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 651–700. 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
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	65	$2,356	11% below the national average	$1,868	$14,309
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	250	$2,356	11% below the national average	$1,876	$28,957
McLeod Health ClarendonManning, SC · CCN 420109	39	$2,356	11% below the national average	$1,877	$16,417
AllianceHealth DurantDurant, OK · CCN 370014	185	$2,356	11% below the national average	$1,872	$42,920
Carilion Tazewell Community HospitalTazewell, VA · CCN 490117	48	$2,356	11% below the national average	$1,877	$15,415
Smyth County Community HospitalMarion, VA · CCN 490038	60	$2,356	11% below the national average	$1,874	$15,297
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	837	$2,357	11% below the national average	$1,871	$17,643
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	601	$2,357	11% below the national average	$1,870	$24,964
Mary Immaculate HospitalNewport News, VA · CCN 490041	29	$2,357	11% below the national average	$1,878	$22,652
Research Medical CenterKansas City, MO · CCN 260027	113	$2,357	11% below the national average	$1,868	$48,333
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	878	$2,357	11% below the national average	$1,870	$9,931
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	76	$2,357	11% below the national average	$1,871	$22,467
Haywood Regional Medical CenterClyde, NC · CCN 340184	158	$2,358	10% below the national average	$1,872	$26,023
The Nebraska Medical CenterOmaha, NE · CCN 280013	222	$2,358	10% below the national average	$1,859	$12,449
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	165	$2,358	10% below the national average	$1,874	$21,724
Crisp Regional HospitalCordele, GA · CCN 110104	99	$2,358	10% below the national average	$1,855	$10,600
Integris Community Hospital - Council CrossingOklahoma City, OK · CCN 370240	43	$2,358	10% below the national average	$1,879	$19,301
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 180016	48	$2,358	10% below the national average	$1,879	$13,604
Metro Nashville General HospitalNashville, TN · CCN 440111	59	$2,358	10% below the national average	$1,875	$14,057
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	72	$2,358	10% below the national average	$1,875	$31,715
Liberty HospitalLiberty, MO · CCN 260177	788	$2,358	10% below the national average	$1,872	$17,975
Belton Regional Medical CenterBelton, MO · CCN 260214	179	$2,359	10% below the national average	$1,870	$47,328
Sck HealthArkansas City, KS · CCN 170779	68	$2,359	10% below the national average	$1,890	$15,826
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	205	$2,360	10% below the national average	$1,860	$47,501
Cuero Regional HospitalCuero, TX · CCN 450597	125	$2,360	10% below the national average	$1,873	$20,484
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	46	$2,360	10% below the national average	$1,862	$23,409
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	112	$2,360	10% below the national average	$1,874	$21,309
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	250	$2,360	10% below the national average	$1,855	$17,946
South Texas Health SystemEdinburg, TX · CCN 450119	128	$2,360	10% below the national average	$1,873	$68,557
Christus Mother Frances HospitalTyler, TX · CCN 450102	1,881	$2,361	10% below the national average	$1,878	$36,483
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	195	$2,361	10% below the national average	$1,875	$16,798
Cannon Memorial HospitalPickens, SC · CCN 420011	15	$2,361	10% below the national average	$1,881	$19,492
UPMC NorthwestSeneca, PA · CCN 390091	93	$2,361	10% below the national average	$1,862	$17,836
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	870	$2,361	10% below the national average	$1,876	$26,542
Connally Memorial Medical CenterFloresville, TX · CCN 450108	130	$2,361	10% below the national average	$1,873	$13,689
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	134	$2,362	10% below the national average	$1,881	$16,172
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	69	$2,362	10% below the national average	$1,870	$15,987
Miami County Medical CenterPaola, KS · CCN 170109	131	$2,362	10% below the national average	$1,875	$12,504
McLaren Port HuronPort Huron, MI · CCN 230216	433	$2,362	10% below the national average	$1,870	$11,162
Ascension St Francis HospitalMilwaukee, WI · CCN 520078	19	$2,362	10% below the national average	$1,882	$15,013
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	296	$2,363	10% below the national average	$1,880	$33,473
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	218	$2,363	10% below the national average	$1,879	$16,939
Henrico Doctors' HospitalRichmond, VA · CCN 490118	347	$2,363	10% below the national average	$1,878	$35,117
Methodist HospitalSan Antonio, TX · CCN 450388	313	$2,363	10% below the national average	$1,878	$37,035
Palo Pinto General HospitalMineral Wells, TX · CCN 450565	160	$2,363	10% below the national average	$1,879	$9,348
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	209	$2,364	10% below the national average	$1,872	$22,884
Woodland Heights Medical CenterLufkin, TX · CCN 450484	171	$2,364	10% below the national average	$1,875	$30,244
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	401	$2,364	10% below the national average	$1,865	$16,094
Laredo Medical CenterLaredo, TX · CCN 450029	234	$2,364	10% below the national average	$1,874	$38,236
Logan Regional Medical CenterLogan, WV · CCN 510048	169	$2,364	10% below the national average	$1,876	$23,697

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.