Norton Audubon Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Norton Audubon Hospital, Louisville, KY in 2024, from traditional Medicare claims. Back to the Norton Audubon Hospital profile, with quality ratings, finances and negotiated rates.
12,563
Medicare inpatient discharges
In 254 published DRGs
1.99
Case mix index
IPPS FY 2027
26%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
10,577
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system3,024 discharges in 48 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 778 | $45,655 | $7,905 | $9,314 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 194 | $30,537 | $4,056 | $6,230 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 129 | $51,054 | $7,303 | $10,415 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 113 | $34,860 | $5,067 | $7,112 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 110 | $120,135 | $10,769 | $24,507 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 109 | $97,691 | $13,840 | $19,929 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 94 | $64,326 | $6,409 | $13,122 | 1.08 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 92 | $195,239 | $20,951 | $39,829 | 3.24 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 90 | $63,567 | $12,382 | $12,968 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 89 | $24,895 | $2,621 | $5,079 | 0.55 |
| Hypertension without MCCMS-DRG 305, medical | 80 | $33,498 | $4,091 | $6,834 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 77 | $177,660 | $20,747 | $36,243 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 74 | $137,305 | $23,559 | $28,010 | 3.35 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 55 | $345,962 | $40,231 | $70,576 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $66,097 | $9,928 | $13,484 | 1.59 |
| Other vascular procedures with CCMS-DRG 253, surgical | 53 | $107,211 | $17,006 | $21,871 | 2.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 51 | $48,907 | $5,078 | $9,977 | 0.91 |
| Chest painMS-DRG 313, medical | 49 | $33,071 | $4,031 | $6,747 | 0.72 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 41 | $167,745 | $21,448 | $34,220 | 3.18 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 41 | $443,175 | $61,738 | $90,408 | 6.25 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 41 | $41,714 | $5,699 | $8,510 | 0.97 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 37 | $167,975 | $21,079 | $34,267 | 3.46 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 36 | $36,943 | $6,140 | $7,536 | 1.07 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 35 | $282,017 | $48,910 | $57,531 | 7.80 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 34 | $90,453 | $21,655 | $18,452 | 3.27 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 33 | $225,066 | $36,289 | $45,914 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 29 | $70,320 | $10,789 | $14,345 | 1.58 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 27 | $390,600 | $67,821 | $79,682 | 7.71 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 27 | $212,133 | $36,595 | $43,275 | 5.88 |
| Hypertension with MCCMS-DRG 304, medical | 27 | $36,077 | $7,120 | $7,360 | 1.15 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 26 | $238,588 | $28,806 | $48,672 | 5.20 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 26 | $284,359 | $29,112 | $58,009 | 4.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 25 | $108,425 | $14,156 | $22,119 | 2.28 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 24 | $432,574 | $73,022 | $88,245 | 9.71 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 23 | $165,429 | $26,165 | $33,748 | 4.04 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 23 | $101,732 | $12,777 | $20,753 | 1.74 |
| Heart failure and shock with CCMS-DRG 292, medical | 21 | $33,508 | $5,143 | $6,836 | 0.86 |
| Atherosclerosis without MCCMS-DRG 303, medical | 20 | $28,931 | $3,666 | $5,902 | 0.66 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 18 | $197,831 | $32,776 | $40,358 | 5.04 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 17 | $274,748 | $38,167 | $56,048 | 5.24 |
| Other major cardiovascular procedures without cc/mccMS-DRG 272, surgical | 15 | $188,241 | $22,521 | $38,401 | 2.44 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 15 | $206,983 | $22,888 | $42,224 | 3.90 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 13 | $220,684 | $35,372 | $45,020 | 4.81 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 13 | $205,862 | $20,845 | $41,996 | 2.97 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $49,649 | $3,718 | $10,128 | 0.72 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 11 | $153,954 | $14,857 | $31,407 | 2.81 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $119,360 | $23,243 | $24,349 | 3.46 |
