Ut Health Tyler Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ut Health Tyler, Tyler, TX in 2024, from traditional Medicare claims. Back to the Ut Health Tyler profile, with quality ratings, finances and negotiated rates.
4,302
Medicare inpatient discharges
In 122 published DRGs
2.26
Case mix index
IPPS FY 2027
35%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
4,778
Medicare outpatient services
In 45 service groups
Inpatient stays by major diagnostic category
Circulatory system1,011 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 153 | $74,874 | $8,901 | $9,434 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 132 | $89,558 | $11,015 | $11,284 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 80 | $131,004 | $12,049 | $16,507 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 71 | $34,403 | $5,193 | $4,335 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 55 | $59,405 | $6,224 | $7,485 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 52 | $174,591 | $19,480 | $21,998 | 2.87 |
| Other vascular procedures with CCMS-DRG 253, surgical | 45 | $115,674 | $17,619 | $14,575 | 2.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 37 | $226,378 | $32,217 | $28,524 | 4.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 36 | $231,220 | $26,814 | $29,134 | 4.04 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 36 | $29,598 | $3,677 | $3,729 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 36 | $59,461 | $6,227 | $7,492 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 30 | $78,873 | $7,460 | $9,938 | 1.08 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 26 | $309,215 | $33,247 | $38,961 | 5.20 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $78,580 | $9,717 | $9,901 | 1.20 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 23 | $169,806 | $21,646 | $21,396 | 3.46 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 22 | $174,617 | $22,653 | $22,002 | 3.24 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 19 | $134,574 | $24,404 | $16,956 | 3.35 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 18 | $60,760 | $4,756 | $7,656 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $141,724 | $14,357 | $17,857 | 2.09 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 16 | $404,901 | $49,857 | $51,017 | 7.80 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 15 | $154,208 | $24,624 | $19,430 | 3.46 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $46,322 | $7,219 | $5,837 | 1.07 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $133,008 | $15,575 | $16,759 | 2.28 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 13 | $393,033 | $37,011 | $49,522 | 5.24 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $243,178 | $36,817 | $30,640 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $127,382 | $15,543 | $16,050 | 2.16 |
Nervous system612 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 | 81 | $87,064 | $6,534 | $10,970 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 80 | $139,489 | $13,923 | $17,576 | 2.00 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 64 | $104,152 | $13,391 | $13,123 | 1.81 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 53 | $121,441 | $16,576 | $15,302 | 2.30 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 43 | $277,335 | $29,668 | $34,944 | 4.42 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 38 | $70,426 | $5,393 | $8,874 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 29 | $109,963 | $13,565 | $13,855 | 1.98 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 26 | $306,459 | $39,741 | $38,614 | 5.67 |
| Seizures without MCCMS-DRG 101, medical | 21 | $64,849 | $6,149 | $8,171 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $72,574 | $7,678 | $9,144 | 1.06 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 19 | $110,421 | $9,710 | $13,913 | 1.36 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 18 | $172,704 | $18,568 | $21,761 | 2.95 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 18 | $271,752 | $23,227 | $34,241 | 2.39 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 18 | $160,163 | $12,324 | $20,181 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $73,506 | $7,865 | $9,262 | 1.03 |
| Carotid artery stent procedures with MCCMS-DRG 034, surgical | 15 | $202,810 | $26,141 | $25,554 | 3.90 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 14 | $234,658 | $26,410 | $29,567 | 3.79 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 13 | $142,618 | $14,558 | $17,970 | 2.43 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 13 | $180,965 | $17,576 | $22,802 | 2.28 |
| Ventricular shunt procedures without cc/mccMS-DRG 033, surgical | 12 | $81,025 | $11,180 | $10,209 | 1.62 |
Infectious and parasitic diseases526 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 | 338 | $120,385 | $13,527 | $15,168 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 75 | $296,866 | $34,300 | $37,405 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $64,253 | $7,343 | $8,096 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 29 | $135,537 | $12,305 | $17,078 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $513,360 | $47,838 | $64,683 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 14 | $133,170 | $15,656 | $16,779 | 2.14 |
