Santa Rosa Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Santa Rosa Memorial Hospital, Santa Rosa, CA in 2024, from traditional Medicare claims. Back to the Santa Rosa Memorial Hospital profile, with quality ratings, finances and negotiated rates.
3,284
Medicare inpatient discharges
In 107 published DRGs
2.09
Case mix index
IPPS FY 2027
26%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
3,717
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system812 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 164 | $90,067 | $13,433 | $15,942 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 86 | $110,424 | $16,630 | $19,545 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 73 | $289,376 | $52,375 | $51,219 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 68 | $155,602 | $32,752 | $27,542 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 45 | $314,232 | $66,326 | $55,619 | 6.25 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 36 | $87,054 | $12,822 | $15,409 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $73,382 | $7,598 | $12,989 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $161,873 | $18,026 | $28,652 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 30 | $207,563 | $29,852 | $36,739 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 26 | $92,470 | $9,255 | $16,367 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $89,566 | $9,473 | $15,853 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $132,268 | $21,008 | $23,411 | 2.16 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $227,332 | $37,088 | $40,238 | 3.35 |
| Other vascular procedures with CCMS-DRG 253, surgical | 18 | $284,651 | $30,892 | $50,383 | 2.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $145,035 | $21,101 | $25,671 | 2.09 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 17 | $278,647 | $53,741 | $49,320 | 5.04 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $192,705 | $36,583 | $34,109 | 3.46 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 15 | $290,041 | $32,400 | $51,337 | 3.27 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $84,427 | $11,479 | $14,944 | 1.07 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $210,019 | $35,250 | $37,173 | 3.18 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $500,959 | $44,743 | $88,670 | 4.04 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $366,397 | $45,280 | $64,852 | 4.16 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 12 | $140,937 | $19,895 | $24,946 | 1.97 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 11 | $586,051 | $59,857 | $103,731 | 5.24 |
Infectious and parasitic diseases539 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 | 359 | $141,328 | $20,658 | $25,015 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 66 | $426,469 | $57,339 | $75,485 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 66 | $86,867 | $10,542 | $15,375 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $173,042 | $20,442 | $30,628 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 16 | $141,438 | $21,407 | $25,034 | 1.84 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $423,673 | $78,464 | $74,990 | 6.96 |
Musculoskeletal system and connective tissue366 discharges in 15 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 | 62 | $216,642 | $21,477 | $38,346 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 53 | $128,720 | $9,916 | $22,783 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 39 | $209,684 | $20,096 | $37,114 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 28 | $233,218 | $22,652 | $41,280 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 25 | $297,523 | $39,206 | $52,662 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 23 | $233,295 | $30,574 | $41,293 | 2.96 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 21 | $229,852 | $23,971 | $40,684 | 2.40 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 19 | $148,409 | $18,060 | $26,268 | 1.82 |
| Medical back problems with MCCMS-DRG 551, medical | 18 | $165,263 | $17,498 | $29,252 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $227,825 | $28,851 | $40,325 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 15 | $307,644 | $33,581 | $54,453 | 3.46 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $352,029 | $51,788 | $62,309 | 4.61 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 12 | $282,914 | $30,930 | $50,076 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $74,999 | $6,912 | $13,275 | 0.79 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $138,680 | $16,692 | $24,546 | 1.59 |
Respiratory system334 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 97 | $102,990 | $17,024 | $18,229 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 70 | $81,201 | $13,587 | $14,373 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $80,391 | $13,349 | $14,229 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 32 | $214,593 | $29,251 | $37,983 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $74,028 | $11,658 | $13,103 | 1.10 |
| Major chest trauma with CCMS-DRG 184, medical | 17 | $143,515 | $10,951 | $25,402 | 1.05 |
| Major chest trauma with MCCMS-DRG 183, medical | 15 | $149,143 | $16,648 | $26,398 | 1.57 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $74,812 | $10,417 | $13,242 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $112,585 | $18,825 | $19,928 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $135,290 | $15,637 | $23,946 | 1.40 |
Digestive system326 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 78 | $131,451 | $18,496 | $23,267 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 68 | $88,142 | $10,115 | $15,601 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 30 | $77,387 | $8,078 | $13,697 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $118,367 | $13,956 | $20,951 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $64,653 | $7,385 | $11,444 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $89,997 | $9,939 | $15,930 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 16 | $127,815 | $17,797 | $22,623 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $96,970 | $16,318 | $17,164 | 1.62 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 14 | $126,188 | $20,707 | $22,335 | 1.95 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $294,956 | $26,513 | $52,207 | 2.37 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $135,149 | $20,767 | $23,921 | 2.10 |
| Major esophageal disorders with MCCMS-DRG 368, medical | 12 | $88,937 | $17,493 | $15,742 | 1.65 |
