Tufts Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Tufts Medical Center, Boston, MA in 2024, from traditional Medicare claims. Back to the Tufts Medical Center profile, with quality ratings, finances and negotiated rates.
2,885
Medicare inpatient discharges
In 116 published DRGs
2.62
Case mix index
IPPS FY 2027
38%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,735
Medicare outpatient services
In 49 service groups
Inpatient stays by major diagnostic category
Circulatory system1,011 discharges in 33 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 121 | $45,334 | $15,133 | $18,904 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 111 | $111,524 | $51,839 | $46,505 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 82 | $72,355 | $22,691 | $30,172 | 2.16 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 54 | $108,240 | $32,892 | $45,136 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 52 | $161,112 | $68,537 | $67,184 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $35,693 | $16,178 | $14,884 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 47 | $18,977 | $7,027 | $7,913 | 0.74 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 32 | $253,782 | $86,240 | $105,827 | 7.71 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 31 | $64,616 | $22,090 | $26,945 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 30 | $39,419 | $10,709 | $16,438 | 1.08 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 29 | $138,726 | $39,059 | $57,849 | 4.04 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 27 | $175,249 | $58,009 | $73,079 | 5.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 26 | $18,521 | $4,822 | $7,723 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 26 | $85,092 | $18,639 | $35,483 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 22 | $21,669 | $8,583 | $9,036 | 0.86 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 21 | $136,946 | $51,038 | $57,106 | 5.06 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $112,203 | $30,468 | $46,789 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 19 | $97,175 | $34,953 | $40,522 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 18 | $154,847 | $51,171 | $64,571 | 5.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $24,194 | $9,333 | $10,089 | 0.91 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 16 | $153,524 | $58,414 | $64,019 | 5.04 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 16 | $140,679 | $37,898 | $58,663 | 3.90 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $39,253 | $9,148 | $16,368 | 0.97 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 15 | $71,585 | $17,833 | $29,851 | 1.83 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $65,533 | $28,044 | $27,327 | 2.55 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $221,431 | $84,568 | $92,337 | 7.80 |
| Atherosclerosis without MCCMS-DRG 303, medical | 14 | $20,863 | $6,571 | $8,700 | 0.66 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $32,428 | $12,384 | $13,523 | 1.20 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $25,828 | $11,632 | $10,770 | 1.07 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $24,951 | $15,312 | $10,405 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $19,556 | $7,979 | $8,155 | 0.75 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 11 | $116,625 | $38,468 | $48,632 | 3.18 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $146,636 | $47,947 | $61,147 | 3.46 |
Nervous system340 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 40 | $79,276 | $18,762 | $33,058 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $34,489 | $10,324 | $14,382 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 33 | $179,964 | $64,808 | $75,045 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 28 | $100,545 | $45,400 | $41,927 | 4.42 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 25 | $84,550 | $27,931 | $35,257 | 2.95 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 20 | $63,949 | $25,031 | $26,667 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 19 | $32,394 | $13,582 | $13,508 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 18 | $20,536 | $9,221 | $8,563 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 16 | $88,945 | $23,475 | $37,090 | 1.98 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 15 | $30,917 | $10,875 | $12,892 | 1.14 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $23,848 | $11,018 | $9,945 | 1.03 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 14 | $78,795 | $20,667 | $32,858 | 2.43 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 14 | $22,328 | $13,185 | $9,311 | 1.32 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $48,235 | $19,383 | $20,114 | 1.81 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 12 | $87,650 | $40,690 | $36,550 | 3.79 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $44,500 | $20,320 | $18,556 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 11 | $36,530 | $15,666 | $15,233 | 1.47 |
