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 801–850. 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
Grady Memorial HospitalChickasha, OK · CCN 370054	57	$2,385	About average	$1,879	$10,150
Baptist Health FloydNew Albany, IN · CCN 150044	1,117	$2,385	About average	$1,887	$24,470
Winston Medical CenterLouisville, MS · CCN 250027	222	$2,385	About average	$1,895	$6,284
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	309	$2,386	About average	$1,889	$15,152
Good Samaritan HospitalVincennes, IN · CCN 150042	225	$2,386	About average	$1,891	$16,460
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	140	$2,386	About average	$1,896	$33,709
UPMC HorizonGreenville, PA · CCN 390178	33	$2,386	About average	$1,883	$18,162
Merit Health River RegionVicksburg, MS · CCN 250031	70	$2,386	About average	$1,890	$34,248
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	900	$2,386	About average	$1,895	$23,179
Doctors HospitalColumbus, OH · CCN 360152	173	$2,387	About average	$1,893	$14,156
Northwest Health - PorterValparaiso, IN · CCN 150035	243	$2,387	About average	$1,887	$26,043
Johnson Memorial HospitalFranklin, IN · CCN 150001	87	$2,387	About average	$1,897	$16,320
Norton Clark HospitalJeffersonville, IN · CCN 150009	101	$2,388	About average	$1,888	$24,592
Bolivar Medical CenterCleveland, MS · CCN 250093	118	$2,388	About average	$1,888	$26,089
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	197	$2,389	About average	$1,892	$24,600
Citizens Medical CenterVictoria, TX · CCN 450023	298	$2,389	About average	$1,900	$12,680
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	86	$2,389	About average	$1,894	$11,844
Wilson N Jones Regional Medical CenterSherman, TX · CCN 450469	78	$2,389	About average	$1,903	$15,861
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	160	$2,390	About average	$1,889	$17,809
Northern Light Inland HospitalWaterville, ME · CCN 200041	32	$2,390	About average	$1,904	$14,555
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	390	$2,390	About average	$1,892	$21,208
Progress West HospitalOfallon, MO · CCN 260219	42	$2,390	About average	$1,890	$17,007
Los Alamos Medical CenterLos Alamos, NM · CCN 320033	33	$2,391	About average	$1,879	$35,641
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	548	$2,391	About average	$1,894	$9,931
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	212	$2,391	About average	$1,901	$32,688
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130 · +$45 outlier payments per case	1,076	$2,391	About average	$1,895	$22,028
Allegheny Valley HospitalNatrona, PA · CCN 390032	182	$2,391	About average	$1,894	$17,062
Geisinger Medical CenterDanville, PA · CCN 390006	179	$2,392	About average	$1,891	$58,222
High Point Regional Health SystemHigh Point, NC · CCN 340004	285	$2,392	About average	$1,895	$15,551
Catawba Valley Medical CenterHickory, NC · CCN 340143	211	$2,392	About average	$1,900	$19,339
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	119	$2,392	About average	$1,893	$22,709
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	387	$2,392	About average	$1,892	$27,918
St David's Medical CenterAustin, TX · CCN 450431	336	$2,393	About average	$1,900	$31,267
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	290	$2,393	About average	$1,903	$23,870
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	635	$2,393	About average	$1,901	$20,003
Delta Health System - The Medical CenterGreenville, MS · CCN 250082	155	$2,393	About average	$1,900	$12,719
Fairview Park HospitalDublin, GA · CCN 110125	56	$2,394	About average	$1,903	$37,173
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 450079	82	$2,395	About average	$1,891	$23,069
St David's South Austin Medical CenterAustin, TX · CCN 450713	265	$2,395	About average	$1,901	$40,078
Regional Hospital Of ScrantonScranton, PA · CCN 390237	114	$2,395	About average	$1,898	$20,527
Welch Community HospitalWelch, WV · CCN 510086	45	$2,395	About average	$1,908	$7,596
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	666	$2,396	About average	$1,904	$14,564
CHI Health St. ElizabethLincoln, NE · CCN 280020	132	$2,396	About average	$1,901	$17,406
University Of Michigan Health - WestWyoming, MI · CCN 230236	178	$2,396	About average	$1,909	$15,154
University Of Michigan Health-Sparrow CarsonCarson City, MI · CCN 230208	66	$2,397	About average	$1,909	$18,271
Central Carolina HospitalSanford, NC · CCN 340020	82	$2,397	About average	$1,902	$24,516
Madison HealthLondon, OH · CCN 360189	77	$2,397	About average	$1,897	$17,134
Licking Memorial HospitalNewark, OH · CCN 360218	386	$2,397	About average	$1,900	$15,429
Fairfield Medical CenterLancaster, OH · CCN 360072	268	$2,397	About average	$1,899	$11,516
Riverside Methodist HospitalColumbus, OH · CCN 360006	1,156	$2,398	About average	$1,900	$13,829

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.