Stanford University Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Stanford University Hospital, Palo Alto, CA in 2024, from traditional Medicare claims. Back to the Stanford University Hospital profile, with quality ratings, finances and negotiated rates.
11,829
Medicare inpatient discharges
In 279 published DRGs
2.58
Case mix index
IPPS FY 2027
37%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
20,935
Medicare outpatient services
In 61 service groups
Inpatient stays by major diagnostic category
Circulatory system2,195 discharges in 43 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 309 | $300,529 | $25,938 | $44,178 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 181 | $338,922 | $69,450 | $49,822 | 4.88 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 131 | $1,337,746 | $142,912 | $196,649 | 7.71 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 128 | $137,398 | $9,965 | $20,197 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 101 | $401,880 | $37,975 | $59,076 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 99 | $897,454 | $82,797 | $131,926 | 5.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 87 | $284,916 | $25,257 | $41,883 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 77 | $345,282 | $44,418 | $50,756 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 66 | $765,836 | $102,294 | $112,578 | 6.25 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 65 | $117,256 | $6,631 | $17,237 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 62 | $197,435 | $16,859 | $29,023 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 62 | $163,236 | $11,725 | $23,996 | 0.86 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 57 | $165,880 | $12,731 | $24,384 | 0.97 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 48 | $1,113,900 | $108,948 | $163,743 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 43 | $318,380 | $31,743 | $46,802 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 42 | $1,063,506 | $116,032 | $156,335 | 5.06 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 39 | $723,028 | $55,330 | $106,285 | 4.04 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 38 | $459,747 | $60,142 | $67,583 | 4.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 37 | $165,316 | $12,355 | $24,301 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $301,332 | $24,456 | $44,296 | 1.82 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 35 | $174,224 | $14,139 | $25,611 | 1.07 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 34 | $444,656 | $45,852 | $65,364 | 3.18 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 33 | $220,057 | $14,904 | $32,348 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 31 | $512,998 | $48,388 | $75,411 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 30 | $554,937 | $59,115 | $81,576 | 3.35 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 28 | $1,212,583 | $115,382 | $178,250 | 5.88 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 27 | $213,857 | $22,760 | $31,437 | 1.58 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 26 | $560,629 | $55,581 | $82,412 | 3.46 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 25 | $570,733 | $60,874 | $83,898 | 3.90 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 24 | $1,715,805 | $179,307 | $252,223 | 9.71 |
| Other vascular procedures with CCMS-DRG 253, surgical | 22 | $330,560 | $36,417 | $48,592 | 2.55 |
| Heart failure and shock with CCMS-DRG 292, medical | 22 | $155,570 | $12,013 | $22,869 | 0.86 |
| Chest painMS-DRG 313, medical | 19 | $134,481 | $9,869 | $19,769 | 0.72 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 18 | $490,117 | $50,244 | $72,047 | 3.46 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 15 | $355,678 | $46,871 | $52,285 | 3.27 |
| Atherosclerosis without MCCMS-DRG 303, medical | 14 | $112,333 | $8,831 | $16,513 | 0.66 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 13 | $1,449,464 | $158,258 | $213,071 | 7.80 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $124,835 | $10,499 | $18,351 | 0.75 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $810,902 | $84,388 | $119,203 | 5.04 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $146,533 | $8,736 | $21,540 | 0.72 |
| Cardiac congenital and valvular disorders with MCCMS-DRG 306, medical | 12 | $225,753 | $22,969 | $33,186 | 1.54 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $224,057 | $25,592 | $32,936 | 1.83 |
| Cardiac congenital and valvular disorders without MCCMS-DRG 307, medical | 11 | $160,592 | $12,989 | $23,607 | 0.94 |
