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 1,001–1,050. 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
Navarro Regional HospitalCorsicana, TX · CCN 450447	53	$2,426	About average	$1,922	$37,418
Broward Health Coral SpringsCoral Springs, FL · CCN 100276	366	$2,426	About average	$1,918	$16,508
South Arkansas Regional Hospital LLCEl Dorado, AR · CCN 040088	170	$2,426	About average	$1,923	$31,813
Randolph HospitalAsheboro, NC · CCN 340123	163	$2,426	About average	$1,920	$24,615
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	131	$2,427	About average	$1,928	$20,585
Cox Medical Center BransonBranson, MO · CCN 260094	167	$2,427	About average	$1,928	$19,000
St Vincent HospitalGreen Bay, WI · CCN 520075	104	$2,427	About average	$1,925	$16,207
CHI Health Bergan MercyOmaha, NE · CCN 280060	338	$2,427	About average	$1,919	$18,474
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$159 outlier payments per case	3,106	$2,427	About average	$1,919	$37,344
ACMH HospitalKittanning, PA · CCN 390163	113	$2,428	About average	$1,930	$18,297
Intermountain Medical CenterMurray, UT · CCN 460010	306	$2,428	About average	$1,934	$16,929
The Washington HospitalWashington, PA · CCN 390042	232	$2,428	About average	$1,931	$9,075
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	346	$2,428	About average	$1,931	$27,438
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	1,754	$2,429	About average	$1,925	$26,109
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	633	$2,429	About average	$1,928	$15,459
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	36	$2,429	About average	$1,916	$22,586
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	596	$2,429	About average	$1,912	$12,859
Cleveland Clinic HospitalWeston, FL · CCN 100289	833	$2,429	About average	$1,926	$13,283
Pikeville Medical CenterPikeville, KY · CCN 180044	383	$2,429	About average	$1,924	$22,986
Holy Cross Hospital-Jordan ValleyWest Jordan, UT · CCN 460051	86	$2,429	About average	$1,931	$20,181
UPMC PassavantPittsburgh, PA · CCN 390107	130	$2,430	About average	$1,931	$28,860
Johnston HealthSmithfield, NC · CCN 340090	234	$2,430	About average	$1,930	$20,980
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	135	$2,430	About average	$1,933	$9,221
Wellstar West Georgia Medical CenterLagrange, GA · CCN 110016	61	$2,430	About average	$1,923	$30,688
Daviess Community HospitalWashington, IN · CCN 150061	205	$2,430	About average	$1,932	$13,207
Vaughan Regional Medical Center Parkway CampusSelma, AL · CCN 010118	50	$2,431	About average	$1,933	$40,306
St Clair HospitalPittsburgh, PA · CCN 390228	577	$2,431	About average	$1,934	$11,755
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	122	$2,431	About average	$1,927	$48,914
West Allis Memorial HospitalWest Allis, WI · CCN 520139	223	$2,431	About average	$1,926	$20,184
Washington County Regional Medical CenterSandersville, GA · CCN 110086	42	$2,431	About average	$1,925	$6,617
Texas Health Hospital MansfieldMansfield, TX · CCN 670309	49	$2,431	About average	$1,929	$28,909
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	137	$2,431	About average	$1,928	$33,719
Indiana University HealthIndianapolis, IN · CCN 150056	248	$2,431	About average	$1,923	$21,099
Indiana University Health North HospitalCarmel, IN · CCN 150161	48	$2,431	About average	$1,930	$20,004
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	142	$2,432	About average	$1,933	$16,875
Memorial Hospital MiramarMiramar, FL · CCN 100285	149	$2,432	About average	$1,920	$30,049
North Mississippi Medical CenterTupelo, MS · CCN 250004	937	$2,432	About average	$1,932	$12,584
Texoma Medical CenterDenison, TX · CCN 450324	377	$2,432	About average	$1,930	$37,206
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	274	$2,433	About average	$1,933	$10,588
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	1,049	$2,433	About average	$1,935	$16,097
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	225	$2,433	About average	$1,934	$21,971
HCA Florida Kendall HospitalMiami, FL · CCN 100209	171	$2,433	About average	$1,926	$64,194
Baxter HealthMountain Home, AR · CCN 040027	238	$2,434	About average	$1,928	$6,049
UPMC CarlisleCarlisle, PA · CCN 390058	352	$2,434	About average	$1,930	$15,341
Citizens Memorial HospitalBolivar, MO · CCN 260195	126	$2,434	About average	$1,933	$17,383
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	217	$2,434	About average	$1,929	$15,607
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	314	$2,434	About average	$1,934	$17,736
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	462	$2,434	About average	$1,933	$20,743
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	328	$2,434	About average	$1,935	$15,656
Hancock Regional HospitalGreenfield, IN · CCN 150037	209	$2,435	About average	$1,931	$18,389

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.