Southside Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Southside Hospital, Bay Shore, NY in 2024, from traditional Medicare claims. Back to the Southside Hospital profile, with quality ratings, finances and negotiated rates.
4,520
Medicare inpatient discharges
In 133 published DRGs
2.24
Case mix index
IPPS FY 2027
28%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,832
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Circulatory system994 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 180 | $101,073 | $11,036 | $20,821 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 74 | $231,533 | $37,510 | $47,696 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 68 | $149,678 | $18,906 | $30,834 | 2.16 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 55 | $156,624 | $25,626 | $32,265 | 3.24 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 49 | $197,931 | $34,087 | $40,774 | 4.04 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $135,839 | $13,297 | $27,983 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 42 | $56,387 | $6,028 | $11,616 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 37 | $295,789 | $54,896 | $60,932 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 36 | $176,540 | $25,469 | $36,367 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 35 | $77,500 | $8,895 | $15,965 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 32 | $364,243 | $61,298 | $75,034 | 7.71 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $78,732 | $9,465 | $16,219 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $112,641 | $14,478 | $23,204 | 1.82 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 28 | $245,242 | $29,693 | $50,520 | 3.27 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 27 | $278,183 | $49,610 | $57,306 | 5.88 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 25 | $128,121 | $18,846 | $26,393 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 24 | $78,867 | $6,607 | $16,247 | 0.86 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 22 | $274,738 | $35,546 | $56,596 | 3.90 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $110,786 | $18,752 | $22,822 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $255,196 | $46,598 | $52,570 | 5.06 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $185,555 | $30,606 | $38,224 | 3.35 |
| Cardiac pacemaker revision except device replacement with CCMS-DRG 261, surgical | 13 | $107,168 | $16,095 | $22,077 | 1.88 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $384,235 | $65,723 | $79,152 | 7.80 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $221,338 | $45,762 | $45,596 | 5.20 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $191,886 | $32,652 | $39,529 | 3.46 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $64,617 | $6,707 | $13,311 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $86,992 | $14,913 | $17,920 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $96,884 | $11,166 | $19,958 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $232,450 | $29,920 | $47,885 | 3.46 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $130,665 | $23,420 | $26,917 | 2.55 |
Infectious and parasitic diseases720 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 | 527 | $137,408 | $18,301 | $28,306 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 72 | $287,613 | $49,380 | $59,248 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 72 | $74,543 | $8,646 | $15,356 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $386,627 | $72,981 | $79,645 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $115,045 | $17,704 | $23,699 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 12 | $140,505 | $17,200 | $28,944 | 1.84 |
Respiratory system511 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 130 | $118,561 | $15,546 | $24,424 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 81 | $88,759 | $11,332 | $18,284 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 62 | $105,562 | $11,444 | $21,746 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 35 | $177,918 | $27,767 | $36,651 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 33 | $101,286 | $11,365 | $20,865 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 23 | $129,970 | $23,157 | $26,774 | 2.55 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $104,505 | $9,537 | $21,528 | 1.10 |
| Major chest trauma with CCMS-DRG 184, medical | 21 | $68,786 | $8,989 | $14,170 | 1.05 |
| Major chest procedures with MCCMS-DRG 163, surgical | 20 | $202,296 | $38,977 | $41,673 | 4.71 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $55,288 | $6,553 | $11,389 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 15 | $137,518 | $16,208 | $28,329 | 1.90 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 14 | $62,669 | $14,739 | $12,910 | 1.88 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 14 | $298,792 | $33,849 | $61,551 | 4.06 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $67,906 | $8,325 | $13,989 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $86,273 | $6,391 | $17,772 | 0.82 |
Nervous system495 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 96 | $155,343 | $18,806 | $32,001 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 51 | $92,864 | $8,680 | $19,130 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 34 | $292,922 | $51,601 | $60,342 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 30 | $131,365 | $20,450 | $27,061 | 2.28 |
| Seizures without MCCMS-DRG 101, medical | 29 | $76,557 | $7,931 | $15,771 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 28 | $85,511 | $11,384 | $17,615 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 25 | $266,609 | $37,854 | $54,922 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 23 | $233,259 | $21,552 | $48,051 | 1.98 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 21 | $160,944 | $19,436 | $33,154 | 2.39 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 20 | $134,344 | $18,571 | $27,675 | 2.23 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 20 | $95,068 | $11,485 | $19,584 | 1.36 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 19 | $80,292 | $13,170 | $16,540 | 1.47 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $75,534 | $6,166 | $15,560 | 0.80 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 15 | $210,062 | $35,805 | $43,273 | 3.85 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $78,126 | $9,933 | $16,094 | 1.32 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $76,730 | $8,299 | $15,806 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $126,164 | $14,314 | $25,990 | 1.79 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 13 | $109,385 | $20,841 | $22,533 | 2.27 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $77,759 | $9,403 | $16,018 | 1.06 |
Musculoskeletal system and connective tissue425 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 102 | $78,826 | $13,529 | $16,238 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 64 | $106,294 | $17,882 | $21,896 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 37 | $102,811 | $18,731 | $21,179 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 37 | $72,829 | $7,996 | $15,003 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 32 | $48,950 | $7,093 | $10,084 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 23 | $140,146 | $29,386 | $28,870 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 23 | $107,040 | $13,803 | $22,050 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $131,549 | $25,051 | $27,099 | 2.95 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 21 | $135,659 | $24,248 | $27,946 | 2.96 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $62,720 | $6,411 | $12,920 | 0.79 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 13 | $160,256 | $31,435 | $33,013 | 3.66 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 13 | $83,495 | $14,170 | $17,200 | 1.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $117,180 | $20,499 | $24,139 | 2.40 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $210,017 | $44,184 | $43,263 | 6.12 |
