Stony Brook University Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Stony Brook University Hospital, Stony Brook, NY in 2024, from traditional Medicare claims. Back to the Stony Brook University Hospital profile, with quality ratings, finances and negotiated rates.
13,318
Medicare inpatient discharges
In 255 published DRGs
1.81
Case mix index
IPPS FY 2027
25%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
10,624
Medicare outpatient services
In 57 service groups
Inpatient stays by major diagnostic category
Circulatory system2,630 discharges in 41 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 514 | $107,742 | $14,684 | $24,781 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 205 | $71,245 | $9,111 | $16,386 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 160 | $54,407 | $7,461 | $12,514 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 153 | $154,278 | $53,785 | $35,484 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 101 | $38,195 | $5,377 | $8,785 | 0.55 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 98 | $124,780 | $35,961 | $28,699 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 98 | $141,217 | $19,124 | $32,480 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 90 | $75,668 | $11,594 | $17,404 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 79 | $180,210 | $26,546 | $41,448 | 2.16 |
| Hypertension without MCCMS-DRG 305, medical | 79 | $62,241 | $7,640 | $14,315 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 72 | $91,778 | $12,526 | $21,109 | 1.20 |
| Chest painMS-DRG 313, medical | 72 | $45,655 | $7,424 | $10,501 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 72 | $191,435 | $27,888 | $44,030 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 58 | $81,802 | $9,907 | $18,814 | 0.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 53 | $154,357 | $24,610 | $35,502 | 2.28 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 51 | $148,009 | $20,760 | $34,042 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 48 | $87,089 | $11,351 | $20,030 | 1.07 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 45 | $129,299 | $17,904 | $29,739 | 1.59 |
| Atherosclerosis without MCCMS-DRG 303, medical | 40 | $51,061 | $6,600 | $11,744 | 0.66 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $243,336 | $36,660 | $55,967 | 2.87 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 37 | $218,287 | $38,270 | $50,206 | 4.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 34 | $222,719 | $42,364 | $51,225 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 34 | $80,675 | $9,461 | $18,555 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 31 | $225,442 | $37,646 | $51,852 | 3.46 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 31 | $320,101 | $43,869 | $73,623 | 3.27 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 31 | $310,422 | $69,943 | $71,397 | 6.25 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 28 | $178,056 | $35,720 | $40,953 | 3.18 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 26 | $269,120 | $47,890 | $61,898 | 5.24 |
| Cardiac pacemaker revision except device replacement with CCMS-DRG 261, surgical | 26 | $128,997 | $21,106 | $29,669 | 1.88 |
| Heart failure and shock with CCMS-DRG 292, medical | 26 | $66,490 | $8,946 | $15,293 | 0.86 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 25 | $330,103 | $61,742 | $75,924 | 5.04 |
| Hypertension with MCCMS-DRG 304, medical | 25 | $99,807 | $12,623 | $22,956 | 1.15 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 23 | $316,346 | $55,749 | $72,760 | 5.20 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 21 | $134,641 | $20,274 | $30,968 | 1.83 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 20 | $380,937 | $70,217 | $87,615 | 5.06 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 19 | $254,541 | $47,251 | $58,544 | 3.90 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $214,933 | $27,594 | $49,435 | 2.55 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 15 | $332,403 | $50,185 | $76,453 | 4.78 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 13 | $207,110 | $39,591 | $47,635 | 3.46 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $430,067 | $89,295 | $98,915 | 7.80 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 11 | $408,467 | $68,187 | $93,947 | 6.21 |
Respiratory system1,768 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 351 | $100,053 | $13,806 | $23,012 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 290 | $124,628 | $18,564 | $28,664 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 147 | $95,103 | $13,151 | $21,874 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 111 | $72,715 | $8,681 | $16,724 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 98 | $100,418 | $12,641 | $23,096 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 92 | $77,706 | $10,204 | $17,872 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 69 | $134,339 | $15,731 | $30,898 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 64 | $230,222 | $35,593 | $52,951 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 49 | $155,491 | $27,222 | $35,763 | 2.55 |