| Peripheral vascular disorders without cc/mccMS-DRG 301, medical | 11 | $23,611 | $4,074 | $4,817 | 0.71 |
Infectious and parasitic diseases1,615 discharges in 9 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 | 1,029 | $67,555 | $12,110 | $13,781 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 208 | $174,419 | $33,422 | $35,581 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 188 | $35,039 | $6,029 | $7,148 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 59 | $209,490 | $42,417 | $42,736 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 45 | $75,587 | $13,338 | $15,420 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 32 | $57,902 | $11,401 | $11,812 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 21 | $95,262 | $16,887 | $19,433 | 2.14 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 17 | $26,409 | $5,177 | $5,387 | 1.01 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 16 | $154,083 | $28,281 | $31,433 | 4.43 |
Respiratory system1,559 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 284 | $50,104 | $7,932 | $10,221 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 250 | $48,971 | $9,900 | $9,990 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 219 | $50,355 | $7,510 | $10,272 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 114 | $42,349 | $6,530 | $8,639 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 98 | $34,539 | $4,483 | $7,046 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 75 | $61,249 | $8,461 | $12,495 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 62 | $101,746 | $17,699 | $20,756 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 58 | $32,920 | $4,953 | $6,716 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 55 | $35,680 | $5,926 | $7,279 | 0.99 |
| Major chest procedures with MCCMS-DRG 163, surgical | 46 | $177,491 | $29,903 | $36,208 | 4.71 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 42 | $37,770 | $4,201 | $7,705 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 40 | $165,613 | $21,134 | $33,785 | 2.55 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 37 | $35,774 | $5,490 | $7,298 | 0.96 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 26 | $58,083 | $12,011 | $11,849 | 1.81 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 24 | $219,948 | $41,893 | $44,869 | 6.91 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 21 | $106,924 | $23,650 | $21,813 | 4.06 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 21 | $75,846 | $10,818 | $15,472 | 1.74 |
| Pleural effusion with MCCMS-DRG 186, medical | 19 | $54,781 | $10,243 | $11,175 | 1.55 |
| Pneumothorax with MCCMS-DRG 199, medical | 19 | $52,219 | $11,015 | $10,653 | 1.77 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 17 | $42,462 | $7,220 | $8,662 | 1.10 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 17 | $72,835 | $10,868 | $14,858 | 1.90 |
| Pneumothorax with CCMS-DRG 200, medical | 15 | $28,374 | $6,580 | $5,788 | 1.08 |
Digestive system1,192 discharges in 27 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 | 196 | $28,226 | $4,549 | $5,758 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 135 | $37,614 | $5,720 | $7,673 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 80 | $63,538 | $11,733 | $12,962 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 77 | $31,344 | $5,659 | $6,394 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 71 | $23,317 | $4,460 | $4,757 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 70 | $44,185 | $7,579 | $9,014 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 65 | $145,866 | $16,050 | $29,757 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 60 | $174,578 | $31,042 | $35,614 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 54 | $40,739 | $10,328 | $8,311 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 38 | $57,918 | $9,558 | $11,815 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 38 | $21,935 | $2,672 | $4,475 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 35 | $32,899 | $6,507 | $6,711 | 1.04 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 31 | $113,914 | $10,732 | $23,238 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 28 | $59,483 | $10,021 | $12,135 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 25 | $53,743 | $12,541 | $10,964 | 2.10 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 22 | $142,439 | $30,254 | $29,057 | 5.08 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 20 | $96,368 | $10,551 | $19,659 | 1.60 |
| Digestive malignancy with CCMS-DRG 375, medical | 20 | $39,705 | $7,212 | $8,100 | 1.20 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 20 | $29,149 | $6,067 | $5,946 | 0.97 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 16 | $60,411 | $11,195 | $12,324 | 1.65 |
| Complicated peptic ulcer with CCMS-DRG 381, medical | 16 | $34,632 | $6,116 | $7,065 | 1.07 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 13 | $111,303 | $14,900 | $22,706 | 2.50 |
| Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical | 13 | $62,911 | $7,654 | $12,834 | 1.36 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 13 | $174,686 | $35,221 | $35,636 | 4.28 |
| Other digestive system diagnoses without cc/mccMS-DRG 395, medical | 13 | $21,513 | $3,335 | $4,389 | 0.65 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 12 | $60,500 | $14,043 | $12,342 | 2.11 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 11 | $59,825 | $10,926 | $12,204 | 1.95 |
Nervous system1,168 discharges in 32 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 | 176 | $50,090 | $5,707 | $10,218 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 117 | $76,457 | $11,857 | $15,597 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 71 | $32,487 | $4,874 | $6,627 | 0.91 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 60 | $165,088 | $27,800 | $33,678 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 52 | $47,282 | $7,990 | $9,646 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 51 | $42,868 | $3,433 | $8,745 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 50 | $66,607 | $11,819 | $13,588 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 49 | $69,307 | $11,359 | $14,139 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 48 | $40,232 | $6,129 | $8,207 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 40 | $39,992 | $10,405 | $8,158 | 1.79 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 33 | $155,485 | $16,677 | $31,719 | 2.30 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 33 | $46,236 | $6,331 | $9,432 | 1.06 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 32 | $260,695 | $38,628 | $53,182 | 5.67 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 30 | $142,847 | $11,945 | $29,141 | 1.81 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 30 | $56,616 | $9,239 | $11,550 | 1.47 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 28 | $38,941 | $6,183 | $7,944 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 25 | $42,731 | $4,293 | $8,717 | 0.80 |
| Headaches without MCCMS-DRG 103, medical | 25 | $29,976 | $4,869 | $6,115 | 0.84 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 21 | $34,928 | $6,321 | $7,125 | 1.14 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 19 | $147,616 | $17,208 | $30,114 | 2.43 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 19 | $81,024 | $14,712 | $16,529 | 2.39 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 19 | $75,508 | $13,690 | $15,404 | 2.27 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $45,697 | $8,244 | $9,322 | 1.36 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 16 | $232,071 | $26,188 | $47,343 | 2.95 |
| Extracranial procedures with CCMS-DRG 038, surgical | 16 | $59,923 | $10,598 | $12,224 | 1.60 |
| Carotid artery stent procedures with MCCMS-DRG 034, surgical | 15 | $197,668 | $25,166 | $40,324 | 3.90 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $61,776 | $13,288 | $12,602 | 2.28 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 14 | $40,696 | $7,873 | $8,302 | 1.32 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 13 | $115,867 | $14,012 | $23,637 | 2.23 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 12 | $34,117 | $4,658 | $6,960 | 0.87 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 11 | $186,670 | $23,372 | $38,081 | 3.85 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 11 | $58,759 | $7,984 | $11,987 | 1.51 |
Musculoskeletal system and connective tissue974 discharges in 33 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 103 | $335,425 | $44,948 | $68,427 | 6.12 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 77 | $90,753 | $13,137 | $18,514 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 75 | $30,967 | $5,501 | $6,317 | 0.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 69 | $241,309 | $28,943 | $49,227 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 68 | $161,901 | $13,806 | $33,028 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 51 | $151,788 | $17,162 | $30,965 | 2.96 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 38 | $193,767 | $15,175 | $39,528 | 1.88 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 35 | $164,190 | $16,407 | $33,495 | 2.48 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 34 | $181,279 | $23,708 | $36,981 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 31 | $198,947 | $21,685 | $40,585 | 2.99 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 29 | $180,144 | $17,761 | $36,749 | 2.67 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 29 | $25,645 | $4,137 | $5,232 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 29 | $34,027 | $6,419 | $6,941 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 28 | $22,834 | $4,756 | $4,658 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 22 | $115,687 | $13,494 | $23,600 | 2.40 |
