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 501–550. 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
Wooster Community HospitalWooster, OH · CCN 360036	161	$2,330	12% below the national average	$1,854	$9,215
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	71	$2,330	12% below the national average	$1,823	$21,980
Eastern New Mexico Medical CenterRoswell, NM · CCN 320006	56	$2,331	12% below the national average	$1,838	$29,493
O U Medical CenterOklahoma City, OK · CCN 370093 · +$351 outlier payments per case	304	$2,331	12% below the national average	$1,850	$40,987
Mercy Health - West HospitalCincinnati, OH · CCN 360234	180	$2,331	11% below the national average	$1,846	$15,826
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	221	$2,331	11% below the national average	$1,849	$15,053
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	204	$2,331	11% below the national average	$1,848	$25,648
St Elizabeth FlorenceFlorence, KY · CCN 180045	348	$2,331	11% below the national average	$1,848	$9,879
Roper HospitalCharleston, SC · CCN 420087	311	$2,331	11% below the national average	$1,851	$14,679
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	633	$2,332	11% below the national average	$1,851	$16,930
Grand Lake Health SystemSaint Marys, OH · CCN 360032	207	$2,332	11% below the national average	$1,856	$12,608
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	680	$2,332	11% below the national average	$1,851	$13,053
Centerpoint Medical CenterIndependence, MO · CCN 260095	163	$2,332	11% below the national average	$1,844	$45,172
Northern Light A R Gould HospitalPresque Isle, ME · CCN 200018	141	$2,332	11% below the national average	$1,858	$18,125
Overland Park Regional Medical CenterOverland Park, KS · CCN 170176	261	$2,332	11% below the national average	$1,846	$48,850
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	116	$2,333	11% below the national average	$1,853	$35,574
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	144	$2,333	11% below the national average	$1,848	$28,603
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	151	$2,333	11% below the national average	$1,854	$29,672
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	422	$2,333	11% below the national average	$1,856	$23,912
Fisher-Titus HospitalNorwalk, OH · CCN 360065	233	$2,333	11% below the national average	$1,856	$10,446
Kearney Regional Medical CenterKearney, NE · CCN 280134	77	$2,334	11% below the national average	$1,855	$17,748
Purcell Municipal HospitalPurcell, OK · CCN 370158	68	$2,334	11% below the national average	$1,855	$9,040
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	658	$2,334	11% below the national average	$1,856	$19,515
Baptist Health Medical Center- ConwayConway, AR · CCN 040154	156	$2,334	11% below the national average	$1,857	$20,212
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	151	$2,334	11% below the national average	$1,853	$27,618
Sentara Leigh HospitalNorfolk, VA · CCN 490046	983	$2,335	11% below the national average	$1,851	$22,958
Bourbon Community HospitalParis, KY · CCN 180046	83	$2,335	11% below the national average	$1,845	$29,330
Clark Regional Medical CenterWinchester, KY · CCN 180092	121	$2,335	11% below the national average	$1,857	$33,179
Mercy Health Kings Mills Hospital LLCMason, OH · CCN 360374	42	$2,335	11% below the national average	$1,851	$19,264
Cherokee Medical CenterGaffney, SC · CCN 420043	203	$2,335	11% below the national average	$1,859	$20,803
Chesapeake General HospitalChesapeake, VA · CCN 490120	460	$2,336	11% below the national average	$1,850	$10,958
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	253	$2,336	11% below the national average	$1,856	$12,524
Baylor University Medical CenterDallas, TX · CCN 450021 · +$350 outlier payments per case	183	$2,336	11% below the national average	$1,843	$24,800
Altus Lumberton HospitalLumberton, TX · CCN 670134 · +$4,199 outlier payments per case	55	$2,336	11% below the national average	$1,858	$94,235
Union Medical CenterUnion, SC · CCN 420108	82	$2,336	11% below the national average	$1,850	$17,017
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	307	$2,336	11% below the national average	$1,858	$8,749
Ascension St John Medical CenterTulsa, OK · CCN 370114	242	$2,336	11% below the national average	$1,856	$12,104
Bronson South Haven HospitalSouth Haven, MI · CCN 230085	33	$2,336	11% below the national average	$1,850	$11,917
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	461	$2,336	11% below the national average	$1,847	$16,061
Saint Thomas River Park HospitalMcminnville, TN · CCN 440151	236	$2,336	11% below the national average	$1,859	$16,208
Lutheran HospitalCleveland, OH · CCN 360087	34	$2,337	11% below the national average	$1,862	$19,242
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	194	$2,337	11% below the national average	$1,857	$16,163
Stormont Vail Health Flint Hills, LLCJunction City, KS · CCN 170074	43	$2,337	11% below the national average	$1,859	$15,108
Kansas Medical Center LLCAndover, KS · CCN 170197	87	$2,337	11% below the national average	$1,855	$6,448
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	42	$2,337	11% below the national average	$1,841	$23,711
Tristar Skyline Medical CenterNashville, TN · CCN 440006	180	$2,337	11% below the national average	$1,857	$45,236
Lafollette Medical CenterLa Follette, TN · CCN 440033	24	$2,337	11% below the national average	$1,846	$20,109
St Joseph Medical CenterKansas City, MO · CCN 260085	36	$2,338	11% below the national average	$1,852	$33,592
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	101	$2,338	11% below the national average	$1,854	$50,111
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	140	$2,339	11% below the national average	$1,861	$15,528

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.