Mount Sinai South Nassau Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mount Sinai South Nassau, Oceanside, NY in 2024, from traditional Medicare claims. Back to the Mount Sinai South Nassau profile, with quality ratings, finances and negotiated rates.
5,144
Medicare inpatient discharges
In 112 published DRGs
1.91
Case mix index
IPPS FY 2027
15%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
4,003
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases1,537 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 | 1,110 | $149,635 | $17,610 | $18,854 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 167 | $89,346 | $8,564 | $11,258 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 141 | $335,959 | $44,190 | $42,331 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 75 | $405,937 | $60,864 | $51,148 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $144,090 | $17,471 | $18,155 | 2.04 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $283,930 | $36,457 | $35,775 | 4.43 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $115,831 | $16,683 | $14,595 | 1.84 |
Circulatory system738 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 253 | $107,526 | $10,983 | $13,548 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 51 | $173,142 | $15,806 | $21,816 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 49 | $116,047 | $13,286 | $14,622 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $59,873 | $5,870 | $7,544 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 42 | $163,998 | $19,672 | $20,664 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 41 | $90,171 | $10,555 | $11,362 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 39 | $90,682 | $6,802 | $11,426 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 36 | $83,489 | $9,007 | $10,520 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 30 | $143,349 | $18,617 | $18,062 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 30 | $240,014 | $21,808 | $30,242 | 2.87 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 19 | $96,844 | $8,761 | $12,202 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $226,321 | $31,879 | $28,516 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $81,306 | $7,256 | $10,245 | 0.91 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $77,217 | $8,868 | $9,729 | 0.97 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $84,229 | $13,114 | $10,613 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $78,354 | $5,899 | $9,873 | 0.75 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $268,989 | $40,628 | $33,893 | 5.06 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $52,712 | $3,726 | $6,642 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $304,978 | $30,716 | $38,427 | 3.46 |
Respiratory system636 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 177 | $122,690 | $14,623 | $15,459 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 136 | $111,030 | $11,380 | $13,990 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 65 | $115,118 | $11,033 | $14,505 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 42 | $74,750 | $9,160 | $9,419 | 1.10 |
| Major chest trauma with CCMS-DRG 184, medical | 37 | $82,806 | $7,641 | $10,434 | 1.05 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 28 | $184,301 | $25,291 | $23,222 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $73,748 | $6,733 | $9,292 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 24 | $88,602 | $7,334 | $11,164 | 0.99 |
| Major chest trauma with MCCMS-DRG 183, medical | 20 | $106,771 | $12,719 | $13,453 | 1.57 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $92,774 | $11,581 | $11,690 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 16 | $138,775 | $16,347 | $17,486 | 1.74 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 16 | $377,771 | $57,219 | $47,599 | 6.91 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $126,562 | $21,299 | $15,947 | 2.55 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $117,638 | $17,256 | $14,822 | 1.90 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 11 | $130,060 | $12,295 | $16,388 | 1.81 |
Digestive system548 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 101 | $144,124 | $16,145 | $18,160 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 68 | $93,207 | $8,304 | $11,744 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 65 | $72,816 | $6,120 | $9,175 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 46 | $130,290 | $20,114 | $16,417 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 40 | $135,850 | $14,414 | $17,117 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 31 | $101,982 | $11,380 | $12,850 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 30 | $69,446 | $7,960 | $8,750 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 28 | $77,229 | $6,213 | $9,731 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $251,083 | $35,581 | $31,636 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 25 | $116,536 | $13,155 | $14,684 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 22 | $83,455 | $8,717 | $10,515 | 1.04 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 19 | $106,915 | $15,864 | $13,471 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 17 | $169,510 | $19,029 | $21,358 | 2.10 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 16 | $82,590 | $13,834 | $10,406 | 1.67 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $56,077 | $4,225 | $7,066 | 0.56 |
Kidney and urinary tract492 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 105 | $97,162 | $10,030 | $12,242 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 95 | $128,774 | $13,091 | $16,226 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 85 | $77,923 | $7,323 | $9,818 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 79 | $118,708 | $14,614 | $14,957 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 63 | $86,327 | $6,678 | $10,877 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $85,459 | $8,628 | $10,768 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $142,566 | $23,145 | $17,963 | 2.59 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $117,648 | $11,743 | $14,824 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $81,263 | $8,856 | $10,239 | 1.05 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $170,804 | $32,435 | $21,521 | 3.70 |
Nervous system401 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 83 | $160,586 | $16,868 | $20,234 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 72 | $122,692 | $8,148 | $15,459 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 33 | $100,808 | $16,794 | $12,702 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 31 | $70,700 | $7,658 | $8,908 | 0.91 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 25 | $113,496 | $10,940 | $14,301 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 22 | $151,646 | $14,222 | $19,107 | 1.79 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 21 | $307,675 | $41,023 | $38,767 | 4.42 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 17 | $142,734 | $19,085 | $17,984 | 2.28 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $100,292 | $9,106 | $12,637 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $99,491 | $5,269 | $12,536 | 0.69 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $79,303 | $9,751 | $9,992 | 1.14 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 14 | $108,112 | $17,670 | $13,622 | 2.27 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $126,997 | $11,526 | $16,002 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $107,550 | $6,648 | $13,551 | 0.80 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $97,670 | $11,232 | $12,306 | 1.32 |