| Medical back problems with MCCMS-DRG 551, medical | 22 | $64,357 | $10,447 | $13,129 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 21 | $110,954 | $19,154 | $22,635 | 2.95 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 15 | $390,917 | $56,359 | $79,747 | 6.08 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 463, surgical | 15 | $204,656 | $39,350 | $41,750 | 5.66 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 15 | $81,092 | $12,121 | $16,543 | 1.97 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 15 | $30,317 | $4,748 | $6,185 | 0.82 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 15 | $36,312 | $5,405 | $7,408 | 1.00 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 14 | $443,649 | $79,262 | $90,504 | 8.86 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $83,576 | $12,823 | $17,050 | 2.04 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 14 | $44,140 | $5,113 | $9,005 | 0.82 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 13 | $327,630 | $46,121 | $66,837 | 4.61 |
| Spinal fusion except cervical with MCCMS-DRG 459, surgical | 13 | $330,896 | $45,377 | $67,503 | 6.63 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $72,663 | $8,870 | $14,823 | 1.59 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 12 | $94,314 | $12,144 | $19,240 | 1.87 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 12 | $54,041 | $8,826 | $11,024 | 1.82 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 11 | $85,874 | $17,001 | $17,518 | 3.00 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 11 | $137,098 | $17,207 | $27,968 | 3.46 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 11 | $108,927 | $19,653 | $22,221 | 3.16 |
Kidney and urinary tract949 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 | 168 | $34,063 | $6,884 | $6,949 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 155 | $32,374 | $5,253 | $6,604 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 144 | $48,896 | $9,103 | $9,975 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 132 | $53,368 | $9,904 | $10,887 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 127 | $24,927 | $4,542 | $5,085 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 74 | $40,404 | $6,340 | $8,242 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 40 | $38,056 | $7,749 | $7,763 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 38 | $83,175 | $16,335 | $16,968 | 2.59 |
| Renal failure without cc/mccMS-DRG 684, medical | 25 | $20,865 | $2,737 | $4,256 | 0.61 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 17 | $25,952 | $5,705 | $5,294 | 1.05 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 15 | $73,641 | $13,702 | $15,023 | 2.38 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 14 | $142,276 | $20,912 | $29,024 | 3.70 |
Endocrine, nutritional and metabolic520 discharges in 12 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 | 135 | $40,276 | $8,060 | $8,216 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 125 | $28,516 | $4,541 | $5,817 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 62 | $28,125 | $4,892 | $5,737 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 52 | $45,102 | $8,886 | $9,201 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 32 | $64,285 | $11,673 | $13,114 | 1.98 |
| Endocrine disorders with CCMS-DRG 644, medical | 26 | $35,733 | $6,319 | $7,290 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 24 | $66,994 | $10,198 | $13,667 | 1.65 |
| Other endocrine, nutritional and metabolic o.r. procedures with CCMS-DRG 629, surgical | 15 | $83,304 | $15,162 | $16,994 | 2.26 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with MCCMS-DRG 616, surgical | 13 | $103,150 | $24,756 | $21,043 | 3.96 |
| Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders witMS-DRG 623, surgical | 12 | $74,583 | $11,422 | $15,215 | 1.86 |
| Other endocrine, nutritional and metabolic o.r. procedures with MCCMS-DRG 628, surgical | 12 | $105,139 | $26,964 | $21,448 | 4.01 |
| Diabetes without cc/mccMS-DRG 639, medical | 12 | $17,970 | $3,905 | $3,666 | 0.62 |
Liver, gallbladder and pancreas407 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 38 | $57,591 | $6,893 | $11,749 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 36 | $64,213 | $12,475 | $13,100 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 34 | $81,674 | $10,504 | $16,662 | 1.76 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 33 | $28,687 | $4,701 | $5,852 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 31 | $55,323 | $11,076 | $11,286 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 31 | $82,727 | $11,590 | $16,876 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 24 | $88,703 | $10,221 | $18,095 | 1.63 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 22 | $44,830 | $3,857 | $9,145 | 0.80 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 21 | $31,571 | $5,541 | $6,441 | 0.95 |