Musculoskeletal system and connective tissue1,514 discharges in 40 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 | 191 | $250,769 | $24,721 | $36,863 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 106 | $555,771 | $82,180 | $81,698 | 6.12 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 100 | $299,668 | $27,800 | $44,051 | 2.07 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 86 | $257,528 | $35,529 | $37,857 | 2.48 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 70 | $367,743 | $48,555 | $54,058 | 3.49 |
| Medical back problems without MCCMS-DRG 552, medical | 67 | $148,493 | $12,479 | $21,828 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 53 | $208,290 | $15,198 | $30,619 | 1.09 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 49 | $414,703 | $49,479 | $60,961 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 49 | $334,706 | $34,499 | $49,202 | 2.40 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 48 | $355,360 | $39,300 | $52,238 | 2.96 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 46 | $435,339 | $42,253 | $63,995 | 3.00 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 45 | $336,773 | $29,832 | $49,506 | 2.11 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 41 | $255,191 | $27,923 | $37,513 | 1.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 37 | $157,219 | $12,806 | $23,111 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 36 | $321,008 | $29,695 | $47,188 | 2.04 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 32 | $557,011 | $85,424 | $81,881 | 6.08 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 32 | $444,924 | $51,693 | $65,404 | 3.33 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 32 | $319,757 | $23,669 | $47,004 | 1.82 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 30 | $552,922 | $53,157 | $81,279 | 2.95 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 26 | $434,822 | $61,693 | $63,919 | 4.61 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 26 | $139,037 | $10,284 | $20,438 | 0.79 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 25 | $581,879 | $62,924 | $85,536 | 2.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 21 | $286,050 | $37,836 | $42,049 | 2.67 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 20 | $423,095 | $42,165 | $62,195 | 2.99 |
| Medical back problems with MCCMS-DRG 551, medical | 20 | $316,547 | $25,564 | $46,532 | 1.70 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 20 | $151,792 | $11,940 | $22,313 | 0.82 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 19 | $1,016,997 | $137,856 | $149,499 | 8.86 |
| Connective tissue disorders with CCMS-DRG 546, medical | 19 | $228,845 | $17,649 | $33,640 | 1.20 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 19 | $144,099 | $11,081 | $21,182 | 0.82 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $213,114 | $20,567 | $31,328 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 17 | $194,872 | $18,225 | $28,646 | 1.49 |
| Aftercare, musculoskeletal system and connective tissue with CCMS-DRG 560, medical | 17 | $213,471 | $15,873 | $31,380 | 1.13 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 14 | $469,686 | $47,768 | $69,044 | 3.16 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 14 | $148,131 | $12,054 | $21,775 | 0.88 |
| Amputation for musculoskeletal system and connective tissue disorders with CCMS-DRG 475, surgical | 13 | $418,933 | $33,274 | $61,583 | 2.14 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 12 | $538,939 | $57,669 | $79,224 | 3.46 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 11 | $399,415 | $31,810 | $58,714 | 2.38 |
| Soft tissue procedures with CCMS-DRG 501, surgical | 11 | $298,658 | $24,126 | $43,903 | 1.74 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 11 | $186,522 | $18,316 | $27,419 | 1.43 |
| Osteomyelitis with CCMS-DRG 540, medical | 11 | $160,703 | $18,071 | $23,623 | 1.30 |
Respiratory system1,343 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 221 | $263,722 | $24,832 | $38,767 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 112 | $257,291 | $20,920 | $37,822 | 1.33 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 110 | $416,569 | $34,893 | $61,236 | 1.81 |
| Major chest procedures with CCMS-DRG 164, surgical | 106 | $374,610 | $35,558 | $55,068 | 2.55 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 100 | $369,459 | $24,534 | $54,311 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 74 | $155,067 | $12,848 | $22,795 | 0.99 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 66 | $988,298 | $106,588 | $145,280 | 4.06 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 54 | $302,631 | $24,580 | $44,487 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 53 | $276,390 | $21,625 | $40,629 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 52 | $140,880 | $10,650 | $20,709 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 48 | $353,604 | $30,901 | $51,980 | 1.74 |
| Major chest procedures with MCCMS-DRG 163, surgical | 42 | $887,051 | $94,948 | $130,396 | 4.71 |
