St. Elizabeth Edgewood Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Elizabeth Edgewood Hospital, Edgewood, KY in 2024, from traditional Medicare claims. Back to the St. Elizabeth Edgewood Hospital profile, with quality ratings, finances and negotiated rates.
4,272
Medicare inpatient discharges
In 121 published DRGs
1.95
Case mix index
IPPS FY 2027
26%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
4,756
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Circulatory system1,312 discharges in 38 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 189 | $32,387 | $7,053 | $9,004 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 80 | $39,412 | $9,190 | $10,956 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 71 | $72,322 | $9,905 | $20,105 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 66 | $93,376 | $18,915 | $25,958 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 62 | $21,255 | $4,668 | $5,909 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 59 | $19,851 | $4,170 | $5,519 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 57 | $58,027 | $12,982 | $16,132 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 55 | $31,240 | $5,598 | $8,685 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 53 | $151,173 | $31,150 | $42,026 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 52 | $34,207 | $7,221 | $9,510 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 50 | $104,995 | $18,521 | $29,189 | 2.87 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 32 | $115,157 | $20,938 | $32,014 | 3.46 |
| Other vascular procedures with CCMS-DRG 253, surgical | 32 | $100,844 | $14,579 | $28,035 | 2.55 |
| Chest painMS-DRG 313, medical | 30 | $17,993 | $3,966 | $5,002 | 0.72 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 28 | $87,157 | $11,388 | $24,230 | 2.28 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 24 | $131,610 | $21,834 | $36,588 | 3.46 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $31,656 | $5,050 | $8,800 | 0.91 |
| Heart failure and shock with CCMS-DRG 292, medical | 22 | $25,416 | $4,623 | $7,066 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 21 | $182,213 | $41,306 | $50,655 | 6.25 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 21 | $165,856 | $37,647 | $46,108 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 20 | $21,117 | $5,478 | $5,870 | 1.07 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 19 | $214,936 | $52,568 | $59,752 | 7.71 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 19 | $85,809 | $18,446 | $23,855 | 3.27 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 18 | $188,172 | $43,266 | $52,312 | 7.80 |
| Hypertension without MCCMS-DRG 305, medical | 18 | $19,512 | $4,112 | $5,424 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $49,559 | $13,401 | $13,777 | 2.09 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 17 | $160,714 | $28,542 | $44,679 | 5.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $108,604 | $19,484 | $30,192 | 3.35 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 16 | $212,049 | $39,905 | $58,950 | 5.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $14,843 | $2,367 | $4,126 | 0.55 |
| Atherosclerosis without MCCMS-DRG 303, medical | 15 | $20,430 | $3,475 | $5,680 | 0.66 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 14 | $124,453 | $19,215 | $34,598 | 3.18 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $131,670 | $24,908 | $36,604 | 4.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $39,240 | $5,466 | $10,909 | 0.97 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 13 | $171,608 | $31,250 | $47,707 | 5.24 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $128,660 | $27,268 | $35,767 | 3.90 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $36,000 | $8,997 | $10,008 | 1.58 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 11 | $166,386 | $31,980 | $46,255 | 5.04 |
Respiratory system644 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 102 | $30,881 | $7,273 | $8,585 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 100 | $41,092 | $9,995 | $11,423 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 96 | $34,611 | $7,234 | $9,622 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 67 | $26,488 | $6,297 | $7,364 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 53 | $21,532 | $4,134 | $5,986 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 35 | $79,628 | $12,942 | $22,136 | 2.55 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 25 | $21,223 | $5,062 | $5,900 | 0.85 |
| Major chest procedures with MCCMS-DRG 163, surgical | 24 | $130,106 | $26,383 | $36,169 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 24 | $21,216 | $5,459 | $5,898 | 0.99 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 19 | $92,361 | $26,313 | $25,676 | 4.06 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 19 | $25,613 | $4,368 | $7,120 | 0.82 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 18 | $62,928 | $11,118 | $17,494 | 1.88 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $86,302 | $15,839 | $23,992 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $28,877 | $7,824 | $8,028 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $46,556 | $11,186 | $12,943 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $21,224 | $5,234 | $5,900 | 0.96 |
