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 Tennessee

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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Tennessee

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Year of care

Average payment across these 73 hospitals: $2,299National $2,634 · Tennessee $2,299
Median hospital: $2,276
Lowest to highest: $2,091–$2,505
Medicare procedures: 16,493

73 hospitals reported at least 11 Medicare procedures for this in 2024; showing 51–73. 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
Affiliate Of Vitruvian HealthCleveland, TN · CCN 440185	116	$2,333	11% below the national average	$1,853	$35,574
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	151	$2,333	11% below the national average	$1,854	$29,672
Vanderbilt Tullahoma-Harton HospitalTullahoma, TN · CCN 440144	422	$2,333	11% below the national average	$1,856	$23,912
Saint Thomas River Park HospitalMcminnville, TN · CCN 440151	236	$2,336	11% below the national average	$1,859	$16,208
Tristar Skyline Medical CenterNashville, TN · CCN 440006	180	$2,337	11% below the national average	$1,857	$45,236
Lafollette Medical CenterLa Follette, TN · CCN 440033	24	$2,337	11% below the national average	$1,846	$20,109
Highpoint Health-Sumner With Ascension Saint ThomaGallatin, TN · CCN 440003	98	$2,339	11% below the national average	$1,860	$29,719
Dekalb Community HospitalSmithville, TN · CCN 440148	53	$2,339	11% below the national average	$1,860	$12,696
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	511	$2,340	11% below the national average	$1,860	$13,788
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	103	$2,340	11% below the national average	$1,860	$29,411
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	677	$2,341	11% below the national average	$1,860	$14,447
Vanderbilt Wilson County HospitalLebanon, TN · CCN 440193	551	$2,341	11% below the national average	$1,862	$23,276
Livingston Regional HospitalLivingston, TN · CCN 440187	55	$2,344	11% below the national average	$1,868	$28,494
Saint Thomas Highlands HospitalSparta, TN · CCN 440192	85	$2,344	11% below the national average	$1,868	$13,101
Southern Tennessee Regional Health System PulaskiPulaski, TN · CCN 440020	57	$2,345	11% below the national average	$1,861	$42,175
Cumberland Medical CenterCrossville, TN · CCN 440009	114	$2,350	11% below the national average	$1,857	$9,440
Williamson Medical CenterFranklin, TN · CCN 440029	653	$2,355	11% below the national average	$1,876	$13,228
Metro Nashville General HospitalNashville, TN · CCN 440111	59	$2,358	10% below the national average	$1,875	$14,057
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	72	$2,358	10% below the national average	$1,875	$31,715
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	69	$2,362	10% below the national average	$1,870	$15,987
Jackson-Madison County General HospitalJackson, TN · CCN 440002	813	$2,422	About average	$1,922	$15,524
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	296	$2,474	About average	$1,960	$28,727
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	775	$2,505	About average	$1,993	$15,951

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.