Outpatient procedure · APC 8011

Comprehensive Observation Services

In 2024, Medicare and patients paid an average of $2,634 per procedure at 2,753 hospitals. Half of hospitals averaged between $2,362 and $2,697.

Also known as: Observation stay

National figures, 2024

Average payment per case: $2,634
Typical range (middle half of hospitals): $2,362–$2,697
Medicare’s share: $2,09079% of the payment
Average billed charge: $24,060
Hospitals reporting: 2,753815,315 procedures

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2,746 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. Download as CSV

Medicare payments per case for Comprehensive Observation Services by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Andalusia HealthAndalusia, AL · CCN 010036	81	$2,323	12% below the national average	$1,844	$20,000
Norman RegionalNorman, OK · CCN 370008	713	$2,324	12% below the national average	$1,843	$18,174
Kettering Health TroyTroy, OH · CCN 360368	110	$2,324	12% below the national average	$1,846	$21,406
Norton Hospitals, IncLouisville, KY · CCN 180088	1,770	$2,324	12% below the national average	$1,847	$19,750
Hillcrest Hospital HenryettaHenryetta, OK · CCN 370183	58	$2,324	12% below the national average	$1,851	$12,785
Muscogee (Creek) Nation Medical CenterOkmulgee, OK · CCN 370057	50	$2,324	12% below the national average	$1,851	$11,431
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	126	$2,324	12% below the national average	$1,850	$13,774
Choctaw Memorial HospitalHugo, OK · CCN 370100	278	$2,324	12% below the national average	$1,849	$8,793
Hillcrest Hospital CushingCushing, OK · CCN 370099	53	$2,324	12% below the national average	$1,849	$16,929
St Mary's Regional Medical CenterEnid, OK · CCN 370026	92	$2,325	12% below the national average	$1,843	$34,754
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	216	$2,325	12% below the national average	$1,847	$16,068
Pushmataha HospitalAntlers, OK · CCN 370083	77	$2,325	12% below the national average	$1,841	$7,554
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	126	$2,325	12% below the national average	$1,848	$15,184
Phoebe Sumter Medical CenterAmericus, GA · CCN 110044	68	$2,325	12% below the national average	$1,852	$20,374
Integris Canadian Valley HospitalYukon, OK · CCN 370211	190	$2,325	12% below the national average	$1,843	$23,126
Memorial HospitalStilwell, OK · CCN 370178	27	$2,325	12% below the national average	$1,833	$7,434
Clinton Regional HospitalClinton, OK · CCN 370245	12	$2,325	12% below the national average	$1,829	$19,075
Mena Regional Health SystemMena, AR · CCN 040015	40	$2,325	12% below the national average	$1,822	$7,195
Southern Tennessee Regional Health System LawrenceLawrenceburg, TN · CCN 440175	74	$2,325	12% below the national average	$1,852	$32,007
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	705	$2,325	12% below the national average	$1,846	$12,942
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	363	$2,325	12% below the national average	$1,842	$12,431
Atrium Medical CenterFranklin, OH · CCN 360076	268	$2,326	12% below the national average	$1,841	$19,560
Mary Greeley Medical CenterAmes, IA · CCN 160030	524	$2,326	12% below the national average	$1,848	$13,514
University Of Toledo Medical CenterToledo, OH · CCN 360048	152	$2,326	12% below the national average	$1,850	$21,576
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	415	$2,326	12% below the national average	$1,847	$14,555
Maria Parham Medical CenterHenderson, NC · CCN 340132	43	$2,327	12% below the national average	$1,849	$28,455
Byrd Regional HospitalLeesville, LA · CCN 190164	247	$2,327	12% below the national average	$1,847	$26,471
Sampson Regional Medical CenterClinton, NC · CCN 340024	104	$2,327	12% below the national average	$1,843	$13,266
Trident Medical CenterCharleston, SC · CCN 420079	684	$2,327	12% below the national average	$1,845	$40,010
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	690	$2,327	12% below the national average	$1,848	$9,607
Hale County HospitalGreensboro, AL · CCN 010095	29	$2,328	12% below the national average	$1,842	$4,719
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	206	$2,328	12% below the national average	$1,848	$17,615
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	248	$2,328	12% below the national average	$1,851	$7,937
Nacogdoches Medical CenterNacogdoches, TX · CCN 450656	80	$2,328	12% below the national average	$1,843	$44,781
Mercy Regional Medical CenterVille Platte, LA · CCN 190167	78	$2,328	12% below the national average	$1,851	$19,905
Sequoyah County-City Of Sallisaw Hospital AuthoritSallisaw, OK · CCN 370112	91	$2,328	12% below the national average	$1,855	$8,500
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	803	$2,328	12% below the national average	$1,849	$32,865
Hillcrest Medical CenterTulsa, OK · CCN 370001	189	$2,328	12% below the national average	$1,849	$34,732
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	73	$2,328	12% below the national average	$1,845	$12,081
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	238	$2,329	12% below the national average	$1,842	$16,481
Citizens Medical CenterColumbia, LA · CCN 190184	97	$2,329	12% below the national average	$1,851	$6,322
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	169	$2,329	12% below the national average	$1,842	$11,938
Lewisgale Medical CenterSalem, VA · CCN 490048	289	$2,329	12% below the national average	$1,849	$24,384
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	116	$2,329	12% below the national average	$1,847	$23,509
East Ohio Regional HospitalMartins Ferry, OH · CCN 360080	69	$2,329	12% below the national average	$1,856	$10,760
Boone Hospital CenterColumbia, MO · CCN 260068	79	$2,329	12% below the national average	$1,853	$10,261
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	53	$2,329	12% below the national average	$1,841	$12,607
Medical Center HospitalOdessa, TX · CCN 450132	341	$2,330	12% below the national average	$1,846	$17,939
Timpanogos Regional HospitalOrem, UT · CCN 460052	88	$2,330	12% below the national average	$1,841	$25,125
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	610	$2,330	12% below the national average	$1,855	$14,896

