St. John Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. John Medical Center, Tulsa, OK in 2024, from traditional Medicare claims. Back to the St. John Medical Center profile, with quality ratings, finances and negotiated rates.
4,420
Medicare inpatient discharges
In 137 published DRGs
2.17
Case mix index
IPPS FY 2027
27%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,697
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases846 discharges in 7 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 | 528 | $53,496 | $13,507 | $11,769 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 129 | $147,922 | $35,551 | $32,543 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 97 | $30,068 | $7,311 | $6,615 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 29 | $45,278 | $13,977 | $9,961 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 26 | $178,897 | $43,933 | $39,357 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 22 | $73,494 | $16,004 | $16,169 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 15 | $152,041 | $38,034 | $33,449 | 4.43 |
Circulatory system812 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 | 165 | $30,303 | $8,966 | $6,667 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 67 | $39,638 | $10,927 | $8,720 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 41 | $132,301 | $21,675 | $29,106 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 40 | $244,336 | $35,295 | $53,754 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 40 | $22,132 | $5,258 | $4,869 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 39 | $40,867 | $14,075 | $8,991 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 37 | $70,544 | $14,389 | $15,520 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 37 | $19,707 | $6,065 | $4,336 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 31 | $32,092 | $6,517 | $7,060 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $46,912 | $9,788 | $10,321 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 29 | $135,868 | $21,047 | $29,891 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $94,274 | $12,692 | $20,740 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $112,356 | $24,761 | $24,718 | 3.35 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $33,412 | $7,044 | $7,351 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $25,187 | $4,666 | $5,541 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $11,961 | $3,982 | $2,631 | 0.55 |
| Hypertension with MCCMS-DRG 304, medical | 18 | $35,420 | $8,282 | $7,792 | 1.15 |
| Chest painMS-DRG 313, medical | 17 | $15,347 | $5,204 | $3,376 | 0.72 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $195,735 | $38,621 | $43,062 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $39,063 | $11,074 | $8,594 | 1.58 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 14 | $301,884 | $52,276 | $66,414 | 7.71 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $103,092 | $22,134 | $22,680 | 3.46 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 13 | $224,606 | $38,071 | $49,413 | 5.88 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 13 | $74,403 | $20,748 | $16,369 | 3.27 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 12 | $92,935 | $13,863 | $20,446 | 1.97 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $115,267 | $18,750 | $25,359 | 2.55 |
Nervous system576 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 81 | $67,247 | $13,696 | $14,794 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 77 | $37,438 | $6,927 | $8,236 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 50 | $122,071 | $30,141 | $26,856 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 31 | $24,408 | $6,536 | $5,370 | 0.91 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 30 | $33,209 | $12,420 | $7,306 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 30 | $72,274 | $16,400 | $15,900 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 29 | $50,250 | $12,596 | $11,055 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 22 | $129,057 | $37,416 | $28,393 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 22 | $95,563 | $18,088 | $21,024 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 22 | $33,426 | $9,764 | $7,354 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 21 | $33,159 | $7,204 | $7,295 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 20 | $27,741 | $5,566 | $6,103 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $24,495 | $7,850 | $5,389 | 1.06 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $30,120 | $9,685 | $6,626 | 1.36 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 14 | $41,646 | $14,903 | $9,162 | 2.27 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 13 | $72,607 | $15,223 | $15,974 | 2.23 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $19,573 | $4,842 | $4,306 | 0.69 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 13 | $33,644 | $6,082 | $7,402 | 0.92 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 12 | $20,906 | $7,139 | $4,599 | 1.03 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $46,400 | $8,476 | $10,208 | 1.32 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $61,391 | $8,407 | $13,506 | 1.14 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $31,295 | $6,128 | $6,885 | 0.87 |
| Headaches without MCCMS-DRG 103, medical | 11 | $24,520 | $4,871 | $5,394 | 0.84 |
