Saint Agnes Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saint Agnes Medical Center, Fresno, CA in 2024, from traditional Medicare claims. Back to the Saint Agnes Medical Center profile, with quality ratings, finances and negotiated rates.
4,959
Medicare inpatient discharges
In 123 published DRGs
1.86
Case mix index
IPPS FY 2027
19%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
4,617
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Circulatory system1,243 discharges in 33 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 345 | $58,463 | $12,832 | $13,797 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 84 | $90,721 | $33,211 | $21,410 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 74 | $37,198 | $8,342 | $8,779 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 71 | $72,152 | $15,714 | $17,028 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 56 | $181,292 | $63,562 | $42,785 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 50 | $40,976 | $7,223 | $9,670 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $57,149 | $12,041 | $13,487 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 37 | $129,653 | $49,256 | $30,598 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 31 | $48,145 | $8,872 | $11,362 | 0.91 |
| Chest painMS-DRG 313, medical | 28 | $37,186 | $6,627 | $8,776 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 28 | $104,292 | $16,543 | $24,613 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 27 | $93,605 | $21,708 | $22,091 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 27 | $45,623 | $10,587 | $10,767 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $133,036 | $29,975 | $31,396 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $32,316 | $4,673 | $7,627 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 22 | $80,686 | $20,664 | $19,042 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $58,477 | $9,444 | $13,801 | 1.08 |
| Heart failure and shock with CCMS-DRG 292, medical | 21 | $41,763 | $8,583 | $9,856 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $33,602 | $6,957 | $7,930 | 0.75 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 19 | $335,110 | $84,040 | $79,086 | 7.71 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 18 | $108,175 | $23,438 | $25,529 | 2.28 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 18 | $176,489 | $41,499 | $41,651 | 3.90 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 18 | $56,678 | $15,419 | $13,376 | 1.58 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 17 | $298,455 | $83,209 | $70,435 | 7.80 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 17 | $53,787 | $9,512 | $12,694 | 0.97 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 16 | $135,114 | $32,051 | $31,887 | 3.46 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 15 | $238,631 | $60,811 | $56,317 | 5.88 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 15 | $134,416 | $37,984 | $31,722 | 4.81 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $134,870 | $34,722 | $31,829 | 3.46 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $272,619 | $56,698 | $64,338 | 5.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $93,720 | $33,587 | $22,118 | 3.35 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $198,420 | $44,086 | $46,827 | 5.06 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $46,913 | $6,196 | $11,071 | 0.72 |
Respiratory system701 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 | 199 | $60,787 | $13,173 | $14,346 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 147 | $75,513 | $16,658 | $17,821 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 93 | $46,366 | $10,951 | $10,942 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 53 | $60,110 | $13,241 | $14,186 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 53 | $39,201 | $7,750 | $9,252 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 34 | $109,486 | $27,972 | $25,839 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 28 | $33,497 | $9,155 | $7,905 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 27 | $53,577 | $9,202 | $12,644 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 16 | $77,954 | $17,821 | $18,397 | 1.74 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 15 | $202,084 | $60,979 | $47,692 | 6.91 |
| Pleural effusion with MCCMS-DRG 186, medical | 13 | $36,184 | $15,116 | $8,539 | 1.55 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $43,198 | $8,613 | $10,195 | 0.85 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $82,913 | $17,551 | $19,567 | 1.90 |
Infectious and parasitic diseases641 discharges in 5 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 | 419 | $88,122 | $20,282 | $20,797 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 112 | $45,772 | $9,843 | $10,802 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 71 | $205,604 | $50,850 | $48,523 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 23 | $219,061 | $69,407 | $51,698 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $69,811 | $20,765 | $16,475 | 2.04 |
Kidney and urinary tract595 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 153 | $35,570 | $7,497 | $8,395 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 108 | $40,256 | $8,730 | $9,500 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 87 | $52,398 | $11,601 | $12,366 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 78 | $55,419 | $16,168 | $13,079 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 73 | $66,827 | $15,361 | $15,771 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 51 | $38,979 | $9,831 | $9,199 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $157,276 | $44,293 | $37,117 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $61,717 | $12,496 | $14,565 | 1.35 |
| Urinary stones without MCCMS-DRG 694, medical | 12 | $34,826 | $7,500 | $8,219 | 0.78 |
Digestive system516 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 101 | $50,518 | $9,511 | $11,922 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 93 | $37,358 | $7,216 | $8,817 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 56 | $77,006 | $17,725 | $18,173 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 39 | $29,062 | $7,451 | $6,859 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 36 | $57,188 | $12,345 | $13,496 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 35 | $42,852 | $8,014 | $10,113 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 34 | $112,597 | $24,704 | $26,573 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 24 | $179,974 | $42,408 | $42,474 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $28,393 | $4,694 | $6,701 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $66,454 | $15,187 | $15,683 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $64,739 | $15,238 | $15,278 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $63,357 | $14,777 | $14,952 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $50,892 | $10,221 | $12,011 | 1.04 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $79,716 | $16,866 | $18,813 | 1.75 |
Endocrine, nutritional and metabolic327 discharges in 7 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 | 107 | $34,505 | $7,364 | $8,143 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 98 | $58,492 | $13,198 | $13,804 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 38 | $49,893 | $14,313 | $11,775 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 38 | $40,360 | $8,756 | $9,525 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 22 | $84,502 | $17,975 | $19,942 | 1.98 |
| Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders witMS-DRG 623, surgical | 13 | $59,277 | $18,824 | $13,989 | 1.86 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 11 | $67,150 | $12,432 | $15,847 | 1.52 |