| Disorders of pancreas except malignancy without cc/mccMS-DRG 440, medical | 20 | $23,409 | $2,604 | $4,775 | 0.62 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 19 | $119,441 | $16,935 | $24,366 | 2.89 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 18 | $84,140 | $15,371 | $17,164 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 18 | $49,965 | $7,201 | $10,193 | 1.31 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 17 | $196,274 | $33,794 | $40,040 | 5.51 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 16 | $42,368 | $6,449 | $8,643 | 1.10 |
| Pancreas, liver and shunt procedures without cc/mccMS-DRG 407, surgical | 15 | $87,915 | $14,214 | $17,935 | 2.15 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 14 | $36,630 | $6,854 | $7,472 | 1.03 |
Blood and immune system226 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 91 | $35,259 | $5,422 | $7,193 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 67 | $55,491 | $8,536 | $11,320 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 28 | $52,156 | $8,579 | $10,640 | 1.20 |
| Coagulation disordersMS-DRG 813, medical | 28 | $59,711 | $11,510 | $12,181 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 12 | $71,540 | $13,415 | $14,594 | 2.19 |
Skin, subcutaneous tissue and breast208 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 87 | $20,679 | $5,112 | $4,219 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 39 | $58,091 | $8,339 | $11,850 | 1.49 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 25 | $78,119 | $11,744 | $15,936 | 1.75 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 19 | $27,515 | $5,602 | $5,613 | 0.91 |
| Minor skin disorders without MCCMS-DRG 607, medical | 15 | $21,886 | $5,288 | $4,465 | 0.89 |
| Skin debridement with CCMS-DRG 571, surgical | 12 | $73,731 | $9,017 | $15,041 | 1.69 |
| Skin graft except for skin ulcer or cellulitis with CCMS-DRG 577, surgical | 11 | $113,979 | $17,581 | $23,252 | 2.65 |
Other179 discharges in 7 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 | 62 | $207,030 | $30,451 | $42,234 | 4.74 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 27 | $410,399 | $53,441 | $83,721 | |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 27 | $153,470 | $22,348 | $31,308 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 23 | $143,407 | $25,698 | $29,255 | 3.38 |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 16 | $260,883 | $27,730 | $53,220 | |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 12 | $238,625 | $28,398 | $48,679 | |
| Multiple level combined anterior and posterior spinal fusion except cervical with MCC orMS-DRG 426 | 12 | $513,126 | $63,348 | $104,678 |
Mental diseases and disorders135 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 77 | $29,606 | $8,734 | $6,040 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 38 | $34,167 | $9,608 | $6,970 | 1.76 |
| Acute adjustment reaction and psychosocial dysfunctionMS-DRG 880, medical | 20 | $27,584 | $5,736 | $5,627 | 0.95 |
Injuries, poisonings and toxic effects of drugs125 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 32 | $35,485 | $6,798 | $7,239 | 1.03 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 22 | $58,408 | $13,182 | $11,915 | 2.00 |
| Complications of treatment with MCCMS-DRG 919, medical | 22 | $46,302 | $11,187 | $9,446 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 20 | $51,841 | $10,318 | $10,575 | 1.60 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 17 | $24,706 | $4,796 | $5,040 | 0.86 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 12 | $90,043 | $23,770 | $18,369 | 3.72 |
Blood cancers and poorly differentiated neoplasms102 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 54 | $47,800 | $8,208 | $9,751 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 13 | $109,906 | $21,014 | $22,421 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 13 | $154,628 | $25,625 | $31,544 | 2.44 |
| Acute leukemia with MCCMS-DRG 834, medical | 11 | $170,392 | $42,296 | $34,760 | 5.60 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 11 | $101,176 | $12,721 | $20,640 | 1.57 |
Factors influencing health status57 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 46 | $29,055 | $4,670 | $5,927 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 11 | $37,519 | $7,184 | $7,654 | 1.25 |
Alcohol and drug use42 discharges in 2 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 | 26 | $27,739 | $5,370 | $5,659 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 16 | $62,615 | $10,809 | $12,773 | 1.78 |
Ear, nose, mouth and throat41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 27 | $39,707 | $4,191 | $8,100 | 0.74 |
