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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 Pennsylvania

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.

Location
Pennsylvania
Specific hospitals up to 10
Average payment across these 122 hospitals
$2,553National $2,634 · Pennsylvania $2,553
Median hospital
$2,486
Lowest to highest
$2,299–$2,859
Medicare procedures
33,705

122 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 39000352$2,445About average$1,942$23,862
Lecom Medical Center And Behavioral Health PavErie, PA · CCN 39019829$2,445About average$1,941$12,740
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 39033849$2,445About average$1,936$20,676
Penn Highlands ConnellsvilleConnellsville, PA · CCN 39018413$2,445About average$1,924$7,930
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 39003032$2,448About average$1,951$17,285
UPMC LititzLititz, PA · CCN 39006896$2,460About average$1,960$15,874
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225171$2,461About average$1,954$23,479
Robert Packer HospitalSayre, PA · CCN 390079306$2,474About average$1,964$20,063
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 39018395$2,480About average$1,967$21,701
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332102$2,483About average$1,970$19,740
Reading HospitalWest Reading, PA · CCN 3900441,129$2,485About average$1,975$17,813
UPMC MemorialYork, PA · CCN 390101245$2,487About average$1,973$17,247
Lancaster General HospitalLancaster, PA · CCN 390100739$2,488About average$1,972$14,670
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330299$2,489About average$1,964$35,151
Lehigh Valley Hospital - MacungieMacungie, PA · CCN 39043021$2,495About average$1,988$23,437
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335183$2,495About average$1,988$33,349
Lower Bucks HospitalBristol, PA · CCN 39007028$2,500About average$1,942$14,204
Pottstown HospitalPottstown, PA · CCN 390123267$2,530About average$2,005$22,678
Nazareth HospitalPhiladelphia, PA · CCN 390204174$2,536About average$2,008$19,337
Jefferson Abington HospitalAbington, PA · CCN 3902311,140$2,539About average$2,017$14,355
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097267$2,551About average$2,029$20,885
Jefferson Lansdale HospitalLansdale, PA · CCN 390012211$2,551About average$2,029$14,685
Wellspan York HospitalYork, PA · CCN 390046704$2,553About average$2,029$20,049
Milton S Hershey Medical CenterHershey, PA · CCN 390256446$2,554About average$2,029$17,421
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329574$2,561About average$2,039$16,254
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 39011076$2,566About average$2,031$18,968
Suburban Community HospitalNorristown, PA · CCN 39011632$2,568About average$2,045$10,797
UPMC AltoonaAltoona, PA · CCN 390073207$2,568About average$2,033$15,507
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$146 outlier payments per case905$2,572About average$2,040$19,956
Independence Health System Clarion HospitalClarion, PA · CCN 390093151$2,573About average$2,042$9,729
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201177$2,575About average$2,029$21,440
Wayne Memorial HospitalHonesdale, PA · CCN 39012583$2,576About average$2,040$22,960
UPMC HanoverHanover, PA · CCN 390233342$2,576About average$2,052$18,417
Punxsutawney Area HospitalPunxsutawney, PA · CCN 390199109$2,580About average$2,044$6,644
Indiana Regional Medical CenterIndiana, PA · CCN 390173103$2,582About average$2,049$14,468
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066334$2,589About average$2,062$18,650
Meadville Medical CenterMeadville, PA · CCN 390113433$2,594About average$2,061$15,228
UPMC SomersetSomerset, PA · CCN 39003984$2,596About average$2,061$10,410
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139371$2,596About average$2,057$21,826
St Lukes HospitalBethlehem, PA · CCN 390049363$2,599About average$2,056$32,554
Penn Highlands DuboisDubois, PA · CCN 390086218$2,600About average$2,066$12,523
St Luke's Hospital - Easton CampusEaston, PA · CCN 39016276$2,601About average$2,066$30,586
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048186$2,607About average$2,071$25,419
Main Line Hospital LankenauWynnewood, PA · CCN 390195244$2,607About average$2,068$21,706
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035141$2,611About average$2,074$39,613
Paoli HospitalPaoli, PA · CCN 390153387$2,614About average$2,077$22,764
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057203$2,617About average$2,082$21,401
Penn Highlands HuntingdonHuntingdon, PA · CCN 39005634$2,618About average$2,086$10,615
UPMC KaneKane, PA · CCN 39010471$2,618About average$2,080$9,486
UPMC Bedford MemorialEverett, PA · CCN 39011730$2,618About average$2,080$14,568

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont51,308$1,285$1,180–$1,485
Alabama738,112$2,241$2,169–$2,264
Mississippi5211,311$2,278$2,235–$2,347
West Virginia225,181$2,285$2,226–$2,367
Louisiana6414,412$2,288$2,259–$2,300
Tennessee7316,493$2,299$2,237–$2,337
Ohio11031,616$2,317$2,300–$2,380
Oklahoma6111,406$2,348$2,322–$2,440
Arkansas4011,142$2,356$2,302–$2,439
Kentucky6115,821$2,359$2,296–$2,442
South Carolina5015,082$2,368$2,308–$2,382
Kansas337,920$2,377$2,321–$2,503
Iowa317,279$2,385$2,330–$2,467
Missouri6315,191$2,393$2,335–$2,465
Michigan8123,451$2,410$2,364–$2,467
Georgia9221,579$2,422$2,298–$2,481
North Carolina7821,007$2,426$2,380–$2,450
Texas23358,602$2,445$2,375–$2,511
Nebraska193,391$2,450$2,431–$2,480
Florida16677,597$2,457$2,443–$2,471
Maine172,448$2,457$2,370–$2,519
Virginia6926,889$2,459$2,332–$2,524
Indiana7318,659$2,464$2,412–$2,485
New Mexico224,083$2,469$2,369–$2,549
Utah313,560$2,478$2,429–$2,452
Wisconsin6110,886$2,497$2,447–$2,538
Idaho122,397$2,548$2,440–$2,614
Pennsylvania12233,705$2,553$2,415–$2,601
Illinois11339,922$2,573$2,522–$2,604
North Dakota62,780$2,590$2,532–$2,653
Montana103,213$2,595$2,543–$2,721
Colorado4813,460$2,608$2,586–$2,606
Minnesota4511,221$2,627$2,574–$2,716
New Hampshire135,226$2,637$2,593–$2,699
South Dakota112,485$2,638$2,559–$2,731
Arizona5422,819$2,686$2,639–$2,669
Delaware64,912$2,718$2,698–$2,727
Wyoming91,733$2,722$2,695–$2,745
Rhode Island92,010$2,752$2,748–$2,778
District of Columbia61,453$2,758$2,739–$2,795
Washington458,931$2,802$2,728–$2,893
New Jersey5936,741$2,897$2,835–$3,029
Nevada217,349$2,900$2,857–$2,915
Oregon325,804$2,901$2,821–$2,873
Massachusetts5132,481$2,920$2,905–$2,928
Alaska61,743$2,936$2,857–$2,998
New York11538,093$2,983$2,877–$3,083
Connecticut2615,665$3,045$3,022–$3,054
Hawaii121,584$3,127$3,076–$3,276
California24275,162$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.