Uchealth Memorial Hospital North Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Uchealth Memorial Hospital North, Colorado Springs, CO in 2024, from traditional Medicare claims. Back to the Uchealth Memorial Hospital North profile, with quality ratings, finances and negotiated rates.
4,836
Medicare inpatient discharges
In 150 published DRGs
2.23
Case mix index
IPPS FY 2027
31%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
6,030
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Circulatory system1,037 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 252 | $55,743 | $8,533 | $8,807 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 115 | $185,400 | $22,496 | $29,293 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 78 | $121,438 | $12,329 | $19,187 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $69,577 | $10,364 | $10,993 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 39 | $85,010 | $14,178 | $13,432 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 38 | $194,195 | $23,370 | $30,683 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $58,004 | $5,828 | $9,165 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $56,300 | $8,178 | $8,895 | 1.20 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 27 | $473,926 | $61,001 | $74,880 | 7.71 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $44,118 | $4,640 | $6,971 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 26 | $233,636 | $43,738 | $36,914 | 6.25 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 23 | $394,322 | $41,293 | $62,303 | 5.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 22 | $264,540 | $34,847 | $41,797 | 4.88 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 22 | $353,865 | $35,067 | $55,911 | 4.16 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 21 | $123,207 | $21,922 | $19,467 | 3.18 |
| Heart failure and shock with CCMS-DRG 292, medical | 21 | $60,008 | $5,546 | $9,481 | 0.86 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 20 | $178,407 | $25,864 | $28,188 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 20 | $60,720 | $6,071 | $9,594 | 0.86 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $158,320 | $15,430 | $25,015 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $247,047 | $26,285 | $39,033 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $66,289 | $7,197 | $10,474 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $88,088 | $13,589 | $13,918 | 2.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $77,961 | $6,956 | $12,318 | 0.97 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 15 | $264,023 | $29,021 | $41,716 | 4.04 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 15 | $267,022 | $37,585 | $42,189 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $68,637 | $7,208 | $10,845 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $41,422 | $4,713 | $6,545 | 0.75 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $233,049 | $26,256 | $36,822 | 3.90 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $162,850 | $36,614 | $25,730 | 5.04 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $71,768 | $9,039 | $11,339 | 1.58 |
Respiratory system780 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 132 | $72,774 | $8,312 | $11,498 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 129 | $68,163 | $10,700 | $10,770 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 87 | $66,236 | $8,345 | $10,465 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 50 | $57,979 | $9,380 | $9,161 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 50 | $48,852 | $5,207 | $7,719 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 39 | $132,865 | $18,831 | $20,993 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 38 | $52,036 | $6,400 | $8,222 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $63,193 | $7,456 | $9,985 | 1.10 |
| Major chest procedures with CCMS-DRG 164, surgical | 30 | $117,713 | $17,291 | $18,599 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 28 | $41,392 | $5,062 | $6,540 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 25 | $62,211 | $6,917 | $9,829 | 1.05 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 24 | $84,803 | $12,320 | $13,399 | 1.74 |
| Major chest procedures with MCCMS-DRG 163, surgical | 20 | $201,530 | $33,228 | $31,842 | 4.71 |
| Pneumothorax with CCMS-DRG 200, medical | 17 | $79,612 | $7,211 | $12,579 | 1.08 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 16 | $81,232 | $11,216 | $12,835 | 1.88 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $306,780 | $50,355 | $48,471 | 6.91 |
| Major chest trauma with MCCMS-DRG 183, medical | 13 | $86,262 | $10,757 | $13,629 | 1.57 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 13 | $82,354 | $13,933 | $13,012 | 1.90 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $55,717 | $6,363 | $8,803 | 0.96 |
| Pleural effusion with MCCMS-DRG 186, medical | 11 | $75,921 | $10,203 | $11,996 | 1.55 |
Digestive system491 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 74 | $57,686 | $6,653 | $9,114 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 63 | $51,667 | $5,076 | $8,163 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 56 | $232,391 | $32,851 | $36,718 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 42 | $90,624 | $12,888 | $14,319 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 40 | $123,153 | $16,129 | $19,458 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 37 | $41,021 | $4,910 | $6,481 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 33 | $55,830 | $6,399 | $8,821 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 29 | $55,081 | $7,185 | $8,703 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 23 | $71,233 | $8,244 | $11,255 | 1.28 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 19 | $106,397 | $16,157 | $16,811 | 2.50 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $85,779 | $10,652 | $13,553 | 1.62 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 15 | $82,356 | $13,738 | $13,012 | 2.11 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $37,577 | $3,355 | $5,937 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 14 | $96,198 | $10,603 | $15,199 | 1.67 |
