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

Hospitals in Florida

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Average payment across these 164 hospitals: $2,457National $2,634 · Florida $2,457
Median hospital: $2,461
Lowest to highest: $2,240–$2,656
Medicare procedures: 76,734

164 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
AdventHealth Dade CityDade City, FL · CCN 100211	130	$2,449	About average	$1,941	$28,913
HCA Florida Northwest HospitalMargate, FL · CCN 100189	257	$2,449	About average	$1,943	$45,413
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	323	$2,450	About average	$1,942	$32,217
Oviedo Medical CenterOviedo, FL · CCN 100329	128	$2,450	About average	$1,943	$36,257
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	210	$2,450	About average	$1,944	$41,986
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	1,471	$2,451	About average	$1,948	$19,705
HCA Florida University HospitalDavie, FL · CCN 100360	70	$2,451	About average	$1,946	$51,346
Wellington Regional Medical CenterWellington, FL · CCN 100275	305	$2,452	About average	$1,941	$36,325
Memorial Hospital WestPembroke Pines, FL · CCN 100281	473	$2,452	About average	$1,946	$30,343
Central Florida Lake Monroe HospitalSanford, FL · CCN 100161	73	$2,452	About average	$1,948	$44,974
Baptist HospitalPensacola, FL · CCN 100093	670	$2,453	About average	$1,947	$30,153
Cape Coral HospitalCape Coral, FL · CCN 100244	780	$2,453	About average	$1,948	$22,646
Baptist Hospital Of MiamiMiami, FL · CCN 100008	1,622	$2,453	About average	$1,945	$26,238
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	522	$2,453	About average	$1,947	$32,512
Memorial Hospital PembrokePembroke Pines, FL · CCN 100230	152	$2,454	About average	$1,946	$27,939
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	236	$2,454	About average	$1,950	$32,326
Morton Plant HospitalClearwater, FL · CCN 100127	1,649	$2,454	About average	$1,949	$21,598
South Miami HospitalMiami, FL · CCN 100154	888	$2,455	About average	$1,950	$21,511
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	82	$2,455	About average	$1,949	$53,766
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	167	$2,456	About average	$1,948	$40,848
HCA Florida Largo HospitalLargo, FL · CCN 100248	255	$2,456	About average	$1,950	$47,704
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	765	$2,456	About average	$1,951	$25,641
St Josephs HospitalTampa, FL · CCN 100075	2,431	$2,457	About average	$1,952	$24,566
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	616	$2,457	About average	$1,952	$61,510
Manatee Memorial HospitalBradenton, FL · CCN 100035	361	$2,458	About average	$1,944	$38,519
Winter Haven HospitalWinter Haven, FL · CCN 100052	1,046	$2,458	About average	$1,947	$22,071
North Shore Medical CenterMiami, FL · CCN 100029	131	$2,459	About average	$1,938	$43,391
West Kendall Baptist HospitalMiami, FL · CCN 100314	396	$2,460	About average	$1,952	$28,861
Memorial Regional HospitalHollywood, FL · CCN 100038	841	$2,460	About average	$1,952	$31,460
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	301	$2,460	About average	$1,951	$30,604
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	749	$2,460	About average	$1,956	$38,582
AdventHealth Fish MemorialOrange City, FL · CCN 100072	105	$2,461	About average	$1,957	$26,450
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	2,405	$2,461	About average	$1,958	$22,287
AdventHealth SebringSebring, FL · CCN 100109	384	$2,461	About average	$1,956	$24,972
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	109	$2,461	About average	$1,955	$27,126
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	330	$2,461	About average	$1,956	$22,559
HCA Florida Trinity HospitalTrinity, FL · CCN 100191	365	$2,462	About average	$1,957	$65,294
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	1,122	$2,463	About average	$1,957	$22,373
Lee Memorial HospitalFort Myers, FL · CCN 100012	1,339	$2,463	About average	$1,959	$22,365
AdventHealth TampaTampa, FL · CCN 100173	597	$2,463	About average	$1,956	$28,911
Marion Communtiy HospitalOcala, FL · CCN 100212	933	$2,464	About average	$1,958	$42,274
AdventHealth WatermanTavares, FL · CCN 100057	243	$2,464	About average	$1,958	$26,829
Sarasota Memorial HospitalSarasota, FL · CCN 100087	1,401	$2,464	About average	$1,960	$21,769
HCA Florida West HospitalPensacola, FL · CCN 100231	395	$2,464	About average	$1,958	$39,826
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	134	$2,465	About average	$1,959	$19,749
Bartow Regional Medical CenterBartow, FL · CCN 100121	126	$2,465	About average	$1,957	$20,999
Sacred Heart HospitalPensacola, FL · CCN 100025	610	$2,465	About average	$1,960	$18,569
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	1,638	$2,465	About average	$1,958	$23,231
Tampa General HospitalTampa, FL · CCN 100128	856	$2,465	About average	$1,959	$30,401
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	2,493	$2,465	About average	$1,961	$20,403

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.