Mississippi Baptist Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mississippi Baptist Medical Center, Jackson, MS in 2024, from traditional Medicare claims. Back to the Mississippi Baptist Medical Center profile, with quality ratings, finances and negotiated rates.
5,317
Medicare inpatient discharges
In 145 published DRGs
1.99
Case mix index
IPPS FY 2027
29%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
4,016
Medicare outpatient services
In 41 service groups
Inpatient stays by major diagnostic category
Circulatory system1,067 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 317 | $45,787 | $7,259 | $10,622 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 61 | $28,158 | $4,263 | $6,533 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 60 | $25,124 | $3,748 | $5,829 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 56 | $101,671 | $18,543 | $23,588 | 3.24 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 48 | $109,522 | $21,303 | $25,409 | 3.35 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 42 | $60,760 | $11,143 | $14,096 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $41,167 | $6,438 | $9,551 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 39 | $93,983 | $8,624 | $21,804 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 32 | $134,621 | $28,868 | $31,232 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 31 | $65,396 | $7,783 | $15,172 | 1.59 |
| Chest painMS-DRG 313, medical | 29 | $26,671 | $3,276 | $6,188 | 0.72 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $18,330 | $2,082 | $4,252 | 0.55 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 26 | $68,904 | $18,738 | $15,986 | 3.27 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 25 | $106,726 | $18,949 | $24,760 | 4.04 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $128,872 | $17,452 | $29,898 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $71,021 | $11,052 | $16,477 | 2.16 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $65,471 | $12,920 | $15,189 | 2.55 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 17 | $69,180 | $15,318 | $16,050 | 2.81 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $24,401 | $3,598 | $5,661 | 0.75 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 15 | $232,328 | $42,095 | $53,900 | 7.80 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 15 | $122,829 | $24,827 | $28,496 | 4.81 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $79,606 | $13,137 | $18,469 | 2.28 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 13 | $93,036 | $24,245 | $21,584 | 4.16 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $154,776 | $27,905 | $35,908 | 5.20 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $120,732 | $22,319 | $28,010 | 3.46 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 12 | $163,247 | $23,729 | $37,873 | 3.90 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $60,827 | $5,229 | $14,112 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 11 | $117,484 | $30,907 | $27,256 | 5.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $35,670 | $4,054 | $8,275 | 0.91 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $27,377 | $5,115 | $6,351 | 1.15 |
Infectious and parasitic diseases772 discharges in 7 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 | 478 | $77,589 | $11,263 | $18,001 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 158 | $156,921 | $30,828 | $36,406 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 62 | $39,054 | $4,934 | $9,061 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 27 | $243,739 | $41,734 | $56,547 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 20 | $72,142 | $11,742 | $16,737 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 16 | $91,898 | $13,244 | $21,320 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $79,865 | $25,179 | $18,529 | 4.43 |
Respiratory system767 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 179 | $65,631 | $9,264 | $15,226 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 116 | $46,102 | $6,968 | $10,696 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 96 | $49,922 | $6,759 | $11,582 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 59 | $44,371 | $5,661 | $10,294 | 1.10 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 34 | $112,056 | $25,030 | $25,997 | 4.06 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 31 | $33,474 | $5,235 | $7,766 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $98,407 | $15,276 | $22,830 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 28 | $72,061 | $7,700 | $16,718 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 26 | $158,018 | $26,678 | $36,660 | 4.71 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 24 | $28,218 | $4,097 | $6,546 | 0.82 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $33,096 | $4,119 | $7,678 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 17 | $82,632 | $14,361 | $19,171 | 2.55 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 15 | $56,608 | $10,107 | $13,133 | 1.81 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 14 | $65,423 | $9,310 | $15,178 | 1.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $53,633 | $9,425 | $12,443 | 1.74 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $228,507 | $39,630 | $53,014 | 6.91 |
| Pleural effusion with MCCMS-DRG 186, medical | 12 | $47,813 | $9,242 | $11,093 | 1.55 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $33,981 | $4,342 | $7,884 | 0.85 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 12 | $41,124 | $9,758 | $9,541 | 1.90 |
| Pneumothorax with CCMS-DRG 200, medical | 11 | $28,961 | $4,581 | $6,719 | 1.08 |
