Sharp Grossmont Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sharp Grossmont Hospital, La Mesa, CA in 2024, from traditional Medicare claims. Back to the Sharp Grossmont Hospital profile, with quality ratings, finances and negotiated rates.
5,390
Medicare inpatient discharges
In 124 published DRGs
1.83
Case mix index
IPPS FY 2027
14%
Surgical stays
63%
Stays with complications
In DRGs with a CC or MCC
3,213
Medicare outpatient services
In 41 service groups
Inpatient stays by major diagnostic category
Circulatory system1,139 discharges in 27 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 313 | $85,871 | $12,013 | $13,653 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 93 | $154,641 | $31,026 | $24,588 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 88 | $59,709 | $8,000 | $9,494 | 0.86 |
| Chest painMS-DRG 313, medical | 70 | $52,381 | $6,409 | $8,329 | 0.72 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 60 | $63,499 | $6,574 | $10,096 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 39 | $240,554 | $48,169 | $38,248 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 38 | $77,217 | $9,736 | $12,278 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $145,751 | $17,477 | $23,174 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 33 | $47,363 | $6,647 | $7,531 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 33 | $119,399 | $11,530 | $18,984 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 31 | $123,304 | $15,291 | $19,605 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 30 | $122,144 | $17,969 | $19,421 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 29 | $43,335 | $4,465 | $6,890 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 28 | $221,622 | $27,997 | $35,238 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 25 | $90,069 | $19,270 | $14,321 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $73,554 | $8,448 | $11,695 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 20 | $194,169 | $31,352 | $30,873 | 3.35 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 20 | $80,076 | $9,884 | $12,732 | 1.07 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 19 | $312,245 | $62,370 | $49,647 | 6.25 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 19 | $61,165 | $8,574 | $9,725 | 0.97 |
| Other vascular procedures with CCMS-DRG 253, surgical | 17 | $189,732 | $24,845 | $30,167 | 2.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $144,097 | $21,990 | $22,911 | 2.28 |
| Heart failure and shock with CCMS-DRG 292, medical | 14 | $57,502 | $7,949 | $9,143 | 0.86 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $498,208 | $46,988 | $79,215 | 5.06 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $58,159 | $6,603 | $9,247 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $98,000 | $15,160 | $15,582 | 1.58 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $64,547 | $10,839 | $10,263 | 1.15 |
Infectious and parasitic diseases837 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 | 564 | $140,503 | $18,605 | $22,340 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 110 | $65,231 | $9,093 | $10,372 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 83 | $360,261 | $49,119 | $57,282 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 65 | $402,931 | $57,570 | $64,066 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $165,771 | $16,700 | $26,358 | 2.04 |
Respiratory system735 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 163 | $112,678 | $15,859 | $17,916 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 99 | $102,393 | $12,146 | $16,280 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 73 | $85,475 | $10,158 | $13,590 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 61 | $113,096 | $11,837 | $17,982 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 54 | $65,144 | $7,476 | $10,358 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 50 | $65,781 | $8,412 | $10,459 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 42 | $66,823 | $8,263 | $10,625 | 0.85 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 39 | $369,463 | $54,539 | $58,745 | 6.91 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 32 | $252,884 | $29,924 | $40,209 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 27 | $63,194 | $9,024 | $10,048 | 0.96 |
| Major chest procedures with MCCMS-DRG 163, surgical | 17 | $362,668 | $44,853 | $57,664 | 4.71 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 16 | $51,489 | $5,483 | $8,187 | 0.63 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 15 | $76,809 | $7,696 | $12,213 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $89,404 | $12,848 | $14,215 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $193,603 | $22,514 | $30,783 | 2.55 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 11 | $52,940 | $6,039 | $8,417 | 0.64 |
| Respiratory signs and symptomsMS-DRG 204, medical | 11 | $77,163 | $7,842 | $12,269 | 0.82 |