Infectious and parasitic diseases565 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 | 389 | $58,498 | $11,612 | $16,262 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 89 | $134,851 | $31,445 | $37,488 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 62 | $26,498 | $5,540 | $7,367 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $45,759 | $11,208 | $12,721 | 2.04 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 11 | $21,735 | $5,499 | $6,042 | 1.01 |
Digestive system450 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 74 | $24,824 | $5,551 | $6,901 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 71 | $17,944 | $4,115 | $4,989 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 49 | $20,065 | $3,537 | $5,578 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 43 | $69,644 | $12,187 | $19,361 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $49,839 | $10,370 | $13,855 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 35 | $28,677 | $7,445 | $7,972 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 31 | $121,382 | $28,307 | $33,744 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 22 | $42,165 | $8,372 | $11,722 | 1.62 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 20 | $58,660 | $8,156 | $16,307 | 1.67 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $14,720 | $2,469 | $4,092 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $28,992 | $8,496 | $8,060 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 15 | $25,152 | $6,444 | $6,992 | 1.04 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $17,558 | $5,929 | $4,881 | 0.94 |
Nervous system385 discharges in 16 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 | 90 | $27,680 | $5,195 | $7,695 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $48,800 | $10,750 | $13,566 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 37 | $39,652 | $6,222 | $11,023 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 25 | $20,070 | $4,069 | $5,579 | 0.80 |
| Extracranial procedures with CCMS-DRG 038, surgical | 24 | $44,616 | $8,139 | $12,403 | 1.60 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 23 | $52,001 | $6,602 | $14,456 | 1.06 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 20 | $42,738 | $7,205 | $11,881 | 1.36 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $30,372 | $7,364 | $8,443 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 17 | $152,714 | $28,709 | $42,455 | 4.42 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 17 | $45,759 | $9,012 | $12,721 | 1.47 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $65,269 | $14,332 | $18,145 | 2.28 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $20,303 | $5,085 | $5,644 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 13 | $24,905 | $4,292 | $6,924 | 0.91 |
| Extracranial procedures with MCCMS-DRG 037, surgical | 11 | $70,801 | $16,199 | $19,683 | 3.38 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $75,007 | $9,400 | $20,852 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 11 | $58,350 | $11,504 | $16,221 | 1.98 |
Kidney and urinary tract379 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 | 105 | $19,379 | $4,264 | $5,387 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 70 | $27,515 | $6,849 | $7,649 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 48 | $25,510 | $5,424 | $7,092 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 45 | $46,785 | $9,125 | $13,006 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 42 | $38,117 | $9,419 | $10,596 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $22,195 | $4,833 | $6,170 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 25 | $29,739 | $8,041 | $8,267 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $79,864 | $21,204 | $22,202 | 3.70 |
Endocrine, nutritional and metabolic162 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 | 52 | $20,855 | $4,052 | $5,798 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 46 | $39,938 | $7,893 | $11,103 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 23 | $26,566 | $4,731 | $7,385 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 16 | $50,505 | $8,791 | $14,040 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $39,230 | $6,845 | $10,906 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $19,312 | $6,355 | $5,369 | 1.06 |
Musculoskeletal system and connective tissue109 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 37 | $26,933 | $5,502 | $7,487 | 0.97 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 26 | $43,598 | $12,766 | $12,120 | 2.04 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 12 | $91,732 | $20,753 | $25,502 | 3.16 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $30,127 | $9,328 | $8,375 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $65,629 | $13,147 | $18,245 | 2.07 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 11 | $43,815 | $8,950 | $12,181 | 1.49 |