Musculoskeletal system and connective tissue321 discharges in 11 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 | 83 | $129,145 | $18,209 | $16,272 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 38 | $87,137 | $7,631 | $10,979 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $118,073 | $18,999 | $14,877 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 35 | $182,306 | $26,388 | $22,971 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 26 | $72,824 | $7,024 | $9,176 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 21 | $196,713 | $16,049 | $24,786 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 20 | $183,375 | $25,528 | $23,105 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 19 | $58,584 | $5,289 | $7,382 | 0.79 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 18 | $193,649 | $34,065 | $24,400 | 3.66 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 14 | $180,204 | $24,180 | $22,706 | 3.00 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $96,147 | $8,146 | $12,115 | 1.00 |
Endocrine, nutritional and metabolic135 discharges in 5 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 | 59 | $83,424 | $11,547 | $10,511 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 24 | $67,923 | $7,221 | $8,558 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $90,896 | $12,975 | $11,453 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $62,232 | $6,296 | $7,841 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 14 | $132,095 | $14,758 | $16,644 | 1.65 |
Skin, subcutaneous tissue and breast98 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 67 | $66,281 | $7,385 | $8,351 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 31 | $113,786 | $12,971 | $14,337 | 1.49 |
Blood and immune system89 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 | 35 | $109,890 | $12,610 | $13,846 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 34 | $89,335 | $14,407 | $11,256 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 20 | $69,302 | $8,127 | $8,732 | 0.90 |
Liver, gallbladder and pancreas71 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $93,280 | $8,921 | $11,753 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $142,232 | $14,661 | $17,921 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $121,996 | $14,919 | $15,371 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $162,399 | $21,319 | $20,462 | 2.32 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $147,264 | $16,205 | $18,555 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 11 | $180,325 | $14,894 | $22,721 | 1.83 |
Transplants, ECMO and tracheostomy (pre-MDC)30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 30 | $953,241 | $128,236 | $120,108 | 14.70 |
Other21 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 | 21 | $277,652 | $40,808 | $34,984 | 4.74 |
Injuries, poisonings and toxic effects of drugs15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 15 | $60,026 | $8,904 | $7,563 | 1.03 |
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 | $72,161 | $7,234 | $9,092 | 0.86 |
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 | 1,130 | 1,039 | $66,163 | $2,447 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 229 | 201 | $16,478 | $1,454 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 221 | 197 | $117,895 | $10,743 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 215 | 214 | $40,502 | $2,601 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 178 | 157 | $26,593 | $1,690 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 175 | 167 | $60,856 | $13,018 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 153 | 147 | $32,210 | $4,622 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 147 | 132 | $29,184 | $3,129 | $2,629 |
| Level 1 Intraocular ProceduresAPC 5491 | 113 | 90 | $20,322 | $2,089 | $1,752 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 95 | 94 | $42,820 | $6,429 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 89 | 89 | $45,017 | $5,088 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 84 | 82 | $27,104 | $2,551 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 75 | 74 | $41,929 | $2,862 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 73 | 62 | $22,261 | $1,829 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 70 | 66 | $27,531 | $1,417 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 68 | 66 | $22,830 | $2,807 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 63 | 60 | $166,810 | $17,503 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 62 | 61 | $34,562 | $3,422 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 57 | 57 | $57,950 | $9,952 | $8,164 |
| Level 3 Lower GI ProceduresAPC 5313 | 52 | 49 | $23,796 | $2,538 | $2,176 |
| Level 6 Urology and Related ServicesAPC 5376 | 49 | 49 | $51,148 | $8,739 | $7,291 |
| Level 6 Gynecologic ProceduresAPC 5416 | 48 | 47 | $35,688 | $6,876 | $5,836 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 46 | 45 | $27,294 | $2,906 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 45 | 45 | $95,702 | $10,148 | $8,569 |
| Level 3 Upper GI ProceduresAPC 5303 | 44 | 43 | $32,859 | $3,438 | $2,888 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 42 | 40 | $29,751 | $3,100 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 40 | 40 | $45,629 | $5,854 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 39 | 35 | $58,605 | $5,000 | $4,338 |
| Level 5 Gynecologic ProceduresAPC 5415 | 37 | 37 | $29,645 | $4,465 | $3,792 |
| Level 4 Airway EndoscopyAPC 5154 | 34 | 34 | $34,624 | $3,362 | $2,833 |
| Level 7 Radiation TherapyAPC 5627 | 32 | 31 | $187,013 | $7,140 | $6,121 |
| Complex GI ProceduresAPC 5331 | 29 | 24 | $50,998 | $5,117 | $4,263 |
| Level 4 Vascular ProceduresAPC 5184 | 22 | 20 | $44,802 | $4,934 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 20 | $24,927 | $1,438 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 18 | 18 | $98,265 | $19,314 | $15,763 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 18 | 17 | $312,525 | $35,301 | $29,375 |
| Level 2 Urology and Related ServicesAPC 5372 | 17 | $12,503 | $613 | $502 | |
| Level 5 ENT ProceduresAPC 5165 | 16 | 16 | $40,444 | $5,252 | $4,436 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $25,007 | $2,650 | $2,217 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $88,464 | $7,935 | $6,514 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 12 | 12 | $159,070 | $33,247 | $26,719 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 11 | 11 | $113,288 | $25,053 | $21,117 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | $88,131 | $22,949 | $18,465 |
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.