| Major chest trauma with CCMS-DRG 184, medical | 39 | $211,814 | $14,590 | $31,137 | 1.05 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 34 | $271,709 | $21,813 | $39,941 | 1.88 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 29 | $215,129 | $12,953 | $31,624 | 0.91 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 28 | $161,151 | $10,673 | $23,689 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 26 | $1,094,250 | $116,940 | $160,855 | 1.90 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 23 | $167,991 | $11,805 | $24,695 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $703,410 | $55,500 | $103,401 | 2.70 |
| Other respiratory system o.r. procedures with CCMS-DRG 167, surgical | 21 | $252,412 | $24,842 | $37,105 | 1.82 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 19 | $191,093 | $14,103 | $28,091 | 1.10 |
| Pleural effusion with MCCMS-DRG 186, medical | 16 | $285,409 | $32,752 | $41,955 | 1.55 |
| Pneumothorax with CCMS-DRG 200, medical | 13 | $165,157 | $15,005 | $24,278 | 1.08 |
| Major chest trauma with MCCMS-DRG 183, medical | 12 | $204,699 | $20,408 | $30,091 | 1.57 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $151,386 | $10,774 | $22,254 | 0.85 |
| Major chest trauma without cc/mccMS-DRG 185, medical | 11 | $167,671 | $10,302 | $24,648 | 0.76 |
Digestive system1,219 discharges in 23 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 | 141 | $153,669 | $9,921 | $22,589 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 124 | $361,905 | $34,883 | $53,200 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 116 | $246,452 | $18,463 | $36,228 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 100 | $168,565 | $13,383 | $24,779 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 92 | $378,372 | $30,108 | $55,621 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 66 | $179,779 | $13,483 | $26,428 | 0.94 |
| Digestive malignancy with MCCMS-DRG 374, medical | 62 | $366,844 | $33,184 | $53,926 | 2.10 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 59 | $268,319 | $22,539 | $39,443 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 58 | $772,979 | $79,707 | $113,628 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 58 | $139,154 | $10,589 | $20,456 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 48 | $347,636 | $23,733 | $51,102 | 1.45 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 39 | $492,210 | $41,395 | $72,355 | 2.50 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 35 | $243,030 | $22,435 | $35,725 | 1.60 |
| Digestive malignancy with CCMS-DRG 375, medical | 35 | $245,226 | $16,113 | $36,048 | 1.20 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 34 | $801,417 | $92,723 | $117,808 | 5.08 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 28 | $213,150 | $23,528 | $31,333 | 1.67 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 22 | $298,731 | $29,081 | $43,913 | 1.95 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 19 | $238,236 | $15,408 | $35,021 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 19 | $84,745 | $6,371 | $12,457 | 0.56 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 18 | $341,094 | $30,544 | $50,141 | 2.11 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 16 | $173,651 | $20,149 | $25,527 | 1.75 |
| Hernia procedures except inguinal and femoral with CCMS-DRG 354, surgical | 15 | $292,046 | $24,010 | $42,931 | 1.72 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 15 | $602,013 | $71,317 | $88,496 | 4.28 |
Nervous system1,216 discharges in 35 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 98 | $411,099 | $35,633 | $60,432 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 97 | $610,786 | $64,502 | $89,786 | 4.42 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 89 | $307,120 | $33,080 | $45,147 | 2.43 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 70 | $350,602 | $38,671 | $51,539 | 2.95 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 69 | $135,902 | $12,912 | $19,978 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 67 | $343,620 | $36,200 | $50,512 | 2.39 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 65 | $195,769 | $18,386 | $28,778 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 59 | $230,992 | $14,936 | $33,956 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 59 | $176,050 | $11,719 | $25,879 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 54 | $153,357 | $14,039 | $22,543 | 1.03 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 48 | $918,591 | $100,239 | $135,033 | 5.67 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 37 | $193,334 | $17,037 | $28,420 | 1.32 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 33 | $390,184 | $35,115 | $57,357 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 29 | $321,236 | $19,352 | $47,222 | 1.47 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 28 | $219,540 | $19,277 | $32,272 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 25 | $337,969 | $35,632 | $49,681 | 1.98 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 23 | $288,000 | $31,950 | $42,336 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 21 | $420,946 | $52,070 | $61,879 | 3.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 20 | $175,669 | $9,190 | $25,823 | 0.69 |
