Strong Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Strong Memorial Hospital, Rochester, NY in 2024, from traditional Medicare claims. Back to the Strong Memorial Hospital profile, with quality ratings, finances and negotiated rates.
4,088
Medicare inpatient discharges
In 135 published DRGs
2.58
Case mix index
IPPS FY 2027
26%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
6,523
Medicare outpatient services
In 51 service groups
Inpatient stays by major diagnostic category
Circulatory system1,016 discharges in 32 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 145 | $47,631 | $14,998 | $17,385 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 99 | $85,610 | $37,311 | $31,248 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 53 | $98,794 | $50,821 | $36,060 | 4.88 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 52 | $72,811 | $23,657 | $26,576 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 51 | $99,062 | $25,801 | $36,158 | 2.16 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 42 | $127,798 | $71,041 | $46,646 | 7.71 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 41 | $60,476 | $15,608 | $22,074 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 38 | $39,670 | $15,727 | $14,480 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $34,963 | $12,729 | $12,761 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 38 | $17,833 | $6,653 | $6,509 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 36 | $35,634 | $9,420 | $13,006 | 0.86 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 31 | $59,239 | $21,546 | $21,622 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 31 | $25,338 | $9,591 | $9,248 | 0.91 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 29 | $141,756 | $50,436 | $51,741 | 5.88 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 25 | $70,557 | $27,177 | $25,753 | 2.87 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 24 | $182,678 | $54,423 | $66,678 | 5.06 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 23 | $103,075 | $39,115 | $37,622 | 3.35 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $84,958 | $21,384 | $31,010 | 2.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $51,677 | $7,708 | $18,862 | 1.08 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 19 | $37,559 | $10,606 | $13,709 | 0.97 |
| Heart failure and shock with CCMS-DRG 292, medical | 16 | $31,161 | $9,001 | $11,374 | 0.86 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $71,096 | $36,771 | $25,950 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 15 | $138,768 | $65,696 | $50,650 | 6.25 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 15 | $102,640 | $31,954 | $37,463 | 3.46 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 14 | $43,474 | $12,849 | $15,868 | 1.83 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $13,248 | $3,885 | $4,836 | 0.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $53,420 | $16,922 | $19,498 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $28,857 | $12,274 | $10,533 | 1.07 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 12 | $243,078 | $81,606 | $88,723 | 9.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $151,373 | $68,668 | $55,251 | 7.80 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $138,009 | $51,129 | $50,373 | 4.16 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $115,374 | $10,953 | $42,111 | 1.15 |
Infectious and parasitic diseases660 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 414 | $60,005 | $21,713 | $21,902 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 101 | $190,260 | $61,169 | $69,445 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 77 | $33,208 | $10,465 | $12,121 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 46 | $222,635 | $71,659 | $81,262 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $65,328 | $19,586 | $23,845 | 2.04 |
Nervous system481 discharges in 17 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 | 74 | $32,314 | $10,100 | $11,795 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 65 | $69,314 | $20,247 | $25,299 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 53 | $35,993 | $8,476 | $13,138 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 34 | $62,387 | $19,706 | $22,771 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 32 | $105,635 | $37,531 | $38,557 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 30 | $35,975 | $14,094 | $13,131 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 28 | $167,070 | $64,516 | $60,981 | 5.67 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 26 | $33,873 | $9,796 | $12,364 | 1.03 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 20 | $70,525 | $23,508 | $25,742 | 2.43 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 19 | $43,792 | $20,319 | $15,984 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 16 | $56,573 | $16,498 | $20,649 | 1.47 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 16 | $80,563 | $23,183 | $29,405 | 2.39 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $25,136 | $6,065 | $9,175 | 0.69 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $57,006 | $20,015 | $20,807 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $41,470 | $11,486 | $15,137 | 1.06 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 13 | $87,124 | $23,688 | $31,800 | 2.95 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $68,275 | $13,074 | $24,921 | 1.36 |