Digestive system673 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 108 | $35,696 | $5,172 | $8,281 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 75 | $31,779 | $3,822 | $7,373 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 71 | $56,699 | $9,695 | $13,154 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 70 | $71,719 | $12,962 | $16,639 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 45 | $31,101 | $3,639 | $7,215 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 43 | $130,667 | $24,810 | $30,315 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 34 | $46,036 | $8,624 | $10,680 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 33 | $32,381 | $4,849 | $7,512 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $46,276 | $6,844 | $10,736 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 27 | $51,693 | $9,556 | $11,993 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 25 | $36,664 | $5,544 | $8,506 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 24 | $20,761 | $2,419 | $4,817 | 0.56 |
| Other digestive system o.r. procedures with CCMS-DRG 357, surgical | 15 | $62,599 | $12,687 | $14,523 | 2.20 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 14 | $62,921 | $11,317 | $14,598 | 2.11 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $60,349 | $7,464 | $14,001 | 1.45 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 12 | $200,410 | $30,932 | $46,495 | 5.08 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $67,418 | $6,956 | $15,641 | 1.75 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 11 | $44,455 | $8,542 | $10,313 | 1.60 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 11 | $36,329 | $5,569 | $8,428 | 1.07 |
Kidney and urinary tract598 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 118 | $38,858 | $6,603 | $9,015 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 105 | $54,408 | $8,075 | $12,623 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 89 | $28,904 | $4,722 | $6,706 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 75 | $23,139 | $3,979 | $5,368 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 67 | $62,294 | $9,584 | $14,452 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 43 | $30,820 | $4,986 | $7,150 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 26 | $85,770 | $21,251 | $19,899 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $45,279 | $6,283 | $10,505 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 16 | $92,492 | $15,058 | $21,458 | 2.59 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 15 | $42,255 | $6,946 | $9,803 | 1.48 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 14 | $75,161 | $11,702 | $17,437 | 2.38 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 13 | $39,212 | $4,765 | $9,097 | 1.05 |
Nervous system462 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 | $40,895 | $5,155 | $9,488 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 63 | $78,591 | $11,203 | $18,233 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 39 | $34,140 | $5,603 | $7,921 | 1.14 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 35 | $59,019 | $10,732 | $13,692 | 1.79 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 33 | $29,822 | $7,182 | $6,919 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 28 | $34,985 | $3,345 | $8,117 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 23 | $31,274 | $2,888 | $7,256 | 0.69 |
| Extracranial procedures with CCMS-DRG 038, surgical | 21 | $43,835 | $8,623 | $10,170 | 1.60 |
| Seizures with MCCMS-DRG 100, medical | 21 | $46,629 | $11,383 | $10,818 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 17 | $124,786 | $26,216 | $28,950 | 4.42 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 17 | $140,187 | $23,276 | $32,523 | 3.85 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 17 | $32,868 | $5,470 | $7,625 | 1.03 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $31,842 | $5,279 | $7,387 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $35,403 | $5,245 | $8,214 | 1.06 |
| Seizures without MCCMS-DRG 101, medical | 16 | $31,427 | $4,595 | $7,291 | 0.91 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $50,758 | $8,992 | $11,776 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $72,403 | $13,990 | $16,797 | 2.39 |
Musculoskeletal system and connective tissue309 discharges in 10 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 | 68 | $65,063 | $10,069 | $15,095 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 63 | $56,532 | $11,609 | $13,115 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 55 | $60,950 | $11,237 | $14,140 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 30 | $33,029 | $4,759 | $7,663 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 23 | $86,475 | $17,681 | $20,062 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 19 | $100,059 | $17,502 | $23,214 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $48,331 | $8,488 | $11,213 | 1.59 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 13 | $78,328 | $16,743 | $18,172 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $18,555 | $3,628 | $4,305 | 0.79 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 12 | $77,205 | $16,568 | $17,912 | 3.00 |
Endocrine, nutritional and metabolic247 discharges in 7 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 | 109 | $45,712 | $7,725 | $10,605 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 50 | $27,762 | $3,927 | $6,441 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $26,843 | $4,507 | $6,228 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $60,464 | $8,120 | $14,028 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 19 | $58,467 | $9,294 | $13,564 | 1.65 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 17 | $78,283 | $9,799 | $18,162 | 1.98 |
| Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders witMS-DRG 623, surgical | 13 | $60,798 | $10,319 | $14,105 | 1.86 |
