Novant Health Presbyterian Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Novant Health Presbyterian Medical Center, Charlotte, NC in 2024, from traditional Medicare claims. Back to the Novant Health Presbyterian Medical Center profile, with quality ratings, finances and negotiated rates.
3,025
Medicare inpatient discharges
In 107 published DRGs
2.38
Case mix index
IPPS FY 2027
46%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
6,000
Medicare outpatient services
In 51 service groups
Inpatient stays by major diagnostic category
Circulatory system853 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 114 | $102,767 | $21,752 | $23,945 | 3.24 |
| Heart failure and shock with MCCMS-DRG 291, medical | 109 | $37,942 | $9,136 | $8,840 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 76 | $156,178 | $32,658 | $36,390 | 4.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 49 | $171,431 | $26,915 | $39,944 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 39 | $186,668 | $41,677 | $43,494 | 6.25 |
| Syncope and collapseMS-DRG 312, medical | 36 | $30,062 | $6,046 | $7,004 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $30,407 | $5,597 | $7,085 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $81,443 | $12,235 | $18,976 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 30 | $77,337 | $15,457 | $18,019 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $71,194 | $14,635 | $16,588 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 25 | $113,401 | $19,086 | $26,422 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $75,216 | $17,832 | $17,525 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $111,847 | $21,573 | $26,060 | 3.46 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $63,568 | $11,280 | $14,811 | 1.59 |
| Hypertension with MCCMS-DRG 304, medical | 20 | $47,247 | $8,427 | $11,009 | 1.15 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $55,662 | $7,611 | $12,969 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 18 | $259,967 | $39,166 | $60,572 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 18 | $221,582 | $31,994 | $51,629 | 5.20 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $33,011 | $8,859 | $7,691 | 1.20 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $26,408 | $5,320 | $6,153 | 0.75 |
| Other vascular procedures with CCMS-DRG 253, surgical | 16 | $89,752 | $16,721 | $20,912 | 2.55 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 13 | $209,227 | $29,874 | $48,750 | 4.16 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $158,878 | $23,958 | $37,019 | 3.46 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $36,141 | $6,057 | $8,421 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $143,050 | $23,788 | $33,331 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 11 | $367,363 | $55,041 | $85,596 | 7.71 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $66,245 | $11,616 | $15,435 | 1.83 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $163,910 | $36,580 | $38,191 | 5.06 |
| Chest painMS-DRG 313, medical | 11 | $22,681 | $5,245 | $5,285 | 0.72 |
Musculoskeletal system and connective tissue662 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 | 203 | $83,494 | $12,625 | $19,454 | 1.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 65 | $140,670 | $21,659 | $32,776 | 3.49 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 47 | $91,496 | $13,858 | $21,319 | 2.07 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 46 | $306,158 | $50,881 | $71,335 | 6.12 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 39 | $178,455 | $25,601 | $41,580 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 28 | $33,147 | $6,715 | $7,723 | 0.97 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 26 | $57,626 | $14,120 | $13,427 | 2.04 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 25 | $130,554 | $18,137 | $30,419 | 2.67 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 22 | $189,333 | $28,008 | $44,115 | 4.61 |
| Medical back problems with MCCMS-DRG 551, medical | 18 | $47,269 | $11,838 | $11,014 | 1.70 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $115,296 | $16,927 | $26,864 | 2.48 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $104,726 | $14,599 | $24,401 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $34,284 | $5,351 | $7,988 | 0.79 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 15 | $92,470 | $13,355 | $21,545 | 1.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $31,157 | $6,279 | $7,260 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $135,081 | $19,375 | $31,474 | 2.95 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $117,593 | $16,874 | $27,399 | 2.96 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 12 | $178,858 | $34,660 | $41,674 | 5.19 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 12 | $101,387 | $20,056 | $23,623 | 3.33 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 12 | $52,146 | $10,334 | $12,150 | 1.49 |
