St. Peters Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Peters Hospital, Albany, NY in 2024, from traditional Medicare claims. Back to the St. Peters Hospital profile, with quality ratings, finances and negotiated rates.
4,645
Medicare inpatient discharges
In 128 published DRGs
1.97
Case mix index
IPPS FY 2027
28%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
3,986
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system1,235 discharges in 34 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 269 | $43,071 | $9,740 | $10,983 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 74 | $66,314 | $12,152 | $16,910 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 64 | $78,617 | $16,635 | $20,047 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 54 | $27,681 | $4,781 | $7,059 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 52 | $111,790 | $25,205 | $28,506 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 52 | $34,954 | $5,988 | $8,913 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 48 | $147,076 | $39,690 | $37,504 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 47 | $74,689 | $13,446 | $19,046 | 1.82 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 40 | $130,697 | $30,018 | $33,328 | 4.04 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 34 | $36,402 | $6,137 | $9,282 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $43,335 | $9,322 | $11,051 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 30 | $47,031 | $17,092 | $11,993 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 30 | $20,467 | $3,397 | $5,219 | 0.55 |
| Other vascular procedures with CCMS-DRG 253, surgical | 27 | $79,585 | $18,937 | $20,294 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 26 | $71,911 | $23,675 | $18,337 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 26 | $38,422 | $7,363 | $9,798 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 25 | $263,207 | $67,350 | $67,118 | 7.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 24 | $267,095 | $57,286 | $68,109 | 7.80 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 24 | $185,363 | $46,868 | $47,268 | 5.88 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 24 | $77,358 | $26,552 | $19,726 | 3.46 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 24 | $55,093 | $15,351 | $14,049 | 2.09 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 21 | $92,633 | $30,180 | $23,621 | 4.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 21 | $22,522 | $7,391 | $5,743 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 20 | $94,460 | $25,982 | $24,087 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 19 | $153,846 | $34,287 | $39,231 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 19 | $172,232 | $38,671 | $43,919 | 5.20 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 17 | $239,367 | $54,862 | $61,039 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $129,282 | $22,984 | $32,967 | 2.87 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $29,740 | $4,776 | $7,584 | 0.75 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $37,394 | $7,373 | $9,536 | 0.97 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $117,968 | $38,277 | $30,082 | 5.06 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 13 | $29,324 | $3,896 | $7,478 | 0.72 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 12 | $34,671 | $13,159 | $8,841 | 1.83 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $33,362 | $12,326 | $8,507 | 1.58 |
Infectious and parasitic diseases952 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 | 636 | $56,312 | $14,469 | $14,360 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 132 | $29,436 | $6,906 | $7,506 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 118 | $112,210 | $37,136 | $28,613 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 37 | $54,962 | $14,133 | $14,015 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $237,628 | $55,245 | $60,595 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $51,634 | $12,424 | $13,167 | 1.84 |
Digestive system552 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 93 | $39,977 | $7,218 | $10,194 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 63 | $66,970 | $13,786 | $17,077 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 59 | $25,525 | $5,059 | $6,509 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 41 | $62,325 | $17,403 | $15,893 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 33 | $24,900 | $5,724 | $6,349 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 33 | $27,712 | $6,808 | $7,067 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 32 | $123,240 | $36,159 | $31,426 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 32 | $48,192 | $11,465 | $12,289 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $28,415 | $9,711 | $7,246 | 1.28 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 20 | $47,645 | $9,794 | $12,150 | 1.60 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 17 | $52,612 | $17,365 | $13,416 | 2.50 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $49,050 | $11,332 | $12,508 | 1.45 |
| Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical | 14 | $38,122 | $9,924 | $9,721 | 1.36 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $23,674 | $7,808 | $6,037 | 1.04 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $51,185 | $11,493 | $13,052 | 1.67 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 12 | $63,044 | $13,811 | $16,076 | 2.11 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $84,181 | $14,286 | $21,466 | 1.75 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $21,454 | $3,157 | $5,471 | 0.56 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $45,446 | $9,023 | $11,589 | 1.20 |
Respiratory system551 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 | 135 | $47,296 | $12,438 | $12,060 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $44,331 | $9,113 | $11,304 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 57 | $42,164 | $7,377 | $10,752 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $44,923 | $8,929 | $11,455 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 35 | $25,703 | $5,573 | $6,554 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 34 | $53,475 | $9,872 | $13,636 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 32 | $64,105 | $18,034 | $16,347 | 2.55 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 32 | $32,168 | $6,848 | $8,203 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 19 | $60,371 | $11,775 | $15,395 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $31,628 | $4,940 | $8,065 | 0.82 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 16 | $52,412 | $10,700 | $13,365 | 1.88 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $84,948 | $20,550 | $21,662 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 14 | $111,815 | $35,595 | $28,513 | 4.71 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 13 | $82,992 | $31,305 | $21,163 | 4.06 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $25,311 | $6,411 | $6,454 | 0.96 |
Kidney and urinary tract373 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 83 | $44,901 | $12,203 | $11,450 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 65 | $27,897 | $6,410 | $7,114 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 60 | $35,549 | $8,306 | $9,065 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $43,147 | $11,383 | $11,003 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $26,948 | $5,500 | $6,872 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 27 | $27,048 | $7,438 | $6,897 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $40,748 | $10,504 | $10,391 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 13 | $53,649 | $21,154 | $13,680 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 12 | $33,492 | $7,614 | $8,541 | 1.05 |