| Other disorders of nervous system without cc/mccMS-DRG 093, medical | 19 | $111,613 | $9,378 | $16,407 | 0.77 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 18 | $588,837 | $54,999 | $86,559 | 3.85 |
| Extracranial procedures with CCMS-DRG 038, surgical | 17 | $252,642 | $22,430 | $37,138 | 1.60 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 16 | $123,932 | $11,866 | $18,218 | 0.89 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 15 | $1,065,926 | $133,592 | $156,691 | 8.45 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 15 | $213,998 | $30,672 | $31,458 | 2.15 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $404,790 | $35,870 | $59,504 | 1.79 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 14 | $188,896 | $22,830 | $27,768 | 1.62 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 14 | $436,245 | $32,829 | $64,128 | 2.27 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 12 | $444,883 | $48,424 | $65,398 | 3.43 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 12 | $272,207 | $31,792 | $40,014 | 2.23 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $256,766 | $24,450 | $37,745 | 1.87 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $237,069 | $15,542 | $34,849 | 1.06 |
| Headaches without MCCMS-DRG 103, medical | 12 | $205,143 | $9,578 | $30,156 | 0.84 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 11 | $369,907 | $23,972 | $54,376 | 1.51 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 11 | $144,927 | $12,630 | $21,304 | 0.92 |
Infectious and parasitic diseases982 discharges in 10 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 | 594 | $413,501 | $34,524 | $60,785 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 130 | $179,424 | $13,717 | $26,375 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 91 | $1,034,403 | $108,333 | $152,057 | 5.00 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 47 | $323,025 | $25,649 | $47,485 | 1.84 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 31 | $148,593 | $12,823 | $21,843 | 1.01 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 23 | $411,195 | $32,204 | $60,446 | 2.14 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 21 | $1,036,215 | $77,073 | $152,324 | 4.43 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 19 | $372,782 | $30,851 | $54,799 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $1,683,259 | $174,393 | $247,439 | 6.96 |
| Viral illness with MCCMS-DRG 865, medical | 12 | $575,004 | $45,095 | $84,526 | 1.64 |
Kidney and urinary tract720 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 136 | $136,274 | $10,917 | $20,032 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 109 | $345,660 | $29,356 | $50,812 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 72 | $184,181 | $11,711 | $27,075 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 67 | $348,045 | $29,068 | $51,163 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 63 | $210,862 | $17,018 | $30,997 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 57 | $142,365 | $13,577 | $20,928 | 1.02 |
| Major bladder procedures with CCMS-DRG 654, surgical | 42 | $435,517 | $35,504 | $64,021 | 2.74 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 39 | $278,992 | $24,605 | $41,012 | 1.84 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 32 | $241,682 | $18,424 | $35,527 | 1.35 |
| Kidney transplantMS-DRG 652, surgical | 31 | $817,517 | $45,717 | $120,175 | 3.00 |
| Kidney transplant with hemodialysis without MCCMS-DRG 651, surgical | 24 | $862,660 | $49,691 | $126,811 | 3.46 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 23 | $704,958 | $69,896 | $103,629 | 3.70 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 14 | $937,968 | $68,753 | $137,881 | 4.50 |
| Major bladder procedures with MCCMS-DRG 653, surgical | 11 | $750,758 | $71,700 | $110,361 | 5.41 |
Liver, gallbladder and pancreas508 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 73 | $406,480 | $38,948 | $59,753 | 2.89 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 64 | $359,660 | $30,029 | $52,870 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 61 | $347,895 | $31,942 | $51,141 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 45 | $396,642 | $30,982 | $58,306 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 43 | $351,736 | $30,334 | $51,705 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 40 | $167,098 | $12,331 | $24,563 | 0.95 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 38 | $679,782 | $81,239 | $99,928 | 5.51 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 35 | $184,040 | $15,116 | $27,054 | 1.09 |