Musculoskeletal system and connective tissue318 discharges in 14 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 | 42 | $61,529 | $21,214 | $25,658 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 41 | $59,942 | $44,845 | $24,996 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 37 | $54,599 | $29,324 | $22,768 | 2.96 |
| Medical back problems without MCCMS-DRG 552, medical | 27 | $23,532 | $9,005 | $9,813 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 26 | $54,114 | $18,419 | $22,565 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $98,418 | $32,362 | $41,040 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 22 | $52,433 | $37,442 | $21,865 | 3.66 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 19 | $65,445 | $62,719 | $27,291 | 6.12 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $54,543 | $20,394 | $22,744 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $33,125 | $16,724 | $13,813 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 14 | $27,616 | $10,584 | $11,516 | 1.09 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $95,107 | $37,019 | $39,659 | 3.49 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 11 | $33,979 | $17,229 | $14,169 | 1.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $26,503 | $9,322 | $11,052 | 0.90 |
Respiratory system242 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $42,309 | $17,275 | $17,643 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $36,089 | $13,599 | $15,049 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $21,082 | $8,104 | $8,791 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $28,057 | $10,486 | $11,700 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 21 | $24,061 | $8,813 | $10,034 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 20 | $59,080 | $27,387 | $24,637 | 2.55 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $24,506 | $10,124 | $10,219 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $81,047 | $17,346 | $33,797 | 1.23 |
| Major chest trauma with CCMS-DRG 184, medical | 13 | $21,708 | $9,776 | $9,052 | 1.05 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 12 | $52,055 | $19,976 | $21,707 | 1.88 |
Digestive system220 discharges in 10 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 | 43 | $24,618 | $7,793 | $10,266 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 26 | $71,170 | $23,628 | $29,678 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $37,545 | $10,336 | $15,656 | 0.98 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 23 | $155,033 | $51,218 | $64,649 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $49,430 | $17,474 | $20,612 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $36,953 | $12,878 | $15,409 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $52,612 | $14,650 | $21,939 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $19,132 | $8,390 | $7,978 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $27,154 | $9,118 | $11,323 | 0.94 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 11 | $217,255 | $58,983 | $90,595 | 4.28 |
Kidney and urinary tract158 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 35 | $21,022 | $9,241 | $8,766 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $49,834 | $18,317 | $20,781 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 25 | $21,662 | $9,929 | $9,033 | 1.02 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $42,344 | $17,366 | $17,658 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $26,261 | $11,677 | $10,951 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $23,589 | $7,245 | $9,837 | 0.81 |
| Kidney transplantMS-DRG 652, surgical | 12 | $261,484 | $24,461 | $109,039 | 3.00 |
Infectious and parasitic diseases156 discharges in 2 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 | 115 | $71,824 | $22,512 | $29,951 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 41 | $198,223 | $61,401 | $82,659 | 5.00 |
Endocrine, nutritional and metabolic104 discharges in 4 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 | 36 | $26,752 | $12,856 | $11,156 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 34 | $19,477 | $8,138 | $8,122 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 22 | $20,677 | $9,417 | $8,622 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $60,754 | $18,197 | $25,334 | 1.65 |
Liver, gallbladder and pancreas85 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 27 | $36,306 | $11,203 | $15,140 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 19 | $47,684 | $16,803 | $19,884 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $22,257 | $9,174 | $9,281 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 13 | $60,537 | $18,249 | $25,244 | 1.83 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $64,908 | $23,067 | $27,067 | 1.92 |
Blood cancers and poorly differentiated neoplasms65 discharges in 3 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 | 37 | $21,430 | $12,854 | $8,936 | 1.21 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 15 | $37,637 | $22,125 | $15,695 | 2.44 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 13 | $75,537 | $27,190 | $31,499 | 3.13 |
Skin, subcutaneous tissue and breast43 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 32 | $18,755 | $8,557 | $7,821 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $32,964 | $16,562 | $13,746 | 1.49 |
