 | $13,217 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $294,983 | $33,677 | $61,652 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $67,686 | $12,576 | $14,146 | 1.45 |
| Digestive malignancy with MCCMS-DRG 374, medical | 14 | $80,662 | $16,517 | $16,858 | 2.10 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $61,412 | $9,427 | $12,835 | 1.04 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $101,390 | $14,335 | $21,190 | 1.75 |
Nervous system354 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 | 68 | $73,165 | $7,942 | $15,291 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 61 | $109,166 | $17,058 | $22,816 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 41 | $258,516 | $37,010 | $54,030 | 4.42 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 34 | $94,068 | $11,284 | $19,660 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 21 | $108,882 | $11,725 | $22,756 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $54,845 | $5,586 | $11,463 | 0.69 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 16 | $356,515 | $53,715 | $74,512 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $199,974 | $19,995 | $41,794 | 2.28 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 15 | $258,577 | $24,394 | $54,042 | 2.27 |
| Seizures with MCCMS-DRG 100, medical | 15 | $98,193 | $16,048 | $20,522 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $93,281 | $14,858 | $19,496 | 1.79 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 13 | $114,315 | $16,407 | $23,892 | 1.87 |
| Seizures without MCCMS-DRG 101, medical | 13 | $55,702 | $7,930 | $11,642 | 0.91 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 11 | $92,295 | $17,152 | $19,290 | 2.39 |
Kidney and urinary tract348 discharges in 7 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 | 92 | $71,552 | $13,476 | $14,954 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 63 | $75,587 | $12,710 | $15,798 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 59 | $46,602 | $6,599 | $9,740 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $49,673 | $9,539 | $10,382 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 44 | $47,718 | $7,699 | $9,973 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 27 | $55,846 | $9,129 | $11,672 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $180,227 | $32,355 | $37,667 | 3.70 |
Endocrine, nutritional and metabolic104 discharges in 4 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 | 49 | $62,188 | $11,674 | $12,997 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $49,086 | $6,257 | $10,259 | 0.78 |
| Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders witMS-DRG 623, surgical | 12 | $102,095 | $16,355 | $21,338 | 1.86 |
| Diabetes with CCMS-DRG 638, medical | 11 | $67,236 | $7,487 | $14,052 | 0.90 |
Skin, subcutaneous tissue and breast75 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 49 | $38,262 | $6,894 | $7,997 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $56,982 | $12,257 | $11,909 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $64,426 | $7,776 | $13,465 | 0.91 |
Liver, gallbladder and pancreas63 discharges in 5 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 | 13 | $116,384 | $13,636 | $24,324 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 13 | $88,307 | $17,689 | $18,456 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $74,203 | $15,246 | $15,508 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $60,424 | $8,577 | $12,629 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $87,162 | $13,540 | $18,217 | 1.63 |
Blood and immune system57 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 19 | $127,203 | $15,727 | $26,585 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $54,985 | $8,084 | $11,492 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $57,496 | $12,865 | $12,017 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 11 | $88,390 | $20,624 | $18,473 | 2.19 |
Injuries, poisonings and toxic effects of drugs27 discharges in 2 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 | 15 | $86,998 | $15,571 | $18,183 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $95,644 | $16,080 | $19,989 | 1.82 |
Other27 discharges in 2 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 | 14 | $233,329 | $34,289 | $48,766 | 4.74 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 13 | $314,265 | $63,122 | $65,681 |
Alcohol and drug use12 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 | 12 | $49,423 | $7,896 | $10,329 | 0.86 |
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 | $28,057 | $5,336 | $5,864 | 0.59 |
Multiple significant trauma12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 12 | $187,010 | $30,187 | $39,085 | 3.88 |
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 | 868 | 829 | $28,208 | $2,681 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 431 | 399 | $6,815 | $1,879 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 365 | 345 | $95,295 | $14,513 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 325 | 284 | $9,819 | $1,572 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 316 | 303 | $130,691 | $27,393 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 150 | 150 | $62,688 | $5,652 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 120 | 119 | $22,237 | $2,851 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 96 | 96 | $40,603 | $11,474 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 87 | 85 | $68,974 | $7,160 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 85 | 82 | $21,964 | $3,122 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 83 | 82 | $120,758 | $21,211 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 79 | 74 | $64,324 | $11,867 | $8,874 |
| Level 3 Lower GI ProceduresAPC 5313 | 73 | 73 | $8,631 | $2,882 | $2,176 |
| Level 5 Urology and Related ServicesAPC 5375 | 73 | 71 | $41,301 | $5,069 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 68 | 65 | $29,975 | $3,415 | $2,629 |
| Level 3 Airway EndoscopyAPC 5153 | 61 | 57 | $9,798 | $1,662 | $1,264 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 54 | 54 | $24,749 | $1,563 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 51 | 47 | $11,837 | $1,565 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 46 | 44 | $84,589 | $10,995 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 44 | 44 | $29,288 | $3,389 | $2,636 |
| Level 5 Airway EndoscopyAPC 5155 | 41 | 38 | $43,793 | $6,781 | $5,183 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 35 | $51,676 | $5,238 | $3,946 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 33 | $37,060 | $3,171 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 31 | 30 | $23,130 | $2,783 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 24 | 24 | $45,470 | $3,734 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $73,286 | $6,388 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 23 | 23 | $98,920 | $38,673 | $29,375 |
| Level 4 Airway EndoscopyAPC 5154 | 20 | 20 | $23,956 | $3,660 | $2,833 |
| Level 4 Endovascular ProceduresAPC 5194 | 20 | 19 | $100,713 | $19,859 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 20 | 20 | $94,546 | $22,259 | $17,052 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 16 | $13,880 | $1,995 | $1,516 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 15 | 15 | $52,291 | $7,545 | $5,682 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $35,653 | $5,599 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $38,017 | $8,785 | $6,514 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $45,238 | $5,736 | $4,436 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $38,662 | $4,872 | $3,792 |
| Level 7 Radiation TherapyAPC 5627 | 11 | $32,039 | $7,936 | $6,121 |
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.