Sharp Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sharp Memorial Hospital, San Diego, CA in 2024, from traditional Medicare claims. Back to the Sharp Memorial Hospital profile, with quality ratings, finances and negotiated rates.
3,878
Medicare inpatient discharges
In 128 published DRGs
1.98
Case mix index
IPPS FY 2027
19%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
3,905
Medicare outpatient services
In 46 service groups
Inpatient stays by major diagnostic category
Circulatory system853 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 202 | $95,587 | $11,951 | $15,103 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 71 | $153,831 | $14,316 | $24,305 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 56 | $159,472 | $27,282 | $25,197 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 45 | $55,753 | $6,382 | $8,809 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 44 | $85,672 | $7,890 | $13,536 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 36 | $286,443 | $59,287 | $45,258 | 6.25 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $90,797 | $11,215 | $14,346 | 1.20 |
| Chest painMS-DRG 313, medical | 31 | $71,373 | $6,556 | $11,277 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 26 | $76,722 | $8,077 | $12,122 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 26 | $132,635 | $19,363 | $20,956 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 26 | $147,865 | $14,583 | $23,363 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 25 | $61,598 | $4,398 | $9,732 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 23 | $247,995 | $46,575 | $39,183 | 4.88 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 23 | $400,467 | $49,487 | $63,274 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 22 | $231,405 | $23,285 | $36,562 | 2.16 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $59,722 | $6,955 | $9,436 | 0.75 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 18 | $545,742 | $60,074 | $86,227 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $104,606 | $9,378 | $16,528 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $255,034 | $26,193 | $40,295 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $247,446 | $29,217 | $39,096 | 3.35 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $74,886 | $10,361 | $11,832 | 1.07 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $105,822 | $9,086 | $16,720 | 0.97 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $83,655 | $7,548 | $13,217 | 0.86 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $150,386 | $21,707 | $23,761 | 2.28 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $68,613 | $6,400 | $10,841 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $108,473 | $15,530 | $17,139 | 1.58 |
Infectious and parasitic diseases521 discharges in 8 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 | 324 | $148,643 | $18,491 | $23,486 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 95 | $73,773 | $9,248 | $11,656 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $427,253 | $50,204 | $67,506 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $156,473 | $16,291 | $24,723 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $503,322 | $61,409 | $79,525 | 6.96 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 12 | $46,043 | $9,440 | $7,275 | 1.01 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $186,299 | $25,677 | $29,435 | 4.43 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $156,811 | $15,837 | $24,776 | 1.84 |
Respiratory system479 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 89 | $138,786 | $15,790 | $21,928 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 88 | $106,382 | $12,293 | $16,808 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $91,070 | $10,175 | $14,389 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 45 | $61,707 | $6,948 | $9,750 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $137,403 | $13,755 | $21,710 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 31 | $71,937 | $8,905 | $11,366 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 26 | $81,419 | $8,588 | $12,864 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $255,419 | $26,230 | $40,356 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 20 | $60,502 | $8,192 | $9,559 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $115,728 | $12,759 | $18,285 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $58,841 | $7,524 | $9,297 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $167,537 | $14,403 | $26,471 | 1.74 |
| Pneumothorax with CCMS-DRG 200, medical | 13 | $136,675 | $8,504 | $21,595 | 1.08 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 11 | $418,734 | $51,994 | $66,160 | 4.06 |
Digestive system392 discharges in 13 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 | 77 | $60,256 | $7,185 | $9,520 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 59 | $85,286 | $9,742 | $13,475 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 36 | $191,300 | $21,499 | $30,225 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 33 | $65,890 | $7,275 | $10,411 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $137,511 | $16,647 | $21,727 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 30 | $81,982 | $8,451 | $12,953 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $415,346 | $46,454 | $65,625 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 23 | $141,146 | $13,606 | $22,301 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 20 | $81,107 | $12,613 | $12,815 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $95,546 | $14,772 | $15,096 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 16 | $42,215 | $4,700 | $6,670 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $172,844 | $18,902 | $27,309 | 1.75 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 11 | $575,045 | $63,692 | $90,857 | 4.28 |
