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 Ohio

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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Ohio

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Average payment across these 109 hospitals: $2,318National $2,634 · Ohio $2,317
Median hospital: $2,324
Lowest to highest: $1,451–$2,591
Medicare procedures: 31,499

109 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
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	606	$2,319	12% below the national average	$1,845	$14,684
Medina HospitalMedina, OH · CCN 360091	328	$2,320	12% below the national average	$1,845	$16,825
South Pointe HospitalWarrensville Heights, OH · CCN 360144	255	$2,320	12% below the national average	$1,847	$17,846
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	130	$2,323	12% below the national average	$1,837	$13,637
Kettering Health TroyTroy, OH · CCN 360368	110	$2,324	12% below the national average	$1,846	$21,406
Atrium Medical CenterFranklin, OH · CCN 360076	268	$2,326	12% below the national average	$1,841	$19,560
University Of Toledo Medical CenterToledo, OH · CCN 360048	152	$2,326	12% below the national average	$1,850	$21,576
McCullough-Hyde Memorial HospitalOxford, OH · CCN 360046	73	$2,328	12% below the national average	$1,845	$12,081
East Ohio Regional HospitalMartins Ferry, OH · CCN 360080	69	$2,329	12% below the national average	$1,856	$10,760
Wooster Community HospitalWooster, OH · CCN 360036	161	$2,330	12% below the national average	$1,854	$9,215
Mercy Health - West HospitalCincinnati, OH · CCN 360234	180	$2,331	11% below the national average	$1,846	$15,826
Grand Lake Health SystemSaint Marys, OH · CCN 360032	207	$2,332	11% below the national average	$1,856	$12,608
Fisher-Titus HospitalNorwalk, OH · CCN 360065	233	$2,333	11% below the national average	$1,856	$10,446
Mercy Health Kings Mills Hospital LLCMason, OH · CCN 360374	42	$2,335	11% below the national average	$1,851	$19,264
Lutheran HospitalCleveland, OH · CCN 360087	34	$2,337	11% below the national average	$1,862	$19,242
Kettering Health Greene MemorialXenia, OH · CCN 360026	57	$2,341	11% below the national average	$1,865	$20,386
Miami Valley HospitalDayton, OH · CCN 360051	1,203	$2,343	11% below the national average	$1,856	$20,175
Coshocton Regional Medical CenterCoshocton, OH · CCN 360109	54	$2,347	11% below the national average	$1,840	$30,145
Christ HospitalCincinnati, OH · CCN 360163	480	$2,349	11% below the national average	$1,891	$13,088
Adena Regional Medical CenterChillicothe, OH · CCN 360159	234	$2,355	11% below the national average	$1,867	$13,630
Lima Memorial Health SystemLima, OH · CCN 360009	281	$2,355	11% below the national average	$1,867	$15,573
Marion General HospitalMarion, OH · CCN 360011	284	$2,356	11% below the national average	$1,869	$11,588
Fort Hamilton Hughes Memorial HospitalHamilton, OH · CCN 360132	165	$2,358	10% below the national average	$1,874	$21,724
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	195	$2,361	10% below the national average	$1,875	$16,798
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	218	$2,363	10% below the national average	$1,879	$16,939
Good Samaritan HospitalCincinnati, OH · CCN 360134	166	$2,369	10% below the national average	$1,885	$13,385
Berger HospitalCircleville, OH · CCN 360170	58	$2,372	About average	$1,881	$11,775
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	209	$2,378	About average	$1,891	$11,954
Kettering Health DaytonDayton, OH · CCN 360133	232	$2,380	About average	$1,893	$24,969
ProMedica Toledo HospitalToledo, OH · CCN 360068	1,048	$2,380	About average	$1,882	$33,515
Soin Medical CenterBeaver Creek, OH · CCN 360360	308	$2,380	About average	$1,880	$22,846
Cincinnati Children's Hospital Medical CenterCincinnati, OH · CCN 363300	14	$2,380	About average	$1,897	$18,480
Mount Carmel East & WestColumbus, OH · CCN 360035	324	$2,384	About average	$1,889	$21,094
Doctors HospitalColumbus, OH · CCN 360152	173	$2,387	About average	$1,893	$14,156
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	197	$2,389	About average	$1,892	$24,600
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	390	$2,390	About average	$1,892	$21,208
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
Grant Medical CenterColumbus, OH · CCN 360017	524	$2,403	About average	$1,904	$14,490
Memorial HospitalMarysville, OH · CCN 360092	143	$2,407	About average	$1,909	$11,460
Mount Carmel St Ann'sWesterville, OH · CCN 360012	359	$2,409	About average	$1,911	$18,263
Ohio State University State Health SystemColumbus, OH · CCN 360085 · +$74 outlier payments per case	1,072	$2,414	About average	$1,914	$16,003
Dublin Methodist HospitalDublin, OH · CCN 360348	377	$2,422	About average	$1,923	$14,299
Wilson Memorial HospitalSidney, OH · CCN 360013	199	$2,423	About average	$1,923	$13,538
Grady Memorial HospitalDelaware, OH · CCN 360210	84	$2,424	About average	$1,927	$12,875
Kettering Health Main CampusKettering, OH · CCN 360079	733	$2,438	About average	$1,939	$22,484
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	248	$2,441	About average	$1,942	$23,339
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	86	$2,446	About average	$1,949	$8,745

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.