Ronald Reagan Ucla Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ronald Reagan Ucla Medical Center, Los Angeles, CA in 2024, from traditional Medicare claims. Back to the Ronald Reagan Ucla Medical Center profile, with quality ratings, finances and negotiated rates.
4,027
Medicare inpatient discharges
In 132 published DRGs
2.91
Case mix index
IPPS FY 2027
38%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
9,268
Medicare outpatient services
In 57 service groups
Inpatient stays by major diagnostic category
Circulatory system941 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 | 147 | $131,874 | $23,336 | $37,057 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 84 | $246,510 | $93,345 | $69,269 | 6.25 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 78 | $163,207 | $36,513 | $45,861 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 67 | $398,579 | $111,284 | $112,001 | 7.71 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 43 | $352,939 | $83,732 | $99,176 | 5.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 40 | $423,792 | $78,831 | $119,085 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 37 | $96,320 | $16,304 | $27,066 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 37 | $62,907 | $11,054 | $17,677 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 36 | $134,061 | $49,595 | $37,671 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $145,441 | $27,650 | $40,869 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 29 | $190,466 | $72,506 | $53,521 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $175,782 | $28,633 | $49,395 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 24 | $56,743 | $12,327 | $15,945 | 0.86 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 22 | $97,019 | $14,004 | $27,262 | 0.97 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 21 | $265,954 | $70,136 | $74,733 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $100,145 | $24,751 | $28,141 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $135,427 | $34,916 | $38,055 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 17 | $514,195 | $111,304 | $144,489 | 5.06 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 16 | $518,915 | $121,846 | $145,815 | 7.80 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 15 | $311,487 | $74,691 | $87,528 | 5.24 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $140,849 | $44,200 | $39,579 | 2.87 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 14 | $536,113 | $148,164 | $150,648 | 9.71 |
| Other vascular procedures with CCMS-DRG 253, surgical | 14 | $119,482 | $39,660 | $33,575 | 2.55 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $48,193 | $15,714 | $13,542 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $53,604 | $7,863 | $15,063 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $249,493 | $64,561 | $70,107 | 3.46 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $139,334 | $53,157 | $39,153 | 3.46 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $347,610 | $67,073 | $97,678 | 3.90 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $67,027 | $12,928 | $18,835 | 0.86 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $174,878 | $64,233 | $49,141 | 4.16 |
Infectious and parasitic diseases603 discharges in 6 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 | 427 | $148,388 | $31,638 | $41,697 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 68 | $68,314 | $14,792 | $19,196 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 55 | $456,458 | $107,609 | $128,265 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $738,684 | $161,783 | $207,570 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 12 | $107,869 | $20,620 | $30,311 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $348,823 | $75,139 | $98,019 | 4.43 |
Nervous system534 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 87 | $277,681 | $71,354 | $78,028 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 63 | $212,809 | $36,790 | $59,799 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 50 | $77,451 | $12,640 | $21,764 | 0.91 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 40 | $168,572 | $42,923 | $47,369 | 2.95 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 40 | $157,296 | $35,564 | $44,200 | 2.43 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 38 | $87,946 | $14,241 | $24,713 | 1.02 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 35 | $116,037 | $26,828 | $32,606 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 25 | $96,050 | $15,735 | $26,990 | 1.03 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 21 | $468,363 | $106,835 | $131,610 | 5.67 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 19 | $180,852 | $41,189 | $50,819 | 2.27 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 18 | $204,922 | $41,788 | $57,583 | 2.28 |
