Ou Health – University Of Oklahoma Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ou Health – University Of Oklahoma Medical Center, Oklahoma City, OK in 2024, from traditional Medicare claims. Back to the Ou Health – University Of Oklahoma Medical Center profile, with quality ratings, finances and negotiated rates.
4,670
Medicare inpatient discharges
In 168 published DRGs
2.33
Case mix index
IPPS FY 2027
28%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
5,832
Medicare outpatient services
In 53 service groups
Inpatient stays by major diagnostic category
Nervous system657 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 107 | $209,066 | $20,644 | $33,451 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 67 | $96,348 | $9,476 | $15,416 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 61 | $455,148 | $42,998 | $72,824 | 4.42 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 46 | $296,856 | $22,112 | $47,497 | 2.43 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 44 | $232,037 | $22,973 | $37,126 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 37 | $654,784 | $63,482 | $104,765 | 5.67 |
| Seizures with MCCMS-DRG 100, medical | 31 | $172,118 | $16,769 | $27,539 | 1.98 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 28 | $290,623 | $27,645 | $46,500 | 2.95 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 25 | $128,679 | $17,164 | $20,589 | 1.79 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 23 | $125,467 | $13,065 | $20,075 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 22 | $73,330 | $10,067 | $11,733 | 1.03 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 21 | $110,950 | $11,956 | $17,752 | 1.47 |
| Seizures without MCCMS-DRG 101, medical | 21 | $65,000 | $9,430 | $10,400 | 0.91 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $144,471 | $14,519 | $23,115 | 1.79 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 18 | $332,557 | $30,556 | $53,209 | 2.27 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 17 | $148,695 | $15,048 | $23,791 | 1.62 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 15 | $490,230 | $36,292 | $78,437 | 3.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $123,921 | $12,219 | $19,827 | 1.32 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $71,729 | $7,258 | $11,477 | 0.69 |
| Nervous system neoplasms without MCCMS-DRG 055, medical | 13 | $69,530 | $8,660 | $11,125 | 1.07 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 13 | $56,966 | $8,461 | $9,114 | 0.80 |
Infectious and parasitic diseases539 discharges in 8 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 | 330 | $169,462 | $18,162 | $27,114 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 64 | $541,491 | $57,338 | $86,639 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 58 | $79,236 | $9,424 | $12,678 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $729,650 | $71,654 | $116,744 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 20 | $125,523 | $16,792 | $20,084 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 19 | $311,387 | $31,826 | $49,822 | 4.43 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 15 | $53,070 | $10,321 | $8,491 | 1.01 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $160,023 | $17,706 | $25,604 | 2.04 |
Respiratory system531 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $115,026 | $14,886 | $18,404 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 83 | $83,975 | $12,864 | $13,436 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 45 | $117,976 | $12,248 | $18,876 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 44 | $74,901 | $10,955 | $11,984 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 43 | $232,636 | $24,303 | $37,222 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $58,200 | $8,708 | $9,312 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 21 | $120,432 | $15,607 | $19,269 | 1.74 |
| Major chest procedures with CCMS-DRG 164, surgical | 20 | $239,295 | $22,513 | $38,287 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $118,371 | $11,222 | $18,939 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 18 | $116,024 | $9,198 | $18,564 | 1.05 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 16 | $361,267 | $38,176 | $57,803 | 4.06 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $61,517 | $10,112 | $9,843 | 0.99 |
| Pneumothorax with CCMS-DRG 200, medical | 15 | $115,958 | $10,248 | $18,553 | 1.08 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 14 | $222,551 | $16,542 | $35,608 | 1.88 |
| Major chest trauma with MCCMS-DRG 183, medical | 13 | $135,736 | $13,288 | $21,718 | 1.57 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $700,007 | $62,266 | $112,001 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $653,199 | $56,190 | $104,512 | 4.71 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $65,351 | $8,732 | $10,456 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $67,619 | $17,178 | $10,819 | 1.90 |
