UCI Health — Orange Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for UCI Health — Orange, Orange, CA in 2024, from traditional Medicare claims. Back to the UCI Health — Orange profile, with quality ratings, finances and negotiated rates.
3,680
Medicare inpatient discharges
In 126 published DRGs
2.22
Case mix index
IPPS FY 2027
30%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
10,243
Medicare outpatient services
In 54 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases622 discharges in 6 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 | 423 | $131,659 | $27,059 | $32,651 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 89 | $61,537 | $13,773 | $15,261 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 54 | $454,389 | $90,024 | $112,689 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $434,152 | $95,217 | $107,670 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 15 | $78,022 | $23,677 | $19,350 | 1.84 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $119,305 | $25,710 | $29,588 | 2.04 |
Circulatory system610 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 137 | $96,845 | $17,915 | $24,018 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 55 | $226,823 | $86,551 | $56,252 | 6.25 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 52 | $144,347 | $42,214 | $35,798 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 46 | $180,574 | $66,893 | $44,782 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $139,528 | $27,137 | $34,603 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 41 | $83,476 | $12,583 | $20,702 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $50,855 | $9,815 | $12,612 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $90,634 | $17,391 | $22,477 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 28 | $169,858 | $29,890 | $42,125 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 26 | $243,277 | $49,430 | $60,333 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $185,429 | $37,702 | $45,986 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $259,690 | $43,017 | $64,403 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $46,141 | $6,399 | $11,443 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $68,745 | $12,371 | $17,049 | 0.91 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $64,851 | $12,166 | $16,083 | 0.86 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $298,448 | $42,579 | $74,015 | 2.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $129,257 | $29,904 | $32,056 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $44,820 | $13,981 | $11,115 | 1.07 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 11 | $196,421 | $51,395 | $48,712 | 4.14 |
Nervous system461 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 50 | $402,677 | $76,361 | $99,864 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 49 | $119,311 | $23,598 | $29,589 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 41 | $46,429 | $12,050 | $11,514 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 39 | $104,937 | $13,250 | $26,024 | 1.02 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 28 | $171,496 | $30,794 | $42,531 | 2.43 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 28 | $100,672 | $17,975 | $24,967 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 28 | $103,057 | $16,923 | $25,558 | 1.32 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 26 | $187,970 | $31,960 | $46,617 | 2.28 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 23 | $349,666 | $76,400 | $86,717 | 5.67 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 22 | $188,944 | $33,600 | $46,858 | 2.27 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 21 | $145,407 | $24,960 | $36,061 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 18 | $152,668 | $29,681 | $37,862 | 2.39 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 17 | $201,634 | $40,634 | $50,005 | 2.95 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $92,763 | $17,484 | $23,005 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 17 | $167,908 | $29,021 | $41,641 | 1.98 |
| Ventricular shunt procedures with CCMS-DRG 032, surgical | 13 | $120,330 | $26,194 | $29,842 | 2.15 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $65,259 | $13,321 | $16,184 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $94,239 | $14,793 | $23,371 | 1.06 |
Digestive system397 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 52 | $149,601 | $30,650 | $37,101 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 42 | $157,138 | $34,884 | $38,970 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 41 | $62,037 | $9,946 | $15,385 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 39 | $318,746 | $63,110 | $79,049 | 4.52 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $67,062 | $13,140 | $16,631 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $69,850 | $10,481 | $17,323 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 27 | $94,771 | $21,419 | $23,503 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 25 | $128,087 | $22,783 | $31,766 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 22 | $109,982 | $19,562 | $27,276 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 22 | $83,638 | $17,770 | $20,742 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $86,930 | $12,671 | $21,559 | 0.94 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 14 | $157,418 | $33,586 | $39,040 | 2.50 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $159,229 | $27,663 | $39,489 | 2.10 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 11 | $93,694 | $19,958 | $23,236 | 1.60 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 11 | $148,083 | $26,865 | $36,725 | 2.11 |