| Major chest trauma with CCMS-DRG 184, medical | 43 | $100,922 | $11,282 | $23,212 | 1.05 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 43 | $66,126 | $8,456 | $15,209 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 37 | $66,752 | $8,263 | $15,353 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 33 | $62,073 | $10,351 | $14,277 | 0.96 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 32 | $156,049 | $22,978 | $35,891 | 1.90 |
| Major chest trauma with MCCMS-DRG 183, medical | 30 | $158,829 | $16,492 | $36,531 | 1.57 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 29 | $192,377 | $21,745 | $44,247 | 1.74 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 28 | $136,040 | $19,281 | $31,289 | 1.81 |
| Major chest procedures with MCCMS-DRG 163, surgical | 26 | $301,047 | $48,252 | $69,241 | 4.71 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 25 | $54,227 | $9,093 | $12,472 | 0.91 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 24 | $111,931 | $18,905 | $25,744 | 1.88 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 18 | $261,036 | $45,715 | $60,038 | 4.06 |
| Respiratory signs and symptomsMS-DRG 204, medical | 17 | $50,010 | $8,665 | $11,502 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 17 | $529,933 | $91,653 | $121,885 | 6.91 |
| Pneumothorax with MCCMS-DRG 199, medical | 16 | $128,767 | $19,995 | $29,616 | 1.77 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 15 | $59,213 | $7,215 | $13,619 | 0.76 |
| Major chest trauma without cc/mccMS-DRG 185, medical | 14 | $59,756 | $7,226 | $13,744 | 0.76 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 14 | $48,926 | $6,146 | $11,253 | 0.63 |
| Pleural effusion with MCCMS-DRG 186, medical | 13 | $99,763 | $14,245 | $22,946 | 1.55 |
| Respiratory neoplasms with CCMS-DRG 181, medical | 12 | $74,756 | $10,327 | $17,194 | 1.10 |
| Pleural effusion with CCMS-DRG 187, medical | 11 | $63,440 | $11,181 | $14,591 | 1.00 |
Musculoskeletal system and connective tissue1,619 discharges in 32 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 | 452 | $68,910 | $19,614 | $15,849 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 167 | $162,985 | $22,672 | $37,487 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 149 | $83,629 | $9,805 | $19,235 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 99 | $75,055 | $9,241 | $17,263 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 70 | $157,169 | $23,142 | $36,149 | 2.11 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 63 | $107,214 | $27,199 | $24,659 | 2.48 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 62 | $82,575 | $8,200 | $18,992 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 45 | $245,366 | $34,271 | $56,434 | 2.95 |
| Medical back problems with MCCMS-DRG 551, medical | 43 | $117,265 | $18,786 | $26,971 | 1.70 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 38 | $159,236 | $25,036 | $36,624 | 2.40 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 37 | $60,393 | $8,705 | $13,890 | 0.82 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 30 | $68,258 | $8,425 | $15,699 | 0.82 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 26 | $78,534 | $11,112 | $18,063 | 1.09 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 25 | $191,157 | $34,656 | $43,966 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 25 | $106,027 | $19,402 | $24,386 | 1.87 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 24 | $107,486 | $17,218 | $24,722 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 24 | $133,431 | $20,598 | $30,689 | 2.04 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 23 | $75,545 | $9,020 | $17,375 | 0.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 21 | $149,991 | $20,023 | $34,498 | 1.52 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 20 | $293,699 | $44,742 | $67,551 | 2.99 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 18 | $155,967 | $32,208 | $35,872 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 17 | $81,712 | $15,948 | $18,794 | 1.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $85,484 | $29,495 | $19,661 | 2.67 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 16 | $166,321 | $21,906 | $38,254 | 1.97 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 16 | $103,764 | $14,129 | $23,866 | 1.30 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 15 | $138,162 | $29,770 | $31,777 | 3.00 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $158,344 | $35,354 | $36,419 | 3.49 |
| Aftercare, musculoskeletal system and connective tissue with CCMS-DRG 560, medical | 14 | $85,890 | $11,179 | $19,755 | 1.13 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $263,034 | $60,888 | $60,498 | 6.12 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 13 | $102,563 | $10,977 | $23,589 | 1.00 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 12 | $247,740 | $27,113 | $56,980 | 1.82 |