Liver, gallbladder and pancreas123 discharges in 7 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 | 26 | $64,506 | $9,068 | $14,965 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 25 | $64,504 | $10,248 | $14,965 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 21 | $33,024 | $5,023 | $7,662 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 15 | $87,908 | $13,908 | $20,395 | 2.32 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $54,012 | $9,406 | $12,531 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $49,364 | $5,650 | $11,452 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $46,473 | $7,396 | $10,782 | 1.63 |
Skin, subcutaneous tissue and breast86 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 39 | $28,052 | $4,123 | $6,508 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $41,051 | $8,280 | $9,524 | 1.49 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 15 | $62,001 | $7,972 | $14,384 | 1.75 |
| Other skin, subcutaneous tissue and breast procedures with MCCMS-DRG 579, surgical | 13 | $84,153 | $18,483 | $19,524 | 3.34 |
Other63 discharges in 3 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 | 35 | $119,174 | $23,936 | $27,648 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 16 | $90,810 | $13,563 | $21,068 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 12 | $125,773 | $20,597 | $29,179 | 3.38 |
Injuries, poisonings and toxic effects of drugs54 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 15 | $119,768 | $24,361 | $27,786 | 3.72 |
| Complications of treatment with MCCMS-DRG 919, medical | 14 | $47,727 | $10,128 | $11,073 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $67,390 | $8,804 | $15,634 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $31,344 | $5,880 | $7,272 | 1.03 |
Blood and immune system53 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 | 26 | $29,195 | $4,898 | $6,773 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 15 | $54,377 | $9,037 | $12,615 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $45,670 | $7,155 | $10,595 | 1.40 |
Mental diseases and disorders32 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 | 32 | $37,078 | $9,234 | $8,602 | 1.76 |
Male reproductive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transurethral prostatectomy with cc/mccMS-DRG 713, surgical | 11 | $45,877 | $7,934 | $10,644 | 1.45 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 392 | 382 | $10,908 | $1,065 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 280 | 278 | $26,494 | $3,786 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 249 | 220 | $27,121 | $2,283 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 222 | 207 | $146,968 | $17,748 | $21,117 |
| Comprehensive Observation ServicesAPC 8011 | 212 | 210 | $20,833 | $1,791 | $2,090 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 205 | 203 | $36,618 | $6,784 | $8,164 |
| Level 3 Vascular ProceduresAPC 5183 | 199 | 187 | $19,630 | $2,093 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 192 | 192 | $29,659 | $1,935 | $2,208 |
| Level 3 Airway EndoscopyAPC 5153 | 170 | 155 | $11,760 | $1,122 | $1,264 |
| Level 4 Vascular ProceduresAPC 5184 | 162 | 135 | $27,056 | $3,595 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 139 | 136 | $59,624 | $7,378 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 127 | 123 | $22,309 | $3,395 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 126 | 121 | $13,050 | $1,827 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 121 | 117 | $9,864 | $1,065 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 121 | 113 | $37,682 | $3,750 | $4,338 |
| Level 4 Airway EndoscopyAPC 5154 | 113 | 107 | $15,832 | $2,497 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 69 | 67 | $21,409 | $2,261 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 62 | 53 | $14,669 | $1,334 | $1,516 |
| Level 5 Airway EndoscopyAPC 5155 | 60 | 60 | $21,703 | $4,565 | $5,183 |
| Level 5 ENT ProceduresAPC 5165 | 60 | 60 | $26,027 | $3,903 | $4,436 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 57 | 53 | $23,830 | $2,121 | $2,373 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 54 | 54 | $35,015 | $4,349 | $4,982 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 54 | 53 | $51,080 | $9,374 | $10,772 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 49 | 49 | $36,025 | $7,295 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 49 | 46 | $9,838 | $1,277 | $1,445 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 48 | 48 | $34,710 | $5,666 | $6,514 |
| Level 4 Endovascular ProceduresAPC 5194 | 44 | 38 | $70,432 | $12,427 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 44 | 43 | $20,413 | $2,082 | $2,389 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 39 | 38 | $129,610 | $25,167 | $29,375 |
| Level 3 Lower GI ProceduresAPC 5313 | 39 | 37 | $16,942 | $1,794 | $2,176 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 36 | 36 | $76,827 | $24,290 | $26,719 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 35 | 35 | $22,997 | $2,541 | $2,930 |
| Level 8 Urology and Related ServicesAPC 5378 | 27 | 26 | $54,418 | $15,208 | $17,428 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 24 | 22 | $35,408 | $4,573 | $5,339 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $56,471 | $16,639 | $18,465 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $13,389 | $1,023 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $22,589 | $3,156 | $3,792 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 20 | 19 | $29,465 | $4,981 | $5,682 |
| Level 4 ENT ProceduresAPC 5164 | 18 | 18 | $19,957 | $2,147 | $2,217 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $67,204 | $13,781 | $17,052 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 14 | $40,735 | $6,142 | $7,291 |
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.