Piedmont Athens Regional Medical Ce Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Athens Regional Medical Ce, Athens, GA in 2024, from traditional Medicare claims. Back to the Piedmont Athens Regional Medical Ce profile, with quality ratings, finances and negotiated rates.
4,539
Medicare inpatient discharges
In 118 published DRGs
1.96
Case mix index
IPPS FY 2027
20%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
3,744
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system1,215 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 378 | $48,261 | $9,442 | $7,818 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 88 | $29,427 | $5,277 | $4,767 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 72 | $41,224 | $8,906 | $6,678 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 63 | $41,522 | $6,607 | $6,727 | 0.86 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 55 | $164,697 | $22,747 | $26,681 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 52 | $296,127 | $45,042 | $47,973 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $62,041 | $11,682 | $10,051 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 41 | $21,583 | $3,619 | $3,496 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $115,666 | $13,004 | $18,738 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 35 | $28,720 | $5,358 | $4,653 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 34 | $150,812 | $20,801 | $24,432 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 29 | $45,935 | $6,791 | $7,441 | 0.91 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 27 | $231,900 | $24,292 | $37,568 | 4.04 |
| Chest painMS-DRG 313, medical | 27 | $32,969 | $5,314 | $5,341 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 21 | $358,697 | $39,799 | $58,109 | 5.24 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $60,772 | $7,120 | $9,845 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $82,510 | $14,020 | $13,367 | 2.16 |
| Hypertension with MCCMS-DRG 304, medical | 16 | $49,556 | $9,042 | $8,028 | 1.15 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $50,293 | $13,818 | $8,147 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $161,018 | $23,698 | $26,085 | 3.46 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 14 | $235,978 | $26,876 | $38,229 | 3.18 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $205,737 | $26,686 | $33,329 | 4.16 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 14 | $226,252 | $31,536 | $36,653 | 3.90 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $105,381 | $15,944 | $17,072 | 2.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 13 | $288,294 | $36,413 | $46,704 | 4.88 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $196,427 | $33,180 | $31,821 | 5.06 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $43,953 | $5,435 | $7,120 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $36,024 | $7,258 | $5,836 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $121,913 | $25,460 | $19,750 | 3.35 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $63,603 | $12,147 | $10,304 | 1.58 |
Infectious and parasitic diseases1,011 discharges in 7 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 | 690 | $72,256 | $13,951 | $11,706 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 152 | $41,398 | $7,290 | $6,706 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 86 | $179,638 | $33,520 | $29,101 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 36 | $67,787 | $14,325 | $10,981 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $269,011 | $42,999 | $43,580 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 13 | $231,004 | $33,709 | $37,423 | 4.43 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 13 | $77,435 | $14,968 | $12,544 | 1.84 |
Digestive system461 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 88 | $41,706 | $7,134 | $6,756 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 81 | $32,113 | $5,497 | $5,202 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 46 | $46,704 | $9,408 | $7,566 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 45 | $63,492 | $13,655 | $10,286 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 37 | $100,190 | $15,070 | $16,231 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 36 | $30,898 | $5,842 | $5,005 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 31 | $81,372 | $11,104 | $13,182 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 22 | $180,752 | $36,714 | $29,282 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $33,520 | $7,125 | $5,430 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $57,529 | $9,722 | $9,320 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 14 | $71,135 | $12,612 | $11,524 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $81,130 | $12,650 | $13,143 | 1.62 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 11 | $27,998 | $4,773 | $4,536 | 0.63 |
Respiratory system443 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 84 | $49,470 | $9,409 | $8,014 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 80 | $52,082 | $11,309 | $8,437 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 60 | $51,300 | $8,574 | $8,311 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 54 | $42,222 | $8,632 | $6,840 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $37,393 | $6,907 | $6,058 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $32,331 | $5,982 | $5,238 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $102,473 | $18,952 | $16,601 | 2.70 |
| Pneumothorax with CCMS-DRG 200, medical | 17 | $48,576 | $8,068 | $7,869 | 1.08 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $55,878 | $10,496 | $9,052 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $29,872 | $5,694 | $4,839 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $185,752 | $18,864 | $30,092 | 2.55 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $181,494 | $33,331 | $29,402 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $53,892 | $8,039 | $8,730 | 1.05 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $27,377 | $5,773 | $4,435 | 0.85 |
Nervous system412 discharges in 19 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 | 58 | $44,561 | $7,184 | $7,219 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 55 | $66,859 | $13,146 | $10,831 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 25 | $33,470 | $7,521 | $5,422 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 24 | $49,710 | $10,485 | $8,053 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 23 | $175,490 | $31,291 | $28,429 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 22 | $68,550 | $12,178 | $11,105 | 1.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 20 | $46,468 | $9,359 | $7,528 | 1.32 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $34,108 | $7,521 | $5,525 | 1.06 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 19 | $69,457 | $13,757 | $11,252 | 2.27 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 17 | $66,840 | $7,837 | $10,828 | 1.14 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $32,100 | $5,097 | $5,200 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 17 | $50,689 | $12,880 | $8,212 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $32,796 | $6,043 | $5,313 | 0.80 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 15 | $89,404 | $13,623 | $14,483 | 1.81 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $96,424 | $18,454 | $15,621 | 2.28 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $66,474 | $10,203 | $10,769 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 13 | $45,695 | $6,935 | $7,403 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 12 | $52,906 | $10,588 | $8,571 | 1.47 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $46,196 | $12,981 | $7,484 | 1.79 |