Musculoskeletal system and connective tissue366 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 73 | $115,370 | $24,262 | $28,612 | 1.88 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 38 | $170,979 | $33,396 | $42,403 | 2.48 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 32 | $200,120 | $48,393 | $49,630 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 29 | $184,484 | $38,509 | $45,752 | 2.96 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 23 | $418,615 | $90,988 | $103,816 | 6.12 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 23 | $150,767 | $26,592 | $37,390 | 2.07 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $204,419 | $37,485 | $50,696 | 2.40 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $94,529 | $12,679 | $23,443 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $137,938 | $25,448 | $34,209 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $227,413 | $39,865 | $56,398 | 2.95 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 456, surgical | 14 | $636,600 | $151,564 | $157,877 | 8.43 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 14 | $319,857 | $84,198 | $79,325 | 6.08 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $110,252 | $20,284 | $27,342 | 1.70 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 13 | $263,956 | $48,944 | $65,461 | 3.00 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $197,152 | $29,636 | $48,894 | 2.04 |
Kidney and urinary tract346 discharges in 12 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 | 62 | $93,226 | $21,730 | $23,120 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 45 | $107,012 | $20,992 | $26,539 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 44 | $66,557 | $14,788 | $16,506 | 1.02 |
| Renal failure with CCMS-DRG 683, medical | 37 | $51,367 | $12,126 | $12,739 | 0.90 |
| Kidney transplantMS-DRG 652, surgical | 34 | $347,461 | $40,957 | $86,170 | 3.00 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 29 | $44,966 | $10,977 | $11,151 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $94,476 | $15,418 | $23,430 | 1.17 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $180,478 | $52,871 | $44,759 | 3.70 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 17 | $459,199 | $71,577 | $113,881 | 4.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $139,634 | $21,321 | $34,629 | 1.35 |
| Kidney transplant with hemodialysis without MCCMS-DRG 651, surgical | 12 | $391,082 | $44,156 | $96,988 | 3.46 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $235,764 | $42,108 | $58,469 | 2.59 |
Respiratory system251 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 | 57 | $111,871 | $20,787 | $27,744 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 32 | $97,425 | $17,488 | $24,161 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 30 | $81,427 | $17,297 | $20,194 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $60,511 | $11,057 | $15,007 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $167,386 | $37,541 | $41,512 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 17 | $114,697 | $32,435 | $28,445 | 2.55 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 17 | $123,454 | $25,554 | $30,617 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $97,196 | $20,514 | $24,105 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $68,313 | $14,608 | $16,942 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $56,421 | $12,146 | $13,992 | 0.99 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $352,697 | $61,854 | $87,469 | 4.71 |
Endocrine, nutritional and metabolic218 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 | 86 | $96,210 | $18,592 | $23,860 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 40 | $56,550 | $10,609 | $14,024 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 37 | $93,434 | $20,654 | $23,172 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 27 | $72,170 | $13,472 | $17,898 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $86,618 | $18,727 | $21,481 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 14 | $57,897 | $12,507 | $14,358 | 0.90 |
Blood cancers and poorly differentiated neoplasms120 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy aMS-DRG 837, medical | 25 | $138,126 | $67,412 | $34,255 | 4.84 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 25 | $47,886 | $16,101 | $11,876 | 1.21 |
| Acute leukemia with MCCMS-DRG 834, medical | 23 | $391,455 | $83,768 | $97,081 | 5.60 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 18 | $198,719 | $49,520 | $49,282 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 18 | $89,377 | $34,820 | $22,166 | 2.44 |
| Chemotherapy with acute leukemia as secondary diagnosis with CC or high dose chemotherapMS-DRG 838, medical | 11 | $58,872 | $28,284 | $14,600 | 2.00 |
Liver, gallbladder and pancreas108 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 26 | $95,113 | $23,619 | $23,588 | 1.76 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 21 | $74,013 | $13,505 | $18,355 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 20 | $101,354 | $26,718 | $25,136 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 17 | $126,507 | $24,764 | $31,374 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $121,342 | $21,362 | $30,093 | 1.63 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 11 | $365,538 | $67,131 | $90,653 | 5.51 |
Injuries, poisonings and toxic effects of drugs60 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 22 | $78,219 | $25,474 | $19,398 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 15 | $314,956 | $67,461 | $78,109 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 12 | $187,508 | $19,917 | $46,502 | 1.60 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 11 | $146,600 | $28,317 | $36,357 | 2.00 |