Digestive system443 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 83 | $33,997 | $6,947 | $7,479 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 61 | $51,495 | $11,949 | $11,329 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 51 | $24,481 | $5,552 | $5,386 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 46 | $86,042 | $16,145 | $18,929 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 38 | $58,652 | $11,383 | $12,904 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 35 | $130,133 | $32,898 | $28,629 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $19,496 | $5,761 | $4,289 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 24 | $36,085 | $9,351 | $7,939 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $30,759 | $6,708 | $6,767 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $72,968 | $11,303 | $16,053 | 1.62 |
| Digestive malignancy with MCCMS-DRG 374, medical | 15 | $53,596 | $12,155 | $11,791 | 2.10 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $21,165 | $4,174 | $4,656 | 0.56 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $52,613 | $9,145 | $11,575 | 1.45 |
Musculoskeletal system and connective tissue411 discharges in 14 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 | 94 | $77,642 | $13,832 | $17,081 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 60 | $26,592 | $6,732 | $5,850 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 37 | $85,790 | $19,170 | $18,874 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 37 | $71,067 | $14,006 | $15,635 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 25 | $38,161 | $11,443 | $8,395 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 24 | $83,304 | $18,918 | $18,327 | 2.99 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 22 | $211,190 | $40,967 | $46,462 | 6.12 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 21 | $94,244 | $17,446 | $20,734 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 20 | $70,955 | $13,933 | $15,610 | 2.04 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $148,488 | $25,288 | $32,667 | 3.66 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $131,171 | $29,127 | $28,858 | 4.61 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 15 | $24,831 | $7,898 | $5,463 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $24,411 | $6,459 | $5,370 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 12 | $124,830 | $23,919 | $27,463 | 3.46 |
Kidney and urinary tract399 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 67 | $23,008 | $6,620 | $5,062 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $43,348 | $11,566 | $9,537 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 55 | $52,901 | $10,430 | $11,638 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 55 | $20,298 | $5,730 | $4,466 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $27,948 | $8,352 | $6,149 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 30 | $19,023 | $7,315 | $4,185 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 27 | $53,624 | $9,700 | $11,797 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 18 | $75,557 | $17,946 | $16,622 | 2.59 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 17 | $110,347 | $28,654 | $24,276 | 3.70 |
| Kidney transplantMS-DRG 652, surgical | 15 | $262,289 | $19,779 | $57,703 | 3.00 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $43,779 | $6,541 | $9,631 | 1.05 |
Respiratory system343 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 75 | $42,876 | $9,662 | $9,433 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $32,041 | $8,834 | $7,049 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 65 | $38,781 | $11,525 | $8,532 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 34 | $66,852 | $19,257 | $14,707 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 15 | $140,344 | $32,365 | $30,876 | 4.71 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 15 | $163,889 | $39,752 | $36,055 | 6.91 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $45,275 | $11,960 | $9,960 | 1.74 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $30,840 | $7,782 | $6,785 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $22,511 | $5,450 | $4,952 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $61,715 | $9,438 | $13,577 | 1.40 |
| Pneumothorax with MCCMS-DRG 199, medical | 12 | $32,445 | $12,208 | $7,138 | 1.77 |
Endocrine, nutritional and metabolic128 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 | 54 | $35,135 | $9,390 | $7,730 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $21,084 | $5,656 | $4,638 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $38,416 | $10,180 | $8,451 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 21 | $27,535 | $5,785 | $6,058 | 0.90 |
Liver, gallbladder and pancreas117 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 19 | $51,209 | $13,150 | $11,266 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 19 | $39,952 | $7,937 | $8,789 | 1.09 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $72,140 | $12,285 | $15,871 | 1.76 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 18 | $57,958 | $11,729 | $12,751 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 17 | $46,503 | $11,512 | $10,231 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $90,712 | $16,228 | $19,957 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $57,229 | $11,271 | $12,590 | 1.63 |