| Connective tissue disorders with MCCMS-DRG 545, medical | 12 | $153,857 | $27,698 | $35,387 | 2.49 |
Infectious and parasitic diseases1,482 discharges in 11 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 | 979 | $151,020 | $22,285 | $34,735 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 211 | $85,186 | $10,872 | $19,593 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 123 | $314,060 | $60,248 | $72,234 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 36 | $494,245 | $91,054 | $113,676 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 29 | $156,277 | $23,316 | $35,944 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 21 | $107,317 | $18,273 | $24,683 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 19 | $162,501 | $22,162 | $37,375 | 2.14 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 18 | $77,115 | $8,440 | $17,736 | 1.01 |
| Fever and inflammatory conditionsMS-DRG 864, medical | 16 | $90,352 | $9,474 | $20,781 | 0.88 |
| Viral illness without MCCMS-DRG 866, medical | 16 | $50,784 | $8,367 | $11,680 | 0.92 |
| Other infectious and parasitic diseases diagnoses with CCMS-DRG 868, medical | 14 | $74,594 | $9,633 | $17,157 | 1.09 |
Nervous system1,353 discharges in 35 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 | 128 | $117,026 | $12,156 | $26,916 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 116 | $120,738 | $14,254 | $27,770 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 107 | $169,440 | $22,648 | $38,971 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 69 | $304,584 | $48,790 | $70,054 | 4.42 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 68 | $75,748 | $10,956 | $17,422 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 66 | $90,179 | $9,137 | $20,741 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 61 | $346,092 | $60,705 | $79,601 | 5.67 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 56 | $84,117 | $8,123 | $19,347 | 0.80 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 49 | $209,073 | $35,249 | $48,087 | 2.39 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 49 | $103,545 | $10,618 | $23,815 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 49 | $110,190 | $13,794 | $25,344 | 1.32 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 45 | $171,561 | $23,196 | $39,459 | 2.23 |
| Seizures with MCCMS-DRG 100, medical | 45 | $156,365 | $23,850 | $35,964 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 42 | $156,505 | $24,830 | $35,996 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 32 | $91,406 | $6,860 | $21,023 | 0.69 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 30 | $181,667 | $19,298 | $41,784 | 1.47 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 28 | $224,712 | $40,197 | $51,684 | 3.79 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 28 | $212,337 | $35,895 | $48,837 | 2.95 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 25 | $135,800 | $26,307 | $31,234 | 2.43 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 25 | $157,907 | $15,863 | $36,319 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 25 | $150,957 | $22,717 | $34,720 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 21 | $106,633 | $11,855 | $24,526 | 1.03 |
| Intracranial vascular procedures with principal diagnosis hemorrhage with MCCMS-DRG 020, surgical | 18 | $483,021 | $91,659 | $111,095 | 8.45 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 18 | $144,054 | $26,072 | $33,132 | 2.28 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 18 | $157,318 | $23,261 | $36,183 | 2.27 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 16 | $76,596 | $7,654 | $17,617 | 0.89 |
| Other disorders of nervous system without cc/mccMS-DRG 093, medical | 15 | $93,957 | $10,185 | $21,610 | 0.77 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 14 | $122,373 | $24,105 | $28,146 | 2.15 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 14 | $99,299 | $16,481 | $22,839 | 1.62 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 14 | $124,516 | $20,338 | $28,639 | 1.87 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 13 | $178,612 | $28,175 | $41,081 | 2.30 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $101,977 | $19,695 | $23,455 | 1.81 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 13 | $278,491 | $44,247 | $64,053 | 3.85 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 12 | $89,798 | $8,353 | $20,653 | 0.87 |
| Peripheral, cranial nerve and other nervous system procedures without cc/mccMS-DRG 042, surgical | 11 | $119,989 | $17,268 | $27,597 | 1.74 |