Blood and immune system39 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $98,660 | $19,468 | $24,468 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $65,294 | $12,575 | $16,193 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 11 | $226,003 | $43,900 | $56,049 | 2.19 |
Skin, subcutaneous tissue and breast33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 22 | $49,566 | $11,704 | $12,292 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $105,661 | $17,163 | $26,204 | 1.49 |
Transplants, ECMO and tracheostomy (pre-MDC)19 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 | 19 | $1,076,128 | $283,024 | $266,880 | 21.32 |
Multiple significant trauma16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with MCCMS-DRG 963, medical | 16 | $262,228 | $40,337 | $65,033 | 2.73 |
Other14 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 | 14 | $354,081 | $76,657 | $87,812 | 4.74 |
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 1 Intraocular ProceduresAPC 5491 | 1,628 | 1,017 | $19,830 | $2,276 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 815 | 477 | $1,847 | $637 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 800 | 744 | $30,308 | $2,667 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 661 | 589 | $13,241 | $1,860 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 534 | 441 | $12,697 | $1,905 | $1,516 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 466 | 417 | $14,196 | $2,277 | $1,780 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 427 | 397 | $15,624 | $1,544 | $1,220 |
| Level 3 Airway EndoscopyAPC 5153 | 427 | 269 | $6,903 | $1,457 | $1,264 |
| Level 2 Intraocular ProceduresAPC 5492 | 420 | 348 | $26,967 | $3,937 | $3,116 |
| Level 5 Urology and Related ServicesAPC 5375 | 310 | 286 | $48,747 | $5,042 | $3,918 |
| Level 1 Nerve ProceduresAPC 5431 | 248 | 189 | $8,636 | $1,277 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 237 | 182 | $27,857 | $2,722 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 225 | 218 | $24,042 | $3,122 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 185 | 184 | $69,179 | $10,917 | $8,164 |
| Level 1 Endovascular ProceduresAPC 5191 | 178 | 175 | $24,863 | $2,861 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 166 | 144 | $31,674 | $3,242 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 157 | 152 | $61,628 | $7,132 | $5,339 |
| Level 3 Lower GI ProceduresAPC 5313 | 138 | 130 | $15,021 | $2,774 | $2,176 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 132 | 128 | $50,374 | $5,631 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 127 | 122 | $87,391 | $14,073 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 111 | 97 | $76,991 | $11,869 | $8,874 |
| Level 3 ENT ProceduresAPC 5163 | 109 | 58 | $3,631 | $1,354 | $1,106 |
| Level 2 Vascular ProceduresAPC 5182 | 109 | 102 | $10,755 | $1,553 | $1,204 |
| Level 3 Upper GI ProceduresAPC 5303 | 107 | 100 | $23,065 | $3,754 | $2,888 |
| Level 4 Airway EndoscopyAPC 5154 | 103 | 94 | $29,402 | $3,668 | $2,833 |
| Level 4 Vascular ProceduresAPC 5184 | 103 | 89 | $47,484 | $4,911 | $3,946 |
| Complex GI ProceduresAPC 5331 | 103 | 69 | $30,558 | $5,583 | $4,263 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 92 | 84 | $21,634 | $3,746 | $2,969 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 89 | 69 | $30,709 | $3,350 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 84 | 78 | $64,120 | $9,681 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 79 | 79 | $44,435 | $6,307 | $4,982 |
| Level 5 ENT ProceduresAPC 5165 | 76 | 76 | $41,966 | $5,495 | $4,436 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 69 | 69 | $101,827 | $36,422 | $26,719 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 63 | 62 | $33,542 | $3,734 | $2,930 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 58 | 50 | $36,880 | $4,893 | $4,524 |
| Level 2 Endovascular ProceduresAPC 5192 | 55 | 49 | $43,047 | $5,497 | $4,338 |
| Level 4 ENT ProceduresAPC 5164 | 53 | 47 | $19,406 | $3,053 | $2,217 |
| Level 5 Airway EndoscopyAPC 5155 | 49 | 49 | $40,188 | $6,614 | $5,183 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 41 | 41 | $12,673 | $1,550 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 41 | 41 | $24,950 | $3,018 | $2,389 |
| Level 5 Gynecologic ProceduresAPC 5415 | 40 | 34 | $49,886 | $4,872 | $3,792 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 39 | $115,752 | $20,675 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 39 | 37 | $105,846 | $19,362 | $14,606 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 37 | $36,271 | $2,999 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 37 | 37 | $122,663 | $27,480 | $21,117 |
| Level 3 Intraocular ProceduresAPC 5493 | 31 | 26 | $33,378 | $5,120 | $4,004 |
| Level 6 Gynecologic ProceduresAPC 5416 | 25 | 24 | $64,643 | $6,837 | $5,836 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $80,014 | $25,186 | $18,465 |
| Level 8 Urology and Related ServicesAPC 5378 | 21 | 19 | $86,643 | $23,100 | $17,428 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $59,590 | $11,463 | $8,569 |
| Cochlear Implant ProcedureAPC 5166 | 15 | 14 | $97,812 | $39,462 | $29,489 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $28,955 | $8,774 | $6,514 |
| Level 2 Nerve ProceduresAPC 5432 | 15 | 15 | $73,518 | $6,557 | $4,674 |
| Level 7 Radiation TherapyAPC 5627 | 12 | 11 | $44,206 | $6,308 | $6,121 |
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.