| Seizures with MCCMS-DRG 100, medical | 17 | $213,558 | $36,523 | $60,010 | 1.98 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 16 | $71,085 | $24,932 | $19,975 | 1.62 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 16 | $162,006 | $32,747 | $45,524 | 2.39 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 14 | $153,672 | $23,433 | $43,182 | 1.47 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 12 | $284,905 | $61,930 | $80,058 | 3.43 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $99,987 | $19,310 | $28,096 | 1.32 |
| Headaches without MCCMS-DRG 103, medical | 11 | $61,917 | $12,501 | $17,399 | 0.84 |
Kidney and urinary tract447 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 99 | $132,744 | $28,247 | $37,301 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 71 | $92,605 | $16,724 | $26,022 | 1.02 |
| Kidney transplantMS-DRG 652, surgical | 61 | $270,317 | $44,331 | $75,959 | 3.00 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $107,148 | $22,583 | $30,108 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 34 | $65,015 | $12,717 | $18,269 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $55,215 | $11,072 | $15,516 | 0.81 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 28 | $343,000 | $73,412 | $96,383 | 4.50 |
| Kidney transplant with hemodialysis without MCCMS-DRG 651, surgical | 24 | $289,293 | $53,749 | $81,291 | 3.46 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $77,668 | $15,003 | $21,825 | 1.17 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $222,461 | $62,738 | $62,511 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $312,673 | $71,531 | $87,861 | 2.59 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $108,495 | $20,509 | $30,487 | 1.35 |
Respiratory system351 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major chest procedures with CCMS-DRG 164, surgical | 61 | $146,291 | $36,855 | $41,108 | 2.55 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 58 | $108,902 | $22,840 | $30,602 | 1.70 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 48 | $130,508 | $27,837 | $36,673 | 1.81 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $69,396 | $18,445 | $19,500 | 1.33 |
| Major chest procedures with MCCMS-DRG 163, surgical | 30 | $248,495 | $66,466 | $69,827 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $68,842 | $14,514 | $19,344 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $98,116 | $19,355 | $27,571 | 1.23 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 16 | $121,695 | $28,310 | $34,196 | 1.88 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 16 | $190,086 | $62,850 | $53,414 | 4.06 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 16 | $128,081 | $29,416 | $35,991 | 1.90 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $222,481 | $47,388 | $62,517 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $86,784 | $20,737 | $24,386 | 1.40 |
Digestive system338 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 52 | $157,816 | $34,304 | $44,346 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $168,890 | $31,318 | $47,458 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $60,473 | $11,251 | $16,993 | 0.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 31 | $181,245 | $31,699 | $50,930 | 1.62 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 25 | $188,854 | $36,924 | $53,068 | 2.50 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $80,179 | $13,257 | $22,530 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $166,289 | $29,474 | $46,727 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $48,245 | $13,990 | $13,557 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $316,534 | $65,312 | $88,946 | 4.52 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $61,065 | $14,315 | $17,159 | 0.98 |
| Digestive malignancy with MCCMS-DRG 374, medical | 15 | $175,457 | $32,774 | $49,303 | 2.10 |
| Digestive malignancy with CCMS-DRG 375, medical | 15 | $111,273 | $18,315 | $31,268 | 1.20 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 13 | $304,495 | $78,399 | $85,563 | 5.08 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $103,274 | $20,314 | $29,020 | 1.67 |
