The University Of Texas Medical Br. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for The University Of Texas Medical Br., Galveston, TX in 2024, from traditional Medicare claims. Back to the The University Of Texas Medical Br. profile, with quality ratings, finances and negotiated rates.
3,917
Medicare inpatient discharges
In 108 published DRGs
2.06
Case mix index
IPPS FY 2027
20%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
3,918
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Circulatory system1,035 discharges in 25 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 227 | $38,619 | $12,144 | $8,882 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 124 | $54,080 | $15,174 | $12,438 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 78 | $98,572 | $29,063 | $22,672 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 66 | $82,198 | $19,535 | $18,906 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 53 | $36,590 | $11,675 | $8,416 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 45 | $24,430 | $7,114 | $5,619 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 40 | $38,219 | $8,383 | $8,790 | 0.91 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 37 | $246,636 | $50,859 | $56,726 | 5.06 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 31 | $137,375 | $27,616 | $31,596 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $118,957 | $15,705 | $27,360 | 1.82 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 28 | $156,203 | $31,857 | $35,927 | 4.04 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 28 | $42,386 | $10,246 | $9,749 | 1.08 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 25 | $129,791 | $32,342 | $29,852 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 25 | $27,313 | $8,815 | $6,282 | 0.86 |
| Other vascular procedures with CCMS-DRG 253, surgical | 23 | $112,114 | $24,256 | $25,786 | 2.55 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 23 | $174,104 | $38,830 | $40,044 | 3.90 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 22 | $134,659 | $28,878 | $30,971 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 22 | $197,589 | $43,594 | $45,446 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $15,741 | $4,884 | $3,620 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $72,344 | $18,073 | $16,639 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 18 | $38,900 | $9,043 | $8,947 | 0.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $101,476 | $20,687 | $23,339 | 2.28 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $37,408 | $11,204 | $8,604 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $26,309 | $6,438 | $6,051 | 0.75 |
| Chest painMS-DRG 313, medical | 11 | $19,268 | $7,330 | $4,432 | 0.72 |
Respiratory system536 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 142 | $49,825 | $15,597 | $11,460 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 119 | $41,155 | $12,514 | $9,466 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 102 | $46,094 | $11,769 | $10,602 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 38 | $89,463 | $25,352 | $20,576 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $41,098 | $10,512 | $9,453 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $30,975 | $7,771 | $7,124 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 22 | $40,912 | $12,366 | $9,410 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $27,252 | $9,578 | $6,268 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $69,517 | $17,145 | $15,989 | 1.74 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $265,370 | $47,668 | $61,035 | 4.71 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $28,202 | $7,723 | $6,486 | 0.82 |
Kidney and urinary tract486 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 87 | $30,587 | $10,976 | $7,035 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 83 | $25,824 | $8,178 | $5,940 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 72 | $36,095 | $13,317 | $8,302 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 70 | $53,262 | $15,444 | $12,250 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 68 | $25,047 | $8,695 | $5,761 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 53 | $37,977 | $10,445 | $8,735 | 1.02 |
| Kidney transplantMS-DRG 652, surgical | 16 | $296,892 | $27,543 | $68,285 | 3.00 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $55,319 | $12,353 | $12,723 | 1.35 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 12 | $435,137 | $47,443 | $100,081 | 4.50 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $119,649 | $30,679 | $27,519 | 3.70 |
Infectious and parasitic diseases435 discharges in 3 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 | 330 | $67,097 | $18,343 | $15,432 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 62 | $193,437 | $48,342 | $44,490 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $28,952 | $9,924 | $6,659 | 1.03 |
Digestive system358 discharges in 13 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 | 58 | $23,040 | $7,557 | $5,299 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 53 | $41,509 | $9,464 | $9,547 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 51 | $78,087 | $16,908 | $17,960 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $17,262 | $7,204 | $3,970 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $37,895 | $11,960 | $8,716 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $170,790 | $35,979 | $39,282 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 25 | $107,270 | $19,845 | $24,672 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $33,142 | $9,271 | $7,623 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $38,267 | $13,646 | $8,801 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $16,921 | $5,167 | $3,892 | 0.56 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $194,036 | $43,903 | $44,628 | 5.08 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $33,000 | $9,231 | $7,590 | 1.04 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 12 | $201,108 | $40,297 | $46,255 | 4.28 |
Nervous system323 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 50 | $75,941 | $18,750 | $17,466 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $37,633 | $9,314 | $8,656 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 33 | $29,379 | $8,801 | $6,757 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 28 | $68,160 | $18,151 | $15,677 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 25 | $216,163 | $45,276 | $49,717 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 18 | $40,921 | $16,734 | $9,412 | 1.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 18 | $47,490 | $10,497 | $10,923 | 1.32 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $42,900 | $11,585 | $9,867 | 1.36 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 15 | $77,449 | $16,606 | $17,813 | 1.87 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 15 | $72,466 | $20,986 | $16,667 | 2.27 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $97,857 | $16,511 | $22,507 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $51,439 | $6,955 | $11,831 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $80,124 | $22,208 | $18,428 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 11 | $184,128 | $51,837 | $42,350 | 5.67 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $35,780 | $9,860 | $8,229 | 1.06 |