Musculoskeletal system and connective tissue525 discharges in 17 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 | 152 | $92,796 | $12,865 | $11,692 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 60 | $123,290 | $13,990 | $15,535 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 40 | $70,559 | $6,449 | $8,890 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 39 | $113,928 | $14,594 | $14,355 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 35 | $168,638 | $24,150 | $21,248 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 31 | $144,100 | $18,573 | $18,157 | 2.96 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 25 | $174,052 | $16,662 | $21,931 | 2.40 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 19 | $93,250 | $13,286 | $11,750 | 1.97 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $84,696 | $10,249 | $10,672 | 1.59 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 17 | $185,793 | $24,437 | $23,410 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 15 | $211,205 | $39,628 | $26,612 | 6.12 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 15 | $58,099 | $7,366 | $7,320 | 1.09 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $168,448 | $17,042 | $21,224 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 12 | $73,645 | $9,361 | $9,279 | 1.49 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 11 | $391,099 | $42,068 | $49,278 | 6.08 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $169,177 | $16,816 | $21,316 | 2.67 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $144,120 | $11,697 | $18,159 | 1.70 |
Kidney and urinary tract463 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 96 | $70,388 | $8,157 | $8,869 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 84 | $54,241 | $5,626 | $6,834 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 63 | $86,428 | $11,677 | $10,890 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 55 | $82,068 | $10,117 | $10,341 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 55 | $50,374 | $6,025 | $6,347 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 31 | $51,831 | $7,434 | $6,531 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 20 | $185,018 | $19,150 | $23,312 | 2.59 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $79,561 | $9,553 | $10,025 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 15 | $172,945 | $27,361 | $21,791 | 3.70 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 14 | $146,705 | $12,039 | $18,485 | 1.84 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 11 | $141,884 | $10,087 | $17,877 | 1.48 |
Respiratory system455 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 128 | $78,273 | $9,178 | $9,862 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 89 | $95,664 | $11,497 | $12,054 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $77,716 | $9,062 | $9,792 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 35 | $53,661 | $5,856 | $6,761 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 34 | $78,568 | $7,197 | $9,900 | 1.10 |
| Major chest procedures with MCCMS-DRG 163, surgical | 22 | $255,032 | $30,632 | $32,134 | 4.71 |
| Major chest procedures with CCMS-DRG 164, surgical | 21 | $176,526 | $18,066 | $22,242 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $85,738 | $9,956 | $10,803 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $199,613 | $18,309 | $25,151 | 2.70 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 16 | $83,856 | $13,011 | $10,566 | 1.90 |
| Pneumothorax with CCMS-DRG 200, medical | 13 | $77,652 | $7,679 | $9,784 | 1.08 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $80,374 | $5,754 | $10,127 | 0.99 |
Digestive system339 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 64 | $58,963 | $6,839 | $7,429 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 52 | $52,671 | $5,397 | $6,637 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 40 | $152,749 | $14,155 | $19,246 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 36 | $47,899 | $6,757 | $6,035 | 0.94 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $129,147 | $13,467 | $16,272 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $64,002 | $9,160 | $8,064 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 23 | $300,482 | $32,520 | $37,861 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $45,087 | $5,420 | $5,681 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 20 | $64,344 | $10,976 | $8,107 | 1.62 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $139,340 | $15,531 | $17,557 | 2.50 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $38,816 | $3,935 | $4,891 | 0.56 |
Endocrine, nutritional and metabolic145 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 | 43 | $72,283 | $9,047 | $9,108 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 36 | $44,708 | $5,383 | $5,633 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $80,369 | $9,966 | $10,126 | 1.45 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 16 | $105,634 | $8,970 | $13,310 | 1.52 |
| Diabetes with CCMS-DRG 638, medical | 15 | $58,957 | $6,006 | $7,429 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $137,723 | $11,120 | $17,353 | 1.98 |
