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

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2,746 hospitals reported at least 11 Medicare procedures for this in 2024; showing 951–1,000. 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
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	74	$2,419	About average	$1,914	$11,011
AD Hospital East, LLCHouston, TX · CCN 670102	24	$2,419	About average	$1,894	$19,374
Forbes HospitalMonroeville, PA · CCN 390267	599	$2,419	About average	$1,921	$19,053
Duke University HospitalDurham, NC · CCN 340030	633	$2,419	About average	$1,923	$16,085
Baylor Scott And White Emergency HospitalBurleson, TX · CCN 670107	38	$2,419	About average	$1,917	$17,017
Forrest City Medical CenterForrest City, AR · CCN 040019	74	$2,420	About average	$1,914	$14,237
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	325	$2,420	About average	$1,926	$17,462
Wilson Medical CenterWilson, NC · CCN 340126	153	$2,420	About average	$1,926	$34,872
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	407	$2,421	About average	$1,913	$11,350
Atrium Health LincolnLincolnton, NC · CCN 340145	201	$2,421	About average	$1,921	$23,295
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	53	$2,421	About average	$1,913	$16,131
Rex HospitalRaleigh, NC · CCN 340114	724	$2,421	About average	$1,920	$14,986
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140	270	$2,421	About average	$1,916	$24,798
UF Health Shands HospitalGainesville, FL · CCN 100113	204	$2,421	About average	$1,917	$16,136
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	478	$2,421	About average	$1,914	$33,022
Mountain View HospitalPayson, UT · CCN 460013	64	$2,421	About average	$1,923	$32,658
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	179	$2,422	About average	$1,920	$19,417
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	180	$2,422	About average	$1,920	$18,939
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	141	$2,422	About average	$1,930	$8,176
Jackson-Madison County General HospitalJackson, TN · CCN 440002	813	$2,422	About average	$1,922	$15,524
North Okaloosa Medical CenterCrestview, FL · CCN 100122	137	$2,422	About average	$1,913	$32,854
Dublin Methodist HospitalDublin, OH · CCN 360348	377	$2,422	About average	$1,923	$14,299
Medical City Fort WorthFort Worth, TX · CCN 450672	40	$2,422	About average	$1,920	$31,097
FHN Memorial HospitalFreeport, IL · CCN 140160	324	$2,422	About average	$1,926	$19,208
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	165	$2,422	About average	$1,909	$32,286
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	529	$2,422	About average	$1,913	$24,198
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029 · +$191 outlier payments per case	420	$2,422	About average	$1,927	$27,932
Wilson Memorial HospitalSidney, OH · CCN 360013	199	$2,423	About average	$1,923	$13,538
Lovelace Women's HospitalAlbuquerque, NM · CCN 320017	46	$2,423	About average	$1,929	$26,848
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	211	$2,423	About average	$1,921	$14,264
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	227	$2,423	About average	$1,927	$22,828
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	214	$2,423	About average	$1,922	$17,348
Kosciusko Community HospitalWarsaw, IN · CCN 150133	85	$2,423	About average	$1,925	$36,016
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	716	$2,423	About average	$1,952	$11,283
UPMC WilliamsportWilliamsport, PA · CCN 390045	357	$2,423	About average	$1,925	$22,148
Methodist Midlothian Medical CenterMidlothian, TX · CCN 670300	259	$2,424	About average	$1,923	$28,957
St Bernards Five Rivers Medical CenterPocahontas, AR · CCN 040779	209	$2,424	About average	$1,954	$7,500
South Mississippi County Regional Medical CenterOsceola, AR · CCN 040782	39	$2,424	About average	$1,951	$10,583
Wilbarger General HospitalVernon, TX · CCN 450584	84	$2,424	About average	$1,894	$13,365
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	159	$2,424	About average	$1,926	$20,472
Grady Memorial HospitalDelaware, OH · CCN 360210	84	$2,424	About average	$1,927	$12,875
Santa Rosa Medical CenterMilton, FL · CCN 100124	142	$2,425	About average	$1,916	$37,415
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	98	$2,425	About average	$1,925	$9,329
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	260	$2,425	About average	$1,929	$21,894
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	82	$2,425	About average	$1,927	$15,996
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	413	$2,426	About average	$1,928	$13,671
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	351	$2,426	About average	$1,924	$22,666
Atrium Health PinevilleCharlotte, NC · CCN 340098	739	$2,426	About average	$1,925	$23,485
Aspirus Wausau HospitalWausau, WI · CCN 520030	84	$2,426	About average	$1,927	$14,351
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	219	$2,426	About average	$1,919	$67,410

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.