United Regional Health Care System Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for United Regional Health Care System, Wichita Falls, TX in 2024, from traditional Medicare claims. Back to the United Regional Health Care System profile, with quality ratings, finances and negotiated rates.
4,507
Medicare inpatient discharges
In 113 published DRGs
1.63
Case mix index
IPPS FY 2027
12%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,939
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system945 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 | 253 | $36,407 | $9,638 | $9,393 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 88 | $32,103 | $5,873 | $8,283 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 84 | $40,368 | $11,775 | $10,415 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 66 | $27,029 | $4,931 | $6,974 | 0.74 |
| Hypertension without MCCMS-DRG 305, medical | 56 | $24,984 | $4,921 | $6,446 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 41 | $39,866 | $8,592 | $10,286 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 37 | $67,561 | $12,563 | $17,431 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 36 | $29,773 | $6,324 | $7,681 | 0.91 |
| Hypertension with MCCMS-DRG 304, medical | 25 | $30,511 | $8,576 | $7,872 | 1.15 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 24 | $17,768 | $3,027 | $4,584 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $38,765 | $7,697 | $10,001 | 1.08 |
| Chest painMS-DRG 313, medical | 22 | $27,320 | $4,924 | $7,049 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $46,475 | $14,275 | $11,991 | 2.09 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 18 | $34,078 | $7,548 | $8,792 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 16 | $78,759 | $27,383 | $20,320 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 15 | $179,423 | $37,053 | $46,291 | 4.88 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $46,132 | $12,457 | $11,902 | 1.58 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $103,436 | $28,414 | $26,686 | 3.35 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 14 | $29,301 | $3,741 | $7,560 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $50,917 | $15,432 | $13,137 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $102,900 | $22,918 | $26,548 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $60,466 | $17,659 | $15,600 | 2.28 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $30,834 | $6,350 | $7,955 | 0.97 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $122,399 | $33,334 | $31,579 | 4.16 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $118,254 | $27,409 | $30,510 | 3.46 |
Respiratory system896 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 217 | $47,872 | $12,880 | $12,351 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 152 | $42,625 | $9,627 | $10,997 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 127 | $42,352 | $8,909 | $10,927 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 79 | $32,509 | $5,475 | $8,387 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 75 | $37,648 | $8,136 | $9,713 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 49 | $35,402 | $7,108 | $9,134 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 29 | $46,836 | $9,840 | $12,084 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 28 | $83,962 | $21,360 | $21,662 | 2.70 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 25 | $172,817 | $51,799 | $44,587 | 6.91 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 24 | $31,226 | $5,692 | $8,056 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 20 | $26,383 | $4,726 | $6,807 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 19 | $39,056 | $7,371 | $10,076 | 1.05 |
| Major chest procedures with MCCMS-DRG 163, surgical | 17 | $138,485 | $35,820 | $35,729 | 4.71 |
| Major chest trauma with MCCMS-DRG 183, medical | 13 | $55,505 | $11,723 | $14,320 | 1.57 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 11 | $36,711 | $5,224 | $9,471 | 0.76 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 11 | $27,505 | $3,286 | $7,096 | 0.63 |
Infectious and parasitic diseases495 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 | 368 | $58,498 | $15,266 | $15,092 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 59 | $42,674 | $7,076 | $11,010 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $114,495 | $38,304 | $29,540 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $153,678 | $53,429 | $39,649 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $71,229 | $15,584 | $18,377 | 2.04 |
Kidney and urinary tract478 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 125 | $31,802 | $8,450 | $8,205 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 105 | $29,452 | $6,238 | $7,599 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 89 | $44,705 | $11,703 | $11,534 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 84 | $30,212 | $5,301 | $7,795 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 47 | $43,190 | $12,953 | $11,143 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $40,878 | $7,474 | $10,546 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $42,576 | $8,890 | $10,985 | 1.35 |
Digestive system466 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 118 | $35,478 | $6,759 | $9,153 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 112 | $28,982 | $5,063 | $7,477 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 37 | $38,434 | $9,346 | $9,916 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $63,243 | $14,648 | $16,317 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 26 | $31,978 | $5,429 | $8,250 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 22 | $55,878 | $9,597 | $14,417 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $31,691 | $5,683 | $8,176 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $26,902 | $3,405 | $6,941 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 18 | $44,959 | $13,194 | $11,599 | 1.75 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 17 | $143,125 | $41,434 | $36,926 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $49,197 | $13,266 | $12,693 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 16 | $42,089 | $7,677 | $10,859 | 1.04 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 14 | $75,980 | $16,922 | $19,603 | 2.37 |