Kidney and urinary tract576 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 | 150 | $54,874 | $7,274 | $8,725 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 132 | $79,742 | $10,718 | $12,679 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 119 | $129,372 | $15,814 | $20,570 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 53 | $95,447 | $14,607 | $15,176 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 48 | $55,070 | $8,353 | $8,756 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 48 | $59,814 | $9,308 | $9,510 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $192,797 | $22,667 | $30,655 | 2.59 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $324,421 | $38,193 | $51,583 | 3.70 |
Nervous system447 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 84 | $169,131 | $19,264 | $26,892 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 74 | $90,934 | $9,217 | $14,458 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 42 | $61,205 | $6,670 | $9,732 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 38 | $53,898 | $8,134 | $8,570 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 36 | $72,304 | $12,715 | $11,496 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 32 | $109,672 | $18,979 | $17,438 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 23 | $68,978 | $9,619 | $10,968 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 18 | $70,405 | $19,631 | $11,194 | 2.39 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 18 | $88,891 | $10,148 | $14,134 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 17 | $70,183 | $9,813 | $11,159 | 1.06 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $77,351 | $6,011 | $12,299 | 0.69 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $115,120 | $16,497 | $18,304 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 12 | $399,209 | $56,386 | $63,474 | 5.67 |
| Headaches without MCCMS-DRG 103, medical | 12 | $51,107 | $7,577 | $8,126 | 0.84 |
| Other disorders of nervous system without cc/mccMS-DRG 093, medical | 11 | $44,474 | $7,523 | $7,071 | 0.77 |
Digestive system431 discharges in 12 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 | 115 | $56,675 | $7,216 | $9,011 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 58 | $78,100 | $9,294 | $12,418 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 47 | $129,098 | $16,724 | $20,527 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 42 | $61,713 | $7,443 | $9,812 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $78,351 | $11,753 | $12,458 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 27 | $446,667 | $48,970 | $71,020 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 27 | $69,322 | $8,736 | $11,022 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $194,241 | $23,378 | $30,884 | 2.37 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 20 | $93,988 | $14,153 | $14,944 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 16 | $76,283 | $9,138 | $12,129 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $48,914 | $4,685 | $7,777 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $114,259 | $16,006 | $18,167 | 1.62 |
Musculoskeletal system and connective tissue382 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 70 | $61,409 | $8,459 | $9,764 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 36 | $49,275 | $8,191 | $7,835 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 33 | $187,764 | $20,211 | $29,854 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 32 | $174,611 | $17,867 | $27,763 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 30 | $139,903 | $19,510 | $22,245 | 2.07 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 26 | $47,930 | $7,759 | $7,621 | 0.82 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 21 | $53,670 | $6,950 | $8,534 | 0.79 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 21 | $46,279 | $7,141 | $7,358 | 0.82 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $253,382 | $30,002 | $40,288 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $101,763 | $14,131 | $16,180 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 16 | $158,564 | $23,959 | $25,212 | 2.48 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 16 | $84,926 | $9,855 | $13,503 | 1.09 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $155,337 | $23,404 | $24,699 | 2.40 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 11 | $279,428 | $41,122 | $44,429 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 11 | $232,389 | $28,364 | $36,950 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $173,041 | $19,513 | $27,513 | 2.04 |
Endocrine, nutritional and metabolic290 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 | 125 | $86,563 | $12,176 | $13,763 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 88 | $60,623 | $6,898 | $9,639 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 48 | $58,502 | $8,147 | $9,302 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 29 | $98,755 | $13,391 | $15,702 | 1.45 |
Skin, subcutaneous tissue and breast123 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 102 | $66,136 | $7,897 | $10,516 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 21 | $101,096 | $13,965 | $16,074 | 1.49 |