| Major head and neck procedures with CCMS-DRG 141, surgical | 14 | $142,408 | $15,673 | $29,051 | 2.07 |
Transplants, ECMO and tracheostomy (pre-MDC)18 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 | 18 | $268,442 | $70,513 | $54,762 | 14.70 |
Female reproductive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for non-malignancy without cc/mccMS-DRG 743, surgical | 11 | $62,294 | $6,238 | $12,708 | 1.16 |
Multiple significant trauma11 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 | 11 | $142,171 | $23,763 | $29,003 | 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 | 1,770 | 1,617 | $19,750 | $1,847 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 683 | 640 | $8,258 | $1,093 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 639 | 619 | $139,645 | $9,441 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 560 | 485 | $11,972 | $1,292 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 514 | 407 | $17,655 | $2,351 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 501 | 466 | $16,783 | $2,163 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 407 | 407 | $33,871 | $1,985 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 390 | 383 | $47,659 | $4,781 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 341 | 304 | $12,009 | $1,927 | $2,141 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 332 | 326 | $158,552 | $14,162 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 317 | 270 | $82,429 | $7,769 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 312 | 277 | $9,694 | $1,314 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 298 | 292 | $20,223 | $2,179 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 264 | 263 | $36,375 | $3,864 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 246 | 197 | $35,564 | $3,862 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 216 | 199 | $22,945 | $3,500 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 200 | 196 | $5,632 | $1,082 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 191 | 185 | $7,424 | $1,082 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 179 | 179 | $92,729 | $7,036 | $8,164 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 177 | 174 | $157,830 | $18,396 | $21,117 |
| Level 4 Vascular ProceduresAPC 5184 | 157 | 139 | $39,791 | $3,468 | $3,946 |
| Level 3 Urology and Related ServicesAPC 5373 | 147 | 129 | $8,832 | $1,382 | $1,516 |
| Level 5 ENT ProceduresAPC 5165 | 121 | 120 | $27,160 | $3,940 | $4,436 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 120 | 120 | $71,705 | $7,525 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 119 | 111 | $15,381 | $2,585 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 119 | 115 | $18,646 | $2,335 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 105 | 104 | $18,988 | $2,491 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 99 | 94 | $11,995 | $1,159 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 97 | 97 | $37,861 | $4,640 | $5,183 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 93 | 92 | $36,609 | $4,461 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 90 | 90 | $15,913 | $2,080 | $2,389 |
| Complex GI ProceduresAPC 5331 | 87 | 71 | $36,462 | $3,890 | $4,263 |
| Level 4 Endovascular ProceduresAPC 5194 | 84 | 79 | $136,338 | $13,373 | $14,606 |
| Level 3 Upper GI ProceduresAPC 5303 | 80 | 77 | $24,065 | $2,623 | $2,888 |
| Level 5 Gynecologic ProceduresAPC 5415 | 80 | 76 | $20,439 | $3,406 | $3,792 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 71 | 71 | $231,411 | $26,098 | $29,375 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 52 | 52 | $203,276 | $24,456 | $26,719 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 49 | 47 | $155,591 | $16,720 | $18,465 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 36 | 36 | $54,055 | $5,629 | $6,514 |
| Level 6 Gynecologic ProceduresAPC 5416 | 31 | 31 | $26,967 | $5,178 | $5,836 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 30 | 30 | $112,121 | $15,032 | $17,052 |
| Level 3 Lower GI ProceduresAPC 5313 | 29 | 29 | $14,001 | $1,930 | $2,176 |
| Level 2 Urology and Related ServicesAPC 5372 | 27 | 26 | $9,624 | $468 | $502 |
| Level 4 ENT ProceduresAPC 5164 | 24 | 24 | $18,055 | $2,188 | $2,217 |
| Level 7 Radiation TherapyAPC 5627 | 21 | 19 | $29,844 | $4,823 | $6,121 |
| Implantation of Drug Infusion DeviceAPC 5471 | 20 | 20 | $121,220 | $12,935 | $14,829 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 13 | 13 | $151,920 | $12,402 | $15,549 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $328,876 | $26,942 | $29,489 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 13 | 13 | $241,000 | $23,289 | $26,955 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 13 | $137,356 | $15,611 | $17,428 |
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.