Blood and immune system68 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $39,621 | $9,803 | $8,717 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $30,721 | $6,785 | $6,759 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 15 | $34,399 | $10,674 | $7,568 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 11 | $20,556 | $9,151 | $4,522 | 1.20 |
Skin, subcutaneous tissue and breast55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $17,743 | $6,109 | $3,903 | 0.88 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 12 | $53,673 | $10,924 | $11,808 | 1.75 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $25,010 | $10,570 | $5,502 | 1.49 |
Other49 discharges in 3 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 | 26 | $129,048 | $32,072 | $28,391 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $76,476 | $17,380 | $16,825 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 11 | $61,817 | $11,671 | $13,600 | 1.70 |
Blood cancers and poorly differentiated neoplasms46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 32 | $46,999 | $9,610 | $10,340 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 14 | $79,309 | $20,381 | $17,448 | 3.13 |
Transplants, ECMO and tracheostomy (pre-MDC)45 discharges in 3 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 | 19 | $428,907 | $98,051 | $94,360 | 21.32 |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy with MCCMS-DRG 011, surgical | 14 | $155,637 | $36,006 | $34,240 | 5.16 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $298,874 | $86,329 | $65,752 | 14.70 |
Injuries, poisonings and toxic effects of drugs33 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 | 19 | $45,518 | $13,189 | $10,014 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 14 | $141,533 | $33,473 | $31,137 | 3.72 |
Factors influencing health status26 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 | 14 | $20,826 | $5,685 | $4,582 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 12 | $11,607 | $4,681 | $2,553 | 0.59 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 12 | $86,657 | $13,650 | $19,064 | 2.07 |
Mental diseases and disorders11 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 | 11 | $25,380 | $10,934 | $5,584 | 1.76 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 304 | 281 | $8,451 | $1,105 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 242 | 234 | $12,104 | $1,856 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 218 | 216 | $19,084 | $2,008 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 216 | 193 | $17,134 | $2,164 | $2,405 |
| Level 2 Intraocular ProceduresAPC 5492 | 124 | 113 | $18,662 | $2,744 | $3,116 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 111 | 107 | $155,721 | $18,624 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 106 | 103 | $71,677 | $7,829 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 106 | 98 | $13,010 | $1,303 | $1,445 |
| Level 2 Endovascular ProceduresAPC 5192 | 100 | 96 | $27,882 | $3,868 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 95 | 95 | $29,690 | $3,959 | $4,358 |
| Level 1 Intraocular ProceduresAPC 5491 | 94 | 63 | $11,446 | $1,600 | $1,752 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 90 | 89 | $53,667 | $7,151 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 75 | 57 | $11,041 | $1,397 | $1,516 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 69 | 66 | $26,234 | $4,444 | $4,982 |
| Level 4 Vascular ProceduresAPC 5184 | 61 | 58 | $26,953 | $3,710 | $3,946 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 58 | 56 | $35,538 | $4,911 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 58 | 52 | $98,505 | $13,447 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 55 | 55 | $40,683 | $7,555 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 53 | 50 | $23,513 | $2,517 | $2,833 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 46 | 46 | $17,521 | $2,617 | $2,930 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 38 | $16,885 | $2,337 | $2,629 |
| Level 4 Gynecologic ProceduresAPC 5414 | 40 | 40 | $14,525 | $2,092 | $2,389 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 33 | $17,581 | $1,895 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 31 | $18,298 | $2,374 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 33 | $6,321 | $1,095 | $1,204 |
| Level 5 Airway EndoscopyAPC 5155 | 32 | 32 | $44,675 | $4,698 | $5,183 |
| Level 5 ENT ProceduresAPC 5165 | 29 | 28 | $23,597 | $4,019 | $4,436 |
| Level 5 Urology and Related ServicesAPC 5375 | 27 | 27 | $28,995 | $3,552 | $3,918 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 25 | $141,524 | $26,630 | $29,375 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 22 | 22 | $40,169 | $5,830 | $6,514 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 17 | 17 | $65,487 | $9,694 | $10,772 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 15 | 14 | $41,315 | $4,818 | $5,682 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 15 | $12,855 | $1,915 | $2,176 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $18,701 | $1,165 | $1,264 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 11 | $24,001 | $2,629 | $2,888 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 11 | $26,442 | $3,414 | $3,792 |
| Complex GI ProceduresAPC 5331 | 11 | $38,045 | $3,912 | $4,263 |
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.