Kidney and urinary tract368 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 | 78 | $54,225 | $7,243 | $8,568 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 57 | $128,072 | $14,655 | $20,235 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 49 | $68,504 | $8,051 | $10,824 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 48 | $72,845 | $9,612 | $11,509 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $89,645 | $10,750 | $14,164 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $101,929 | $13,856 | $16,105 | 1.50 |
| Kidney transplantMS-DRG 652, surgical | 26 | $501,750 | $26,148 | $79,276 | 3.00 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $115,944 | $10,979 | $18,319 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $254,157 | $36,579 | $40,157 | 3.70 |
Musculoskeletal system and connective tissue358 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 | 68 | $142,946 | $18,321 | $22,585 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 58 | $102,224 | $8,754 | $16,151 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 36 | $60,638 | $7,867 | $9,581 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $130,136 | $18,282 | $20,562 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 23 | $92,911 | $7,057 | $14,680 | 0.79 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $161,376 | $16,906 | $25,497 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $224,235 | $33,240 | $35,429 | 3.66 |
| Medical back problems with MCCMS-DRG 551, medical | 17 | $139,378 | $15,216 | $22,022 | 1.70 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 17 | $58,466 | $6,742 | $9,238 | 0.82 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 15 | $104,873 | $12,027 | $16,570 | 1.49 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 15 | $55,482 | $8,028 | $8,766 | 0.82 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 14 | $59,480 | $8,812 | $9,398 | 1.09 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $171,359 | $21,613 | $27,075 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $124,514 | $19,600 | $19,673 | 2.04 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 11 | $71,244 | $7,912 | $11,257 | 0.88 |
Nervous system347 discharges in 17 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 | 47 | $98,359 | $8,246 | $15,541 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 43 | $165,139 | $18,525 | $26,092 | 2.00 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 26 | $176,371 | $12,651 | $27,867 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 26 | $61,936 | $8,643 | $9,786 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 25 | $73,398 | $9,231 | $11,597 | 1.03 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 23 | $139,138 | $11,496 | $21,984 | 1.32 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $92,887 | $9,571 | $14,676 | 1.06 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 18 | $250,812 | $26,161 | $39,628 | 2.28 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 16 | $449,788 | $48,575 | $71,066 | 4.42 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $81,623 | $4,853 | $12,896 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $75,314 | $6,789 | $11,900 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 15 | $159,598 | $18,769 | $25,216 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $81,005 | $12,000 | $12,799 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $288,802 | $22,024 | $45,631 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 11 | $160,627 | $12,067 | $25,379 | 1.47 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $94,514 | $9,586 | $14,933 | 1.03 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 11 | $103,043 | $8,250 | $16,281 | 0.89 |
Endocrine, nutritional and metabolic186 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 | 72 | $103,793 | $12,329 | $16,399 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 50 | $70,881 | $7,134 | $11,199 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 28 | $70,642 | $8,476 | $11,161 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $137,816 | $14,071 | $21,775 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $124,133 | $13,115 | $19,613 | 1.65 |
Skin, subcutaneous tissue and breast79 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 59 | $61,410 | $8,007 | $9,703 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 20 | $104,432 | $13,681 | $16,500 | 1.49 |
Liver, gallbladder and pancreas48 discharges in 4 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 | 14 | $118,489 | $14,180 | $18,721 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $78,847 | $13,161 | $12,458 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $71,360 | $7,712 | $11,275 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $57,872 | $8,320 | $9,144 | 0.95 |
Injuries, poisonings and toxic effects of drugs42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 16 | $81,668 | $7,824 | $12,904 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 14 | $169,436 | $15,401 | $26,771 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 12 | $107,583 | $15,583 | $16,998 | 1.60 |
