Northside Hospital Forsyth Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northside Hospital Forsyth, Cumming, GA in 2024, from traditional Medicare claims. Back to the Northside Hospital Forsyth profile, with quality ratings, finances and negotiated rates.
3,736
Medicare inpatient discharges
In 115 published DRGs
1.77
Case mix index
IPPS FY 2027
20%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
4,569
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Circulatory system715 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 | 202 | $65,921 | $8,625 | $13,580 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 58 | $51,125 | $4,826 | $10,532 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 49 | $114,575 | $11,464 | $23,602 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 45 | $49,171 | $5,370 | $10,129 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 43 | $117,638 | $14,905 | $24,233 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $75,196 | $8,828 | $15,490 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 32 | $105,452 | $9,408 | $21,723 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 27 | $48,004 | $4,813 | $9,889 | 0.75 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 26 | $158,771 | $13,866 | $32,707 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $35,435 | $3,279 | $7,300 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $216,550 | $25,512 | $44,609 | 3.35 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $63,422 | $7,263 | $13,065 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $180,888 | $18,771 | $37,263 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $147,269 | $12,008 | $30,337 | 1.82 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $206,278 | $23,488 | $42,493 | 3.46 |
| Chest painMS-DRG 313, medical | 15 | $55,602 | $5,049 | $11,454 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $127,079 | $14,800 | $26,178 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $92,023 | $6,029 | $18,957 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $64,619 | $10,294 | $13,312 | 1.58 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $63,890 | $7,470 | $13,161 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $43,367 | $6,038 | $8,934 | 0.97 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 11 | $84,639 | $11,376 | $17,436 | 1.74 |
Respiratory system568 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 | 138 | $87,511 | $11,270 | $18,027 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 129 | $68,705 | $8,932 | $14,153 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 87 | $72,005 | $8,444 | $14,833 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 34 | $47,349 | $5,232 | $9,754 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 33 | $56,338 | $6,862 | $11,606 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $52,954 | $7,413 | $10,909 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 24 | $60,980 | $5,922 | $12,562 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $181,546 | $20,934 | $37,398 | 2.70 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $115,074 | $11,559 | $23,705 | 1.74 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $43,348 | $5,741 | $8,930 | 0.85 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 14 | $89,822 | $12,750 | $18,503 | 1.90 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $73,626 | $9,666 | $15,167 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $47,323 | $4,407 | $9,748 | 0.82 |
| Pleural effusion with MCCMS-DRG 186, medical | 11 | $71,978 | $10,445 | $14,827 | 1.55 |
Musculoskeletal system and connective tissue466 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 44 | $213,657 | $22,912 | $44,013 | 3.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 42 | $153,843 | $17,149 | $31,692 | 2.67 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $106,645 | $13,689 | $21,969 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $120,171 | $13,658 | $24,755 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 36 | $50,753 | $6,457 | $10,455 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 35 | $139,977 | $11,622 | $28,835 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 29 | $177,153 | $24,912 | $36,493 | 3.66 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 23 | $107,583 | $13,202 | $22,162 | 2.04 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 19 | $232,105 | $32,212 | $47,814 | 4.61 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $41,850 | $5,399 | $8,621 | 0.90 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 17 | $133,473 | $17,152 | $27,495 | 2.38 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $161,696 | $20,751 | $33,309 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 16 | $138,337 | $19,072 | $28,498 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $45,033 | $5,481 | $9,277 | 0.79 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 13 | $252,966 | $35,952 | $52,111 | 5.19 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $94,386 | $9,861 | $19,444 | 1.70 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 465, surgical | 11 | $102,243 | $10,263 | $21,062 | 1.87 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $71,190 | $9,810 | $14,665 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 11 | $179,670 | $20,061 | $37,012 | 3.16 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 11 | $91,587 | $9,570 | $18,867 | 1.49 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 11 | $93,054 | $12,562 | $19,169 | 1.97 |
Kidney and urinary tract453 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 98 | $74,925 | $10,407 | $15,435 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 90 | $49,823 | $5,878 | $10,264 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 89 | $61,141 | $7,876 | $12,595 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 76 | $43,023 | $5,145 | $8,863 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $95,249 | $11,090 | $19,621 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $66,594 | $7,588 | $13,718 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $64,056 | $8,812 | $13,195 | 1.35 |
Digestive system404 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 | 67 | $51,569 | $5,078 | $10,623 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 55 | $71,615 | $6,327 | $14,753 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 43 | $105,431 | $12,698 | $21,719 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 42 | $100,546 | $14,995 | $20,712 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 35 | $193,921 | $30,585 | $39,948 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $68,951 | $8,680 | $14,204 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 31 | $47,213 | $5,451 | $9,726 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 26 | $58,911 | $7,100 | $12,136 | 1.04 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $46,444 | $6,162 | $9,567 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $77,397 | $10,566 | $15,944 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $74,684 | $9,865 | $15,385 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $81,137 | $11,900 | $16,714 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 12 | $160,907 | $15,541 | $33,147 | 2.10 |