| Pancreas, liver and shunt procedures without cc/mccMS-DRG 407, surgical | 27 | $300,843 | $28,052 | $44,224 | 2.15 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 16 | $350,458 | $28,003 | $51,517 | 1.67 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 14 | $197,569 | $18,520 | $29,043 | 1.31 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $348,611 | $35,068 | $51,246 | 2.32 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 13 | $190,246 | $14,634 | $27,966 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 13 | $181,390 | $14,520 | $26,664 | 1.10 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $180,648 | $12,100 | $26,555 | 0.86 |
Endocrine, nutritional and metabolic436 discharges in 10 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 | 118 | $274,698 | $20,610 | $40,381 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 81 | $156,028 | $11,624 | $22,936 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 46 | $289,120 | $25,259 | $42,501 | 1.65 |
| Adrenal and pituitary procedures with cc/mccMS-DRG 614, surgical | 40 | $373,838 | $35,271 | $54,954 | 2.25 |
| Endocrine disorders with CCMS-DRG 644, medical | 40 | $174,248 | $15,493 | $25,614 | 1.06 |
| Diabetes with CCMS-DRG 638, medical | 36 | $142,024 | $11,240 | $20,877 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 33 | $262,411 | $22,040 | $38,574 | 1.45 |
| Thyroid, parathyroid and thyroglossal procedures with CCMS-DRG 626, surgical | 19 | $261,429 | $20,757 | $38,430 | 1.49 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $352,064 | $26,653 | $51,753 | 1.98 |
| Other endocrine, nutritional and metabolic o.r. procedures with MCCMS-DRG 628, surgical | 11 | $467,912 | $52,604 | $68,783 | 4.01 |
Blood cancers and poorly differentiated neoplasms435 discharges in 13 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 | 180 | $143,177 | $18,128 | $21,047 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 45 | $585,936 | $59,623 | $86,133 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 45 | $304,210 | $46,029 | $44,719 | 2.44 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 27 | $376,659 | $24,838 | $55,369 | 1.57 |
| Lymphoma and non-acute leukemia with other procedures with MCCMS-DRG 823, surgical | 21 | $1,166,184 | $116,677 | $171,429 | 4.50 |
| Myeloproliferative disorders or poorly differentiated neoplasms with other procedures wiMS-DRG 829, surgical | 20 | $373,942 | $45,487 | $54,969 | 3.15 |
| Acute leukemia with MCCMS-DRG 834, medical | 20 | $1,157,661 | $108,554 | $170,176 | 5.60 |
| Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedurMS-DRG 827, surgical | 18 | $418,375 | $39,010 | $61,501 | 2.32 |
| Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedurMS-DRG 828, surgical | 13 | $275,761 | $21,062 | $40,537 | 1.64 |
| Lymphoma and leukemia with major o.r. procedures with CCMS-DRG 821, surgical | 12 | $337,047 | $33,621 | $49,546 | 2.23 |
| Lymphoma and leukemia with major o.r. procedures without cc/mccMS-DRG 822, surgical | 12 | $183,719 | $13,820 | $27,007 | 1.24 |
| Lymphoma and non-acute leukemia with other procedures with CCMS-DRG 824, surgical | 11 | $400,096 | $33,593 | $58,814 | 2.23 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 11 | $544,432 | $77,513 | $80,032 | 4.84 |
Transplants, ECMO and tracheostomy (pre-MDC)225 discharges in 7 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 | 64 | $5,161,515 | $594,522 | $758,743 | 21.32 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 63 | $2,698,585 | $381,473 | $396,692 | 36.84 |
| Allogeneic bone marrow transplantMS-DRG 014, medical | 31 | $1,529,544 | $195,238 | $224,843 | 11.46 |
| Tracheostomy for face, mouth and neck diagnoses or laryngectomy with CCMS-DRG 012, surgical | 22 | $745,223 | $63,313 | $109,548 | 4.00 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 17 | $4,539,050 | $532,760 | $667,240 | 27.10 |
| Liver transplant with MCC or intestinal transplantMS-DRG 005, surgical | 16 | $2,936,237 | $275,255 | $431,627 | 10.35 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $4,272,292 | $505,272 | $628,027 | 14.70 |
Injuries, poisonings and toxic effects of drugs183 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 74 | $456,920 | $45,464 | $67,167 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 45 | $182,593 | $14,649 | $26,841 | 1.03 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 24 | $339,198 | $29,344 | $49,862 | 2.00 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 23 | $960,769 | $85,545 | $141,233 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 17 | $227,435 | $23,280 | $33,433 | 1.60 |