| Digestive malignancy with CCMS-DRG 375, medical | 14 | $79,316 | $8,155 | $12,532 | 1.20 |
Nervous system485 discharges in 20 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 | 75 | $69,243 | $6,651 | $10,940 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 56 | $113,020 | $13,111 | $17,857 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 41 | $235,782 | $31,669 | $37,254 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 32 | $274,024 | $38,016 | $43,296 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 27 | $71,969 | $9,196 | $11,371 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 27 | $145,110 | $15,812 | $22,927 | 1.98 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 26 | $85,564 | $9,501 | $13,519 | 1.36 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 21 | $99,743 | $14,916 | $15,759 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 19 | $55,839 | $6,079 | $8,823 | 0.91 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 18 | $57,704 | $8,714 | $9,117 | 1.32 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 18 | $81,349 | $12,137 | $12,853 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $66,627 | $6,377 | $10,527 | 1.03 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 16 | $69,033 | $7,067 | $10,907 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $56,054 | $5,027 | $8,857 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 15 | $86,132 | $6,769 | $13,609 | 1.06 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 13 | $101,812 | $16,139 | $16,086 | 2.30 |
| Extracranial procedures with CCMS-DRG 038, surgical | 13 | $80,264 | $10,853 | $12,682 | 1.60 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 13 | $94,907 | $16,063 | $14,995 | 2.28 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 12 | $94,099 | $12,410 | $14,868 | 1.81 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $79,195 | $10,872 | $12,513 | 1.79 |
Musculoskeletal system and connective tissue479 discharges in 17 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 | 82 | $124,672 | $13,876 | $19,698 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 70 | $143,497 | $14,184 | $22,673 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 42 | $281,240 | $32,993 | $44,436 | 4.61 |
| Medical back problems without MCCMS-DRG 552, medical | 42 | $57,057 | $6,207 | $9,015 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 27 | $169,714 | $19,813 | $26,815 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 27 | $142,699 | $16,275 | $22,546 | 2.40 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 23 | $184,536 | $23,921 | $29,157 | 3.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 21 | $47,707 | $5,188 | $7,538 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 20 | $175,958 | $19,944 | $27,801 | 2.99 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 18 | $425,097 | $45,868 | $67,165 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 18 | $202,579 | $21,289 | $32,007 | 2.96 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $93,990 | $10,235 | $14,850 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 18 | $89,629 | $11,215 | $14,161 | 1.70 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $235,007 | $25,413 | $37,131 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 13 | $246,779 | $30,858 | $38,991 | 3.46 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $44,374 | $5,324 | $7,011 | 0.90 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 11 | $195,043 | $18,985 | $30,817 | 2.48 |
Infectious and parasitic diseases477 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 | 326 | $101,472 | $13,110 | $16,033 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 88 | $272,996 | $37,438 | $43,133 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $53,460 | $6,341 | $8,447 | 1.03 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 13 | $187,977 | $29,530 | $29,700 | 4.43 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 13 | $70,349 | $13,368 | $11,115 | 1.84 |
Kidney and urinary tract334 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 87 | $47,983 | $5,762 | $7,581 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 72 | $45,231 | $5,231 | $7,146 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 52 | $75,386 | $9,807 | $11,911 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 50 | $61,043 | $7,579 | $9,645 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $62,358 | $11,240 | $9,853 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $38,900 | $6,288 | $6,146 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $72,648 | $9,387 | $11,478 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $170,662 | $25,398 | $26,965 | 3.70 |
Endocrine, nutritional and metabolic235 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 without MCCMS-DRG 641, medical | 69 | $51,670 | $4,844 | $8,164 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 67 | $86,054 | $10,198 | $13,597 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 34 | $79,200 | $10,189 | $12,514 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 27 | $63,441 | $6,799 | $10,024 | 1.06 |
| Diabetes with CCMS-DRG 638, medical | 26 | $50,812 | $5,438 | $8,028 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $67,795 | $10,653 | $10,712 | 1.65 |
Liver, gallbladder and pancreas220 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 41 | $115,142 | $10,968 | $18,192 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 25 | $79,553 | $13,236 | $12,569 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 24 | $68,656 | $6,646 | $10,848 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 21 | $83,266 | $12,923 | $13,156 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 20 | $93,682 | $7,436 | $14,802 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 18 | $47,509 | $5,486 | $7,506 | 0.86 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 16 | $145,023 | $16,344 | $22,914 | 2.32 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 16 | $130,489 | $12,073 | $20,617 | 1.63 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 15 | $60,523 | $6,851 | $9,563 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $128,869 | $13,086 | $20,361 | 1.76 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 11 | $70,269 | $5,225 | $11,102 | 0.80 |
