Sarasota County Public Hospital District Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sarasota County Public Hospital District, North Venice, FL in 2024, from traditional Medicare claims. Back to the Sarasota County Public Hospital District profile, with quality ratings, finances and negotiated rates.
5,111
Medicare inpatient discharges
In 123 published DRGs
1.48
Case mix index
IPPS FY 2027
14%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
4,314
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system1,163 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 310 | $40,981 | $7,103 | $7,663 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 104 | $37,301 | $4,636 | $6,975 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 92 | $34,678 | $3,665 | $6,485 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 86 | $64,530 | $8,869 | $12,067 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 70 | $34,754 | $3,728 | $6,499 | 0.75 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 65 | $46,417 | $4,721 | $8,680 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 59 | $37,851 | $6,903 | $7,078 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 54 | $117,544 | $10,513 | $21,981 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 40 | $27,369 | $2,373 | $5,118 | 0.55 |
| Chest painMS-DRG 313, medical | 38 | $35,022 | $3,346 | $6,549 | 0.72 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 35 | $39,219 | $3,335 | $7,334 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 31 | $70,044 | $5,732 | $13,098 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 21 | $41,906 | $5,881 | $7,836 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $108,240 | $19,542 | $20,241 | 3.46 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 20 | $37,980 | $5,415 | $7,102 | 0.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $90,455 | $13,981 | $16,915 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $139,662 | $17,010 | $26,117 | 2.87 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 16 | $247,791 | $26,824 | $46,337 | 3.18 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $79,160 | $13,128 | $14,803 | 2.16 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 15 | $91,187 | $10,594 | $17,052 | 1.83 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 12 | $63,062 | $11,658 | $11,793 | 1.97 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $70,270 | $12,900 | $13,140 | 2.09 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $163,235 | $21,706 | $30,525 | 3.46 |
Infectious and parasitic diseases699 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 | 470 | $64,149 | $11,083 | $11,996 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 134 | $43,162 | $5,518 | $8,071 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $149,082 | $27,689 | $27,878 | 5.00 |
| Fever and inflammatory conditionsMS-DRG 864, medical | 23 | $42,258 | $4,778 | $7,902 | 0.88 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 14 | $93,010 | $11,201 | $17,393 | 1.84 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $90,036 | $11,736 | $16,837 | 2.04 |
Respiratory system629 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 138 | $46,919 | $9,289 | $8,774 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 114 | $49,717 | $7,453 | $9,297 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 106 | $45,938 | $6,068 | $8,590 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 59 | $38,147 | $4,004 | $7,133 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 49 | $35,575 | $5,003 | $6,653 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $50,857 | $7,057 | $9,510 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 25 | $91,665 | $17,310 | $17,141 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 19 | $46,298 | $5,204 | $8,658 | 0.96 |
| Pleural effusion with MCCMS-DRG 186, medical | 18 | $61,258 | $8,656 | $11,455 | 1.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $37,688 | $4,190 | $7,048 | 0.82 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 17 | $32,081 | $2,774 | $5,999 | 0.63 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $57,226 | $7,995 | $10,701 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $29,660 | $4,468 | $5,546 | 0.85 |
Digestive system605 discharges in 14 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 | 214 | $35,961 | $4,000 | $6,725 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 101 | $43,843 | $5,117 | $8,199 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 41 | $54,703 | $7,406 | $10,230 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 40 | $45,006 | $5,242 | $8,416 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 39 | $36,626 | $3,999 | $6,849 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $73,438 | $10,464 | $13,733 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 29 | $127,476 | $14,646 | $23,838 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $56,027 | $9,995 | $10,477 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 18 | $51,644 | $6,083 | $9,658 | 1.04 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 17 | $122,389 | $9,864 | $22,887 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $238,080 | $31,563 | $44,521 | 4.52 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 14 | $33,764 | $2,893 | $6,314 | 0.63 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $63,100 | $8,724 | $11,800 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $29,371 | $2,270 | $5,492 | 0.56 |
Kidney and urinary tract550 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 142 | $32,147 | $4,076 | $6,012 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 105 | $39,920 | $6,444 | $7,465 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 88 | $35,975 | $4,720 | $6,727 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 61 | $57,233 | $9,559 | $10,703 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 58 | $33,973 | $5,768 | $6,353 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 46 | $54,836 | $8,498 | $10,254 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 30 | $60,758 | $7,683 | $11,362 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 20 | $65,620 | $5,682 | $12,271 | 1.05 |
Musculoskeletal system and connective tissue520 discharges in 18 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 | 86 | $102,343 | $11,894 | $19,138 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 61 | $103,789 | $12,060 | $19,409 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 60 | $39,690 | $5,022 | $7,422 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 47 | $116,044 | $10,939 | $21,700 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 41 | $32,697 | $4,290 | $6,114 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 34 | $32,194 | $3,980 | $6,020 | 0.79 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 28 | $97,317 | $12,362 | $18,198 | 2.04 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $125,995 | $16,216 | $23,561 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 18 | $50,817 | $5,514 | $9,503 | 1.09 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 17 | $125,620 | $16,639 | $23,491 | 2.99 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 16 | $84,494 | $8,472 | $15,800 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $51,835 | $9,362 | $9,693 | 1.70 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 15 | $33,791 | $4,428 | $6,319 | 0.82 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $129,127 | $15,547 | $24,147 | 2.48 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $128,855 | $14,543 | $24,096 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 13 | $88,476 | $8,792 | $16,545 | 1.49 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 13 | $35,028 | $4,424 | $6,550 | 0.82 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 11 | $48,917 | $5,916 | $9,148 | 1.30 |