Musculoskeletal system and connective tissue245 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 | 70 | $83,572 | $18,488 | $19,221 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 39 | $103,133 | $20,279 | $23,721 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 31 | $109,093 | $25,540 | $25,091 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 29 | $35,420 | $8,509 | $8,147 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 18 | $82,554 | $22,191 | $18,987 | 2.40 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 18 | $148,400 | $26,366 | $34,132 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $27,285 | $7,864 | $6,275 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $32,749 | $10,704 | $7,532 | 1.09 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $41,201 | $15,282 | $9,476 | 1.70 |
Endocrine, nutritional and metabolic205 discharges in 6 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 | 81 | $36,085 | $12,946 | $8,300 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 56 | $25,857 | $8,034 | $5,947 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 21 | $23,768 | $9,011 | $5,467 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $41,575 | $13,062 | $9,562 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 17 | $52,051 | $15,672 | $11,972 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $31,251 | $9,753 | $7,188 | 1.06 |
Liver, gallbladder and pancreas100 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $54,122 | $18,573 | $12,448 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 18 | $32,369 | $15,091 | $7,445 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $64,617 | $15,532 | $14,862 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 15 | $21,900 | $9,996 | $5,037 | 0.95 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 15 | $67,558 | $16,296 | $15,538 | 1.63 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 12 | $46,077 | $16,146 | $10,598 | 1.67 |
Skin, subcutaneous tissue and breast71 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 41 | $23,402 | $8,989 | $5,382 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $37,032 | $14,294 | $8,517 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 15 | $30,808 | $9,358 | $7,086 | 0.91 |
Blood and immune system55 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 28 | $27,032 | $8,891 | $6,217 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 27 | $48,565 | $12,653 | $11,170 | 1.40 |
Injuries, poisonings and toxic effects of drugs45 discharges in 3 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 | 18 | $62,606 | $16,287 | $14,399 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 14 | $61,904 | $17,850 | $14,238 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 13 | $39,740 | $10,179 | $9,140 | 1.03 |
Other12 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 | 12 | $135,600 | $41,315 | $31,188 | 4.74 |
Transplants, ECMO and tracheostomy (pre-MDC)11 discharges in 1 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 | 11 | $540,855 | $170,796 | $124,397 | 21.32 |
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 | 769 | 700 | $16,740 | $2,006 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 417 | 297 | $12,317 | $1,684 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 286 | 250 | $2,586 | $480 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 212 | 196 | $14,262 | $1,166 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 191 | 191 | $23,735 | $2,109 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 170 | 150 | $11,537 | $1,483 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 138 | 118 | $23,379 | $1,375 | $1,407 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 113 | 112 | $145,259 | $20,036 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 106 | 100 | $29,395 | $3,801 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 92 | 92 | $41,599 | $5,067 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 87 | 81 | $71,487 | $8,279 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 84 | 84 | $39,483 | $4,009 | $4,358 |
| Level 3 Airway EndoscopyAPC 5153 | 82 | 65 | $8,495 | $1,239 | $1,264 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 81 | 77 | $74,987 | $10,162 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 76 | 74 | $23,755 | $2,355 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 73 | 65 | $44,363 | $3,849 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 67 | 54 | $20,433 | $1,411 | $1,445 |
| Level 3 Lower GI ProceduresAPC 5313 | 63 | 62 | $29,772 | $2,071 | $2,176 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 57 | 54 | $22,748 | $2,391 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 56 | 55 | $26,486 | $2,099 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 53 | 39 | $23,630 | $2,527 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 51 | 50 | $32,948 | $4,219 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 47 | $23,930 | $2,525 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 44 | 43 | $13,691 | $1,144 | $1,196 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 42 | 36 | $13,221 | $1,726 | $1,780 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 40 | 40 | $69,251 | $7,466 | $8,164 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 32 | $89,139 | $14,998 | $15,763 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 33 | 32 | $184,018 | $27,333 | $29,375 |
| Level 4 Airway EndoscopyAPC 5154 | 29 | 28 | $24,326 | $2,767 | $2,833 |
| Level 4 Endovascular ProceduresAPC 5194 | 29 | 28 | $103,636 | $14,091 | $14,606 |
| Level 2 Intraocular ProceduresAPC 5492 | 28 | 26 | $32,303 | $2,935 | $3,116 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 26 | 26 | $48,062 | $4,707 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 26 | 26 | $50,098 | $4,940 | $5,183 |
| Level 5 ENT ProceduresAPC 5165 | 25 | 25 | $38,718 | $4,319 | $4,436 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $54,757 | $8,049 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 24 | $18,914 | $2,310 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 22 | 22 | $41,838 | $5,988 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 18 | $31,107 | $2,727 | $2,930 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 19 | 19 | $107,362 | $26,135 | $26,719 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 18 | $11,208 | $1,183 | $1,204 |
| Complex GI ProceduresAPC 5331 | 14 | 12 | $51,402 | $4,211 | $4,263 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $29,717 | $3,675 | $3,792 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 12 | $38,144 | $2,829 | $2,888 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | 12 | $36,194 | $4,295 | $4,524 |
| Level 3 ENT ProceduresAPC 5163 | 11 | $8,328 | $1,127 | $1,106 |
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.