Skin, subcutaneous tissue and breast84 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 43 | $47,450 | $5,734 | $7,497 | 0.88 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 17 | $84,551 | $11,974 | $13,359 | 1.75 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $56,011 | $9,407 | $8,850 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 12 | $50,270 | $6,150 | $7,943 | 0.91 |
Injuries, poisonings and toxic effects of drugs73 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 20 | $78,946 | $13,026 | $12,474 | 1.82 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 14 | $86,602 | $14,130 | $13,683 | 2.00 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 14 | $69,057 | $10,451 | $10,911 | 1.60 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 13 | $241,790 | $29,069 | $38,203 | 3.72 |
| Complications of treatment with CCMS-DRG 920, medical | 12 | $67,975 | $7,285 | $10,740 | 1.03 |
Other60 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Concomitant left atrial appendage closure and cardiac ablationMS-DRG 317 | 31 | $378,280 | $48,387 | $59,768 | |
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 18 | $250,869 | $32,859 | $39,637 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $154,836 | $17,511 | $24,464 | 2.49 |
Blood and immune system41 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $63,312 | $6,160 | $10,003 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $64,369 | $10,030 | $10,170 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $66,296 | $10,930 | $10,475 | 1.56 |
Mental diseases and disorders17 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 | 17 | $57,363 | $11,376 | $9,063 | 1.76 |
Multiple significant trauma12 discharges in 1 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 | 12 | $239,164 | $31,467 | $37,788 | 3.88 |
Alcohol and drug use11 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 | 11 | $67,724 | $5,745 | $10,700 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 1,916 | 1,688 | $35,021 | $2,062 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 317 | 287 | $13,231 | $1,211 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 284 | 277 | $39,805 | $4,314 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 251 | 212 | $19,225 | $1,440 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 241 | 239 | $34,560 | $2,211 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 218 | 205 | $25,816 | $2,418 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 201 | 200 | $211,841 | $20,864 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 193 | 180 | $32,953 | $3,925 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 163 | 159 | $91,720 | $10,745 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 162 | 135 | $25,973 | $2,644 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 158 | 153 | $17,680 | $2,128 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 151 | 151 | $66,816 | $8,106 | $8,164 |
| Level 3 Endovascular ProceduresAPC 5193 | 145 | 135 | $106,652 | $8,800 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 134 | 130 | $51,000 | $5,426 | $5,339 |
| Complex GI ProceduresAPC 5331 | 98 | 58 | $68,620 | $4,190 | $4,263 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 97 | 87 | $32,332 | $2,568 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 92 | 55 | $18,849 | $1,476 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 87 | 84 | $11,694 | $1,200 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 82 | 82 | $45,330 | $4,946 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 75 | 61 | $44,783 | $4,335 | $4,338 |
| Level 3 Upper GI ProceduresAPC 5303 | 75 | 73 | $39,263 | $2,905 | $2,888 |
| Level 1 Nerve ProceduresAPC 5431 | 71 | 66 | $16,450 | $1,464 | $1,407 |
| Level 4 Endovascular ProceduresAPC 5194 | 69 | 65 | $141,474 | $14,808 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 68 | 64 | $26,746 | $2,803 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 65 | 64 | $22,374 | $2,335 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 55 | 55 | $87,956 | $8,524 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 53 | 52 | $23,972 | $2,833 | $2,833 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 52 | 52 | $137,572 | $16,069 | $15,763 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 51 | 50 | $60,731 | $6,451 | $6,514 |
| Level 4 Vascular ProceduresAPC 5184 | 48 | 44 | $53,025 | $4,081 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 39 | 38 | $281,122 | $29,592 | $29,375 |
| Level 3 Airway EndoscopyAPC 5153 | 38 | 37 | $14,577 | $1,287 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 37 | $27,910 | $2,455 | $2,373 |
| Level 5 ENT ProceduresAPC 5165 | 33 | 33 | $37,528 | $4,442 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 29 | 29 | $22,199 | $1,219 | $1,196 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 29 | 29 | $145,121 | $16,874 | $17,052 |
| Level 5 Gynecologic ProceduresAPC 5415 | 28 | 28 | $32,587 | $3,773 | $3,792 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 25 | 25 | $201,745 | $27,841 | $26,719 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 21 | 21 | $151,815 | $18,229 | $18,465 |
| Level 5 Airway EndoscopyAPC 5155 | 20 | 20 | $42,133 | $4,932 | $5,183 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 19 | $24,900 | $2,137 | $2,176 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 16 | 16 | $117,728 | $6,879 | $7,546 |
| Level 2 Urology and Related ServicesAPC 5372 | 13 | 12 | $10,304 | $516 | $502 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $27,151 | $2,442 | $2,217 |
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.