Upstate University Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Upstate University Hospital, Syracuse, NY in 2024, from traditional Medicare claims. Back to the Upstate University Hospital profile, with quality ratings, finances and negotiated rates.
4,413
Medicare inpatient discharges
In 134 published DRGs
1.95
Case mix index
IPPS FY 2027
22%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
3,630
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases668 discharges in 7 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 | 458 | $146,994 | $20,158 | $29,987 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 95 | $74,255 | $9,140 | $15,148 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 58 | $402,588 | $59,895 | $82,128 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $383,493 | $74,810 | $78,233 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 13 | $141,972 | $20,166 | $28,962 | 2.14 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $134,032 | $18,480 | $27,343 | 2.04 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 12 | $39,471 | $8,180 | $8,052 | 1.01 |
Circulatory system633 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 139 | $100,476 | $12,140 | $20,497 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 63 | $117,193 | $31,483 | $23,907 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 52 | $83,427 | $8,023 | $17,019 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 37 | $173,933 | $49,617 | $35,482 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $51,588 | $6,536 | $10,524 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 21 | $115,650 | $14,797 | $23,593 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $78,985 | $15,210 | $16,113 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $162,096 | $22,755 | $33,068 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $164,138 | $20,458 | $33,484 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $177,188 | $28,918 | $36,146 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $224,928 | $33,926 | $45,885 | 3.35 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $80,330 | $9,283 | $16,387 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 18 | $85,529 | $9,974 | $17,448 | 1.07 |
| Other vascular procedures with CCMS-DRG 253, surgical | 17 | $181,319 | $22,043 | $36,989 | 2.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $85,185 | $11,063 | $17,378 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $108,739 | $21,859 | $22,183 | 2.28 |
| Hypertension with MCCMS-DRG 304, medical | 16 | $156,308 | $16,623 | $31,887 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $77,404 | $9,089 | $15,790 | 0.97 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $57,122 | $8,246 | $11,653 | 0.91 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $235,790 | $53,108 | $48,101 | 5.04 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $434,280 | $79,721 | $88,593 | 7.80 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $80,030 | $8,170 | $16,326 | 0.86 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $74,136 | $14,555 | $15,124 | 1.58 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $158,286 | $30,568 | $32,290 | 3.46 |
Musculoskeletal system and connective tissue561 discharges in 20 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 | 107 | $81,971 | $17,053 | $16,722 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 63 | $81,378 | $8,953 | $16,601 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 62 | $135,024 | $19,725 | $27,545 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 33 | $127,386 | $18,729 | $25,987 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 29 | $67,149 | $7,255 | $13,698 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 26 | $55,405 | $8,126 | $11,303 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 25 | $170,038 | $33,502 | $34,688 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 25 | $189,324 | $30,475 | $38,622 | 2.95 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 24 | $154,707 | $29,140 | $31,560 | 2.96 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 24 | $97,770 | $23,857 | $19,945 | 2.48 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 21 | $132,287 | $21,168 | $26,986 | 2.40 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 16 | $105,363 | $9,317 | $21,494 | 1.09 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 15 | $230,663 | $57,690 | $47,055 | 6.12 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $160,171 | $31,880 | $32,675 | 3.66 |
| Medical back problems with MCCMS-DRG 551, medical | 15 | $129,055 | $15,668 | $26,327 | 1.70 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $89,069 | $18,638 | $18,170 | 2.04 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 13 | $239,020 | $33,521 | $48,760 | 2.99 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 13 | $69,259 | $7,632 | $14,129 | 0.88 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 11 | $270,729 | $51,236 | $55,229 | 5.19 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 11 | $95,626 | $15,264 | $19,508 | 1.87 |
Respiratory system546 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 | 98 | $101,604 | $15,256 | $20,727 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 95 | $112,755 | $12,605 | $23,002 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 63 | $83,680 | $11,388 | $17,071 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $58,985 | $9,938 | $12,033 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 38 | $71,331 | $8,632 | $14,552 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 34 | $63,151 | $7,208 | $12,883 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 28 | $131,999 | $17,706 | $26,928 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 22 | $145,453 | $16,130 | $29,672 | 1.74 |