Other172 discharges in 6 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 | 65 | $790,784 | $81,365 | $116,245 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 33 | $351,871 | $34,547 | $51,725 | 2.49 |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 26 | $737,824 | $102,451 | $108,460 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 18 | $326,899 | $25,856 | $48,054 | 1.70 |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 15 | $401,554 | $51,924 | $59,028 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 15 | $966,192 | $97,391 | $142,030 | 3.38 |
Skin, subcutaneous tissue and breast161 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 76 | $130,192 | $11,419 | $19,138 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 19 | $165,318 | $12,420 | $24,302 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures without cc/mccMS-DRG 581, surgical | 18 | $331,227 | $18,361 | $48,690 | 1.35 |
| Cellulitis with MCCMS-DRG 602, medical | 17 | $219,629 | $20,845 | $32,285 | 1.49 |
| Minor skin disorders without MCCMS-DRG 607, medical | 17 | $206,747 | $14,069 | $30,392 | 0.89 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 14 | $338,177 | $19,272 | $49,712 | 1.75 |
Blood and immune system157 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 31 | $313,492 | $25,286 | $46,083 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 29 | $211,407 | $16,029 | $31,077 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 26 | $301,717 | $25,656 | $44,352 | 1.20 |
| Coagulation disordersMS-DRG 813, medical | 19 | $212,418 | $22,688 | $31,225 | 1.56 |
| Reticuloendothelial and immunity disorders with CCMS-DRG 815, medical | 19 | $218,817 | $14,616 | $32,166 | 0.99 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 18 | $698,679 | $71,293 | $102,706 | 2.19 |
| Reticuloendothelial and immunity disorders with MCCMS-DRG 814, medical | 15 | $729,437 | $67,101 | $107,227 | 2.13 |
Ear, nose, mouth and throat133 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 24 | $396,407 | $29,406 | $58,272 | 2.07 |
| DysequilibriumMS-DRG 149, medical | 19 | $151,969 | $9,993 | $22,340 | 0.74 |
| Other ear, nose, mouth and throat o.r. procedures with CCMS-DRG 144, surgical | 15 | $425,232 | $31,100 | $62,509 | 1.73 |
| Otitis media and uri with MCCMS-DRG 152, medical | 14 | $205,365 | $15,618 | $30,189 | 1.19 |
| Otitis media and uri without MCCMS-DRG 153, medical | 13 | $110,374 | $9,473 | $16,225 | 0.73 |
| Dental and oral diseases with CCMS-DRG 158, medical | 13 | $199,138 | $12,959 | $29,273 | 0.94 |
| Other ear, nose, mouth and throat o.r. procedures without cc/mccMS-DRG 145, surgical | 12 | $225,057 | $15,369 | $33,083 | 1.22 |
| Other ear, nose, mouth and throat diagnoses with MCCMS-DRG 154, medical | 12 | $175,947 | $22,216 | $25,864 | 1.54 |
| Dental and oral diseases with MCCMS-DRG 157, medical | 11 | $332,087 | $26,046 | $48,817 | 1.71 |
Factors influencing health status65 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms with MCCMS-DRG 947, medical | 33 | $274,037 | $21,390 | $40,283 | 1.25 |
| Signs and symptoms without MCCMS-DRG 948, medical | 32 | $146,807 | $9,559 | $21,581 | 0.80 |
Alcohol and drug use64 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 without MCCMS-DRG 897, medical | 39 | $159,092 | $11,460 | $23,387 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 25 | $219,593 | $24,417 | $32,280 | 1.78 |
Female reproductive system39 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for ovarian or adnexal malignancy with CCMS-DRG 737, surgical | 15 | $403,360 | $29,125 | $59,294 | 1.97 |
| Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with CCMS-DRG 740, surgical | 13 | $345,998 | $25,292 | $50,862 | 1.79 |
| Uterine and adnexa procedures for non-malignancy with cc/mccMS-DRG 742, surgical | 11 | $308,262 | $27,380 | $45,315 | 1.78 |
Mental diseases and disorders35 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 | 35 | $206,431 | $23,328 | $30,345 | 1.76 |
Multiple significant trauma27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with CCMS-DRG 964, medical | 15 | $269,295 | $20,844 | $39,586 | 1.50 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 12 | $406,091 | $39,274 | $59,695 | 2.73 |
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 Urology and Related ServicesAPC 5372 | 2,479 | 1,180 | $8,295 | $761 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 2,217 | 2,007 | $76,792 | $3,056 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 1,626 | 1,099 | $47,059 | $2,607 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 1,384 | 1,084 | $24,492 | $1,799 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 914 | 765 | $33,835 | $2,258 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 883 | 747 | $34,290 | $2,130 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 641 | 544 | $47,398 | $3,157 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 575 | 560 | $102,226 | $8,345 | $5,339 |