Kidney and urinary tract1,213 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 330 | $74,649 | $8,465 | $17,169 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 224 | $105,687 | $13,666 | $24,308 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 135 | $69,031 | $9,213 | $15,877 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 102 | $150,220 | $19,824 | $34,551 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 94 | $137,128 | $20,190 | $31,539 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 85 | $81,242 | $10,824 | $18,686 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 51 | $125,994 | $14,446 | $28,979 | 1.35 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 31 | $166,098 | $19,639 | $38,202 | 1.84 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 29 | $302,246 | $43,004 | $69,517 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 29 | $77,115 | $11,116 | $17,736 | 1.05 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 22 | $280,294 | $50,460 | $64,468 | 3.70 |
| Kidney transplantMS-DRG 652, surgical | 19 | $346,840 | $28,491 | $79,773 | 3.00 |
| Transurethral procedures with CCMS-DRG 669, surgical | 19 | $108,722 | $16,335 | $25,006 | 1.53 |
| Kidney and ureter procedures for neoplasm with MCCMS-DRG 656, surgical | 16 | $310,683 | $47,135 | $71,457 | 3.14 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 16 | $197,909 | $29,364 | $45,519 | 2.38 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 11 | $104,029 | $14,582 | $23,927 | 1.48 |
Digestive system1,197 discharges in 24 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 | 213 | $64,092 | $8,110 | $14,741 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 185 | $88,160 | $10,588 | $20,277 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 102 | $150,306 | $19,353 | $34,570 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 86 | $99,012 | $13,845 | $22,773 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 71 | $79,807 | $9,385 | $18,356 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 61 | $100,011 | $11,494 | $23,003 | 1.04 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 52 | $112,084 | $18,837 | $25,779 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 46 | $168,771 | $24,914 | $38,817 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 45 | $116,491 | $9,785 | $26,793 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 44 | $353,904 | $57,750 | $81,398 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 39 | $172,481 | $23,717 | $39,671 | 1.75 |
| Digestive malignancy with MCCMS-DRG 374, medical | 36 | $204,370 | $27,643 | $47,005 | 2.10 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 28 | $113,216 | $17,492 | $26,040 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 28 | $179,350 | $19,563 | $41,250 | 1.45 |
| Digestive malignancy with CCMS-DRG 375, medical | 27 | $101,600 | $12,681 | $23,368 | 1.20 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 24 | $56,028 | $5,228 | $12,886 | 0.56 |
| Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical | 19 | $119,471 | $12,168 | $27,478 | 1.36 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 15 | $82,421 | $17,123 | $18,957 | 1.60 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $438,347 | $83,203 | $100,820 | 5.08 |
| Major gastrointestinal disorders and peritoneal infections without cc/mccMS-DRG 373, medical | 14 | $66,618 | $6,851 | $15,322 | 0.72 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 13 | $157,748 | $28,453 | $36,282 | 2.50 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 13 | $173,389 | $24,409 | $39,879 | 2.11 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 11 | $54,600 | $6,151 | $12,558 | 0.63 |
| Other digestive system diagnoses without cc/mccMS-DRG 395, medical | 11 | $49,818 | $6,690 | $11,458 | 0.65 |
Endocrine, nutritional and metabolic410 discharges in 8 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 | 112 | $63,639 | $8,237 | $14,637 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 96 | $120,301 | $14,510 | $27,669 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 51 | $84,008 | $9,337 | $19,322 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 40 | $118,707 | $17,525 | $27,303 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 38 | $153,563 | $20,083 | $35,320 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 38 | $96,009 | $11,260 | $22,082 | 1.06 |
| Thyroid, parathyroid and thyroglossal procedures without cc/mccMS-DRG 627, surgical | 19 | $76,687 | $12,544 | $17,638 | 1.24 |
| Endocrine disorders without cc/mccMS-DRG 645, medical | 16 | $72,801 | $7,953 | $16,744 | 0.76 |
Skin, subcutaneous tissue and breast346 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 172 | $63,074 | $9,054 | $14,507 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 66 | $79,115 | $9,438 | $18,196 | 0.91 |
| Cellulitis with MCCMS-DRG 602, medical | 36 | $109,425 | $15,522 | $25,168 | 1.49 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 22 | $109,917 | $16,899 | $25,281 | 1.75 |
| Trauma to the skin, subcutaneous tissue and breast with MCCMS-DRG 604, medical | 22 | $103,377 | $15,509 | $23,777 | 1.51 |
| Minor skin disorders without MCCMS-DRG 607, medical | 16 | $58,621 | $9,334 | $13,483 | 0.89 |
| Skin ulcers with CCMS-DRG 593, medical | 12 | $88,443 | $12,154 | $20,342 | 1.21 |
