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 751–800. 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
Rio Grande Regional HospitalMcallen, TX · CCN 450711	50	$2,375	About average	$1,887	$41,880
Knapp Medical CenterWeslaco, TX · CCN 450128	23	$2,375	About average	$1,884	$19,947
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	30	$2,375	About average	$1,880	$50,197
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	48	$2,376	About average	$1,886	$25,450
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	582	$2,376	About average	$1,880	$21,993
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	297	$2,377	About average	$1,885	$40,387
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	164	$2,377	About average	$1,881	$17,028
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	209	$2,378	About average	$1,891	$11,954
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	154	$2,378	About average	$1,878	$16,694
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	281	$2,378	About average	$1,870	$37,636
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	217	$2,379	About average	$1,883	$25,394
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	190	$2,379	About average	$1,876	$23,243
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047 · +$74 outlier payments per case	930	$2,379	About average	$1,889	$15,809
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	409	$2,379	About average	$1,883	$14,877
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	431	$2,379	About average	$1,885	$17,077
Kettering Health DaytonDayton, OH · CCN 360133	232	$2,380	About average	$1,893	$24,969
ProMedica Toledo HospitalToledo, OH · CCN 360068	1,048	$2,380	About average	$1,882	$33,515
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	93	$2,380	About average	$1,884	$12,814
McLaren MacombMount Clemens, MI · CCN 230227	730	$2,380	About average	$1,888	$8,492
Soin Medical CenterBeaver Creek, OH · CCN 360360	308	$2,380	About average	$1,880	$22,846
Cincinnati Children's Hospital Medical CenterCincinnati, OH · CCN 363300	14	$2,380	About average	$1,897	$18,480
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	100	$2,381	About average	$1,876	$38,857
Atrium Health University CityCharlotte, NC · CCN 340166	208	$2,381	About average	$1,879	$21,371
McLaren Bay RegionBay City, MI · CCN 230041	100	$2,381	About average	$1,884	$9,306
Memorial HealthcareOwosso, MI · CCN 230121	126	$2,381	About average	$1,891	$28,749
Lovelace Westside HospitalAlbuquerque, NM · CCN 320074	47	$2,382	About average	$1,889	$35,367
John Randolph Medical CenterHopewell, VA · CCN 490020	64	$2,382	About average	$1,898	$36,621
Taylor Regional HospitalHawkinsville, GA · CCN 110781	31	$2,382	About average	$1,921	$9,368
Deaconess Henderson HospitalHenderson, KY · CCN 180056	260	$2,382	About average	$1,891	$11,920
Caldwell Memorial HospitalLenoir, NC · CCN 340041	52	$2,382	About average	$1,898	$16,468
Harris Regional HospitalSylva, NC · CCN 340016	25	$2,382	About average	$1,898	$26,253
UNC RockinghamEden, NC · CCN 340060	23	$2,382	About average	$1,898	$9,127
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	80	$2,382	About average	$1,895	$20,906
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	28	$2,382	About average	$1,878	$9,712
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	568	$2,382	About average	$1,886	$16,702
St Anthony Regional Hospital & Nursing HomeCarroll, IA · CCN 160005	16	$2,383	About average	$1,873	$10,182
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	207	$2,384	About average	$1,887	$9,366
Corewell Health Wayne HospitalWayne, MI · CCN 230142	149	$2,384	About average	$1,890	$22,571
Round Rock Medical CenterRound Rock, TX · CCN 450718	150	$2,384	About average	$1,892	$41,898
Lovelace Regional Hospital - RoswellRoswell, NM · CCN 320086	14	$2,384	About average	$1,899	$24,947
Bellville Medical CenterBellville, TX · CCN 450253	37	$2,384	About average	$1,885	$8,418
Parkview Huntington HospitalHuntington, IN · CCN 150091	71	$2,384	About average	$1,894	$16,036
St Lukes HospitalChesterfield, MO · CCN 260179	606	$2,384	About average	$1,888	$12,010
Mount Carmel East & WestColumbus, OH · CCN 360035	324	$2,384	About average	$1,889	$21,094
Genesis Medical CenterSilvis, IL · CCN 140275	26	$2,385	About average	$1,870	$15,284
Corewell Health Zeeland HospitalZeeland, MI · CCN 230003	84	$2,385	About average	$1,900	$13,501
Spectrum Health United HospitalGreenville, MI · CCN 230035	103	$2,385	About average	$1,900	$12,899
Trinity Health Grand Haven HospitalGrand Haven, MI · CCN 230174	41	$2,385	About average	$1,897	$11,150
Holland HospitalHolland, MI · CCN 230072	94	$2,385	About average	$1,896	$14,369
Northeast Georgia Medical Center LumpkinDahlonega, GA · CCN 110237	127	$2,385	About average	$1,890	$25,730

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.