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 701–750. 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
Resolute Health HospitalNew Braunfels, TX · CCN 670098	121	$2,365	10% below the national average	$1,877	$42,541
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	222	$2,365	10% below the national average	$1,880	$53,946
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	138	$2,365	10% below the national average	$1,882	$35,876
Mountain View Regional Medical CenterLas Cruces, NM · CCN 320085	300	$2,365	10% below the national average	$1,873	$32,693
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	258	$2,366	10% below the national average	$1,882	$9,620
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	418	$2,366	10% below the national average	$1,880	$28,390
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	609	$2,366	10% below the national average	$1,881	$19,243
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	166	$2,367	10% below the national average	$1,883	$13,503
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	319	$2,367	10% below the national average	$1,875	$27,034
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	269	$2,368	10% below the national average	$1,884	$17,791
Wayne General HospitalWaynesboro, MS · CCN 250077	146	$2,368	10% below the national average	$1,877	$6,296
Caromont Regional Medical CenterGastonia, NC · CCN 340032	396	$2,368	10% below the national average	$1,871	$23,300
Berkeley Medical CenterMartinsburg, WV · CCN 510008	276	$2,368	10% below the national average	$1,856	$10,594
SSM St Clare Health CenterFenton, MO · CCN 260081	283	$2,368	10% below the national average	$1,879	$14,661
Atrium Health ClevelandShelby, NC · CCN 340021	145	$2,368	10% below the national average	$1,871	$22,974
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	283	$2,368	10% below the national average	$1,883	$14,012
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	161	$2,369	10% below the national average	$1,880	$20,822
Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX · CCN 670078	312	$2,369	10% below the national average	$1,886	$44,810
Good Samaritan HospitalCincinnati, OH · CCN 360134	166	$2,369	10% below the national average	$1,885	$13,385
South Sunflower County HospitalIndianola, MS · CCN 250095	78	$2,369	10% below the national average	$1,883	$9,719
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	141	$2,369	10% below the national average	$1,882	$13,503
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	199	$2,370	10% below the national average	$1,882	$16,868
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033 · +$116 outlier payments per case	384	$2,370	10% below the national average	$1,882	$14,589
Saint Joseph EastLexington, KY · CCN 180143	20	$2,370	About average	$1,889	$14,851
Menorah Medical CenterOverland Park, KS · CCN 170182	289	$2,371	About average	$1,884	$36,124
Dupont Hospital LLCFort Wayne, IN · CCN 150150	52	$2,371	About average	$1,864	$25,907
Grand Island Regional Medical CenterGrand Island, NE · CCN 280139	49	$2,371	About average	$1,855	$12,813
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	316	$2,372	About average	$1,881	$23,217
Berger HospitalCircleville, OH · CCN 360170	58	$2,372	About average	$1,881	$11,775
Stormont Vail HospitalTopeka, KS · CCN 170086	520	$2,372	About average	$1,886	$24,840
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	193	$2,372	About average	$1,888	$13,853
Princeton Community Hospital Assn IncPrinceton, WV · CCN 510046	90	$2,373	About average	$1,875	$11,978
George Regional Health SystemLucedale, MS · CCN 250036	90	$2,373	About average	$1,882	$10,064
Saint Luke's South HospitalOverland Park, KS · CCN 170185	543	$2,373	About average	$1,887	$37,000
Cameron Regional Medical CenterCameron, MO · CCN 260057	115	$2,374	About average	$1,888	$20,262
Davis Medical CenterElkins, WV · CCN 510030	161	$2,374	About average	$1,882	$7,674
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	219	$2,374	About average	$1,876	$14,192
Northern Regional HospitalMount Airy, NC · CCN 340003	262	$2,375	About average	$1,890	$9,479
Covenant Hospital LevellandLevelland, TX · CCN 450755	21	$2,375	About average	$1,892	$10,026
Freestone Medical CenterFairfield, TX · CCN 450658	66	$2,375	About average	$1,892	$17,454
University Of Texas Health Science Center At TylerTyler, TX · CCN 450690	24	$2,375	About average	$1,892	$21,069
Methodist Hospital AtascosaJourdanton, TX · CCN 450165	56	$2,375	About average	$1,892	$33,193
Nacogdoches Memorial HospitalNacogdoches, TX · CCN 450508	50	$2,375	About average	$1,892	$18,890
Hereford Regional Medical CenterHereford, TX · CCN 450155	37	$2,375	About average	$1,891	$13,253
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	286	$2,375	About average	$1,891	$38,668
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604 · +$1,838 outlier payments per case	228	$2,375	About average	$1,890	$38,773
The Hospitals Of Providence Horizon City CampusHorizon City, TX · CCN 670124	42	$2,375	About average	$1,890	$38,664
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	90	$2,375	About average	$1,890	$51,076
Odessa Regional Medical CenterOdessa, TX · CCN 450661	80	$2,375	About average	$1,889	$33,216
Harlingen Medical CenterHarlingen, TX · CCN 450855	32	$2,375	About average	$1,887	$27,191

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.