| Pneumothorax with CCMS-DRG 200, medical | 20 | $96,802 | $9,786 | $19,748 | 1.08 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $60,596 | $7,575 | $12,362 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $210,483 | $28,862 | $42,939 | 2.70 |
| Pneumothorax with MCCMS-DRG 199, medical | 15 | $154,412 | $17,538 | $31,500 | 1.77 |
| Major chest procedures with CCMS-DRG 164, surgical | 14 | $156,589 | $23,451 | $31,944 | 2.55 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 14 | $120,347 | $18,260 | $24,551 | 1.88 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $73,348 | $8,964 | $14,963 | 1.05 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $587,412 | $99,744 | $119,832 | 6.91 |
Nervous system523 discharges in 18 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 | 82 | $87,103 | $9,833 | $17,769 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 49 | $281,397 | $49,840 | $57,405 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 45 | $169,585 | $20,229 | $34,595 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 41 | $62,299 | $7,564 | $12,709 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 34 | $93,399 | $12,278 | $19,053 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 34 | $176,831 | $22,376 | $36,074 | 1.98 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 28 | $149,950 | $13,998 | $30,590 | 1.47 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 27 | $361,632 | $61,134 | $73,773 | 5.67 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 25 | $87,572 | $9,975 | $17,865 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 23 | $226,605 | $32,730 | $46,227 | 2.39 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 20 | $65,976 | $6,009 | $13,459 | 0.69 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 19 | $136,875 | $23,618 | $27,922 | 2.28 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 19 | $146,106 | $23,220 | $29,806 | 2.27 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 18 | $78,812 | $8,529 | $16,078 | 1.06 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 16 | $129,096 | $21,212 | $26,336 | 2.43 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $49,126 | $6,801 | $10,022 | 0.80 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $71,524 | $12,756 | $14,591 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 13 | $128,343 | $13,552 | $26,182 | 1.36 |
Kidney and urinary tract458 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 110 | $59,974 | $7,381 | $12,235 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 80 | $77,505 | $10,826 | $15,811 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 70 | $95,487 | $15,242 | $19,479 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 55 | $73,670 | $8,372 | $15,029 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 42 | $77,694 | $9,676 | $15,850 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $125,619 | $13,838 | $25,626 | 1.50 |
| Kidney transplantMS-DRG 652, surgical | 30 | $377,586 | $24,372 | $77,028 | 3.00 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 13 | $80,528 | $13,425 | $16,428 | 1.48 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $212,315 | $39,672 | $43,312 | 3.70 |
| Urinary stones without MCCMS-DRG 694, medical | 11 | $59,717 | $7,271 | $12,182 | 0.78 |
Digestive system351 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 | 67 | $59,956 | $6,915 | $12,231 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 47 | $77,852 | $8,858 | $15,882 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 40 | $177,742 | $23,546 | $36,259 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $161,263 | $21,296 | $32,898 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 32 | $62,200 | $8,617 | $12,689 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $65,830 | $7,067 | $13,429 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 19 | $67,945 | $9,398 | $13,861 | 1.04 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 18 | $122,521 | $18,990 | $24,994 | 1.62 |
| Digestive malignancy with CCMS-DRG 375, medical | 17 | $164,881 | $17,281 | $33,636 | 1.20 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $105,245 | $10,467 | $21,470 | 1.28 |
| Digestive malignancy with MCCMS-DRG 374, medical | 15 | $209,386 | $23,918 | $42,715 | 2.10 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $160,493 | $22,542 | $32,741 | 2.50 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $98,733 | $16,060 | $20,142 | 1.67 |
Endocrine, nutritional and metabolic231 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 | 85 | $67,563 | $7,170 | $13,783 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 72 | $108,539 | $13,583 | $22,142 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 37 | $66,978 | $8,566 | $13,663 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $88,357 | $12,628 | $18,025 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $145,600 | $17,828 | $29,702 | 1.98 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $142,882 | $17,500 | $29,148 | 1.65 |
Skin, subcutaneous tissue and breast94 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 62 | $51,710 | $7,594 | $10,549 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $89,647 | $14,323 | $18,288 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $60,146 | $8,245 | $12,270 | 0.91 |
