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 51–100. 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
Lake Martin Community HospitalDadeville, AL · CCN 010052	24	$2,188	17% below the national average	$1,728	$3,237
Floyd Cherokee Medical CenterCentre, AL · CCN 010022	33	$2,189	17% below the national average	$1,711	$41,966
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	159	$2,190	17% below the national average	$1,735	$7,190
St. Vincent's EastBirmingham, AL · CCN 010011	70	$2,191	17% below the national average	$1,723	$16,876
Franklin Woods Community HospitalJohnson City, TN · CCN 440184	25	$2,193	17% below the national average	$1,733	$15,109
Rockcastle County Hospital, Inc.Mount Vernon, KY · CCN 180115	36	$2,195	17% below the national average	$1,728	$7,892
West Tennessee Healthcare Milan HospitalMilan, TN · CCN 440060	57	$2,196	17% below the national average	$1,735	$13,711
Eamc-LanierValley, AL · CCN 010175	29	$2,196	17% below the national average	$1,750	$6,825
Atmore Community HospitalAtmore, AL · CCN 010169	41	$2,198	17% below the national average	$1,739	$9,402
Baptist Medical Center EastMontgomery, AL · CCN 010149	145	$2,199	17% below the national average	$1,725	$11,328
Sycamore Shoals HospitalElizabethton, TN · CCN 440018	26	$2,200	16% below the national average	$1,735	$14,936
Forrest General HospitalHattiesburg, MS · CCN 250078	1,395	$2,200	16% below the national average	$1,746	$12,771
Evergreen Medical CenterEvergreen, AL · CCN 010148	43	$2,202	16% below the national average	$1,746	$6,648
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	293	$2,203	16% below the national average	$1,742	$10,603
Claiborne Medical CenterTazewell, TN · CCN 440057	102	$2,205	16% below the national average	$1,744	$8,025
Helen Keller HospitalSheffield, AL · CCN 010019	154	$2,208	16% below the national average	$1,751	$12,811
Physicians Regional Medical CenterPowell, TN · CCN 440120	219	$2,208	16% below the national average	$1,749	$25,796
Tennova Healthcare - Newport Medical CenterNewport, TN · CCN 440153	109	$2,210	16% below the national average	$1,746	$26,252
Parkwest Medical CenterKnoxville, TN · CCN 440173	397	$2,210	16% below the national average	$1,750	$9,090
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	81	$2,211	16% below the national average	$1,750	$13,784
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	119	$2,211	16% below the national average	$1,747	$20,163
Leconte Medical CenterSevierville, TN · CCN 440081	117	$2,213	16% below the national average	$1,752	$9,829
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	243	$2,213	16% below the national average	$1,754	$12,278
Singing River GulfportGulfport, MS · CCN 250123	176	$2,215	16% below the national average	$1,761	$38,403
Jackson Medical CenterJackson, AL · CCN 010128	60	$2,215	16% below the national average	$1,759	$4,346
Hardin Medical CenterSavannah, TN · CCN 440109	87	$2,216	16% below the national average	$1,757	$18,042
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	187	$2,216	16% below the national average	$1,760	$8,775
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	89	$2,217	16% below the national average	$1,758	$10,607
Marion General HospitalColumbia, MS · CCN 250085	99	$2,217	16% below the national average	$1,761	$9,180
Rivers HealthPoint Pleasant, WV · CCN 510012	93	$2,217	16% below the national average	$1,758	$12,962
McLaren Central MichiganMount Pleasant, MI · CCN 230080	21	$2,218	16% below the national average	$1,730	$8,692
Magnolia Regional Health CenterCorinth, MS · CCN 250009	440	$2,220	16% below the national average	$1,762	$7,249
Singing River Health SystemPascagoula, MS · CCN 250040	147	$2,221	16% below the national average	$1,761	$24,149
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	198	$2,221	16% below the national average	$1,762	$9,571
Spring View HospitalLebanon, KY · CCN 180024	147	$2,222	16% below the national average	$1,753	$28,750
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	53	$2,223	16% below the national average	$1,747	$4,938
St Francis HospitalMemphis, TN · CCN 440183	62	$2,223	16% below the national average	$1,752	$37,300
Fayette Medical CenterFayette, AL · CCN 010045	44	$2,224	16% below the national average	$1,760	$8,743
Coastal Carolina HospitalHardeeville, SC · CCN 420101	179	$2,224	16% below the national average	$1,751	$37,573
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	120	$2,225	16% below the national average	$1,752	$11,103
Lasalle General HospitalJena, LA · CCN 190145	69	$2,225	16% below the national average	$1,758	$14,822
Mon Health MarionWhitehall, WV · CCN 510093	63	$2,226	15% below the national average	$1,768	$12,761
Raleigh General HospitalBeckley, WV · CCN 510070	117	$2,227	15% below the national average	$1,754	$15,887
Medical Center EnterpriseEnterprise, AL · CCN 010049	111	$2,228	15% below the national average	$1,767	$41,237
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	162	$2,230	15% below the national average	$1,763	$12,957
Wesley Medical CenterWichita, KS · CCN 170123	175	$2,230	15% below the national average	$1,753	$53,374
West Chester HospitalWest Chester, OH · CCN 360354	102	$2,232	15% below the national average	$1,748	$16,874
Volunteer Community HospitalMartin, TN · CCN 440061	72	$2,234	15% below the national average	$1,773	$12,892
Ascension Seton SouthwestAustin, TX · CCN 450865	11	$2,235	15% below the national average	$1,745	$24,129
Glenwood Regional Medical CenterWest Monroe, LA · CCN 190160	89	$2,235	15% below the national average	$1,760	$15,597

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.