Nervous system337 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 72 | $70,464 | $12,816 | $16,418 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 64 | $36,395 | $7,051 | $8,480 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 29 | $131,644 | $28,560 | $30,673 | 4.42 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 25 | $49,508 | $9,769 | $11,535 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 21 | $69,434 | $13,462 | $16,178 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 21 | $39,106 | $6,594 | $9,112 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 17 | $214,335 | $37,770 | $49,940 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $52,839 | $9,807 | $12,312 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 17 | $84,021 | $15,906 | $19,577 | 2.28 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 16 | $49,136 | $7,941 | $11,449 | 1.14 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 15 | $131,113 | $15,821 | $30,549 | 2.43 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 12 | $61,027 | $14,351 | $14,219 | 2.27 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $25,762 | $4,765 | $6,002 | 0.69 |
Respiratory system305 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 56 | $43,576 | $9,075 | $10,153 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 43 | $49,806 | $11,560 | $11,605 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $46,414 | $8,480 | $10,814 | 1.23 |
| Major chest procedures with CCMS-DRG 164, surgical | 25 | $134,230 | $16,186 | $31,276 | 2.55 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $35,055 | $5,686 | $8,168 | 0.82 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 23 | $124,761 | $12,425 | $29,069 | 1.88 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $39,543 | $7,768 | $9,214 | 1.10 |
| Major chest procedures with MCCMS-DRG 163, surgical | 17 | $160,614 | $29,567 | $37,423 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 17 | $26,205 | $7,421 | $6,106 | 1.05 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $54,568 | $9,832 | $12,714 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $33,460 | $5,928 | $7,796 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $37,754 | $6,893 | $8,797 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $100,898 | $22,586 | $23,509 | 2.70 |
Infectious and parasitic diseases192 discharges in 3 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 | 132 | $69,309 | $13,125 | $16,149 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $208,881 | $36,975 | $48,669 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $32,130 | $7,050 | $7,486 | 1.03 |
Kidney and urinary tract177 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 53 | $53,023 | $11,496 | $12,354 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $47,359 | $7,886 | $11,035 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 43 | $32,851 | $6,119 | $7,654 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $30,592 | $5,860 | $7,128 | 0.81 |
Digestive system176 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 42 | $31,740 | $7,218 | $7,395 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $51,869 | $12,229 | $12,086 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 30 | $110,498 | $16,947 | $25,746 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 28 | $33,443 | $5,767 | $7,792 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $35,659 | $8,906 | $8,309 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $136,468 | $28,805 | $31,797 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $86,391 | $10,305 | $20,129 | 1.67 |
Endocrine, nutritional and metabolic94 discharges in 4 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 | 37 | $30,386 | $5,570 | $7,080 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 34 | $59,190 | $9,453 | $13,791 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $31,368 | $6,941 | $7,309 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $32,981 | $10,732 | $7,685 | 1.45 |
Liver, gallbladder and pancreas59 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 18 | $59,689 | $12,075 | $13,908 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 18 | $49,826 | $6,658 | $11,609 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $73,547 | $11,584 | $17,137 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $85,476 | $10,660 | $19,916 | 1.76 |
Skin, subcutaneous tissue and breast51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $24,073 | $5,998 | $5,609 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 16 | $43,054 | $10,405 | $10,032 | 1.49 |
Blood and immune system32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $34,530 | $7,010 | $8,045 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $61,001 | $15,735 | $14,213 | 1.40 |
Other28 discharges in 2 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 | 15 | $178,582 | $35,857 | $41,610 | 4.74 |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 13 | $155,634 | $21,237 | $36,263 |