Nervous system304 discharges in 13 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 | $51,848 | $5,145 | $9,696 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 39 | $44,053 | $4,020 | $8,238 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 36 | $73,027 | $10,412 | $13,656 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 31 | $45,286 | $6,557 | $8,468 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 27 | $42,634 | $5,388 | $7,973 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 21 | $38,367 | $4,669 | $7,175 | 0.91 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 18 | $55,741 | $8,726 | $10,424 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 17 | $47,585 | $5,625 | $8,898 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 13 | $54,568 | $7,889 | $10,204 | 1.32 |
| Seizures with MCCMS-DRG 100, medical | 13 | $90,636 | $11,282 | $16,949 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $46,358 | $10,690 | $8,669 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $39,687 | $3,171 | $7,422 | 0.69 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $38,967 | $5,487 | $7,287 | 1.03 |
Endocrine, nutritional and metabolic174 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 without MCCMS-DRG 641, medical | 60 | $34,229 | $3,814 | $6,401 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 49 | $41,587 | $7,334 | $7,777 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 27 | $35,369 | $5,189 | $6,614 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 14 | $58,345 | $9,864 | $10,910 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $57,121 | $8,039 | $10,682 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $36,048 | $5,553 | $6,741 | 1.06 |
Liver, gallbladder and pancreas114 discharges in 8 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 | 19 | $96,313 | $9,379 | $18,011 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 16 | $67,771 | $11,681 | $12,673 | 1.92 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 15 | $39,318 | $4,580 | $7,353 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 15 | $42,885 | $5,531 | $8,020 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $109,076 | $14,542 | $20,397 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 13 | $88,939 | $7,328 | $16,632 | 1.31 |
| Disorders of pancreas except malignancy without cc/mccMS-DRG 440, medical | 12 | $33,174 | $2,506 | $6,204 | 0.62 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 11 | $47,764 | $10,053 | $8,932 | 1.83 |
Skin, subcutaneous tissue and breast107 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 77 | $38,880 | $4,558 | $7,271 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 18 | $37,038 | $4,529 | $6,926 | 0.91 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $62,534 | $8,291 | $11,694 | 1.49 |
Blood and immune system80 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 | $38,372 | $5,029 | $7,176 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 23 | $49,316 | $8,213 | $9,222 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 21 | $44,718 | $9,234 | $8,362 | 1.56 |
Injuries, poisonings and toxic effects of drugs45 discharges in 3 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 | $53,982 | $9,165 | $10,095 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 15 | $39,757 | $5,918 | $7,435 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 11 | $57,682 | $10,788 | $10,787 | 1.82 |
Factors influencing health status38 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 | 38 | $33,431 | $4,094 | $6,252 | 0.80 |
Ear, nose, mouth and throat37 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 37 | $36,225 | $3,636 | $6,774 | 0.74 |
Mental diseases and disorders19 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 | 19 | $33,846 | $7,856 | $6,329 | 1.76 |
Alcohol and drug use14 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 | 14 | $41,228 | $4,409 | $7,710 | 0.86 |
Other13 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 CCMS-DRG 982, surgical | 13 | $128,443 | $12,706 | $24,019 | 2.49 |
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 | 873 | 839 | $22,833 | $1,964 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 378 | 370 | $99,903 | $10,274 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 362 | 344 | $13,632 | $1,160 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 269 | 240 | $25,822 | $2,502 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 264 | 247 | $45,095 | $3,719 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 235 | 234 | $34,783 | $2,111 | $2,208 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 204 | 200 | $117,226 | $15,213 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 192 | 158 | $16,163 | $1,462 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 167 | 167 | $48,827 | $4,161 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 150 | 144 | $18,479 | $2,049 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 147 | 144 | $21,454 | $2,285 | $2,405 |
| Level 2 Vascular ProceduresAPC 5182 | 113 | 104 | $7,933 | $1,151 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 113 | 104 | $89,028 | $8,320 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 94 | 92 | $59,507 | $5,106 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 84 | 84 | $59,747 | $8,033 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 69 | 63 | $32,093 | $2,497 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 59 | 59 | $51,917 | $6,129 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 44 | 41 | $35,267 | $2,751 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 44 | 40 | $140,594 | $13,897 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 36 | $21,424 | $1,160 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 35 | 35 | $100,833 | $7,687 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 34 | 34 | $39,275 | $2,336 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 33 | 32 | $46,464 | $4,116 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 32 | 29 | $13,490 | $1,373 | $1,445 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 28 | $50,509 | $4,935 | $5,183 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $27,432 | $2,256 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 28 | 28 | $53,694 | $4,706 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 27 | 27 | $200,500 | $28,063 | $29,375 |
| Level 4 Vascular ProceduresAPC 5184 | 25 | 24 | $42,718 | $3,959 | $3,946 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 21 | 21 | $125,532 | $15,979 | $17,052 |
| Level 2 Urology and Related ServicesAPC 5372 | 20 | 19 | $13,678 | $493 | $502 |
| Level 5 ENT ProceduresAPC 5165 | 19 | 19 | $53,129 | $4,226 | $4,436 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 17 | 17 | $142,777 | $18,135 | $18,465 |
| Level 3 Lower GI ProceduresAPC 5313 | 16 | 16 | $25,021 | $2,042 | $2,176 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 14 | 14 | $91,271 | $6,905 | $7,546 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 14 | $20,253 | $4,936 | $4,524 |
| Level 4 Airway EndoscopyAPC 5154 | 12 | 12 | $20,453 | $2,703 | $2,833 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $32,767 | $2,324 | $2,217 |
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.