| Level 3 Airway EndoscopyAPC 5153 | 573 | 406 | $23,517 | $1,897 | $1,264 |
| Level 3 Vascular ProceduresAPC 5183 | 496 | 465 | $48,997 | $3,551 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 481 | 415 | $31,922 | $2,114 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 464 | 446 | $176,897 | $16,830 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 464 | 459 | $55,720 | $3,277 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 439 | 417 | $346,502 | $31,709 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 436 | 358 | $77,939 | $4,152 | $2,833 |
| Level 4 Urology and Related ServicesAPC 5374 | 436 | 364 | $70,521 | $3,866 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 393 | 368 | $66,869 | $3,473 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 387 | 325 | $110,631 | $5,790 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 357 | 316 | $183,895 | $13,809 | $8,874 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 321 | 293 | $53,589 | $2,587 | $1,780 |
| Level 5 ENT ProceduresAPC 5165 | 319 | 304 | $121,432 | $6,363 | $4,436 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 300 | 290 | $117,101 | $6,426 | $4,358 |
| Level 5 Airway EndoscopyAPC 5155 | 284 | 278 | $154,448 | $7,888 | $5,183 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 257 | 255 | $192,621 | $12,649 | $8,164 |
| Level 2 Intraocular ProceduresAPC 5492 | 242 | 224 | $80,501 | $4,562 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 232 | 180 | $69,927 | $3,662 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 217 | 194 | $94,623 | $4,237 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 206 | 198 | $34,192 | $1,770 | $1,196 |
| Complex GI ProceduresAPC 5331 | 199 | 108 | $70,096 | $5,977 | $4,263 |
| Level 3 Upper GI ProceduresAPC 5303 | 195 | 176 | $59,974 | $4,251 | $2,888 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 180 | 177 | $151,387 | $7,504 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 176 | 172 | $220,376 | $24,535 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 164 | 158 | $35,278 | $1,773 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 164 | 154 | $46,114 | $3,104 | $2,176 |
| Level 2 Endovascular ProceduresAPC 5192 | 160 | 143 | $96,553 | $6,416 | $4,338 |
| Level 4 Vascular ProceduresAPC 5184 | 154 | 144 | $117,808 | $5,804 | $3,946 |
| Level 4 ENT ProceduresAPC 5164 | 118 | 90 | $63,271 | $2,847 | $2,217 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 117 | 79 | $70,920 | $5,875 | $4,524 |
| Level 3 Intraocular ProceduresAPC 5493 | 106 | 85 | $78,746 | $5,864 | $4,004 |
| Level 4 Endovascular ProceduresAPC 5194 | 105 | 103 | $215,763 | $22,772 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 95 | 92 | $68,154 | $3,507 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 84 | 84 | $122,186 | $13,376 | $8,569 |
| Level 7 Radiation TherapyAPC 5627 | 79 | 70 | $70,789 | $9,322 | $6,121 |
| Level 5 Gynecologic ProceduresAPC 5415 | 78 | 68 | $119,923 | $5,508 | $3,792 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 77 | 77 | $199,938 | $41,403 | $26,719 |
| Level 3 ENT ProceduresAPC 5163 | 72 | 59 | $19,543 | $1,687 | $1,106 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 71 | 67 | $88,624 | $4,336 | $2,969 |
| Level 6 Urology and Related ServicesAPC 5376 | 61 | 59 | $125,486 | $11,135 | $7,291 |
| Level 6 Gynecologic ProceduresAPC 5416 | 57 | 53 | $133,938 | $8,998 | $5,836 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 56 | 56 | $302,146 | $44,539 | $29,375 |
| Level 2 Nerve ProceduresAPC 5432 | 54 | 36 | $75,241 | $5,588 | $4,674 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 45 | 45 | $83,192 | $10,315 | $6,514 |
| Level 3 Neurostimulator and Related ProceduresAPC 5463 | 45 | 45 | $260,263 | $17,505 | $11,550 |
| Cochlear Implant ProcedureAPC 5166 | 37 | 37 | $211,715 | $45,431 | $29,489 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 35 | 35 | $166,712 | $29,080 | $18,465 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 34 | 33 | $218,899 | $25,727 | $17,052 |
| Level 8 Urology and Related ServicesAPC 5378 | 29 | 28 | $202,294 | $26,690 | $17,428 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 21 | 21 | $78,993 | $3,727 | $2,547 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 17 | 17 | $273,510 | $31,458 | $21,011 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 16 | 15 | $129,699 | $11,621 | $7,546 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 11 | 11 | $183,481 | $8,874 | $5,682 |
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.