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 Texas

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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Texas

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Average payment across these 232 hospitals: $2,444National $2,634 · Texas $2,445
Median hospital: $2,445
Lowest to highest: $2,235–$2,718
Medicare procedures: 57,552

232 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
Hereford Regional Medical CenterHereford, TX · CCN 450155	37	$2,375	About average	$1,891	$13,253
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	286	$2,375	About average	$1,891	$38,668
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604 · +$1,838 outlier payments per case	228	$2,375	About average	$1,890	$38,773
The Hospitals Of Providence Horizon City CampusHorizon City, TX · CCN 670124	42	$2,375	About average	$1,890	$38,664
Doctors Hospital Of LaredoLaredo, TX · CCN 450643	90	$2,375	About average	$1,890	$51,076
Odessa Regional Medical CenterOdessa, TX · CCN 450661	80	$2,375	About average	$1,889	$33,216
Harlingen Medical CenterHarlingen, TX · CCN 450855	32	$2,375	About average	$1,887	$27,191
Rio Grande Regional HospitalMcallen, TX · CCN 450711	50	$2,375	About average	$1,887	$41,880
Knapp Medical CenterWeslaco, TX · CCN 450128	23	$2,375	About average	$1,884	$19,947
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	30	$2,375	About average	$1,880	$50,197
Baylor Scott & White Medical Center PflugervillePflugerville, TX · CCN 670128	48	$2,376	About average	$1,886	$25,450
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	297	$2,377	About average	$1,885	$40,387
Baylor Scott & White Medical Center- WaxahachieWaxahachie, TX · CCN 450372	190	$2,379	About average	$1,876	$23,243
Round Rock Medical CenterRound Rock, TX · CCN 450718	150	$2,384	About average	$1,892	$41,898
Bellville Medical CenterBellville, TX · CCN 450253	37	$2,384	About average	$1,885	$8,418
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	140	$2,386	About average	$1,896	$33,709
Citizens Medical CenterVictoria, TX · CCN 450023	298	$2,389	About average	$1,900	$12,680
Wilson N Jones Regional Medical CenterSherman, TX · CCN 450469	78	$2,389	About average	$1,903	$15,861
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	212	$2,391	About average	$1,901	$32,688
Baylor Scott And White Medical Center McKinneyMc Kinney, TX · CCN 670082	387	$2,392	About average	$1,892	$27,918
St David's Medical CenterAustin, TX · CCN 450431	336	$2,393	About average	$1,900	$31,267
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	290	$2,393	About average	$1,903	$23,870
Baylor Scott & White Medical Center At IrvingIrving, TX · CCN 450079	82	$2,395	About average	$1,891	$23,069
St David's South Austin Medical CenterAustin, TX · CCN 450713	265	$2,395	About average	$1,901	$40,078
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	183	$2,399	About average	$1,908	$29,273
Ascension Seton HaysKyle, TX · CCN 670056	275	$2,402	About average	$1,912	$35,088
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	1,127	$2,403	About average	$1,911	$26,452
Ennis Regional Medical CenterEnnis, TX · CCN 450833	53	$2,405	About average	$1,897	$30,180
Christus Good Shepherd Medical CenterLongview, TX · CCN 450032	1,042	$2,406	About average	$1,911	$26,006
Baylor Scott & White Medical Center- AustinAustin, TX · CCN 670136	63	$2,409	About average	$1,919	$20,764
Ascension Seton SmithvilleSmithville, TX · CCN 450143	34	$2,409	About average	$1,919	$25,439
Ascension Seton NorthwestAustin, TX · CCN 450867	92	$2,409	About average	$1,918	$27,788
North Austin Medical CenterAustin, TX · CCN 450809	187	$2,409	About average	$1,917	$33,249
Baylor Scott & White Medical Center - BudaBuda, TX · CCN 670131	37	$2,409	About average	$1,914	$20,199
Longview Regional Medical CenterLongview, TX · CCN 450702	389	$2,411	About average	$1,914	$29,312
Baylor Scott & White Medical Center GrapevineGrapevine, TX · CCN 450563	468	$2,411	About average	$1,909	$25,842
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	228	$2,412	About average	$1,911	$25,559
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	398	$2,412	About average	$1,910	$20,583
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	554	$2,416	About average	$1,917	$21,983
Methodist Dallas Medical CenterDallas, TX · CCN 450051 · +$105 outlier payments per case	734	$2,417	About average	$1,915	$29,415
AD Hospital East, LLCHouston, TX · CCN 670102	24	$2,419	About average	$1,894	$19,374
Baylor Scott And White Emergency HospitalBurleson, TX · CCN 670107	38	$2,419	About average	$1,917	$17,017
Medical City Fort WorthFort Worth, TX · CCN 450672	40	$2,422	About average	$1,920	$31,097
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	529	$2,422	About average	$1,913	$24,198
Methodist Midlothian Medical CenterMidlothian, TX · CCN 670300	259	$2,424	About average	$1,923	$28,957
Wilbarger General HospitalVernon, TX · CCN 450584	84	$2,424	About average	$1,894	$13,365
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	351	$2,426	About average	$1,924	$22,666
Navarro Regional HospitalCorsicana, TX · CCN 450447	53	$2,426	About average	$1,922	$37,418
Texas Health Hospital MansfieldMansfield, TX · CCN 670309	49	$2,431	About average	$1,929	$28,909
Texoma Medical CenterDenison, TX · CCN 450324	377	$2,432	About average	$1,930	$37,206

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.