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 851–900. 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
Mercy Hospital WashingtonWashington, MO · CCN 260052	244	$2,398	About average	$1,904	$17,381
Shands JacksonvilleJacksonville, FL · CCN 100001	297	$2,398	About average	$1,892	$22,413
Presbyterian HospitalAlbuquerque, NM · CCN 320021	644	$2,399	About average	$1,906	$17,025
Covenant Medical CenterSaginaw, MI · CCN 230070	450	$2,399	About average	$1,902	$13,980
Harper University HospitalDetroit, MI · CCN 230104	86	$2,399	About average	$1,901	$21,867
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	183	$2,399	About average	$1,908	$29,273
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	216	$2,400	About average	$1,903	$24,711
Hendricks Regional HealthDanville, IN · CCN 150005	163	$2,400	About average	$1,897	$17,063
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	125	$2,400	About average	$1,893	$14,342
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	66	$2,401	About average	$1,901	$15,265
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	451	$2,401	About average	$1,890	$49,777
West Penn HospitalPittsburgh, PA · CCN 390090	134	$2,401	About average	$1,904	$21,322
Medical Center BarbourEufaula, AL · CCN 010069	36	$2,401	About average	$1,912	$7,603
Monroe County HospitalMonroeville, AL · CCN 010120	113	$2,401	About average	$1,911	$10,460
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	24	$2,401	About average	$1,905	$26,421
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	195	$2,401	About average	$1,909	$23,239
Bluffton Regional Medical CenterBluffton, IN · CCN 150075	41	$2,402	About average	$1,901	$26,263
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	225	$2,402	About average	$1,904	$17,148
Merit Health NatchezNatchez, MS · CCN 250084	90	$2,402	About average	$1,893	$46,247
Mercy Hospital SouthSaint Louis, MO · CCN 260077	416	$2,402	About average	$1,907	$14,134
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	301	$2,402	About average	$1,904	$20,140
Deaconess Hospital IncEvansville, IN · CCN 150082	1,200	$2,402	About average	$1,906	$12,918
Ascension Seton HaysKyle, TX · CCN 670056	275	$2,402	About average	$1,912	$35,088
City Of Hope Cancer Center PhoenixGoodyear, AZ · CCN 030138	20	$2,402	About average	$1,910	$28,527
Community Hospital EastIndianapolis, IN · CCN 150074	217	$2,402	About average	$1,904	$17,247
King's Daughters Medical Center-BrookhavenBrookhaven, MS · CCN 250057	239	$2,403	About average	$1,913	$12,596
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	1,127	$2,403	About average	$1,911	$26,452
Grant Medical CenterColumbus, OH · CCN 360017	524	$2,403	About average	$1,904	$14,490
UPMC EastMonroeville, PA · CCN 390328	220	$2,403	About average	$1,901	$17,480
Canonsburg General HospitalCanonsburg, PA · CCN 390160	141	$2,403	About average	$1,906	$16,467
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	54	$2,404	About average	$1,904	$26,728
Cullman Regional Medical CenterCullman, AL · CCN 010035	189	$2,404	About average	$1,900	$16,797
Franciscan Health LafayetteLafayette, IN · CCN 150109	220	$2,405	About average	$1,908	$21,875
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	448	$2,405	About average	$1,906	$23,670
Ahn Wexford HospitalWexford, PA · CCN 390334	390	$2,405	About average	$1,907	$17,777
Ennis Regional Medical CenterEnnis, TX · CCN 450833	53	$2,405	About average	$1,897	$30,180
UPMC MercyPittsburgh, PA · CCN 390028	205	$2,405	About average	$1,904	$22,521
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	49	$2,405	About average	$1,905	$16,123
Lakeview HospitalBountiful, UT · CCN 460042	84	$2,406	About average	$1,906	$27,314
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	143	$2,406	About average	$1,911	$14,928
Henry Ford Health HospitalDetroit, MI · CCN 230053 · +$159 outlier payments per case	602	$2,406	About average	$1,909	$15,215
Frye Regional Medical CenterHickory, NC · CCN 340116	261	$2,406	About average	$1,911	$35,083
St Mary's HospitalAthens, GA · CCN 110006	117	$2,406	About average	$1,903	$12,809
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	1,042	$2,406	About average	$1,911	$26,006
American Fork HospitalAmerican Fork, UT · CCN 460023	43	$2,407	About average	$1,908	$12,141
Beaumont Hospital, TroyTroy, MI · CCN 230269	1,046	$2,407	About average	$1,910	$21,547
Memorial HospitalMarysville, OH · CCN 360092	143	$2,407	About average	$1,909	$11,460
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	614	$2,407	About average	$1,910	$15,158
St Luke's Nampa Medical CenterNampa, ID · CCN 130071	70	$2,407	About average	$1,907	$18,257
Heritage Valley SewickleySewickley, PA · CCN 390037	52	$2,407	About average	$1,910	$9,528

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.