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 551–600. 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
St Lukes HospitalCedar Rapids, IA · CCN 160045	304	$2,339	11% below the national average	$1,858	$12,790
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	98	$2,339	11% below the national average	$1,860	$29,719
Archbold Memorial HospitalThomasville, GA · CCN 110038	314	$2,339	11% below the national average	$1,863	$18,591
Dekalb Community HospitalSmithville, TN · CCN 440148	53	$2,339	11% below the national average	$1,860	$12,696
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	37	$2,339	11% below the national average	$1,843	$24,781
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	511	$2,340	11% below the national average	$1,860	$13,788
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	472	$2,340	11% below the national average	$1,860	$14,217
CJW Medical CenterRichmond, VA · CCN 490112	332	$2,340	11% below the national average	$1,858	$35,593
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	103	$2,340	11% below the national average	$1,860	$29,411
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	45	$2,340	11% below the national average	$1,864	$11,406
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	677	$2,341	11% below the national average	$1,860	$14,447
South Central Regional Medical CenterLaurel, MS · CCN 250058	409	$2,341	11% below the national average	$1,852	$8,323
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	146	$2,341	11% below the national average	$1,855	$14,958
Kettering Health Greene MemorialXenia, OH · CCN 360026	57	$2,341	11% below the national average	$1,865	$20,386
Centra Bedford Memorial HospitalBedford, VA · CCN 490088	123	$2,341	11% below the national average	$1,862	$18,094
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	551	$2,341	11% below the national average	$1,862	$23,276
Lakes Regional HealthcareSpirit Lake, IA · CCN 160124	181	$2,341	11% below the national average	$1,866	$9,015
Spencer Municipal HospitalSpencer, IA · CCN 160112	137	$2,341	11% below the national average	$1,866	$11,018
Carilion Medical CenterRoanoke, VA · CCN 490024	1,164	$2,341	11% below the national average	$1,863	$14,957
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	107	$2,342	11% below the national average	$1,848	$22,079
University Medical CenterLubbock, TX · CCN 450686	932	$2,342	11% below the national average	$1,859	$24,341
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	195	$2,342	11% below the national average	$1,862	$20,733
St Mary's Regional Medical CenterLewiston, ME · CCN 200034	212	$2,342	11% below the national average	$1,862	$7,820
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	402	$2,343	11% below the national average	$1,855	$10,993
Midland Memorial HospitalMidland, TX · CCN 450133	281	$2,343	11% below the national average	$1,859	$23,217
Miami Valley HospitalDayton, OH · CCN 360051	1,203	$2,343	11% below the national average	$1,856	$20,175
Oklahoma Heart Hospital, LLCOklahoma City, OK · CCN 370215	376	$2,343	11% below the national average	$1,861	$9,524
Oaklawn HospitalMarshall, MI · CCN 230217	128	$2,344	11% below the national average	$1,858	$21,092
Southwestern Medical CenterLawton, OK · CCN 370097	127	$2,344	11% below the national average	$1,859	$19,719
Johnston Memorial HospitalAbingdon, VA · CCN 490053	148	$2,344	11% below the national average	$1,865	$16,685
Baptist Medical CenterSan Antonio, TX · CCN 450058	184	$2,344	11% below the national average	$1,857	$53,157
Integris Health Edmond HospitalEdmond, OK · CCN 370236	244	$2,344	11% below the national average	$1,863	$22,723
Livingston Regional HospitalLivingston, TN · CCN 440187	55	$2,344	11% below the national average	$1,868	$28,494
Saint Thomas Highlands HospitalSparta, TN · CCN 440192	85	$2,344	11% below the national average	$1,868	$13,101
Southern Tennessee Regional Health System PulaskiPulaski, TN · CCN 440020	57	$2,345	11% below the national average	$1,861	$42,175
St Francis-DowntownGreenville, SC · CCN 420023	317	$2,345	11% below the national average	$1,863	$18,793
Trinity - BettendorfBettendorf, IA · CCN 160104	27	$2,345	11% below the national average	$1,869	$15,543
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	31	$2,345	11% below the national average	$1,843	$17,857
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	115	$2,345	11% below the national average	$1,843	$25,864
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	118	$2,346	11% below the national average	$1,866	$14,098
Bsa HospitalAmarillo, TX · CCN 450231	212	$2,346	11% below the national average	$1,863	$21,678
St Vincent Medical Center/NorthSherwood, AR · CCN 040137	55	$2,346	11% below the national average	$1,869	$16,169
Conway Regional Medical Center, IncConway, AR · CCN 040029	64	$2,346	11% below the national average	$1,866	$16,597
Unity Health - JacksonvilleJacksonville, AR · CCN 040164	25	$2,346	11% below the national average	$1,866	$9,243
Brushy Creek Family Hospital LLCRound Rock, TX · CCN 670326 · +$14,488 outlier payments per case	23	$2,346	11% below the national average	$1,869	$235,634
Sharkey Issaquena Community HospitalRolling Fork, MS · CCN 250784	84	$2,347	11% below the national average	$1,892	$14,126
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138 · +$696 outlier payments per case	336	$2,347	11% below the national average	$1,861	$40,630
Panola Medical CenterBatesville, MS · CCN 250781	15	$2,347	11% below the national average	$1,884	$15,069
Saint Luke's East HospitalLees Summit, MO · CCN 260216	686	$2,347	11% below the national average	$1,861	$39,438
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	107	$2,347	11% below the national average	$1,867	$15,539

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.