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 1,101–1,150. 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
Elkview General HospitalHobart, OK · CCN 370783	38	$2,440	About average	$1,968	$6,522
Harper County Community HospitalBuffalo, OK · CCN 370781	21	$2,440	About average	$1,968	$4,285
Stillwater Medical-BlackwellBlackwell, OK · CCN 370780	67	$2,440	About average	$1,965	$23,230
Highlands Medical CenterScottsboro, AL · CCN 010061	110	$2,440	About average	$1,929	$9,610
Stillwater Medical - PerryPerry, OK · CCN 370779	33	$2,440	About average	$1,950	$23,439
St Mark's HospitalSalt Lake City, UT · CCN 460047	170	$2,441	About average	$1,942	$32,449
Texas Health Arlington Memorial HospitalArlington, TX · CCN 450064	420	$2,441	About average	$1,940	$21,866
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	248	$2,441	About average	$1,942	$23,339
Texas Health Hospital FriscoFrisco, TX · CCN 670260	266	$2,441	About average	$1,940	$22,914
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	393	$2,441	About average	$1,939	$22,812
Harlan ARH HospitalHarlan, KY · CCN 180050	263	$2,442	About average	$1,938	$22,713
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	233	$2,442	About average	$1,937	$16,300
Texas Health Harris Methodist Hospital CleburneCleburne, TX · CCN 450148	67	$2,442	About average	$1,938	$21,177
Webster General Hospital/ Swing BedEupora, MS · CCN 250020	97	$2,442	About average	$1,937	$11,410
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	656	$2,442	About average	$1,937	$15,746
Monroe County Medical CenterTompkinsville, KY · CCN 180105	113	$2,442	About average	$1,942	$7,012
Riverview HealthNoblesville, IN · CCN 150059	130	$2,442	About average	$1,939	$16,227
Buchanan General HospitalGrundy, VA · CCN 490127	171	$2,442	About average	$1,921	$18,867
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	627	$2,442	About average	$1,940	$17,538
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	94	$2,442	About average	$1,940	$30,244
Texas Health Presbyterian Hospital PlanoPlano, TX · CCN 450771	488	$2,443	About average	$1,942	$23,668
HCA Florida St Petersburg HospitalSaint Petersburg, FL · CCN 100180	54	$2,443	About average	$1,937	$60,794
Atrium Health Floyd Medical CenterRome, GA · CCN 110054	454	$2,443	About average	$1,935	$22,209
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	341	$2,443	About average	$1,946	$16,653
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	210	$2,443	About average	$1,928	$25,413
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	331	$2,444	About average	$1,934	$33,682
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	491	$2,444	About average	$1,935	$17,013
CHI Health LakesideOmaha, NE · CCN 280130	181	$2,444	About average	$1,940	$19,571
Detroit Receiving HospitalDetroit, MI · CCN 230273	88	$2,444	About average	$1,946	$24,963
Baptist Health Medical Center-Drew CountyMonticello, AR · CCN 040051	272	$2,444	About average	$1,941	$16,976
Bellevue Medical CenterBellevue, NE · CCN 280132	179	$2,445	About average	$1,943	$14,856
Sharon Regional Medical CenterSharon, PA · CCN 390211	38	$2,445	About average	$1,947	$13,859
UPMC GreeneWaynesburg, PA · CCN 390150	70	$2,445	About average	$1,947	$9,399
Ahn Emerus Westmoreland, LLCGreensburg, PA · CCN 390333	105	$2,445	About average	$1,945	$15,520
Medical City North HillsNorth Richland Hills, TX · CCN 450087	75	$2,445	About average	$1,942	$35,559
Medical City DecaturDecatur, TX · CCN 450271 · +$1,129 outlier payments per case	75	$2,445	About average	$1,942	$51,031
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	52	$2,445	About average	$1,942	$23,862
Lecom Medical Center And Behavioral Health PavErie, PA · CCN 390198	29	$2,445	About average	$1,941	$12,740
Major HospitalShelbyville, IN · CCN 150097	216	$2,445	About average	$1,940	$17,365
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	49	$2,445	About average	$1,936	$20,676
Coral Gables HospitalCoral Gables, FL · CCN 100183	57	$2,445	About average	$1,923	$40,077
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	326	$2,445	About average	$1,944	$24,236
Penn Highlands ConnellsvilleConnellsville, PA · CCN 390184	13	$2,445	About average	$1,924	$7,930
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	79	$2,445	About average	$1,936	$17,618
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	182	$2,445	About average	$1,937	$22,745
Texas Health Presbyterian Hospital KaufmanKaufman, TX · CCN 450292	110	$2,445	About average	$1,945	$24,730
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	858	$2,446	About average	$1,938	$23,781
AdventHealth Palm Coast ParkwayPalm Coast, FL · CCN 100363	117	$2,446	About average	$1,941	$22,638
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	73	$2,446	About average	$1,943	$14,221
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	142	$2,446	About average	$1,946	$19,492

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.