Digestive system529 discharges in 20 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 | 66 | $52,481 | $7,871 | $8,397 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 60 | $75,718 | $10,071 | $12,115 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 36 | $167,737 | $19,150 | $26,838 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 35 | $378,635 | $42,321 | $60,582 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 30 | $119,551 | $16,730 | $19,128 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $38,950 | $8,543 | $6,232 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $65,791 | $12,567 | $10,526 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 25 | $118,583 | $15,443 | $18,973 | 1.62 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 23 | $441,949 | $43,026 | $70,712 | 5.08 |
| Digestive malignancy with MCCMS-DRG 374, medical | 23 | $121,551 | $16,445 | $19,448 | 2.10 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $65,671 | $9,604 | $10,507 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 22 | $163,284 | $20,166 | $26,125 | 1.75 |
| Digestive malignancy with CCMS-DRG 375, medical | 21 | $77,822 | $10,051 | $12,452 | 1.20 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 18 | $247,520 | $23,141 | $39,603 | 2.50 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $80,428 | $12,564 | $12,868 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 17 | $117,834 | $15,055 | $18,853 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $68,749 | $10,008 | $11,000 | 1.04 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 14 | $133,396 | $12,605 | $21,343 | 1.60 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $30,437 | $6,408 | $4,870 | 0.56 |
| Other digestive system o.r. procedures with CCMS-DRG 357, surgical | 12 | $295,047 | $23,645 | $47,208 | 2.20 |
Kidney and urinary tract524 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 71 | $53,630 | $8,111 | $8,581 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 67 | $135,789 | $14,992 | $21,726 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 67 | $118,514 | $15,889 | $18,962 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 63 | $53,263 | $8,916 | $8,522 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $82,436 | $10,881 | $13,190 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 47 | $63,179 | $10,127 | $10,109 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 26 | $97,778 | $11,830 | $15,645 | 1.35 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 25 | $115,429 | $12,146 | $18,469 | 1.48 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 24 | $166,016 | $16,713 | $26,563 | 1.84 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 20 | $91,395 | $9,705 | $14,623 | 1.05 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 18 | $241,139 | $26,866 | $38,582 | 2.59 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 16 | $490,194 | $54,720 | $78,431 | 3.70 |
| Kidney transplantMS-DRG 652, surgical | 14 | $498,261 | $30,808 | $79,722 | 3.00 |
| Major bladder procedures with CCMS-DRG 654, surgical | 14 | $240,369 | $20,797 | $38,459 | 2.74 |
Musculoskeletal system and connective tissue437 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 56 | $271,905 | $18,321 | $43,505 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 39 | $96,078 | $9,646 | $15,372 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 35 | $253,665 | $18,687 | $40,586 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 32 | $208,739 | $17,946 | $33,398 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $379,076 | $28,750 | $60,652 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $267,391 | $23,239 | $42,783 | 2.40 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 22 | $433,832 | $40,135 | $69,413 | 3.66 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 22 | $364,272 | $33,570 | $58,283 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 19 | $151,635 | $15,986 | $24,262 | 1.70 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 18 | $213,000 | $25,584 | $34,080 | 3.00 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $195,133 | $22,191 | $31,221 | 2.48 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $327,559 | $26,712 | $52,409 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 16 | $270,544 | $22,333 | $43,287 | 2.04 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 15 | $970,138 | $101,921 | $155,222 | 6.12 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 463, surgical | 14 | $473,176 | $56,859 | $75,708 | 5.66 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $121,818 | $7,935 | $19,491 | 0.79 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 12 | $705,826 | $74,674 | $112,932 | 6.08 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $213,411 | $13,036 | $34,146 | 1.59 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 11 | $120,940 | $11,279 | $19,350 | 1.30 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 11 | $51,562 | $8,867 | $8,250 | 0.88 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $81,545 | $10,164 | $13,047 | 1.00 |