Blood and immune system56 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 | 23 | $70,653 | $10,177 | $8,902 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 22 | $68,366 | $6,098 | $8,614 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 11 | $117,295 | $13,059 | $14,779 | 1.56 |
Liver, gallbladder and pancreas36 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $86,593 | $12,436 | $10,911 | 1.92 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $66,933 | $6,320 | $8,434 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $84,779 | $7,570 | $10,682 | 1.09 |
Injuries, poisonings and toxic effects of drugs35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 21 | $117,711 | $13,317 | $14,832 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 14 | $60,799 | $7,916 | $7,661 | 1.03 |
Other32 discharges in 2 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 | 20 | $323,247 | $29,210 | $40,729 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $170,572 | $15,703 | $21,492 | 2.49 |
Skin, subcutaneous tissue and breast31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $48,277 | $6,078 | $6,083 | 0.88 |
Transplants, ECMO and tracheostomy (pre-MDC)20 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 | 20 | $1,026,009 | $121,150 | $129,277 | 21.32 |
Factors influencing health status16 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 | 16 | $63,836 | $5,298 | $8,043 | 0.80 |
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 | 831 | 538 | $3,457 | $467 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 421 | 418 | $44,554 | $1,993 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 350 | 302 | $12,503 | $1,394 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 296 | 280 | $33,473 | $1,880 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 226 | 219 | $13,376 | $1,104 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 217 | 198 | $82,944 | $7,760 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 178 | 156 | $18,619 | $1,278 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 177 | 155 | $34,848 | $2,382 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 166 | 157 | $47,814 | $3,509 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 159 | 153 | $92,853 | $9,588 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 144 | 126 | $17,297 | $1,231 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 141 | 137 | $61,882 | $4,771 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 93 | 92 | $39,858 | $2,116 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 90 | 88 | $35,096 | $2,166 | $2,405 |
| Level 3 Lower GI ProceduresAPC 5313 | 78 | 77 | $32,789 | $1,988 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 76 | 75 | $77,417 | $7,527 | $8,569 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 73 | 71 | $58,484 | $3,926 | $4,358 |
| Level 4 Airway EndoscopyAPC 5154 | 72 | 70 | $42,153 | $2,517 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 69 | 65 | $47,575 | $2,289 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 66 | 58 | $107,139 | $12,961 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 65 | 61 | $23,635 | $1,934 | $2,141 |
| Level 2 Intraocular ProceduresAPC 5492 | 64 | 61 | $39,265 | $2,810 | $3,116 |
| Level 4 Vascular ProceduresAPC 5184 | 58 | 49 | $47,700 | $3,367 | $3,946 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 49 | 38 | $33,196 | $3,667 | $4,524 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 48 | 46 | $124,300 | $14,201 | $15,763 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 47 | 47 | $107,916 | $7,296 | $8,164 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 46 | 46 | $132,609 | $25,232 | $26,719 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 44 | 42 | $216,342 | $18,495 | $21,117 |
| Level 2 Vascular ProceduresAPC 5182 | 41 | 39 | $11,799 | $1,102 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 41 | 41 | $56,737 | $3,849 | $4,338 |
| Level 3 Upper GI ProceduresAPC 5303 | 39 | 39 | $42,698 | $2,652 | $2,888 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 37 | 36 | $65,290 | $4,386 | $4,982 |
| Complex GI ProceduresAPC 5331 | 37 | 34 | $61,535 | $3,937 | $4,263 |
| Level 5 Airway EndoscopyAPC 5155 | 33 | 32 | $61,623 | $4,732 | $5,183 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 31 | 28 | $26,253 | $1,039 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 28 | 27 | $162,282 | $26,831 | $29,375 |
| Level 5 Gynecologic ProceduresAPC 5415 | 22 | 22 | $46,927 | $3,439 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 22 | 22 | $106,738 | $17,294 | $18,465 |
| Level 3 Intraocular ProceduresAPC 5493 | 20 | 20 | $42,827 | $3,613 | $4,004 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 19 | $35,080 | $2,635 | $2,930 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $133,853 | $15,239 | $17,052 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $36,816 | $2,161 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $23,584 | $1,173 | $1,264 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $82,394 | $5,873 | $6,514 |
| Level 4 ENT ProceduresAPC 5164 | 11 | $38,128 | $2,023 | $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.