Liver, gallbladder and pancreas318 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 44 | $85,602 | $11,455 | $19,688 | 1.09 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 37 | $164,729 | $25,081 | $37,888 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 25 | $96,052 | $13,440 | $22,092 | 1.31 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 25 | $66,301 | $7,662 | $15,249 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 25 | $285,893 | $37,121 | $65,755 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 25 | $138,242 | $17,498 | $31,796 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 23 | $170,836 | $25,045 | $39,292 | 2.32 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $172,541 | $20,984 | $39,684 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $130,354 | $17,750 | $29,981 | 1.63 |
| Disorders of pancreas except malignancy without cc/mccMS-DRG 440, medical | 19 | $52,753 | $6,045 | $12,133 | 0.62 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 18 | $92,456 | $10,115 | $21,265 | 1.03 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 17 | $152,464 | $20,671 | $35,067 | 1.67 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 17 | $63,736 | $7,391 | $14,659 | 0.80 |
Injuries, poisonings and toxic effects of drugs171 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 39 | $132,806 | $17,135 | $30,545 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 34 | $86,444 | $11,313 | $19,882 | 1.03 |
| Complications of treatment with MCCMS-DRG 919, medical | 29 | $133,263 | $20,832 | $30,650 | 1.82 |
| Traumatic injury without MCCMS-DRG 914, medical | 21 | $76,321 | $9,672 | $17,554 | 0.91 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 19 | $163,112 | $22,425 | $37,516 | 2.00 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 17 | $134,433 | $16,846 | $30,920 | 0.86 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 12 | $314,306 | $46,853 | $72,290 | 3.72 |
Mental diseases and disorders145 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 114 | $177,918 | $24,380 | $40,921 | 1.76 |
| PsychosesMS-DRG 885, medical | 31 | $191,021 | $21,561 | $43,935 | 1.37 |
Blood and immune system127 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 56 | $72,696 | $9,794 | $16,720 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 33 | $110,855 | $14,255 | $25,497 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 20 | $145,376 | $17,768 | $33,436 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 18 | $111,136 | $12,831 | $25,561 | 1.20 |
Alcohol and drug use123 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 | 70 | $69,599 | $8,992 | $16,008 | 0.86 |
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 26 | $261,262 | $19,156 | $60,090 | 1.61 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 15 | $105,782 | $19,066 | $24,330 | 1.78 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 12 | $80,210 | $6,260 | $18,448 | 0.57 |
Factors influencing health status96 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 61 | $72,684 | $8,635 | $16,717 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 19 | $127,320 | $14,091 | $29,284 | 1.25 |
| Other factors influencing health statusMS-DRG 951, medical | 16 | $39,671 | $6,503 | $9,124 | 0.59 |
Other96 discharges in 4 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 | 41 | $376,324 | $59,891 | $86,555 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 23 | $171,735 | $28,466 | $39,499 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 988, surgical | 20 | $165,452 | $21,128 | $38,054 | 1.70 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 12 | $343,346 | $58,793 | $78,970 | 3.38 |
Blood cancers and poorly differentiated neoplasms68 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 16 | $276,746 | $39,365 | $63,652 | 3.13 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 14 | $277,582 | $71,079 | $63,844 | 4.84 |
| Acute leukemia with MCCMS-DRG 834, medical | 13 | $666,834 | $110,739 | $153,372 | 5.60 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 13 | $113,546 | $16,502 | $26,116 | 1.57 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 12 | $109,525 | $12,828 | $25,191 | 1.21 |
Ear, nose, mouth and throat66 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 29 | $73,388 | $7,283 | $16,879 | 0.74 |
| Otitis media and uri without MCCMS-DRG 153, medical | 20 | $55,423 | $7,037 | $12,747 | 0.73 |
| Other ear, nose, mouth and throat diagnoses with CCMS-DRG 155, medical | 17 | $67,389 | $9,504 | $15,499 | 0.95 |
Multiple significant trauma36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 25 | $276,614 | $48,077 | $63,621 | 3.88 |
| Other multiple significant trauma with CCMS-DRG 964, medical | 11 | $112,182 | $14,961 | $25,802 | 1.50 |
Transplants, ECMO and tracheostomy (pre-MDC)28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 15 | $1,193,439 | $250,269 | $274,491 | 21.32 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 13 | $1,059,857 | $176,203 | $243,767 | 14.70 |
Eye15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of the eye without MCCMS-DRG 125, medical | 15 | $67,568 | $8,311 | $15,541 | 0.80 |
