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 901–950. 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
Holy Cross Hospital-DavisLayton, UT · CCN 460041	44	$2,408	About average	$1,909	$16,650
Mount Carmel St Ann'sWesterville, OH · CCN 360012	359	$2,409	About average	$1,911	$18,263
UNM HospitalAlbuquerque, NM · CCN 320001	456	$2,409	About average	$1,914	$9,446
UPMC St MargaretPittsburgh, PA · CCN 390102	161	$2,409	About average	$1,908	$26,329
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	104	$2,409	About average	$1,909	$21,489
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	63	$2,409	About average	$1,919	$20,764
Ascension Seton SmithvilleSmithville, TX · CCN 450143	34	$2,409	About average	$1,919	$25,439
Ascension Seton NorthwestAustin, TX · CCN 450867	92	$2,409	About average	$1,918	$27,788
North Austin Medical CenterAustin, TX · CCN 450809	187	$2,409	About average	$1,917	$33,249
Baylor Scott & White Medical Center - BudaBuda, TX · CCN 670131	37	$2,409	About average	$1,914	$20,199
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	193	$2,409	About average	$1,915	$42,777
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	105	$2,410	About average	$1,910	$22,086
Vidant Duplin HospitalKenansville, NC · CCN 340120	93	$2,410	About average	$1,915	$12,917
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009 · +$684 outlier payments per case	143	$2,410	About average	$1,912	$17,522
Longview Regional Medical CenterLongview, TX · CCN 450702	389	$2,411	About average	$1,914	$29,312
Crittenden Community HospitalMarion, KY · CCN 180779	90	$2,411	About average	$1,943	$13,271
Karmanos Cancer CenterDetroit, MI · CCN 230297	51	$2,411	About average	$1,921	$12,638
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	506	$2,411	About average	$1,919	$19,376
Uniontown HospitalUniontown, PA · CCN 390041	115	$2,411	About average	$1,913	$9,121
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	468	$2,411	About average	$1,909	$25,842
Grove City Medical CenterGrove City, PA · CCN 390266	132	$2,412	About average	$1,918	$19,343
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	245	$2,412	About average	$1,912	$18,744
Mountain West Medical CenterTooele, UT · CCN 460014	50	$2,412	About average	$1,973	$16,473
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	228	$2,412	About average	$1,911	$25,559
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	88	$2,412	About average	$1,908	$53,855
Witham Health ServicesLebanon, IN · CCN 150104	98	$2,412	About average	$1,905	$18,992
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	398	$2,412	About average	$1,910	$20,583
Baycare Hospital Wesley ChapelWesley Chapel, FL · CCN 100362	155	$2,412	About average	$1,909	$24,859
Sovah Health DanvilleDanville, VA · CCN 490075	297	$2,413	About average	$1,917	$33,190
Jefferson HospitalJefferson Hills, PA · CCN 390265	578	$2,413	About average	$1,917	$16,520
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	160	$2,414	About average	$1,897	$33,404
Springhill Medical CenterSpringhill, LA · CCN 190088	83	$2,414	About average	$1,912	$6,903
Ohio State University State Health SystemColumbus, OH · CCN 360085 · +$74 outlier payments per case	1,072	$2,414	About average	$1,914	$16,003
Chan Soon- Shiong Medical Center At WindberWindber, PA · CCN 390112	64	$2,414	About average	$1,915	$7,555
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	385	$2,415	About average	$1,910	$14,284
Allegheny General HospitalPittsburgh, PA · CCN 390050	413	$2,415	About average	$1,917	$20,657
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058 · +$188 outlier payments per case	626	$2,415	About average	$1,918	$25,934
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	554	$2,416	About average	$1,917	$21,983
Henry Ford Allegiance HealthJackson, MI · CCN 230092	405	$2,416	About average	$1,918	$15,983
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	618	$2,416	About average	$1,915	$22,785
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	193	$2,416	About average	$1,924	$28,606
Geisinger-Community Medical CenterScranton, PA · CCN 390001	367	$2,416	About average	$1,917	$28,900
St Mary's Medical CenterWest Palm Beach, FL · CCN 100288	125	$2,416	About average	$1,900	$42,685
Methodist Dallas Medical CenterDallas, TX · CCN 450051 · +$105 outlier payments per case	734	$2,417	About average	$1,915	$29,415
Broward Health NorthDeerfield Beach, FL · CCN 100086	513	$2,417	About average	$1,914	$19,306
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	175	$2,417	About average	$1,918	$12,959
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	234	$2,418	About average	$1,918	$19,883
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	123	$2,418	About average	$1,918	$17,718
Shorepoint Health Punta GordaPunta Gorda, FL · CCN 100047	95	$2,418	About average	$1,911	$28,973
Penn State Health St. JosephReading, PA · CCN 390096	153	$2,419	About average	$1,910	$14,699

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.