Circulatory system424 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 114 | $111,034 | $13,331 | $17,765 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 54 | $172,968 | $15,482 | $27,675 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 33 | $171,930 | $20,405 | $27,509 | 2.09 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $70,114 | $8,130 | $11,218 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $306,093 | $25,378 | $48,975 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $130,660 | $11,567 | $20,906 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $75,890 | $8,503 | $12,142 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 20 | $328,131 | $41,145 | $52,501 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $93,663 | $8,920 | $14,986 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 14 | $193,402 | $14,336 | $30,944 | 1.58 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $72,670 | $9,590 | $11,627 | 0.97 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $458,069 | $49,002 | $73,291 | 5.06 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $59,558 | $7,396 | $9,529 | 0.75 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $193,784 | $31,530 | $31,005 | 3.35 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $44,954 | $8,407 | $7,193 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $90,463 | $10,500 | $14,474 | 1.07 |
Endocrine, nutritional and metabolic198 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 without MCCMS-DRG 641, medical | 64 | $57,014 | $7,841 | $9,122 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 57 | $142,373 | $14,094 | $22,780 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 39 | $73,911 | $8,813 | $11,826 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $114,914 | $14,741 | $18,386 | 1.45 |
| Adrenal and pituitary procedures with cc/mccMS-DRG 614, surgical | 16 | $370,216 | $38,349 | $59,234 | 2.25 |
Liver, gallbladder and pancreas173 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 26 | $178,235 | $17,831 | $28,518 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 25 | $142,454 | $16,013 | $22,793 | 1.76 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 22 | $160,028 | $20,469 | $25,605 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 16 | $90,657 | $9,517 | $14,505 | 1.09 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 15 | $547,429 | $64,060 | $87,589 | 5.51 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 15 | $69,110 | $7,846 | $11,058 | 0.86 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 14 | $174,601 | $21,566 | $27,936 | 1.67 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 14 | $55,193 | $10,055 | $8,831 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $184,490 | $14,028 | $29,518 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $151,655 | $14,519 | $24,265 | 1.63 |
Multiple significant trauma135 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with CCMS-DRG 964, medical | 48 | $130,967 | $12,498 | $20,955 | 1.50 |
| Other o.r. procedures for multiple significant trauma with MCCMS-DRG 957, surgical | 29 | $614,188 | $66,507 | $98,270 | 7.23 |
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 24 | $389,965 | $34,315 | $62,394 | 3.88 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 21 | $246,700 | $26,262 | $39,472 | 2.73 |
| Other o.r. procedures for multiple significant trauma with CCMS-DRG 958, surgical | 13 | $381,378 | $39,590 | $61,021 | 4.04 |
Blood cancers and poorly differentiated neoplasms98 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute leukemia with MCCMS-DRG 834, medical | 24 | $544,076 | $67,481 | $87,052 | 5.60 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 24 | $238,790 | $24,635 | $38,206 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 20 | $92,433 | $13,291 | $14,789 | 1.21 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 17 | $287,639 | $37,897 | $46,022 | 4.84 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 13 | $95,484 | $22,965 | $15,277 | 2.44 |
Blood and immune system95 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 | 34 | $72,153 | $8,737 | $11,544 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 21 | $101,258 | $11,010 | $16,201 | 1.20 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $97,303 | $11,962 | $15,569 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 12 | $238,131 | $24,416 | $38,101 | 2.19 |
| Coagulation disordersMS-DRG 813, medical | 11 | $125,594 | $28,819 | $20,095 | 1.56 |
Skin, subcutaneous tissue and breast83 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 40 | $49,655 | $8,465 | $7,945 | 0.88 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 17 | $141,346 | $14,278 | $22,615 | 1.75 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $86,270 | $13,316 | $13,803 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $80,973 | $9,741 | $12,956 | 0.91 |
Injuries, poisonings and toxic effects of drugs76 discharges in 5 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 | 19 | $94,053 | $12,676 | $15,049 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 18 | $205,829 | $19,098 | $32,933 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 14 | $575,144 | $45,826 | $92,023 | 3.72 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 13 | $136,893 | $16,717 | $21,903 | 2.00 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $90,417 | $8,471 | $14,467 | 1.03 |
Transplants, ECMO and tracheostomy (pre-MDC)49 discharges in 2 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 | 34 | $1,353,385 | $160,591 | $216,542 | 21.32 |
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 15 | $356,888 | $48,515 | $57,102 | 6.18 |
Other35 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 | 23 | $438,461 | $47,627 | $70,154 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $183,546 | $21,240 | $29,367 | 2.49 |