Respiratory system338 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $46,551 | $16,886 | $16,991 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 53 | $35,180 | $13,433 | $12,841 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 49 | $43,604 | $13,288 | $15,915 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $34,895 | $12,110 | $12,737 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 21 | $92,137 | $29,795 | $33,630 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 20 | $71,646 | $25,904 | $26,151 | 2.55 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $23,374 | $8,098 | $8,531 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $38,963 | $13,032 | $14,222 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $32,369 | $10,139 | $11,815 | 0.99 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 15 | $273,591 | $84,060 | $99,861 | 6.91 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 12 | $59,447 | $18,550 | $21,698 | 1.74 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $24,239 | $8,421 | $8,847 | 1.05 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $28,115 | $8,489 | $10,262 | 0.82 |
Digestive system314 discharges in 11 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 | 49 | $29,528 | $8,608 | $10,778 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 41 | $35,773 | $9,759 | $13,057 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 35 | $71,010 | $17,742 | $25,919 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 33 | $72,259 | $20,231 | $26,375 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 32 | $31,732 | $9,682 | $11,582 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $69,716 | $18,454 | $25,446 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $22,963 | $8,189 | $8,381 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 22 | $46,821 | $17,137 | $17,090 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 20 | $147,759 | $48,870 | $53,932 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 20 | $58,524 | $15,946 | $21,361 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $50,310 | $18,798 | $18,363 | 1.67 |
Kidney and urinary tract300 discharges in 10 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 | 64 | $49,654 | $17,178 | $18,124 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 50 | $33,436 | $8,763 | $12,204 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $45,417 | $16,090 | $16,577 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $25,728 | $8,603 | $9,391 | 0.81 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 28 | $46,430 | $14,467 | $16,947 | 1.35 |
| Kidney transplantMS-DRG 652, surgical | 25 | $165,342 | $24,484 | $60,350 | 3.00 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $28,139 | $9,444 | $10,271 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $57,311 | $12,325 | $20,918 | 1.17 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 12 | $198,510 | $42,809 | $72,456 | 4.50 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $84,339 | $29,017 | $30,784 | 2.59 |
Musculoskeletal system and connective tissue186 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 33 | $64,223 | $20,790 | $23,441 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 29 | $24,698 | $10,052 | $9,015 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $130,764 | $35,632 | $47,729 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $55,571 | $18,093 | $20,283 | 2.11 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 19 | $78,773 | $24,405 | $28,752 | 2.40 |
| Medical back problems with MCCMS-DRG 551, medical | 19 | $41,507 | $15,708 | $15,150 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 15 | $54,179 | $12,019 | $19,775 | 1.09 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 14 | $85,218 | $31,015 | $31,104 | 2.99 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 14 | $54,165 | $18,999 | $19,770 | 1.82 |
Endocrine, nutritional and metabolic157 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 | 56 | $78,358 | $15,280 | $28,601 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 48 | $30,883 | $8,115 | $11,272 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 29 | $25,089 | $9,212 | $9,157 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $47,202 | $13,845 | $17,229 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $60,372 | $20,697 | $22,036 | 1.98 |
Liver, gallbladder and pancreas128 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 26 | $67,043 | $15,411 | $24,471 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 21 | $45,846 | $9,592 | $16,734 | 1.09 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 17 | $80,118 | $28,619 | $29,243 | 2.89 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 16 | $30,963 | $10,122 | $11,301 | 0.95 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $70,173 | $17,833 | $25,613 | 1.92 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $93,821 | $19,702 | $34,245 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $84,817 | $14,317 | $30,958 | 1.76 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 11 | $35,992 | $17,684 | $13,137 | 1.67 |
Transplants, ECMO and tracheostomy (pre-MDC)119 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Autologous bone marrow transplant with cc/mccMS-DRG 016, medical | 25 | $155,907 | $67,372 | $56,906 | 6.18 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 23 | $678,768 | $175,306 | $247,750 | 14.70 |
| Chimeric antigen receptor (car) t-cell and other immunotherapiesMS-DRG 018, medical | 23 | $724,963 | $278,617 | $264,611 | 36.84 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 18 | $1,163,631 | $259,823 | $424,725 | 21.32 |
| Allogeneic bone marrow transplantMS-DRG 014, medical | 18 | $335,580 | $130,865 | $122,487 | 11.46 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 12 | $1,150,685 | $311,881 | $420,000 | 27.10 |
Blood cancers and poorly differentiated neoplasms99 discharges in 5 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 | 38 | $19,858 | $7,238 | $7,248 | 1.21 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 20 | $72,922 | $28,703 | $26,617 | 3.13 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 17 | $54,687 | $15,690 | $19,961 | 1.57 |
| Acute leukemia with MCCMS-DRG 834, medical | 12 | $146,722 | $53,613 | $53,554 | 5.60 |
