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 601–650. 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
Coshocton Regional Medical CenterCoshocton, OH · CCN 360109	54	$2,347	11% below the national average	$1,840	$30,145
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	225	$2,347	11% below the national average	$1,869	$13,169
Vidant Edgecombe HospitalTarboro, NC · CCN 340107	55	$2,347	11% below the national average	$1,863	$19,390
Northwest Missississippi Regional Medical CenterClarksdale, MS · CCN 250042	46	$2,348	11% below the national average	$1,867	$24,829
Hillcrest Hospital SouthTulsa, OK · CCN 370202	176	$2,348	11% below the national average	$1,868	$27,307
Saint Lukes North HospitalKansas City, MO · CCN 260062	224	$2,348	11% below the national average	$1,862	$36,648
Hillcrest Hospital PryorPryor, OK · CCN 370015	89	$2,348	11% below the national average	$1,866	$18,189
Cary Medical CenterCaribou, ME · CCN 200031	84	$2,349	11% below the national average	$1,871	$8,886
St Joseph HospitalBangor, ME · CCN 200001	134	$2,349	11% below the national average	$1,871	$9,891
Oklahoma State University Medical CenterTulsa, OK · CCN 370078	337	$2,349	11% below the national average	$1,866	$13,911
Parrish Medical CenterTitusville, FL · CCN 100028	469	$2,349	11% below the national average	$1,841	$25,737
Christ HospitalCincinnati, OH · CCN 360163	480	$2,349	11% below the national average	$1,891	$13,088
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	169	$2,349	11% below the national average	$1,868	$36,677
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	650	$2,349	11% below the national average	$1,871	$16,446
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	25	$2,349	11% below the national average	$1,872	$12,590
MercyOne Newton Medical CenterNewton, IA · CCN 160032	79	$2,349	11% below the national average	$1,872	$18,145
Northwest Texas HospitalAmarillo, TX · CCN 450209	67	$2,350	11% below the national average	$1,858	$49,932
McLaren Greater LansingLansing, MI · CCN 230167	101	$2,350	11% below the national average	$1,847	$17,752
Baptist Health LexingtonLexington, KY · CCN 180103	629	$2,350	11% below the national average	$1,868	$28,930
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	265	$2,350	11% below the national average	$1,851	$14,460
Cumberland Medical CenterCrossville, TN · CCN 440009	114	$2,350	11% below the national average	$1,857	$9,440
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	180	$2,350	11% below the national average	$1,866	$14,037
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	264	$2,351	11% below the national average	$1,868	$15,241
Borgess Medical CenterKalamazoo, MI · CCN 230117	278	$2,351	11% below the national average	$1,864	$17,163
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	444	$2,351	11% below the national average	$1,868	$23,450
Georgetown Community HospitalGeorgetown, KY · CCN 180101	64	$2,351	11% below the national average	$1,865	$37,433
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	508	$2,351	11% below the national average	$1,867	$13,653
Christus St Michael Health SystemTexarkana, TX · CCN 450801	715	$2,352	11% below the national average	$1,866	$28,471
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	142	$2,352	11% below the national average	$1,864	$42,747
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	187	$2,352	11% below the national average	$1,865	$23,046
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	90	$2,352	11% below the national average	$1,864	$13,783
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	133	$2,352	11% below the national average	$1,868	$31,874
Prisma Health BaptistColumbia, SC · CCN 420086	72	$2,352	11% below the national average	$1,874	$16,808
Willis Knighton Medical CenterShreveport, LA · CCN 190111	1,223	$2,352	11% below the national average	$1,869	$19,124
Pelham Medical CenterGreer, SC · CCN 420103	421	$2,352	11% below the national average	$1,868	$19,513
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	211	$2,353	11% below the national average	$1,866	$13,681
Peterson Regional Medical CenterKerrville, TX · CCN 450007	956	$2,353	11% below the national average	$1,870	$23,133
Covenant Medical CenterLubbock, TX · CCN 450040	908	$2,354	11% below the national average	$1,871	$50,097
Northwest Health-La PorteLa Porte, IN · CCN 150006	178	$2,354	11% below the national average	$1,851	$20,602
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	821	$2,354	11% below the national average	$1,868	$12,209
Northwest Health - StarkeKnox, IN · CCN 150102	45	$2,355	11% below the national average	$1,846	$15,918
Memorial Medical CenterLas Cruces, NM · CCN 320018	131	$2,355	11% below the national average	$1,866	$25,383
UNC Health NashRocky Mount, NC · CCN 340147	144	$2,355	11% below the national average	$1,862	$15,882
AdventHealth MurrayChatsworth, GA · CCN 110050	62	$2,355	11% below the national average	$1,874	$30,056
Adena Regional Medical CenterChillicothe, OH · CCN 360159	234	$2,355	11% below the national average	$1,867	$13,630
Lima Memorial Health SystemLima, OH · CCN 360009	281	$2,355	11% below the national average	$1,867	$15,573
Nkc HealthNorth Kansas City, MO · CCN 260096	1,075	$2,355	11% below the national average	$1,869	$21,124
Williamson Medical CenterFranklin, TN · CCN 440029	653	$2,355	11% below the national average	$1,876	$13,228
Marion General HospitalMarion, OH · CCN 360011	284	$2,356	11% below the national average	$1,869	$11,588
Ecu Health Medical CenterGreenville, NC · CCN 340040 · +$69 outlier payments per case	985	$2,356	11% below the national average	$1,871	$17,158

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.