Liver, gallbladder and pancreas72 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 | 31 | $56,886 | $9,590 | $15,814 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 17 | $40,085 | $12,086 | $11,144 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 12 | $46,987 | $9,369 | $13,062 | 1.76 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $15,196 | $4,682 | $4,225 | 0.86 |
Skin, subcutaneous tissue and breast67 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 47 | $18,323 | $4,921 | $5,094 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 20 | $22,187 | $9,113 | $6,168 | 1.49 |
Blood and immune system40 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 | 20 | $46,368 | $8,926 | $12,890 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 20 | $31,848 | $5,280 | $8,854 | 0.90 |
Factors influencing health status30 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 | 30 | $20,381 | $3,803 | $5,666 | 0.80 |
Other20 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 | 20 | $123,620 | $25,788 | $34,366 | 4.74 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $20,829 | $4,087 | $5,790 | 0.74 |
Mental diseases and disorders12 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 | 12 | $33,562 | $8,782 | $9,330 | 1.76 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 11 | $21,839 | $6,191 | $6,071 | 1.03 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 845 | 497 | $8,411 | $1,556 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 690 | 639 | $9,607 | $1,848 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 314 | 306 | $12,620 | $1,988 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 308 | 265 | $10,023 | $1,075 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 164 | 155 | $60,689 | $7,729 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 136 | 117 | $17,799 | $2,174 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 130 | 126 | $14,758 | $2,099 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 125 | 120 | $92,669 | $18,290 | $21,117 |
| Level 5 Airway EndoscopyAPC 5155 | 122 | 122 | $44,836 | $4,520 | $5,183 |
| Level 5 Urology and Related ServicesAPC 5375 | 110 | 108 | $22,788 | $3,482 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 105 | 96 | $11,022 | $1,298 | $1,445 |
| Level 2 Intraocular ProceduresAPC 5492 | 101 | 88 | $14,027 | $2,727 | $3,116 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 97 | 87 | $13,081 | $1,599 | $1,780 |
| Level 4 Urology and Related ServicesAPC 5374 | 95 | 72 | $13,615 | $2,364 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 94 | 91 | $17,704 | $1,893 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 93 | 89 | $27,183 | $3,780 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 89 | 82 | $23,104 | $3,870 | $4,338 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 85 | 82 | $31,336 | $4,788 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 75 | 67 | $9,352 | $1,392 | $1,516 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 64 | 57 | $17,778 | $2,408 | $2,930 |
| Level 4 Vascular ProceduresAPC 5184 | 63 | 52 | $46,230 | $3,524 | $3,946 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 62 | 62 | $43,623 | $8,917 | $10,772 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 62 | 62 | $53,026 | $7,549 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 62 | 62 | $43,921 | $6,986 | $8,164 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 56 | 56 | $190,770 | $26,587 | $29,375 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 55 | 50 | $7,426 | $1,082 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 54 | 50 | $86,420 | $12,679 | $14,606 |
| Level 4 Airway EndoscopyAPC 5154 | 50 | 48 | $28,052 | $2,412 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 50 | 48 | $15,017 | $1,872 | $2,176 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 40 | 39 | $107,369 | $14,714 | $17,052 |
| Level 1 Nerve ProceduresAPC 5431 | 40 | 39 | $10,959 | $1,286 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 37 | 37 | $9,201 | $1,066 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 35 | 35 | $12,364 | $2,039 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 34 | 34 | $44,767 | $5,656 | $6,514 |
| Level 2 Urology and Related ServicesAPC 5372 | 34 | 33 | $7,132 | $468 | $502 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 28 | 27 | $27,751 | $4,468 | $4,982 |
| Level 3 Airway EndoscopyAPC 5153 | 26 | 26 | $9,794 | $1,163 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 24 | 24 | $24,983 | $3,846 | $4,436 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 22 | 22 | $101,813 | $25,000 | $26,719 |
| Level 3 Upper GI ProceduresAPC 5303 | 17 | 15 | $22,944 | $2,470 | $2,888 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 12 | $18,900 | $2,223 | $2,636 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 14 | 13 | $16,793 | $2,652 | $2,969 |
| Implantation of Drug Infusion DeviceAPC 5471 | 11 | 11 | $68,226 | $12,556 | $14,829 |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $29,565 | $3,585 | $4,004 | |
| Level 7 Radiation TherapyAPC 5627 | 11 | $26,896 | $5,336 | $6,121 |
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.