Liver, gallbladder and pancreas90 discharges in 4 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 | 34 | $181,628 | $16,946 | $37,052 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 25 | $137,313 | $20,425 | $28,012 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 17 | $97,517 | $10,577 | $19,893 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $87,497 | $5,703 | $17,849 | 0.86 |
Blood cancers and poorly differentiated neoplasms51 discharges in 1 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 | 51 | $68,577 | $12,501 | $13,990 | 1.21 |
Factors influencing health status49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 32 | $43,227 | $5,430 | $8,818 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $56,908 | $7,179 | $11,609 | 0.80 |
Injuries, poisonings and toxic effects of drugs48 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 17 | $146,629 | $26,306 | $29,912 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 16 | $110,918 | $14,556 | $22,627 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 15 | $69,337 | $10,385 | $14,145 | 1.03 |
Blood and immune system36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 24 | $154,150 | $13,740 | $31,447 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $41,637 | $8,490 | $8,494 | 0.90 |
Mental diseases and disorders21 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 | 21 | $101,648 | $15,184 | $20,736 | 1.76 |
Other17 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 | 17 | $438,082 | $68,049 | $89,369 | 4.74 |
Transplants, ECMO and tracheostomy (pre-MDC)13 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 | 13 | $1,564,109 | $226,994 | $319,078 | 21.32 |
Eye12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of the eye without MCCMS-DRG 125, medical | 12 | $60,741 | $7,475 | $12,391 | 0.80 |
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 | $88,083 | $6,191 | $17,969 | 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 | 663 | 340 | $3,790 | $562 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 425 | 304 | $13,019 | $1,694 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 326 | 306 | $13,004 | $1,343 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 226 | 218 | $27,592 | $2,261 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 138 | 129 | $20,349 | $2,651 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 127 | 121 | $35,459 | $4,301 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 113 | 109 | $52,029 | $12,080 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 99 | 85 | $13,371 | $1,591 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 97 | 97 | $32,986 | $2,431 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 96 | 88 | $19,717 | $2,895 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 89 | 86 | $28,669 | $2,315 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 83 | 78 | $87,702 | $23,196 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 81 | 75 | $22,057 | $3,123 | $2,833 |
| Level 1 Intraocular ProceduresAPC 5491 | 73 | 53 | $16,489 | $1,966 | $1,752 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 67 | 57 | $11,440 | $1,974 | $1,780 |
| Level 4 Vascular ProceduresAPC 5184 | 62 | 43 | $32,652 | $3,443 | $3,946 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 59 | 58 | $62,725 | $18,079 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 58 | 58 | $7,134 | $1,293 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 57 | 55 | $33,868 | $4,532 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 49 | 46 | $74,482 | $9,813 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $49,770 | $9,676 | $8,569 |
| Level 5 ENT ProceduresAPC 5165 | 46 | 46 | $45,335 | $4,947 | $4,436 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 43 | 43 | $66,241 | $9,265 | $8,164 |
| Level 7 Radiation TherapyAPC 5627 | 43 | 41 | $191,494 | $6,623 | $6,121 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 39 | 32 | $28,143 | $2,920 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 36 | 30 | $11,230 | $1,434 | $1,264 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 34 | $40,612 | $5,509 | $4,982 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 33 | 32 | $38,438 | $6,043 | $5,339 |
| Complex GI ProceduresAPC 5331 | 33 | 27 | $24,270 | $4,814 | $4,263 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 29 | 29 | $27,755 | $3,109 | $2,930 |
| Level 3 Upper GI ProceduresAPC 5303 | 25 | 25 | $21,172 | $3,106 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 25 | 25 | $23,800 | $2,311 | $2,176 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 23 | $15,736 | $1,349 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 23 | $22,506 | $2,506 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 20 | $47,364 | $4,828 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 16 | $17,730 | $1,386 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 18 | 18 | $26,209 | $3,435 | $3,116 |
| Level 5 Airway EndoscopyAPC 5155 | 17 | 17 | $40,847 | $5,782 | $5,183 |
| Level 5 Gynecologic ProceduresAPC 5415 | 17 | 14 | $48,048 | $3,955 | $3,792 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 16 | 16 | $111,625 | $33,131 | $29,375 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 14 | 14 | $88,441 | $21,500 | $18,465 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $106,798 | $16,916 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $23,249 | $2,641 | $2,389 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $60,874 | $18,976 | $17,052 |
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.