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 12 | $112,031 | $38,029 | $40,891 | 4.84 |
Injuries, poisonings and toxic effects of drugs70 discharges in 4 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 | 25 | $61,318 | $19,251 | $22,381 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 16 | $153,716 | $42,671 | $56,106 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 15 | $32,285 | $9,559 | $11,784 | 1.03 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 14 | $17,749 | $7,599 | $6,479 | 0.86 |
Blood and immune system63 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $44,815 | $16,240 | $16,357 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $30,675 | $8,057 | $11,196 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 14 | $48,499 | $14,117 | $17,702 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 11 | $91,268 | $28,410 | $33,313 | 2.19 |
Factors influencing health status60 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 60 | $20,679 | $6,565 | $7,548 | 0.59 |
Skin, subcutaneous tissue and breast52 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $20,890 | $9,179 | $7,625 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $26,991 | $7,034 | $9,852 | 0.91 |
Other19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 19 | $144,387 | $48,558 | $52,701 | 4.74 |
Mental diseases and disorders14 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 | 14 | $71,105 | $17,288 | $25,953 | 1.76 |
Alcohol and drug use12 discharges in 1 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 | 12 | $22,039 | $7,286 | $8,044 | 0.86 |
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 | 1,222 | 792 | $2,718 | $228 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 527 | 328 | $11,125 | $1,931 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 522 | 384 | $9,378 | $979 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 442 | 414 | $20,382 | $2,272 | $2,090 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 278 | 229 | $17,776 | $2,353 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 278 | 236 | $16,347 | $2,652 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 245 | 216 | $12,465 | $1,595 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 244 | 229 | $10,533 | $1,305 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 237 | 233 | $15,116 | $2,461 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 227 | 197 | $11,082 | $1,073 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 146 | 145 | $22,872 | $4,087 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 144 | 132 | $20,591 | $4,218 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 120 | 108 | $15,424 | $2,535 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 114 | 110 | $12,195 | $1,453 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 110 | 102 | $8,252 | $780 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 91 | 68 | $19,608 | $3,614 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 88 | 88 | $32,945 | $9,629 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 87 | 87 | $45,467 | $9,270 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 82 | 70 | $23,938 | $4,769 | $4,338 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 81 | 75 | $11,373 | $1,949 | $1,780 |
| Level 2 Intraocular ProceduresAPC 5492 | 80 | 67 | $16,353 | $3,392 | $3,116 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 79 | 78 | $100,502 | $22,881 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 74 | 70 | $43,680 | $9,740 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 74 | 48 | $17,202 | $2,882 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 73 | 67 | $19,848 | $3,120 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 73 | 72 | $7,268 | $1,348 | $1,204 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 62 | 39 | $19,030 | $4,600 | $4,524 |
| Complex GI ProceduresAPC 5331 | 60 | 40 | $30,661 | $4,734 | $4,263 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $30,046 | $4,874 | $4,358 |
| Level 5 ENT ProceduresAPC 5165 | 58 | 57 | $23,691 | $4,903 | $4,436 |
| Level 5 Airway EndoscopyAPC 5155 | 57 | 55 | $44,663 | $5,579 | $5,183 |
| Level 3 Upper GI ProceduresAPC 5303 | 53 | 34 | $22,678 | $3,144 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 51 | 49 | $15,910 | $2,240 | $2,176 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 39 | 39 | $24,272 | $7,174 | $6,514 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 36 | 35 | $36,685 | $9,139 | $10,772 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 36 | 36 | $93,627 | $32,208 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 30 | $12,625 | $2,597 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $28,743 | $5,509 | $4,982 |
| Level 4 ENT ProceduresAPC 5164 | 23 | 19 | $12,563 | $2,247 | $2,217 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 22 | $56,173 | $19,623 | $18,465 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $47,593 | $10,638 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 18 | $11,237 | $1,434 | $1,264 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 18 | $62,846 | $16,916 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 17 | 17 | $25,071 | $3,220 | $2,930 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $20,692 | $4,202 | $3,792 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 14 | $34,112 | $7,586 | $7,291 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 15 | 15 | $71,199 | $23,591 | $26,719 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 14 | 14 | $67,268 | $29,091 | $26,955 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 14 | 14 | $68,037 | $23,290 | $21,011 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | 14 | $21,147 | $4,415 | $4,004 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 12 | $68,156 | $33,811 | $29,489 |
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.