North Kansas City Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Kansas City Hospital, North Kansas City, MO in 2024, from traditional Medicare claims. Back to the North Kansas City Hospital profile, with quality ratings, finances and negotiated rates.
4,111
Medicare inpatient discharges
In 115 published DRGs
1.89
Case mix index
IPPS FY 2027
26%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
4,288
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Circulatory system914 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 260 | $52,834 | $8,295 | $11,624 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 69 | $99,926 | $20,472 | $21,984 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 61 | $33,834 | $4,733 | $7,443 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 51 | $141,102 | $30,721 | $31,043 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $117,820 | $11,038 | $25,920 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 44 | $37,418 | $5,303 | $8,232 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $48,320 | $7,888 | $10,630 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 29 | $100,232 | $22,495 | $22,051 | 3.35 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $59,162 | $9,198 | $13,016 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 27 | $35,941 | $4,410 | $7,907 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 27 | $138,476 | $17,608 | $30,465 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $54,344 | $5,924 | $11,956 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 23 | $43,258 | $6,879 | $9,517 | 1.07 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $93,343 | $13,591 | $20,535 | 2.09 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $83,810 | $15,836 | $18,438 | 2.55 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 18 | $42,662 | $6,071 | $9,386 | 0.97 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $27,430 | $3,644 | $6,035 | 0.55 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $150,824 | $26,601 | $33,181 | 4.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $56,538 | $6,525 | $12,438 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $87,776 | $14,438 | $19,311 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $184,055 | $37,638 | $40,492 | 5.06 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $31,562 | $5,678 | $6,944 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $69,330 | $12,881 | $15,252 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 11 | $263,388 | $40,994 | $57,945 | 7.80 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $58,700 | $4,303 | $12,914 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $62,441 | $9,325 | $13,737 | 1.58 |
Respiratory system664 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 202 | $68,014 | $10,493 | $14,963 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 156 | $50,893 | $8,246 | $11,197 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 77 | $52,884 | $6,901 | $11,634 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 47 | $35,068 | $4,924 | $7,715 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 43 | $41,676 | $5,871 | $9,169 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $111,881 | $17,888 | $24,614 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 23 | $50,541 | $8,615 | $11,119 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 20 | $35,484 | $5,990 | $7,806 | 0.96 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 18 | $69,607 | $11,707 | $15,314 | 1.74 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $53,588 | $7,915 | $11,789 | 1.23 |
| Major chest trauma with MCCMS-DRG 183, medical | 13 | $58,177 | $10,005 | $12,799 | 1.57 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $42,571 | $5,675 | $9,366 | 0.85 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 11 | $64,781 | $11,662 | $14,252 | 1.81 |
Musculoskeletal system and connective tissue633 discharges in 20 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 | 106 | $62,831 | $11,898 | $13,823 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 71 | $71,379 | $12,537 | $15,703 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 69 | $33,343 | $5,630 | $7,335 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 46 | $115,565 | $20,018 | $25,424 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 41 | $65,172 | $12,859 | $14,338 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 40 | $170,994 | $37,279 | $37,619 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 30 | $134,647 | $27,559 | $29,622 | 4.61 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 26 | $30,341 | $5,047 | $6,675 | 0.90 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 25 | $84,266 | $18,940 | $18,538 | 2.96 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 25 | $103,789 | $16,409 | $22,834 | 2.48 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 24 | $96,345 | $17,103 | $21,196 | 2.67 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $106,417 | $17,934 | $23,412 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 18 | $32,953 | $5,768 | $7,250 | 1.09 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 15 | $40,911 | $12,406 | $9,000 | 1.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 14 | $134,696 | $23,476 | $29,633 | 3.66 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 14 | $89,672 | $18,378 | $19,728 | 3.33 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $81,418 | $14,124 | $17,912 | 2.40 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $23,190 | $4,240 | $5,102 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 12 | $84,393 | $17,305 | $18,567 | 2.99 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $37,540 | $10,027 | $8,259 | 1.70 |
Digestive system445 discharges in 13 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 | 99 | $35,077 | $5,004 | $7,717 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 72 | $48,374 | $6,107 | $10,642 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 50 | $33,903 | $4,649 | $7,459 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $66,320 | $11,425 | $14,590 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 29 | $65,053 | $9,140 | $14,312 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 28 | $162,164 | $29,765 | $35,676 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 25 | $39,126 | $6,236 | $8,608 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $47,192 | $10,553 | $10,382 | 1.67 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $85,273 | $14,188 | $18,760 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 17 | $58,633 | $9,885 | $12,899 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $58,681 | $11,330 | $12,910 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $62,354 | $9,267 | $13,718 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $25,217 | $2,974 | $5,548 | 0.56 |
Infectious and parasitic diseases405 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 | 320 | $77,985 | $12,519 | $17,157 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $168,093 | $32,104 | $36,981 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $43,127 | $6,374 | $9,488 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $270,528 | $47,250 | $59,516 | 6.96 |