Nervous system386 discharges in 15 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 | 84 | $32,596 | $6,950 | $8,410 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 44 | $54,551 | $15,252 | $14,074 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 32 | $26,862 | $5,925 | $6,930 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 30 | $28,041 | $5,218 | $7,235 | 0.80 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 29 | $39,354 | $7,426 | $10,153 | 1.14 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 23 | $23,785 | $4,130 | $6,137 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 23 | $66,845 | $15,694 | $17,246 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 21 | $28,636 | $6,936 | $7,388 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $23,970 | $9,661 | $6,184 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 19 | $101,029 | $35,839 | $26,066 | 4.42 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $46,146 | $12,151 | $11,906 | 1.79 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $76,485 | $13,113 | $19,733 | 1.87 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $33,152 | $8,303 | $8,553 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $44,768 | $10,039 | $11,550 | 1.32 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 11 | $47,214 | $13,858 | $12,181 | 1.81 |
Endocrine, nutritional and metabolic245 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 | 90 | $41,331 | $10,323 | $10,663 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 76 | $27,712 | $5,407 | $7,150 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 44 | $33,270 | $6,027 | $8,584 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $34,365 | $10,984 | $8,866 | 1.45 |
| Diabetes without cc/mccMS-DRG 639, medical | 16 | $26,802 | $3,666 | $6,915 | 0.62 |
Musculoskeletal system and connective tissue233 discharges in 10 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 | 61 | $60,415 | $15,545 | $15,587 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 48 | $63,756 | $15,783 | $16,449 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 28 | $28,774 | $6,367 | $7,424 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $69,758 | $23,289 | $17,998 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $52,011 | $11,609 | $13,419 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $24,550 | $5,293 | $6,334 | 0.79 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $115,121 | $29,569 | $29,701 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 11 | $80,411 | $23,109 | $20,746 | 2.96 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $25,424 | $5,847 | $6,559 | 0.90 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $33,286 | $7,816 | $8,588 | 1.00 |
Liver, gallbladder and pancreas127 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 21 | $31,154 | $5,398 | $8,038 | 0.86 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 20 | $63,529 | $18,342 | $16,390 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 19 | $61,810 | $11,732 | $15,947 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 15 | $31,766 | $6,869 | $8,196 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $54,811 | $14,937 | $14,141 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $37,396 | $7,063 | $9,648 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 12 | $50,049 | $9,400 | $12,913 | 1.31 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $52,939 | $14,015 | $13,658 | 1.92 |
Skin, subcutaneous tissue and breast79 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 52 | $33,455 | $5,801 | $8,631 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 27 | $37,575 | $10,657 | $9,694 | 1.49 |
Blood and immune system61 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 | 42 | $30,188 | $6,336 | $7,789 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 19 | $66,492 | $11,277 | $17,155 | 1.40 |
Factors influencing health status33 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 33 | $27,133 | $5,791 | $7,000 | 0.80 |
Mental diseases and disorders26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 15 | $29,258 | $13,415 | $7,549 | 1.76 |
| PsychosesMS-DRG 885, medical | 11 | $26,906 | $10,265 | $6,942 | 1.37 |
Injuries, poisonings and toxic effects of drugs23 discharges in 1 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 | 23 | $37,538 | $11,270 | $9,685 | 1.60 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $27,115 | $4,293 | $6,996 | 0.74 |
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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 676 | 635 | $13,047 | $2,004 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 184 | 178 | $9,517 | $1,156 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 180 | 178 | $17,579 | $2,147 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 155 | 149 | $45,795 | $10,499 | $10,772 |
| Level 2 Vascular ProceduresAPC 5182 | 152 | 139 | $5,714 | $1,188 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 150 | 150 | $24,696 | $4,202 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 140 | 137 | $28,576 | $5,131 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 131 | 93 | $7,824 | $1,431 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 130 | 123 | $12,389 | $2,329 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 85 | 80 | $13,041 | $2,351 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 77 | 77 | $18,626 | $2,083 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 72 | 68 | $10,202 | $1,334 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 68 | 65 | $66,266 | $15,727 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 60 | 60 | $46,733 | $8,332 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 51 | $21,172 | $3,710 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 55 | 46 | $10,790 | $1,487 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 52 | 52 | $29,308 | $7,812 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 48 | 48 | $18,660 | $2,727 | $2,833 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $34,620 | $8,320 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 44 | 41 | $19,667 | $4,081 | $3,946 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 38 | $13,131 | $2,588 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 35 | $28,427 | $4,050 | $4,338 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 32 | 31 | $108,362 | $20,482 | $21,117 |
| Level 5 ENT ProceduresAPC 5165 | 31 | 30 | $26,695 | $4,356 | $4,436 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 29 | $11,503 | $1,259 | $1,264 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 29 | $20,459 | $2,396 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 26 | 26 | $25,084 | $4,663 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 25 | 25 | $25,571 | $6,316 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 25 | $98,116 | $28,987 | $29,375 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $8,362 | $1,187 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 18 | $60,290 | $14,692 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 19 | $12,120 | $2,835 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $11,325 | $2,325 | $2,389 |
| Complex GI ProceduresAPC 5331 | 14 | 11 | $29,967 | $4,239 | $4,263 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $35,610 | $5,091 | $5,183 |
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.