Blood and immune system41 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 | 21 | $55,064 | $7,769 | $8,700 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 20 | $99,850 | $12,744 | $15,776 | 1.40 |
Factors influencing health status36 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 | 36 | $73,875 | $7,149 | $11,672 | 0.80 |
Other30 discharges in 2 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 | $484,703 | $61,125 | $76,583 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $192,653 | $23,815 | $30,439 | 2.49 |
Transplants, ECMO and tracheostomy (pre-MDC)26 discharges in 2 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 | 14 | $1,211,165 | $240,800 | $191,364 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 12 | $2,649,064 | $361,618 | $418,552 | 27.10 |
Alcohol and drug use18 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 | 18 | $79,078 | $7,497 | $12,494 | 0.86 |
Ear, nose, mouth and throat17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 17 | $63,336 | $6,780 | $10,007 | 0.74 |
Mental diseases and disorders15 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 | 15 | $57,781 | $13,125 | $9,129 | 1.76 |
Female reproductive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mccMS-DRG 741, surgical | 11 | $118,551 | $12,036 | $18,731 | 1.30 |
Multiple significant trauma11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 11 | $182,057 | $29,183 | $28,765 | 3.88 |
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 | 663 | 628 | $37,484 | $2,680 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 399 | 286 | $21,947 | $2,278 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 257 | 241 | $11,590 | $1,585 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 218 | 216 | $55,571 | $5,650 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 168 | 160 | $24,683 | $3,122 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 158 | 155 | $32,649 | $2,859 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 143 | 127 | $18,824 | $1,963 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 137 | 131 | $54,698 | $5,069 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 130 | 118 | $12,222 | $1,839 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 124 | 108 | $30,131 | $3,413 | $2,629 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 96 | 94 | $98,147 | $10,773 | $8,164 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 90 | 90 | $53,390 | $7,160 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 81 | 72 | $93,081 | $11,871 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 80 | 77 | $18,909 | $2,780 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 76 | 74 | $116,383 | $14,516 | $10,772 |
| Level 4 Gynecologic ProceduresAPC 5414 | 67 | 65 | $36,613 | $3,056 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 66 | 64 | $81,747 | $6,388 | $4,982 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 58 | 56 | $201,803 | $27,008 | $21,117 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 56 | 50 | $33,162 | $3,734 | $2,930 |
| Level 5 ENT ProceduresAPC 5165 | 56 | 55 | $53,082 | $5,632 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 55 | 52 | $20,507 | $1,516 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 53 | 42 | $28,733 | $3,290 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 50 | 49 | $8,054 | $1,529 | $1,204 |
| Level 2 Intraocular ProceduresAPC 5492 | 49 | 47 | $31,989 | $3,979 | $3,116 |
| Level 5 Airway EndoscopyAPC 5155 | 44 | 44 | $52,705 | $6,781 | $5,183 |
| Level 3 Intraocular ProceduresAPC 5493 | 43 | 30 | $39,916 | $5,115 | $4,004 |
| Level 4 Endovascular ProceduresAPC 5194 | 37 | 31 | $110,866 | $16,649 | $14,606 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 36 | $29,541 | $3,170 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 36 | 33 | $68,168 | $5,084 | $3,946 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 34 | $17,420 | $1,885 | $1,407 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 32 | 32 | $130,020 | $21,219 | $15,763 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 32 | $52,637 | $5,594 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 32 | 30 | $24,640 | $2,751 | $2,176 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 28 | $23,369 | $3,537 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 26 | 26 | $10,035 | $1,663 | $1,264 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 26 | 26 | $62,917 | $11,464 | $8,569 |
| Level 5 Gynecologic ProceduresAPC 5415 | 23 | 23 | $42,280 | $4,868 | $3,792 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 23 | 23 | $28,730 | $2,190 | $1,780 |
| Level 2 Urology and Related ServicesAPC 5372 | 22 | 15 | $4,802 | $669 | $502 |
| Level 4 ENT ProceduresAPC 5164 | 21 | 21 | $38,559 | $3,154 | $2,217 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 16 | 14 | $42,541 | $6,775 | $4,524 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 15 | 11 | $112,893 | $19,978 | $15,549 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 13 | 13 | $85,605 | $9,925 | $7,546 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $53,557 | $8,803 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 12 | 12 | $97,034 | $22,259 | $17,052 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | $88,644 | $25,186 | $18,465 |
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.