Female reproductive system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for ovarian or adnexal malignancy with CCMS-DRG 737, surgical | 15 | $178,333 | $18,109 | $28,533 | 1.97 |
| D&c, conization, laparoscopy and tubal interruption with cc/mccMS-DRG 744, surgical | 11 | $122,153 | $15,771 | $19,545 | 1.88 |
Male reproductive system20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major male pelvic procedures without cc/mccMS-DRG 708, surgical | 20 | $124,529 | $13,475 | $19,925 | 1.46 |
Factors influencing health status18 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 | 18 | $62,389 | $8,395 | $9,982 | 0.80 |
Eye12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of the eye without MCCMS-DRG 125, medical | 12 | $42,808 | $7,564 | $6,849 | 0.80 |
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 | $294,483 | $21,305 | $47,117 | 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 2 Urology and Related ServicesAPC 5372 | 964 | 301 | $4,309 | $244 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 550 | 510 | $15,158 | $916 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 366 | 279 | $33,945 | $1,285 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 341 | 241 | $19,901 | $1,287 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 304 | 291 | $40,987 | $1,850 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 271 | 204 | $33,091 | $2,294 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 228 | 182 | $26,902 | $1,343 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 228 | 219 | $36,576 | $2,167 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 178 | 162 | $53,757 | $3,453 | $3,918 |
| Level 4 Airway EndoscopyAPC 5154 | 169 | 157 | $54,782 | $2,494 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 148 | 148 | $118,374 | $7,135 | $8,164 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 132 | 131 | $67,357 | $3,913 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 124 | 119 | $35,670 | $1,987 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 119 | 115 | $95,082 | $4,868 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 103 | 90 | $65,265 | $3,322 | $3,946 |
| Level 1 Intraocular ProceduresAPC 5491 | 96 | 58 | $27,099 | $1,566 | $1,752 |
| Level 3 Airway EndoscopyAPC 5153 | 83 | 72 | $22,753 | $1,038 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 79 | 74 | $76,848 | $3,918 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 77 | 73 | $15,701 | $1,061 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 72 | 72 | $77,251 | $4,289 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 67 | 65 | $81,047 | $4,698 | $5,183 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 65 | 64 | $51,047 | $2,218 | $2,373 |
| Complex GI ProceduresAPC 5331 | 65 | 61 | $91,195 | $3,856 | $4,263 |
| Level 3 Endovascular ProceduresAPC 5193 | 55 | 46 | $166,888 | $7,840 | $8,874 |
| Level 4 Endovascular ProceduresAPC 5194 | 50 | 39 | $250,245 | $13,442 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 48 | 48 | $43,949 | $1,092 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 48 | 46 | $39,006 | $1,888 | $2,176 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 46 | 37 | $40,593 | $2,654 | $2,969 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 45 | 45 | $488,200 | $18,780 | $21,117 |
| Level 3 Upper GI ProceduresAPC 5303 | 45 | 43 | $55,825 | $2,570 | $2,888 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 45 | 43 | $42,640 | $10,089 | $11,550 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 44 | 43 | $54,393 | $2,557 | $2,930 |
| Level 6 Urology and Related ServicesAPC 5376 | 42 | 41 | $120,642 | $6,173 | $7,291 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 42 | 42 | $137,759 | $17,171 | $18,465 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 38 | $171,794 | $14,391 | $15,763 |
| Level 4 Gynecologic ProceduresAPC 5414 | 39 | 39 | $48,122 | $2,091 | $2,389 |
| Level 4 ENT ProceduresAPC 5164 | 37 | 32 | $48,542 | $2,109 | $2,217 |
| Level 1 Nerve ProceduresAPC 5431 | 37 | 35 | $29,044 | $1,288 | $1,407 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 37 | 37 | $203,253 | $23,691 | $26,719 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 36 | 35 | $151,635 | $9,424 | $10,772 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 34 | $72,609 | $3,919 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 27 | $38,050 | $2,294 | $2,636 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 31 | $42,055 | $2,593 | $3,116 |
| Level 5 Gynecologic ProceduresAPC 5415 | 27 | 27 | $53,992 | $3,161 | $3,792 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 22 | 22 | $42,065 | $1,525 | $1,780 |
| Level 7 Radiation TherapyAPC 5627 | 19 | 18 | $102,010 | $5,345 | $6,121 |
| Level 8 Urology and Related ServicesAPC 5378 | 18 | 18 | $149,527 | $14,836 | $17,428 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $65,116 | $7,563 | $8,569 |
| Level 2 Nerve ProceduresAPC 5432 | 15 | 15 | $84,228 | $4,268 | $4,674 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 13 | $164,490 | $26,630 | $29,375 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $53,829 | $5,832 | $6,514 |
| Level 3 ENT ProceduresAPC 5163 | 12 | 12 | $25,751 | $822 | $1,106 |
| Level 6 Gynecologic ProceduresAPC 5416 | 12 | 12 | $76,178 | $5,171 | $5,836 |
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.