Musculoskeletal system and connective tissue283 discharges in 13 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 | 65 | $81,685 | $20,413 | $19,278 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 44 | $97,046 | $21,187 | $22,903 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 27 | $89,111 | $19,044 | $21,030 | 1.88 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 19 | $72,475 | $15,729 | $17,104 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 17 | $72,798 | $20,636 | $17,180 | 2.04 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $40,395 | $9,485 | $9,533 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $108,562 | $29,155 | $25,621 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 16 | $131,137 | $29,636 | $30,948 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $40,557 | $7,526 | $9,572 | 0.79 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $133,510 | $37,170 | $31,508 | 3.49 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $105,475 | $22,640 | $24,892 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $42,366 | $8,850 | $9,998 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 11 | $88,272 | $18,876 | $20,832 | 1.87 |
Nervous system247 discharges in 9 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 | 55 | $54,253 | $9,725 | $12,804 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 53 | $48,151 | $7,794 | $11,364 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $49,354 | $10,292 | $11,648 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $70,355 | $19,699 | $16,604 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 24 | $42,644 | $10,281 | $10,064 | 1.03 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 22 | $78,741 | $18,377 | $18,583 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 19 | $53,717 | $8,399 | $12,677 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $40,826 | $12,609 | $9,635 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $55,849 | $6,327 | $13,180 | 0.69 |
Liver, gallbladder and pancreas184 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 37 | $79,255 | $16,154 | $18,704 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $62,352 | $20,146 | $14,715 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 22 | $84,711 | $18,604 | $19,992 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 19 | $38,952 | $8,292 | $9,193 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 18 | $41,744 | $9,798 | $9,851 | 0.95 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 16 | $73,025 | $15,943 | $17,234 | 1.76 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 13 | $58,365 | $10,778 | $13,774 | 1.03 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 13 | $60,420 | $17,076 | $14,259 | 1.67 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $52,026 | $10,793 | $12,278 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $124,553 | $25,546 | $29,394 | 2.32 |
Skin, subcutaneous tissue and breast86 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 53 | $33,146 | $8,280 | $7,823 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $66,692 | $15,065 | $15,739 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 15 | $39,889 | $8,724 | $9,414 | 0.91 |
Blood and immune system42 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 | 17 | $45,893 | $9,349 | $10,831 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $39,767 | $14,498 | $9,385 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 11 | $51,788 | $12,522 | $12,222 | 1.20 |
Alcohol and drug use29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 29 | $34,843 | $8,727 | $8,223 | 0.86 |
Injuries, poisonings and toxic effects of drugs23 discharges in 1 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 | 23 | $60,578 | $14,510 | $14,297 | 1.60 |
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 | $35,903 | $7,230 | $8,473 | 0.80 |
Other19 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 | 19 | $220,045 | $44,241 | $51,931 | 4.74 |
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 Endovascular ProceduresAPC 5191 | 707 | 705 | $24,187 | $2,857 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 568 | 510 | $21,875 | $2,668 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 411 | 282 | $12,802 | $2,281 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 331 | 314 | $74,401 | $14,187 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 292 | 214 | $8,418 | $1,566 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 278 | 251 | $72,967 | $11,827 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 152 | 143 | $16,056 | $3,102 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 141 | 135 | $172,818 | $27,482 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 136 | 124 | $11,868 | $1,865 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 127 | 127 | $40,186 | $5,608 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 110 | 102 | $29,166 | $5,003 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 103 | 88 | $21,803 | $3,413 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 96 | 89 | $17,592 | $2,783 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 96 | 74 | $20,838 | $3,207 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 89 | 89 | $55,428 | $11,476 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 75 | 61 | $13,110 | $1,964 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 62 | 62 | $6,996 | $1,566 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 61 | 61 | $45,707 | $6,283 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 55 | 43 | $8,373 | $1,891 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 53 | 50 | $50,565 | $7,025 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 53 | 53 | $58,334 | $10,799 | $8,164 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 46 | 44 | $108,462 | $38,683 | $29,375 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 43 | 41 | $23,719 | $3,171 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 42 | 41 | $23,001 | $3,733 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 42 | 42 | $24,842 | $3,062 | $2,389 |
| Level 4 Vascular ProceduresAPC 5184 | 41 | 37 | $46,427 | $4,989 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 38 | $113,953 | $19,387 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 41 | 41 | $117,573 | $22,259 | $17,052 |
| Level 2 Endovascular ProceduresAPC 5192 | 38 | 38 | $44,253 | $5,299 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 31 | 30 | $40,788 | $5,734 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 28 | $12,041 | $1,561 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 27 | 27 | $16,823 | $2,759 | $2,176 |
| Level 3 Upper GI ProceduresAPC 5303 | 22 | 18 | $17,866 | $3,751 | $2,888 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 21 | 21 | $109,011 | $21,219 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 20 | 19 | $21,550 | $3,668 | $2,833 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 20 | 20 | $19,194 | $2,289 | $1,780 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 18 | $11,813 | $1,575 | $1,264 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 19 | 19 | $38,825 | $7,545 | $5,682 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 19 | 19 | $105,172 | $36,422 | $26,719 |
| Level 2 Intraocular ProceduresAPC 5492 | 19 | 18 | $23,087 | $3,983 | $3,116 |
| Level 8 Urology and Related ServicesAPC 5378 | 18 | 16 | $69,623 | $23,098 | $17,428 |
| Complex GI ProceduresAPC 5331 | 13 | 12 | $26,228 | $5,583 | $4,263 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $34,149 | $4,854 | $3,792 |
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.