Blood cancers and poorly differentiated neoplasms20 discharges in 1 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 | 20 | $84,185 | $14,596 | $19,615 | 1.21 |
Factors influencing health status16 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 | 16 | $36,387 | $5,631 | $8,478 | 0.80 |
Transplants, ECMO and tracheostomy (pre-MDC)12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 12 | $891,812 | $176,010 | $207,792 | 21.32 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 11 | $73,954 | $12,993 | $17,231 | 2.07 |
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 | 1,169 | 734 | $6,555 | $1,643 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 496 | 473 | $68,215 | $10,035 | $10,772 |
| Level 2 Intraocular ProceduresAPC 5492 | 446 | 412 | $14,315 | $2,865 | $3,116 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 283 | 272 | $33,514 | $5,048 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 216 | 206 | $12,655 | $1,135 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 214 | 202 | $17,348 | $1,922 | $2,090 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 184 | 172 | $13,377 | $1,868 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 169 | 143 | $11,479 | $1,341 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 160 | 160 | $27,615 | $2,059 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 148 | 147 | $114,029 | $19,440 | $21,117 |
| Level 1 Nerve ProceduresAPC 5431 | 148 | 133 | $6,532 | $1,364 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 145 | 85 | $10,845 | $1,442 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 133 | 132 | $28,975 | $4,068 | $4,358 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 124 | 118 | $5,878 | $1,664 | $1,780 |
| Level 3 Vascular ProceduresAPC 5183 | 120 | 118 | $16,846 | $2,234 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 115 | 113 | $12,724 | $2,277 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 107 | 103 | $56,355 | $8,168 | $8,874 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 100 | 98 | $57,056 | $7,459 | $8,164 |
| Level 3 Intraocular ProceduresAPC 5493 | 97 | 77 | $18,529 | $3,742 | $4,004 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 92 | 78 | $15,092 | $2,447 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 86 | 82 | $6,273 | $1,134 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 85 | 76 | $35,609 | $3,702 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 82 | 82 | $45,120 | $7,859 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 80 | 73 | $29,481 | $3,637 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 75 | 73 | $32,806 | $4,420 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 67 | 65 | $28,815 | $2,601 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 64 | 63 | $29,083 | $4,127 | $4,436 |
| Level 4 Urology and Related ServicesAPC 5374 | 64 | 56 | $19,774 | $2,495 | $2,629 |
| Level 4 Gynecologic ProceduresAPC 5414 | 60 | 60 | $14,978 | $2,160 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 59 | 57 | $87,293 | $13,847 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 57 | 57 | $6,369 | $1,146 | $1,204 |
| Level 5 Airway EndoscopyAPC 5155 | 56 | 55 | $35,625 | $4,900 | $5,183 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 46 | 45 | $17,100 | $2,610 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 46 | 44 | $11,869 | $2,030 | $2,176 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 45 | 44 | $90,422 | $26,190 | $26,719 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 31 | $43,082 | $4,090 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 31 | 31 | $88,728 | $27,384 | $29,375 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 30 | 30 | $70,539 | $15,306 | $17,052 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 30 | 29 | $26,162 | $4,896 | $4,524 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $98,390 | $15,078 | $15,763 |
| Level 2 Urology and Related ServicesAPC 5372 | 25 | 19 | $2,826 | $482 | $502 |
| Level 6 Gynecologic ProceduresAPC 5416 | 24 | 24 | $45,619 | $5,410 | $5,836 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 23 | 23 | $36,572 | $5,818 | $6,514 |
| Level 3 Upper GI ProceduresAPC 5303 | 23 | 22 | $17,049 | $2,742 | $2,888 |
| Level 5 Gynecologic ProceduresAPC 5415 | 23 | 23 | $26,673 | $3,561 | $3,792 |
| Cochlear Implant ProcedureAPC 5166 | 19 | 19 | $119,917 | $28,411 | $29,489 |
| Complex GI ProceduresAPC 5331 | 19 | 18 | $33,270 | $4,080 | $4,263 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $18,518 | $1,103 | $1,264 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 15 | 15 | $77,082 | $17,977 | $18,465 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 15 | 15 | $9,012 | $2,399 | $2,969 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $113,335 | $6,645 | $7,291 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.