Infectious and parasitic diseases397 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 | 281 | $114,884 | $13,661 | $23,666 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 57 | $60,843 | $6,435 | $12,534 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 34 | $215,281 | $32,560 | $44,348 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $114,264 | $13,534 | $23,538 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $422,964 | $57,547 | $87,131 | 6.96 |
Nervous system316 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 46 | $116,275 | $13,368 | $23,953 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 46 | $60,599 | $6,643 | $12,483 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 33 | $60,020 | $6,133 | $12,364 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 23 | $51,830 | $8,614 | $10,677 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 22 | $43,259 | $6,496 | $8,911 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 22 | $44,896 | $5,936 | $9,249 | 0.91 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 19 | $62,546 | $7,671 | $12,885 | 1.14 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 19 | $111,803 | $15,903 | $23,031 | 2.39 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 18 | $234,474 | $31,823 | $48,302 | 4.42 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 18 | $56,845 | $6,984 | $11,710 | 1.06 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $63,696 | $6,791 | $13,121 | 1.03 |
| Extracranial procedures with CCMS-DRG 038, surgical | 13 | $81,160 | $10,512 | $16,719 | 1.60 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 11 | $106,375 | $15,995 | $21,913 | 2.43 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 11 | $84,846 | $8,878 | $17,478 | 1.32 |
Endocrine, nutritional and metabolic149 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 | 48 | $64,077 | $8,778 | $13,200 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 45 | $47,031 | $5,026 | $9,688 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 27 | $44,183 | $5,853 | $9,102 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $68,324 | $9,563 | $14,075 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $60,220 | $6,882 | $12,405 | 1.06 |
Skin, subcutaneous tissue and breast65 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 47 | $46,482 | $5,497 | $9,575 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $106,456 | $10,072 | $21,930 | 1.49 |
Blood and immune system63 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 | 26 | $84,831 | $9,626 | $17,475 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 23 | $72,353 | $5,927 | $14,905 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 14 | $161,193 | $20,172 | $33,206 | 1.56 |
Liver, gallbladder and pancreas52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 22 | $102,483 | $13,113 | $21,111 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 19 | $86,697 | $9,345 | $17,860 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $114,317 | $12,198 | $23,549 | 1.76 |
Injuries, poisonings and toxic effects of drugs28 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 | 16 | $51,172 | $9,616 | $10,541 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 12 | $137,534 | $13,368 | $28,332 | 1.82 |
Mental diseases and disorders17 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 | 17 | $62,420 | $11,291 | $12,859 | 1.76 |
Other16 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 | 16 | $339,889 | $47,606 | $70,017 | 4.74 |
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 | $58,956 | $4,814 | $12,145 | 0.80 |
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 | $38,572 | $4,818 | $7,946 | 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 1 Intraocular ProceduresAPC 5491 | 585 | 374 | $10,786 | $1,716 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 349 | 341 | $89,998 | $10,451 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 296 | 283 | $12,525 | $1,166 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 248 | 218 | $16,840 | $1,504 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 239 | 237 | $32,524 | $2,155 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 200 | 192 | $47,712 | $5,168 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 198 | 190 | $36,815 | $2,047 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 193 | 190 | $31,660 | $3,695 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 182 | 179 | $19,616 | $2,318 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 151 | 150 | $40,516 | $4,096 | $4,358 |
| Comprehensive Observation ServicesAPC 8011 | 137 | 135 | $25,953 | $1,965 | $2,090 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 115 | 115 | $70,535 | $7,909 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 106 | 99 | $27,221 | $2,526 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 100 | 86 | $17,230 | $1,391 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 93 | 85 | $101,715 | $8,569 | $8,874 |
| Level 3 Airway EndoscopyAPC 5153 | 91 | 84 | $15,558 | $1,221 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 85 | 80 | $26,812 | $2,391 | $2,373 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 82 | 77 | $18,873 | $1,728 | $1,780 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 79 | 79 | $86,174 | $8,270 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 79 | 78 | $30,252 | $2,522 | $2,636 |
| Level 2 Upper GI ProceduresAPC 5302 | 74 | 68 | $13,529 | $1,409 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 71 | 69 | $8,561 | $1,165 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 66 | 65 | $117,202 | $15,624 | $15,763 |
| Level 5 Airway EndoscopyAPC 5155 | 55 | 54 | $43,123 | $5,061 | $5,183 |
| Level 2 Endovascular ProceduresAPC 5192 | 55 | 48 | $37,901 | $4,157 | $4,338 |
| Level 7 Radiation TherapyAPC 5627 | 55 | 43 | $86,812 | $5,653 | $6,121 |
| Level 6 Urology and Related ServicesAPC 5376 | 54 | 54 | $40,468 | $6,914 | $7,291 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 46 | 45 | $137,412 | $19,939 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 43 | 40 | $28,143 | $2,700 | $2,833 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 39 | 38 | $108,043 | $27,095 | $26,719 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 37 | $11,158 | $1,188 | $1,196 |
| Level 3 Intraocular ProceduresAPC 5493 | 35 | 21 | $19,532 | $3,859 | $4,004 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 34 | $44,105 | $4,819 | $4,982 |
| Level 4 Vascular ProceduresAPC 5184 | 34 | 25 | $32,214 | $3,107 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 34 | 32 | $130,600 | $14,608 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 32 | 31 | $26,164 | $2,814 | $2,930 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 23 | $16,190 | $2,993 | $3,116 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $22,978 | $2,232 | $2,389 |
| Level 8 Urology and Related ServicesAPC 5378 | 25 | 24 | $69,859 | $17,043 | $17,428 |
| Level 3 Lower GI ProceduresAPC 5313 | 24 | 23 | $17,960 | $2,068 | $2,176 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 22 | $77,598 | $18,620 | $18,465 |
| Level 5 ENT ProceduresAPC 5165 | 18 | 18 | $42,723 | $4,330 | $4,436 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 18 | 18 | $46,280 | $6,275 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $218,584 | $28,808 | $29,375 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $38,132 | $3,677 | $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.