Liver, gallbladder and pancreas218 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 47 | $264,314 | $50,650 | $74,272 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 38 | $214,791 | $42,582 | $60,356 | 1.83 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 33 | $169,868 | $42,017 | $47,733 | 2.89 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 27 | $339,831 | $85,700 | $95,493 | 5.51 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 27 | $89,540 | $13,337 | $25,161 | 0.95 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 22 | $176,242 | $35,432 | $49,524 | 1.76 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 12 | $88,668 | $17,844 | $24,916 | 1.03 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $127,867 | $24,711 | $35,931 | 1.63 |
Transplants, ECMO and tracheostomy (pre-MDC)148 discharges in 6 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 | 53 | $1,263,774 | $337,225 | $355,120 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 25 | $2,221,323 | $532,654 | $624,192 | 27.10 |
| Liver transplant with MCC or intestinal transplantMS-DRG 005, surgical | 20 | $1,507,378 | $273,797 | $423,573 | 10.35 |
| Lung transplantMS-DRG 007, surgical | 18 | $668,301 | $174,850 | $187,793 | 12.27 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 16 | $935,770 | $229,056 | $262,951 | 14.70 |
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 16 | $326,868 | $96,759 | $91,850 | 6.18 |
Endocrine, nutritional and metabolic94 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 31 | $87,438 | $20,476 | $24,570 | 1.32 |
| Adrenal and pituitary procedures with cc/mccMS-DRG 614, surgical | 16 | $149,492 | $36,801 | $42,007 | 2.25 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $60,275 | $11,767 | $16,937 | 0.78 |
| Endocrine disorders with CCMS-DRG 644, medical | 16 | $72,944 | $15,645 | $20,497 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $161,764 | $28,110 | $45,456 | 1.65 |
Musculoskeletal system and connective tissue87 discharges in 5 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 | 31 | $114,498 | $28,928 | $32,174 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $74,825 | $13,878 | $21,026 | 0.97 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $116,146 | $31,296 | $32,637 | 2.04 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $31,206 | $8,377 | $8,769 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $209,431 | $43,564 | $58,850 | 2.95 |
Ear, nose, mouth and throat58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 22 | $182,503 | $31,634 | $51,283 | 2.07 |
| Other ear, nose, mouth and throat o.r. procedures with CCMS-DRG 144, surgical | 20 | $112,214 | $26,210 | $31,532 | 1.73 |
| Other ear, nose, mouth and throat o.r. procedures without cc/mccMS-DRG 145, surgical | 16 | $80,068 | $18,026 | $22,499 | 1.22 |
Injuries, poisonings and toxic effects of drugs54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 31 | $186,405 | $39,151 | $52,380 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 12 | $85,570 | $21,817 | $24,045 | 1.60 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 11 | $206,865 | $59,824 | $58,129 | 3.72 |
Blood cancers and poorly differentiated neoplasms47 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedurMS-DRG 827, surgical | 23 | $158,641 | $35,718 | $44,578 | 2.32 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 13 | $382,651 | $72,458 | $107,525 | 3.13 |
| Acute leukemia with MCCMS-DRG 834, medical | 11 | $411,465 | $108,126 | $115,622 | 5.60 |
Blood and immune system29 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 | 18 | $51,487 | $13,681 | $14,468 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $155,247 | $24,971 | $43,624 | 1.40 |
Skin, subcutaneous tissue and breast27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 16 | $135,001 | $19,848 | $37,935 | 1.75 |
| Cellulitis without MCCMS-DRG 603, medical | 11 | $48,085 | $10,637 | $13,512 | 0.88 |
Other24 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 | 24 | $627,664 | $128,924 | $176,374 | 4.74 |
Female reproductive system14 discharges in 1 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 | 14 | $116,450 | $27,874 | $32,723 | 1.97 |
Eye13 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 | 13 | $71,041 | $11,191 | $19,963 | 0.80 |
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 | 1,990 | 1,320 | $10,567 | $2,261 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 780 | 739 | $28,515 | $2,667 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 518 | 489 | $11,777 | $1,579 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 512 | 436 | $11,601 | $1,825 | $1,445 |