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 1,019,189 procedures at 2,860 hospitals · 2021: 965,877 procedures at 2,852 hospitals · 2022: 921,225 procedures at 2,850 hospitals · 2023: 863,129 procedures at 2,798 hospitals · 2024: 815,315 procedures at 2,753 hospitals

View data as a table

National average payment and billed charge for Comprehensive Observation Services
Year of care	Average payment	Average billed charge
2020	$2,173	$19K
2021	$2,303	$20K
2022	$2,330	$22K
2023	$2,422	$23K
2024	$2,634	$24K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Comprehensive Observation Services, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	1,308	$1,285	$1,180–$1,485
Alabama	73	8,112	$2,241	$2,169–$2,264
Mississippi	52	11,311	$2,278	$2,235–$2,347
West Virginia	22	5,181	$2,285	$2,226–$2,367
Louisiana	64	14,412	$2,288	$2,259–$2,300
Tennessee	73	16,493	$2,299	$2,237–$2,337
Ohio	110	31,616	$2,317	$2,300–$2,380
Oklahoma	61	11,406	$2,348	$2,322–$2,440
Arkansas	40	11,142	$2,356	$2,302–$2,439
Kentucky	61	15,821	$2,359	$2,296–$2,442
South Carolina	50	15,082	$2,368	$2,308–$2,382
Kansas	33	7,920	$2,377	$2,321–$2,503
Iowa	31	7,279	$2,385	$2,330–$2,467
Missouri	63	15,191	$2,393	$2,335–$2,465
Michigan	81	23,451	$2,410	$2,364–$2,467
Georgia	92	21,579	$2,422	$2,298–$2,481
North Carolina	78	21,007	$2,426	$2,380–$2,450
Texas	233	58,602	$2,445	$2,375–$2,511
Nebraska	19	3,391	$2,450	$2,431–$2,480
Florida	166	77,597	$2,457	$2,443–$2,471
Maine	17	2,448	$2,457	$2,370–$2,519
Virginia	69	26,889	$2,459	$2,332–$2,524
Indiana	73	18,659	$2,464	$2,412–$2,485
New Mexico	22	4,083	$2,469	$2,369–$2,549
Utah	31	3,560	$2,478	$2,429–$2,452
Wisconsin	61	10,886	$2,497	$2,447–$2,538
Idaho	12	2,397	$2,548	$2,440–$2,614
Pennsylvania	122	33,705	$2,553	$2,415–$2,601
Illinois	113	39,922	$2,573	$2,522–$2,604
North Dakota	6	2,780	$2,590	$2,532–$2,653
Montana	10	3,213	$2,595	$2,543–$2,721
Colorado	48	13,460	$2,608	$2,586–$2,606
Minnesota	45	11,221	$2,627	$2,574–$2,716
New Hampshire	13	5,226	$2,637	$2,593–$2,699
South Dakota	11	2,485	$2,638	$2,559–$2,731
Arizona	54	22,819	$2,686	$2,639–$2,669
Delaware	6	4,912	$2,718	$2,698–$2,727
Wyoming	9	1,733	$2,722	$2,695–$2,745
Rhode Island	9	2,010	$2,752	$2,748–$2,778
District of Columbia	6	1,453	$2,758	$2,739–$2,795
Washington	45	8,931	$2,802	$2,728–$2,893
New Jersey	59	36,741	$2,897	$2,835–$3,029
Nevada	21	7,349	$2,900	$2,857–$2,915
Oregon	32	5,804	$2,901	$2,821–$2,873
Massachusetts	51	32,481	$2,920	$2,905–$2,928
Alaska	6	1,743	$2,936	$2,857–$2,998
New York	115	38,093	$2,983	$2,877–$3,083
Connecticut	26	15,665	$3,045	$3,022–$3,054
Hawaii	12	1,584	$3,127	$3,076–$3,276
California	242	75,162	$3,471	$3,347–$3,602

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.