Male reproductive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major male pelvic procedures without cc/mccMS-DRG 708, surgical | 11 | $105,510 | $12,958 | $24,267 | 1.46 |
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 | 2,025 | 1,810 | $44,619 | $2,391 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 889 | 603 | $16,036 | $2,068 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 614 | 441 | $15,715 | $1,786 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 608 | 571 | $16,211 | $1,422 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 534 | 533 | $23,207 | $2,595 | $2,208 |
| Level 2 Urology and Related ServicesAPC 5372 | 460 | 224 | $5,350 | $596 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 424 | 355 | $23,108 | $3,064 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 376 | 333 | $17,099 | $1,666 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 369 | 348 | $29,504 | $4,555 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 264 | 250 | $16,221 | $1,408 | $1,196 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 256 | 247 | $112,703 | $24,431 | $21,117 |
| Level 1 Nerve ProceduresAPC 5431 | 224 | 193 | $16,223 | $1,686 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 200 | 192 | $73,608 | $10,529 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 188 | 184 | $35,240 | $6,297 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 172 | 161 | $29,183 | $2,514 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 162 | 157 | $23,783 | $2,781 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 161 | 157 | $24,438 | $2,826 | $2,373 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 157 | 156 | $46,932 | $7,750 | $6,514 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 155 | 154 | $41,010 | $4,952 | $4,358 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 152 | 145 | $19,772 | $2,056 | $1,780 |
| Level 4 Gynecologic ProceduresAPC 5414 | 131 | 131 | $19,316 | $2,760 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 128 | 110 | $28,080 | $3,604 | $3,116 |
| Level 2 Vascular ProceduresAPC 5182 | 122 | 120 | $18,836 | $1,390 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 122 | 107 | $24,951 | $4,610 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 121 | 116 | $24,927 | $3,039 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 118 | 110 | $23,240 | $2,509 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 107 | 107 | $59,384 | $10,274 | $8,569 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 100 | 97 | $45,384 | $12,400 | $10,772 |
| Level 4 Airway EndoscopyAPC 5154 | 96 | 95 | $27,214 | $3,298 | $2,833 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 86 | 81 | $29,832 | $3,392 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 85 | 84 | $44,800 | $5,803 | $4,982 |
| Level 3 Intraocular ProceduresAPC 5493 | 81 | 63 | $28,663 | $4,591 | $4,004 |
| Level 3 Upper GI ProceduresAPC 5303 | 80 | 79 | $29,256 | $3,408 | $2,888 |
| Level 4 Endovascular ProceduresAPC 5194 | 70 | 67 | $97,302 | $17,906 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 70 | 70 | $58,837 | $9,736 | $8,164 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 69 | 69 | $51,861 | $22,073 | $18,465 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 62 | 62 | $27,916 | $6,086 | $4,524 |
| Level 2 Endovascular ProceduresAPC 5192 | 61 | 57 | $43,554 | $5,003 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 58 | 58 | $35,333 | $5,121 | $4,436 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 56 | 56 | $204,779 | $34,991 | $29,375 |
| Level 5 Gynecologic ProceduresAPC 5415 | 52 | 49 | $32,312 | $4,337 | $3,792 |
| Complex GI ProceduresAPC 5331 | 46 | 41 | $39,396 | $4,961 | $4,263 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 35 | 35 | $90,351 | $32,941 | $26,719 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 30 | 30 | $102,594 | $20,071 | $17,052 |
| Level 4 ENT ProceduresAPC 5164 | 29 | 28 | $24,869 | $2,859 | $2,217 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 24 | 24 | $22,074 | $3,028 | $2,547 |
| Level 5 Airway EndoscopyAPC 5155 | 23 | 23 | $36,733 | $6,091 | $5,183 |
| Level 7 Radiation TherapyAPC 5627 | 22 | 16 | $74,945 | $7,063 | $6,121 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 18 | $15,317 | $1,500 | $1,264 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 19 | 19 | $167,656 | $24,612 | $21,011 |
| Level 6 Gynecologic ProceduresAPC 5416 | 18 | 18 | $67,568 | $6,806 | $5,836 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 18 | 17 | $27,672 | $3,441 | $2,969 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 16 | $73,431 | $19,130 | $15,763 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 16 | 15 | $69,593 | $18,002 | $15,549 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 16 | 16 | $152,012 | $28,810 | $26,955 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 14 | $38,931 | $8,648 | $7,291 |
| Level 8 Urology and Related ServicesAPC 5378 | 12 | 11 | $61,123 | $20,839 | $17,428 |
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.