Kidney and urinary tract383 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 95 | $31,375 | $5,009 | $6,903 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 91 | $44,700 | $7,222 | $9,834 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 49 | $57,652 | $10,275 | $12,683 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 39 | $38,820 | $5,840 | $8,540 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $62,502 | $8,897 | $13,750 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 34 | $52,861 | $8,257 | $11,629 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 26 | $40,199 | $6,226 | $8,844 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $77,523 | $15,726 | $17,055 | 2.59 |
Nervous system226 discharges in 10 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 | 51 | $44,762 | $5,965 | $9,848 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 45 | $73,529 | $11,106 | $16,176 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 24 | $99,756 | $16,057 | $21,946 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 20 | $45,046 | $6,118 | $9,910 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 19 | $34,546 | $4,169 | $7,600 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 18 | $103,760 | $12,025 | $22,827 | 1.36 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 13 | $47,448 | $6,615 | $10,438 | 1.14 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $140,206 | $22,867 | $30,845 | 2.39 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 12 | $39,380 | $6,762 | $8,664 | 1.03 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $55,409 | $9,964 | $12,190 | 1.60 |
Endocrine, nutritional and metabolic131 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 | 34 | $27,254 | $4,819 | $5,996 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 27 | $37,625 | $5,536 | $8,278 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 27 | $51,446 | $8,326 | $11,318 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $46,752 | $8,976 | $10,285 | 1.45 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 14 | $29,024 | $8,658 | $6,385 | 1.52 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $61,956 | $11,491 | $13,630 | 1.98 |
Skin, subcutaneous tissue and breast118 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 72 | $35,706 | $5,314 | $7,855 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 31 | $53,560 | $8,448 | $11,783 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 15 | $33,164 | $5,605 | $7,296 | 0.91 |
Blood and immune system46 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 | 16 | $32,818 | $5,704 | $7,220 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 16 | $59,367 | $10,329 | $13,061 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $54,047 | $8,989 | $11,890 | 1.40 |
Mental diseases and disorders34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 20 | $72,557 | $13,939 | $15,963 | 1.76 |
| PsychosesMS-DRG 885, medical | 14 | $44,029 | $8,648 | $9,686 | 1.37 |
Liver, gallbladder and pancreas24 discharges in 1 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 | 24 | $53,537 | $10,141 | $11,778 | 1.63 |
Other20 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 | 20 | $168,335 | $31,866 | $37,034 | 4.74 |
Male reproductive system16 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 | 16 | $45,263 | $9,115 | $9,958 | 1.45 |
Injuries, poisonings and toxic effects of drugs14 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 | 14 | $83,144 | $10,689 | $18,292 | 1.60 |
Factors influencing health status14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 14 | $36,583 | $5,252 | $8,048 | 0.80 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $41,705 | $4,459 | $9,175 | 0.74 |
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 with MCCMS-DRG 896, medical | 12 | $68,930 | $11,895 | $15,165 | 1.78 |
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 | 1,075 | 998 | $21,124 | $1,869 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 556 | 528 | $52,360 | $9,758 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 275 | 240 | $11,839 | $1,329 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 273 | 269 | $34,382 | $4,891 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 168 | 164 | $32,535 | $1,997 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 161 | 153 | $9,936 | $1,114 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 150 | 148 | $24,074 | $3,906 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 140 | 132 | $18,613 | $2,218 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 127 | 127 | $73,381 | $14,494 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 125 | 119 | $24,976 | $3,545 | $3,918 |
| Level 6 Urology and Related ServicesAPC 5376 | 118 | 117 | $34,554 | $6,223 | $7,291 |
| Level 3 Urology and Related ServicesAPC 5373 | 105 | 74 | $14,852 | $1,399 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 97 | 82 | $20,081 | $2,396 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 78 | 63 | $8,613 | $1,309 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 74 | 72 | $16,312 | $1,956 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 69 | 66 | $83,630 | $7,969 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 59 | 59 | $132,134 | $18,412 | $21,117 |
| Level 2 Vascular ProceduresAPC 5182 | 58 | 56 | $10,304 | $1,098 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 53 | 52 | $19,311 | $2,164 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 50 | 39 | $30,514 | $3,824 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $55,420 | $7,688 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 46 | 46 | $20,120 | $2,406 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 43 | 43 | $40,907 | $7,012 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 42 | 36 | $40,340 | $3,977 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 34 | $88,936 | $13,273 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 35 | 35 | $14,172 | $1,084 | $1,196 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 30 | 29 | $26,191 | $4,600 | $4,524 |
| Level 5 Gynecologic ProceduresAPC 5415 | 28 | 28 | $27,260 | $3,461 | $3,792 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 22 | $19,848 | $2,493 | $2,930 |
| Level 3 Airway EndoscopyAPC 5153 | 25 | 24 | $11,782 | $1,178 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 24 | 24 | $19,963 | $2,606 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 20 | $17,027 | $2,175 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 18 | 18 | $35,617 | $5,906 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $125,625 | $27,015 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $32,742 | $4,537 | $4,982 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $84,128 | $15,348 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $89,761 | $23,594 | $26,719 |
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.