| Level 2 Intraocular ProceduresAPC 5492 | 473 | 424 | $20,210 | $3,940 | $3,116 |
| Level 1 Endovascular ProceduresAPC 5191 | 302 | 290 | $26,306 | $2,803 | $2,208 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 289 | 276 | $13,659 | $2,265 | $1,780 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 262 | 258 | $92,584 | $27,482 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 235 | 223 | $36,780 | $5,069 | $3,918 |
| Level 5 ENT ProceduresAPC 5165 | 222 | 221 | $33,132 | $5,597 | $4,436 |
| Level 3 Endovascular ProceduresAPC 5193 | 218 | 204 | $67,168 | $11,870 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 214 | 190 | $21,811 | $2,757 | $2,141 |
| Level 6 Urology and Related ServicesAPC 5376 | 209 | 207 | $52,688 | $9,634 | $7,291 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 203 | 184 | $33,278 | $5,579 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 200 | 144 | $25,857 | $3,068 | $2,405 |
| Level 3 Lower GI ProceduresAPC 5313 | 168 | 159 | $12,604 | $2,783 | $2,176 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 161 | 155 | $71,524 | $10,807 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 160 | 121 | $19,465 | $3,461 | $2,833 |
| Level 3 Urology and Related ServicesAPC 5373 | 156 | 137 | $15,670 | $1,969 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 153 | 135 | $21,876 | $3,415 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 147 | 124 | $50,029 | $4,797 | $3,946 |
| Level 3 Intraocular ProceduresAPC 5493 | 127 | 101 | $24,804 | $5,120 | $4,004 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 104 | 101 | $38,580 | $7,156 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 96 | 96 | $51,060 | $11,356 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 87 | 85 | $36,514 | $5,599 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 85 | 80 | $22,796 | $3,059 | $2,373 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 84 | 81 | $36,377 | $6,330 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 75 | 70 | $39,729 | $6,781 | $5,183 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 74 | 73 | $27,463 | $3,734 | $2,930 |
| Level 3 Upper GI ProceduresAPC 5303 | 68 | 65 | $18,978 | $3,758 | $2,888 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 63 | 62 | $11,064 | $1,546 | $1,196 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 62 | 58 | $18,732 | $3,726 | $2,969 |
| Complex GI ProceduresAPC 5331 | 61 | 50 | $21,924 | $5,503 | $4,263 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 55 | 53 | $24,651 | $3,327 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 49 | 44 | $14,187 | $1,814 | $1,407 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 49 | 47 | $111,504 | $36,422 | $26,719 |
| Level 4 Gynecologic ProceduresAPC 5414 | 48 | 48 | $20,244 | $3,062 | $2,389 |
| Level 6 Gynecologic ProceduresAPC 5416 | 46 | 42 | $47,909 | $7,653 | $5,836 |
| Level 4 Endovascular ProceduresAPC 5194 | 45 | 45 | $89,634 | $19,871 | $14,606 |
| Level 4 ENT ProceduresAPC 5164 | 39 | 36 | $26,672 | $3,149 | $2,217 |
| Level 7 Radiation TherapyAPC 5627 | 39 | 38 | $42,631 | $7,936 | $6,121 |
| Level 3 Airway EndoscopyAPC 5153 | 33 | 31 | $16,685 | $1,663 | $1,264 |
| Level 5 Gynecologic ProceduresAPC 5415 | 32 | 32 | $32,120 | $4,872 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 28 | 28 | $41,004 | $8,795 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 26 | 25 | $106,779 | $38,684 | $29,375 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 26 | 26 | $95,117 | $24,219 | $18,465 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 24 | 23 | $44,043 | $9,943 | $7,546 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 24 | $25,458 | $1,501 | $1,204 |
| Level 2 Urology and Related ServicesAPC 5372 | 23 | 23 | $12,649 | $669 | $502 |
| Level 8 Urology and Related ServicesAPC 5378 | 23 | 23 | $86,672 | $23,100 | $17,428 |
| Cochlear Implant ProcedureAPC 5166 | 21 | 21 | $129,809 | $39,462 | $29,489 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 14 | $80,837 | $14,516 | $10,772 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 13 | $74,095 | $22,259 | $17,052 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 14 | 14 | $21,862 | $3,095 | $2,547 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 13 | 13 | $73,936 | $27,263 | $21,011 |
| Level 2 Nerve ProceduresAPC 5432 | 12 | 12 | $39,132 | $6,019 | $4,674 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | 11 | $35,247 | $6,210 | $4,524 |
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.