Kidney and urinary tract306 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 62 | $43,945 | $8,511 | $7,119 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 61 | $60,683 | $11,576 | $9,831 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 57 | $28,855 | $6,009 | $4,675 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 45 | $40,039 | $7,254 | $6,486 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $49,233 | $9,914 | $7,976 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $38,802 | $7,361 | $6,286 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $55,896 | $10,111 | $9,055 | 1.35 |
Musculoskeletal system and connective tissue300 discharges in 10 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 | 83 | $111,353 | $14,907 | $18,039 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 46 | $38,334 | $6,864 | $6,210 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 40 | $114,609 | $14,556 | $18,567 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 26 | $137,743 | $21,546 | $22,314 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $130,889 | $16,989 | $21,204 | 2.40 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 22 | $34,783 | $5,795 | $5,635 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 18 | $128,885 | $21,506 | $20,879 | 2.99 |
| Medical back problems with MCCMS-DRG 551, medical | 15 | $65,628 | $11,870 | $10,632 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $39,544 | $6,128 | $6,406 | 0.90 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 12 | $185,794 | $24,694 | $30,099 | 3.66 |
Endocrine, nutritional and metabolic169 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 59 | $51,738 | $9,705 | $8,382 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 53 | $33,460 | $5,971 | $5,421 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $53,194 | $8,713 | $8,617 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 15 | $33,083 | $6,560 | $5,359 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $62,622 | $12,368 | $10,145 | 1.65 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $66,209 | $12,769 | $10,726 | 1.98 |
Blood and immune system71 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 36 | $31,700 | $7,293 | $5,135 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $59,089 | $10,285 | $9,572 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 14 | $69,567 | $11,984 | $11,270 | 1.56 |
Skin, subcutaneous tissue and breast47 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $27,987 | $6,604 | $4,534 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $44,978 | $9,827 | $7,286 | 1.49 |
Liver, gallbladder and pancreas41 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 | 17 | $74,102 | $14,163 | $12,004 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $83,681 | $12,099 | $13,556 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $39,368 | $7,137 | $6,378 | 0.95 |
Factors influencing health status23 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 | 23 | $30,745 | $5,965 | $4,981 | 0.80 |
Other15 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 | 15 | $269,453 | $34,312 | $43,651 | 4.74 |
Multiple significant trauma14 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 | 14 | $211,508 | $26,981 | $34,264 | 3.88 |
Mental diseases and disorders11 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 | 11 | $41,686 | $12,693 | $6,753 | 1.76 |
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 | 582 | 558 | $21,993 | $1,880 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 285 | 270 | $14,806 | $1,109 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 266 | 264 | $27,765 | $2,067 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 162 | 148 | $15,242 | $1,299 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 151 | 142 | $22,302 | $2,212 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 145 | 144 | $48,313 | $3,856 | $4,358 |
| Level 1 Intraocular ProceduresAPC 5491 | 136 | 91 | $30,919 | $1,601 | $1,752 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 135 | 132 | $60,183 | $4,930 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 135 | 135 | $74,186 | $7,285 | $8,164 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 128 | 124 | $109,058 | $10,224 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 128 | 124 | $43,227 | $3,576 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 126 | 105 | $33,826 | $2,376 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 115 | 99 | $27,185 | $1,385 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 95 | 91 | $127,294 | $19,130 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 92 | 89 | $34,045 | $2,220 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 92 | 89 | $89,695 | $8,216 | $8,874 |
| Level 2 Intraocular ProceduresAPC 5492 | 84 | 79 | $43,810 | $2,832 | $3,116 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 82 | 80 | $29,908 | $1,958 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 77 | 74 | $9,499 | $1,080 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 60 | 59 | $37,413 | $2,573 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 52 | 51 | $67,853 | $4,368 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 51 | 51 | $111,579 | $15,137 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 48 | 45 | $19,991 | $1,096 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 43 | $26,937 | $1,337 | $1,407 |
| Level 5 Airway EndoscopyAPC 5155 | 41 | 41 | $58,619 | $4,845 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 40 | 38 | $31,854 | $2,444 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 39 | 37 | $23,267 | $1,865 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 34 | 34 | $77,866 | $15,666 | $17,052 |
| Level 3 Airway EndoscopyAPC 5153 | 33 | 31 | $22,875 | $1,162 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 31 | 30 | $143,714 | $27,744 | $29,375 |
| Level 4 Vascular ProceduresAPC 5184 | 29 | 23 | $38,864 | $3,517 | $3,946 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $32,703 | $2,160 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 26 | $40,469 | $2,723 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 27 | 27 | $63,745 | $7,951 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 22 | 22 | $36,096 | $5,998 | $6,514 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 20 | $127,320 | $14,171 | $14,606 |
| Level 3 Intraocular ProceduresAPC 5493 | 21 | 15 | $49,891 | $3,209 | $4,004 |
| Complex GI ProceduresAPC 5331 | 20 | 17 | $34,456 | $4,078 | $4,263 |
| Level 5 ENT ProceduresAPC 5165 | 19 | 19 | $59,993 | $4,176 | $4,436 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 13 | 13 | $123,030 | $6,894 | $7,546 |
| Level 3 Upper GI ProceduresAPC 5303 | 13 | 13 | $26,280 | $2,515 | $2,888 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $54,847 | $3,391 | $4,338 |
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.