Transplants, ECMO and tracheostomy (pre-MDC)43 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 | 24 | $1,006,590 | $296,224 | $419,748 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 19 | $1,156,912 | $381,825 | $482,432 | 27.10 |
Blood and immune system34 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 | 17 | $24,166 | $9,080 | $10,077 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 17 | $150,522 | $48,016 | $62,768 | 1.56 |
Injuries, poisonings and toxic effects of drugs30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 18 | $40,279 | $18,782 | $16,796 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $37,712 | $9,766 | $15,726 | 1.03 |
Other22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 11 | $74,077 | $45,043 | $30,890 | |
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 11 | $172,902 | $51,888 | $72,100 | 4.74 |
Alcohol and drug use14 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 | 14 | $29,076 | $9,076 | $12,125 | 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 | 271 | 183 | $5,059 | $552 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 268 | 207 | $7,310 | $1,977 | $1,752 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 239 | 232 | $91,808 | $23,605 | $21,117 |
| Level 2 Intraocular ProceduresAPC 5492 | 219 | 202 | $14,715 | $3,461 | $3,116 |
| Level 1 Endovascular ProceduresAPC 5191 | 213 | 209 | $13,200 | $2,431 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 195 | 186 | $12,553 | $2,303 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 181 | 151 | $10,600 | $1,609 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 172 | 156 | $7,961 | $1,347 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 159 | 128 | $13,330 | $2,599 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 130 | 110 | $7,030 | $1,707 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 110 | 107 | $33,701 | $12,137 | $10,772 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 106 | 97 | $6,845 | $1,962 | $1,780 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 104 | 96 | $16,957 | $2,277 | $2,141 |
| Level 3 Airway EndoscopyAPC 5153 | 81 | 51 | $6,337 | $1,434 | $1,264 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 69 | 68 | $21,786 | $4,723 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 66 | 62 | $6,794 | $1,310 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 66 | 65 | $22,890 | $6,029 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 61 | 57 | $30,547 | $4,394 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 60 | 54 | $11,556 | $2,365 | $2,176 |
| Level 7 Radiation TherapyAPC 5627 | 59 | 57 | $99,054 | $6,730 | $6,121 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 57 | 50 | $15,025 | $2,695 | $2,373 |
| Level 3 Intraocular ProceduresAPC 5493 | 51 | 40 | $14,606 | $4,385 | $4,004 |
| Level 3 Endovascular ProceduresAPC 5193 | 50 | 46 | $50,973 | $9,959 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 49 | 45 | $28,893 | $4,791 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 44 | 44 | $26,186 | $5,011 | $4,436 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 38 | $15,086 | $2,960 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 39 | 39 | $9,677 | $2,675 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 38 | 37 | $30,368 | $7,291 | $6,514 |
| Level 1 Nerve ProceduresAPC 5431 | 37 | 34 | $6,638 | $1,651 | $1,407 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 36 | 36 | $51,314 | $9,548 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 36 | 29 | $26,145 | $2,983 | $2,629 |
| Level 4 Airway EndoscopyAPC 5154 | 35 | 35 | $20,243 | $3,204 | $2,833 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 33 | 25 | $25,437 | $5,846 | $4,524 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 32 | 32 | $34,586 | $9,411 | $8,164 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 30 | 30 | $133,698 | $32,470 | $29,375 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 29 | 28 | $52,054 | $17,701 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 29 | 26 | $67,155 | $17,156 | $14,606 |
| Level 3 Upper GI ProceduresAPC 5303 | 29 | 28 | $16,831 | $3,194 | $2,888 |
| Complex GI ProceduresAPC 5331 | 28 | 24 | $20,793 | $4,790 | $4,263 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $32,743 | $4,852 | $4,982 |
| Level 4 ENT ProceduresAPC 5164 | 22 | 22 | $16,250 | $2,379 | $2,217 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 22 | $7,014 | $1,308 | $1,204 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 21 | $24,681 | $5,857 | $5,183 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 18 | $17,180 | $4,412 | $3,918 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 17 | $21,983 | $3,262 | $2,930 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 17 | 17 | $11,049 | $3,114 | $2,969 |
| Level 3 ENT ProceduresAPC 5163 | 15 | $8,640 | $1,305 | $1,106 | |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 12 | $22,758 | $4,256 | $3,792 |
| Cochlear Implant ProcedureAPC 5166 | 11 | 11 | $54,899 | $34,269 | $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.