Kidney and urinary tract304 discharges in 11 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 | 61 | $117,366 | $17,813 | $20,774 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 42 | $102,132 | $15,992 | $18,077 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $84,542 | $12,339 | $14,964 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 35 | $70,840 | $8,981 | $12,539 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $67,394 | $8,254 | $11,929 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 25 | $74,134 | $10,296 | $13,122 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 23 | $140,619 | $14,473 | $24,890 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 15 | $173,610 | $27,958 | $30,729 | 2.59 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 13 | $244,368 | $19,361 | $43,253 | 1.84 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $147,500 | $10,872 | $26,108 | 1.05 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $188,643 | $41,526 | $33,390 | 3.70 |
Nervous system233 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 64 | $164,268 | $20,950 | $29,075 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 51 | $100,173 | $9,891 | $17,731 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 22 | $445,946 | $48,619 | $78,932 | 4.42 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 18 | $90,128 | $6,429 | $15,953 | 0.69 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 18 | $135,327 | $13,987 | $23,953 | 1.32 |
| Seizures with MCCMS-DRG 100, medical | 18 | $129,684 | $20,930 | $22,954 | 1.98 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 16 | $187,713 | $24,637 | $33,225 | 2.28 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 15 | $187,722 | $23,259 | $33,227 | 2.27 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 11 | $112,543 | $24,812 | $19,920 | 2.39 |
Endocrine, nutritional and metabolic103 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 44 | $107,133 | $14,111 | $18,962 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 29 | $87,995 | $7,590 | $15,575 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $123,887 | $15,342 | $21,928 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 13 | $71,928 | $9,395 | $12,731 | 0.90 |
Liver, gallbladder and pancreas93 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $89,171 | $20,087 | $15,783 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $129,765 | $18,183 | $22,968 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $179,074 | $17,400 | $31,696 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $125,713 | $17,904 | $22,251 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $112,576 | $10,540 | $19,926 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $64,532 | $8,581 | $11,422 | 0.86 |
Skin, subcutaneous tissue and breast48 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 36 | $63,006 | $8,878 | $11,152 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $111,632 | $14,001 | $19,759 | 1.49 |
Injuries, poisonings and toxic effects of drugs38 discharges in 2 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 | $114,352 | $16,513 | $20,240 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 15 | $104,839 | $18,538 | $18,556 | 1.82 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $118,130 | $15,171 | $20,909 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $93,781 | $9,602 | $16,599 | 0.90 |
Alcohol and drug use31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 18 | $133,751 | $17,567 | $23,674 | 1.78 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $77,879 | $8,605 | $13,785 | 0.86 |
Other12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 12 | $172,889 | $17,970 | $30,601 | 1.70 |
Factors influencing health status11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 11 | $57,076 | $6,267 | $10,102 | 0.59 |
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 | 661 | 615 | $49,475 | $3,050 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 334 | 291 | $26,841 | $2,135 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 278 | 278 | $41,288 | $3,268 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 256 | 240 | $17,055 | $1,773 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 174 | 172 | $166,699 | $31,528 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 161 | 157 | $28,897 | $3,554 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 139 | 137 | $32,041 | $3,128 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 127 | 123 | $75,421 | $5,691 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 118 | 112 | $171,714 | $16,758 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 94 | 91 | $115,400 | $8,378 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 92 | 91 | $60,605 | $13,295 | $8,569 |
| Level 2 Urology and Related ServicesAPC 5372 | 91 | 21 | $4,246 | $761 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 89 | 87 | $93,732 | $13,452 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 81 | 81 | $135,612 | $6,368 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 75 | 68 | $53,405 | $3,850 | $2,629 |
| Level 3 Lower GI ProceduresAPC 5313 | 68 | 67 | $27,680 | $3,271 | $2,176 |
| Level 3 Urology and Related ServicesAPC 5373 | 65 | 43 | $20,501 | $2,231 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 65 | 52 | $36,406 | $2,557 | $1,752 |
| Level 2 Vascular ProceduresAPC 5182 | 56 | 54 | $12,850 | $1,779 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 56 | 54 | $54,871 | $3,857 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 49 | $50,417 | $3,480 | $2,373 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 51 | 47 | $45,645 | $2,608 | $1,780 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 45 | 44 | $102,426 | $7,496 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 42 | 39 | $54,269 | $4,253 | $2,930 |
| Level 5 ENT ProceduresAPC 5165 | 42 | 41 | $131,773 | $6,563 | $4,436 |
| Level 1 Nerve ProceduresAPC 5431 | 38 | 36 | $20,224 | $2,150 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 36 | $31,263 | $1,773 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 31 | $86,785 | $6,132 | $3,946 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 35 | 35 | $223,986 | $12,758 | $8,164 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 34 | 34 | $135,773 | $25,579 | $17,052 |
| Level 4 Endovascular ProceduresAPC 5194 | 31 | 31 | $116,269 | $22,859 | $14,606 |
| Complex GI ProceduresAPC 5331 | 28 | 21 | $63,056 | $6,360 | $4,263 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 27 | 27 | $237,209 | $44,118 | $29,375 |
| Level 2 Endovascular ProceduresAPC 5192 | 21 | 21 | $47,388 | $6,378 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $218,909 | $24,394 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $43,934 | $4,179 | $2,833 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 16 | 16 | $222,259 | $38,940 | $26,955 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 16 | 16 | $61,561 | $8,817 | $5,682 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | 16 | $50,029 | $4,290 | $2,888 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 11 | $136,728 | $11,250 | $7,291 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $54,317 | $3,593 | $2,217 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | $83,269 | $10,251 | $6,514 |
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.