Kidney and urinary tract379 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 93 | $80,938 | $9,744 | $16,673 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 70 | $64,346 | $6,565 | $13,255 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 70 | $108,275 | $14,909 | $22,305 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 59 | $89,141 | $12,259 | $18,363 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 45 | $67,414 | $7,750 | $13,887 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 29 | $63,853 | $7,761 | $13,154 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $242,145 | $35,191 | $49,882 | 3.70 |
Digestive system347 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 65 | $76,213 | $7,963 | $15,700 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 64 | $133,350 | $16,859 | $27,470 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 53 | $57,227 | $5,605 | $11,789 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 34 | $217,147 | $36,628 | $44,732 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $84,805 | $9,362 | $17,470 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $107,575 | $14,761 | $22,160 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $67,123 | $6,472 | $13,827 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $145,332 | $21,743 | $29,938 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $51,958 | $6,216 | $10,703 | 0.80 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $158,524 | $20,549 | $32,656 | 2.10 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $128,034 | $21,134 | $26,375 | 2.50 |
Endocrine, nutritional and metabolic166 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 | 57 | $85,009 | $12,813 | $17,512 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 33 | $130,467 | $18,812 | $26,876 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $56,442 | $5,384 | $11,627 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 25 | $58,291 | $7,452 | $12,008 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 18 | $113,989 | $14,482 | $23,482 | 1.65 |
Liver, gallbladder and pancreas114 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 21 | $129,484 | $14,849 | $26,674 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 21 | $139,944 | $18,990 | $28,828 | 1.83 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 18 | $112,096 | $17,673 | $23,092 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $129,187 | $13,103 | $26,612 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $79,811 | $8,789 | $16,441 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $143,910 | $21,420 | $29,645 | 2.32 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $115,858 | $14,012 | $23,867 | 1.63 |
Blood and immune system74 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 | 37 | $62,352 | $7,661 | $12,844 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 19 | $99,740 | $15,495 | $20,546 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $130,193 | $15,586 | $26,820 | 1.40 |
Skin, subcutaneous tissue and breast56 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 32 | $62,740 | $7,863 | $12,924 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $104,268 | $13,449 | $21,479 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $76,893 | $8,334 | $15,840 | 0.91 |
Other48 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 | 33 | $223,983 | $39,984 | $46,141 | 4.74 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 15 | $186,972 | $31,534 | $38,516 | 3.38 |
Injuries, poisonings and toxic effects of drugs41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 21 | $131,413 | $16,792 | $27,071 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 20 | $129,903 | $14,250 | $26,760 | 1.60 |
Factors influencing health status37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 24 | $40,732 | $4,500 | $8,391 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $52,138 | $6,449 | $10,740 | 0.80 |
Mental diseases and disorders34 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 | 34 | $85,105 | $13,281 | $17,532 | 1.76 |
Multiple significant trauma27 discharges in 2 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 | 15 | $161,301 | $27,682 | $33,228 | 3.88 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 12 | $155,992 | $22,925 | $32,134 | 2.73 |
Alcohol and drug use27 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 | 14 | $86,761 | $15,895 | $17,873 | 1.78 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $68,859 | $7,187 | $14,185 | 0.86 |
Transplants, ECMO and tracheostomy (pre-MDC)25 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 | 13 | $1,313,498 | $217,030 | $270,581 | 21.32 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $806,019 | $155,319 | $166,040 | 14.70 |
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 | 555 | 517 | $27,290 | $2,311 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 285 | 284 | $16,906 | $2,334 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 115 | 103 | $11,908 | $1,445 | $1,445 |
| Level 4 Vascular ProceduresAPC 5184 | 92 | 51 | $23,369 | $2,570 | $3,946 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 61 | 61 | $34,706 | $5,089 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 56 | 55 | $13,448 | $1,350 | $1,220 |
| Level 4 Gynecologic ProceduresAPC 5414 | 54 | 54 | $16,835 | $2,440 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 50 | 50 | $57,705 | $7,597 | $6,514 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 41 | $20,950 | $4,429 | $3,918 |
| Level 4 Airway EndoscopyAPC 5154 | 38 | 36 | $18,786 | $3,252 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 38 | 37 | $23,253 | $4,963 | $4,338 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 36 | $12,966 | $1,394 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 35 | $28,714 | $6,062 | $5,339 |
| Level 3 Upper GI ProceduresAPC 5303 | 32 | 31 | $17,205 | $3,216 | $2,888 |
| Level 4 Urology and Related ServicesAPC 5374 | 26 | 25 | $16,054 | $2,982 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 24 | $15,739 | $2,318 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 24 | $17,672 | $2,515 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 25 | 25 | $41,165 | $10,722 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $11,108 | $1,436 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 21 | 18 | $13,727 | $1,783 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 20 | $22,521 | $2,548 | $2,141 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 18 | $13,836 | $1,294 | $1,264 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 19 | $26,154 | $2,947 | $2,636 |
| Complex GI ProceduresAPC 5331 | 19 | 18 | $24,284 | $5,110 | $4,263 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $45,889 | $8,369 | $8,164 |
| Level 5 Airway EndoscopyAPC 5155 | 16 | 16 | $24,768 | $6,137 | $5,183 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 15 | $17,689 | $2,331 | $2,176 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 14 | $25,482 | $7,562 | $7,291 |
| Level 1 Nerve ProceduresAPC 5431 | 14 | 12 | $10,101 | $989 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 13 | 13 | $45,379 | $11,128 | $10,772 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $56,493 | $8,774 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 11 | 11 | $163,748 | $22,746 | $21,117 |
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.