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 1,051–1,100. 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
Westside Regional Medical CenterPlantation, FL · CCN 100228	262	$2,435	About average	$1,927	$43,729
McLaren FlintFlint, MI · CCN 230141	109	$2,435	About average	$1,915	$10,821
AdventHealth CarrollwoodTampa, FL · CCN 100069	133	$2,435	About average	$1,929	$31,838
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	279	$2,435	About average	$1,935	$20,771
UT Health East Texas Henderson HospitalHenderson, TX · CCN 450475	45	$2,435	About average	$1,940	$32,033
Ogden Regional Medical CenterOgden, UT · CCN 460005	106	$2,435	About average	$1,935	$26,091
The McDowell HospitalMarion, NC · CCN 340087	60	$2,435	About average	$1,938	$18,688
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	62	$2,435	About average	$1,931	$12,124
CHI Health ImmanuelOmaha, NE · CCN 280081	63	$2,435	About average	$1,931	$16,136
Nevada Regional Medical CenterNevada, MO · CCN 260061	67	$2,436	About average	$1,935	$10,669
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	69	$2,436	About average	$1,913	$17,705
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	221	$2,436	About average	$1,938	$19,997
HCA Florida Palms West HospitalLoxahatchee, FL · CCN 100269	228	$2,436	About average	$1,930	$49,142
Medical City PlanoPlano, TX · CCN 450651	208	$2,436	About average	$1,934	$42,496
Duke Regional HospitalDurham, NC · CCN 340155	290	$2,436	About average	$1,940	$12,237
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	284	$2,436	About average	$1,930	$17,873
Mayo ClinicJacksonville, FL · CCN 100151	1,436	$2,437	About average	$1,933	$15,713
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	139	$2,437	About average	$1,932	$37,369
Magnolia HospitalMagnolia, AR · CCN 040067	145	$2,437	About average	$1,932	$8,269
Park City HospitalPark City, UT · CCN 460057	129	$2,437	About average	$1,938	$13,346
Orlando HealthOrlando, FL · CCN 100006	1,106	$2,437	About average	$1,930	$34,231
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	235	$2,437	About average	$1,930	$67,043
Sabine Medical CenterMany, LA · CCN 190218	43	$2,437	About average	$1,942	$9,909
Natchitoches Regional Medical CenterNatchitoches, LA · CCN 190007	83	$2,437	About average	$1,942	$18,301
CHI Health Good SamaritanKearney, NE · CCN 280009	96	$2,437	About average	$1,929	$18,563
Northeastern Health SystemTahlequah, OK · CCN 370089	180	$2,438	About average	$1,930	$9,307
West Valley Medical CenterCaldwell, ID · CCN 130014	76	$2,438	About average	$1,932	$26,181
Baylor Scott & White The Heart Hospital PlanoPlano, TX · CCN 670025	153	$2,438	About average	$1,937	$23,433
Medical City Dallas HospitalDallas, TX · CCN 450647	77	$2,438	About average	$1,936	$35,644
Baptist Health Medical Center-StuttgartStuttgart, AR · CCN 040072	73	$2,438	About average	$1,937	$17,020
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	285	$2,438	About average	$1,930	$41,628
Kettering Health Main CampusKettering, OH · CCN 360079	733	$2,438	About average	$1,939	$22,484
Sinai-Grace HospitalDetroit, MI · CCN 230024	200	$2,438	About average	$1,938	$20,840
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	294	$2,439	About average	$1,922	$29,744
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	205	$2,439	About average	$1,932	$25,377
Lake Regional Health SystemOsage Beach, MO · CCN 260186	390	$2,439	About average	$1,937	$20,639
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	558	$2,439	About average	$1,940	$10,933
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	293	$2,439	About average	$1,926	$22,936
McLaren Lapeer RegionLapeer, MI · CCN 230193	124	$2,440	About average	$1,944	$20,420
Ascension Sacred Heart BayPanama City, FL · CCN 100026	223	$2,440	About average	$1,936	$21,036
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	249	$2,440	About average	$1,939	$20,983
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018	166	$2,440	About average	$1,939	$22,316
HCA Florida Brandon HospitalBrandon, FL · CCN 100243	246	$2,440	About average	$1,931	$59,787
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	390	$2,440	About average	$1,940	$11,559
Atrium Health UnionMonroe, NC · CCN 340130	386	$2,440	About average	$1,939	$23,424
Hunt Regional Medical CenterGreenville, TX · CCN 450352	355	$2,440	About average	$1,939	$17,299
Monroe HospitalBloomington, IN · CCN 150183	21	$2,440	About average	$1,944	$20,250
AdventHealth RedmondRome, GA · CCN 110168	214	$2,440	About average	$1,931	$51,314
Parkview Dekalb HospitalAuburn, IN · CCN 150045	97	$2,440	About average	$1,942	$19,054
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 130074	84	$2,440	About average	$1,939	$13,029

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.