Musculoskeletal system and connective tissue288 discharges in 12 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 | 44 | $50,932 | $14,652 | $12,988 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $58,561 | $16,105 | $14,933 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 37 | $60,259 | $15,969 | $15,366 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 35 | $58,868 | $20,516 | $15,011 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $79,345 | $26,081 | $20,233 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $87,040 | $21,405 | $22,195 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $82,708 | $21,979 | $21,091 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 18 | $27,844 | $5,325 | $7,100 | 0.79 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 16 | $71,354 | $19,830 | $18,195 | 2.48 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $33,220 | $6,836 | $8,471 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $23,493 | $6,439 | $5,991 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $68,497 | $17,664 | $17,467 | 2.40 |
Endocrine, nutritional and metabolic145 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 | 55 | $42,674 | $10,036 | $10,882 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $32,429 | $5,475 | $8,269 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 29 | $23,000 | $6,609 | $5,865 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $38,895 | $10,009 | $9,918 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $35,492 | $6,998 | $9,051 | 1.06 |
Nervous system136 discharges in 7 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 | 37 | $47,081 | $5,977 | $12,006 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 29 | $31,232 | $7,786 | $7,964 | 1.14 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $70,093 | $13,884 | $17,874 | 2.00 |
| Extracranial procedures with CCMS-DRG 038, surgical | 14 | $34,031 | $10,430 | $8,678 | 1.60 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 12 | $49,937 | $11,658 | $12,734 | 1.81 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $37,744 | $10,453 | $9,625 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $28,670 | $5,433 | $7,311 | 0.80 |
Alcohol and drug use121 discharges in 4 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 | 61 | $15,958 | $5,957 | $4,069 | 0.86 |
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 30 | $36,776 | $9,633 | $9,378 | 1.61 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 17 | $12,757 | $4,260 | $3,253 | 0.57 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 13 | $51,401 | $10,471 | $13,107 | 1.78 |
Liver, gallbladder and pancreas120 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 20 | $38,260 | $7,137 | $9,756 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $54,177 | $11,426 | $13,815 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 16 | $58,674 | $13,464 | $14,962 | 1.76 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 16 | $66,655 | $11,123 | $16,997 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $54,626 | $14,144 | $13,930 | 1.92 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $30,260 | $5,672 | $7,716 | 0.86 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 12 | $69,220 | $23,284 | $17,651 | 2.89 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $49,409 | $8,810 | $12,599 | 1.31 |
Blood and immune system63 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 | 28 | $28,491 | $4,354 | $7,265 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 20 | $54,795 | $12,088 | $13,973 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $41,547 | $10,890 | $10,595 | 1.40 |
Other38 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 | 24 | $124,868 | $36,639 | $31,841 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 14 | $98,253 | $16,084 | $25,054 | 2.49 |
Skin, subcutaneous tissue and breast36 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 36 | $22,195 | $6,212 | $5,660 | 0.88 |
Injuries, poisonings and toxic effects of drugs24 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 | 12 | $222,194 | $49,596 | $56,659 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $24,940 | $8,363 | $6,360 | 1.03 |
Factors influencing health status11 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 | 11 | $30,071 | $5,978 | $7,668 | 0.80 |
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 | 486 | 468 | $15,946 | $2,255 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 337 | 323 | $37,693 | $12,002 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 336 | 334 | $16,796 | $2,475 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 270 | 236 | $11,556 | $1,600 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 264 | 237 | $6,630 | $1,345 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 206 | 204 | $23,531 | $4,775 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 176 | 160 | $14,219 | $2,661 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 151 | 137 | $20,268 | $4,342 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 124 | 123 | $35,410 | $9,270 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 109 | 90 | $11,863 | $3,220 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 109 | 107 | $49,124 | $17,911 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 108 | 104 | $48,565 | $9,875 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 107 | 93 | $16,625 | $4,783 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 105 | 91 | $14,966 | $2,916 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 95 | 93 | $116,908 | $22,983 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 78 | 78 | $22,355 | $9,550 | $8,569 |
| Level 3 Lower GI ProceduresAPC 5313 | 76 | 72 | $11,635 | $2,317 | $2,176 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 64 | 64 | $20,846 | $5,509 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 62 | 56 | $17,900 | $2,873 | $2,636 |
| Level 3 Upper GI ProceduresAPC 5303 | 59 | 54 | $15,282 | $3,013 | $2,888 |
| Complex GI ProceduresAPC 5331 | 55 | 42 | $20,914 | $4,283 | $4,263 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 41 | $10,260 | $1,699 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 53 | 53 | $15,731 | $2,354 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 52 | 51 | $6,719 | $1,271 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 49 | $23,004 | $5,922 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 49 | 41 | $21,684 | $4,453 | $3,946 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 45 | 45 | $18,352 | $7,206 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 41 | 41 | $14,269 | $2,637 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 34 | $63,513 | $16,447 | $14,606 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 34 | $14,172 | $2,656 | $2,373 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 35 | 35 | $66,813 | $33,140 | $29,375 |
| Level 3 Airway EndoscopyAPC 5153 | 31 | 31 | $9,202 | $1,429 | $1,264 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 27 | 24 | $9,694 | $1,353 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 26 | 26 | $17,227 | $3,163 | $2,833 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 18 | 18 | $49,798 | $18,976 | $17,052 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 17 | 17 | $48,038 | $23,290 | $21,011 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $27,085 | $4,947 | $4,436 |
| Level 1 Nerve ProceduresAPC 5431 | 14 | 14 | $11,000 | $1,398 | $1,407 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $17,094 | $4,202 | $3,792 |
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.