Liver, gallbladder and pancreas102 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 19 | $71,731 | $10,198 | $11,405 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 18 | $204,035 | $21,222 | $32,442 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 18 | $126,654 | $16,082 | $20,138 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $115,169 | $17,271 | $18,312 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 18 | $100,405 | $18,571 | $15,964 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $99,767 | $7,182 | $15,863 | 0.86 |
Factors influencing health status77 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 57 | $53,753 | $7,313 | $8,547 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 20 | $40,319 | $5,401 | $6,411 | 0.59 |
Alcohol and drug use58 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 without MCCMS-DRG 897, medical | 41 | $54,161 | $8,030 | $8,612 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 17 | $79,297 | $15,646 | $12,608 | 1.78 |
Mental diseases and disorders54 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 29 | $95,344 | $16,291 | $15,160 | 1.76 |
| PsychosesMS-DRG 885, medical | 25 | $72,936 | $12,846 | $11,597 | 1.37 |
Ear, nose, mouth and throat45 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 45 | $48,346 | $6,350 | $7,687 | 0.74 |
Blood and immune system42 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 | 27 | $53,589 | $8,364 | $8,521 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $95,266 | $11,698 | $15,147 | 1.40 |
Injuries, poisonings and toxic effects of drugs39 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 | 28 | $132,438 | $15,673 | $21,058 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 11 | $58,354 | $10,018 | $9,278 | 1.03 |
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 MCCMS-DRG 981, surgical | 13 | $447,718 | $49,174 | $71,187 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 1,010 | 876 | $31,118 | $2,668 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 287 | 270 | $136,051 | $14,516 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 229 | 228 | $36,649 | $2,864 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 143 | 121 | $12,250 | $1,868 | $1,445 |
| Level 1 Intraocular ProceduresAPC 5491 | 138 | 109 | $22,704 | $2,282 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 122 | 113 | $12,439 | $1,554 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 98 | 93 | $197,660 | $27,482 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 87 | 79 | $101,195 | $11,868 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 76 | 76 | $119,855 | $20,940 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 75 | 74 | $19,558 | $2,760 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 74 | $25,060 | $3,117 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 71 | 70 | $59,874 | $7,157 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 71 | 71 | $64,996 | $11,469 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 65 | 64 | $31,596 | $3,167 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 53 | 53 | $64,265 | $5,545 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 31 | $15,083 | $1,993 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 45 | 41 | $60,877 | $5,069 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 37 | 36 | $42,383 | $3,383 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 33 | $106,961 | $18,203 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 34 | 34 | $142,504 | $38,684 | $29,375 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 29 | $8,702 | $1,663 | $1,264 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 28 | 28 | $103,542 | $22,259 | $17,052 |
| Level 4 Urology and Related ServicesAPC 5374 | 27 | 27 | $48,703 | $3,415 | $2,629 |
| Complex GI ProceduresAPC 5331 | 25 | 21 | $45,074 | $5,575 | $4,263 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $18,903 | $1,574 | $1,196 |
| Level 2 Endovascular ProceduresAPC 5192 | 24 | 24 | $45,654 | $5,599 | $4,338 |
| Level 6 Urology and Related ServicesAPC 5376 | 24 | 24 | $92,876 | $9,681 | $7,291 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 22 | 17 | $21,530 | $2,289 | $1,780 |
| Level 5 ENT ProceduresAPC 5165 | 21 | 20 | $52,314 | $5,733 | $4,436 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $62,818 | $6,388 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 18 | $11,080 | $1,569 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 18 | 17 | $63,672 | $5,382 | $3,946 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 18 | 18 | $81,749 | $15,080 | $11,550 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 14 | $21,558 | $3,668 | $2,833 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | 16 | $26,438 | $3,751 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 16 | 15 | $23,099 | $2,803 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $63,567 | $6,781 | $5,183 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 15 | $102,618 | $11,005 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 13 | $41,095 | $3,734 | $2,930 |
| Level 2 Intraocular ProceduresAPC 5492 | 14 | 12 | $35,243 | $3,983 | $3,116 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 11 | 11 | $109,857 | $27,263 | $21,011 |
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.