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 1,151–1,200. 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
Community Hospitals And Wellness CentersBryan, OH · CCN 360121	86	$2,446	About average	$1,949	$8,745
Mercy Health - Defiance HospitalDefiance, OH · CCN 360270	60	$2,446	About average	$1,949	$10,957
Van Wert County HospitalVan Wert, OH · CCN 360071	52	$2,446	About average	$1,949	$10,982
Columbus Regional HospitalColumbus, IN · CCN 150112	306	$2,446	About average	$1,934	$13,291
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	114	$2,447	About average	$1,942	$12,056
Mercy Health System CorpJanesville, WI · CCN 520066 · +$199 outlier payments per case	269	$2,447	About average	$1,942	$24,526
Methodist Charlton Medical CenterDallas, TX · CCN 450723	697	$2,447	About average	$1,942	$27,676
Halifax Health /UF Health Medical Center Of DeltonDeltona, FL · CCN 100330	60	$2,447	About average	$1,929	$28,262
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	408	$2,447	About average	$1,944	$21,003
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	240	$2,447	About average	$1,941	$29,246
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	463	$2,447	About average	$1,949	$17,541
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	332	$2,447	About average	$1,939	$25,389
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	870	$2,448	About average	$1,947	$22,328
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	124	$2,448	About average	$1,943	$49,207
St Luke's Regional Medical CenterBoise, ID · CCN 130006	250	$2,448	About average	$1,946	$16,899
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	526	$2,448	About average	$1,946	$23,273
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	183	$2,448	About average	$1,936	$23,173
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	32	$2,448	About average	$1,951	$17,285
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	267	$2,449	About average	$1,948	$19,530
Union Hospital IncTerre Haute, IN · CCN 150023	538	$2,449	About average	$1,945	$12,289
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	591	$2,449	About average	$1,943	$15,494
Carle Foundation HospitalUrbana, IL · CCN 140091	303	$2,449	About average	$1,936	$22,531
Community Hospital NorthIndianapolis, IN · CCN 150169	167	$2,449	About average	$1,945	$17,124
University Hospital And Medical CenterTamarac, FL · CCN 100224	129	$2,449	About average	$1,944	$54,550
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 100238	194	$2,449	About average	$1,942	$60,976
AdventHealth Dade CityDade City, FL · CCN 100211	130	$2,449	About average	$1,941	$28,913
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	21	$2,449	About average	$1,951	$10,291
Jefferson HospitalLouisville, GA · CCN 110100	69	$2,449	About average	$1,945	$6,504
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	1,205	$2,449	About average	$1,947	$22,418
UNC HospitalsChapel Hill, NC · CCN 340061	289	$2,449	About average	$1,943	$13,129
HCA Florida Northwest HospitalMargate, FL · CCN 100189	257	$2,449	About average	$1,943	$45,413
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	73	$2,450	About average	$1,940	$31,214
Novant Health Mint Hill Medical CenterCharlotte, NC · CCN 340190	162	$2,450	About average	$1,947	$19,791
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	323	$2,450	About average	$1,942	$32,217
Oviedo Medical CenterOviedo, FL · CCN 100329	128	$2,450	About average	$1,943	$36,257
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 100246	210	$2,450	About average	$1,944	$41,986
Emanuel Medical CenterSwainsboro, GA · CCN 110109	72	$2,451	About average	$1,940	$14,746
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	123	$2,451	About average	$1,945	$13,593
WakeMed, Cary HospitalCary, NC · CCN 340173	472	$2,451	About average	$1,949	$22,272
Texas Health Harris Methodist Hospital Southwest FFort Worth, TX · CCN 450779	386	$2,451	About average	$1,948	$22,421
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	134	$2,451	About average	$1,933	$31,179
Bryan Medical CenterLincoln, NE · CCN 280003	631	$2,451	About average	$1,949	$17,995
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	1,471	$2,451	About average	$1,948	$19,705
HCA Florida University HospitalDavie, FL · CCN 100360	70	$2,451	About average	$1,946	$51,346
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	717	$2,451	About average	$1,948	$30,246
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	622	$2,451	About average	$1,948	$21,189
Wellington Regional Medical CenterWellington, FL · CCN 100275	305	$2,452	About average	$1,941	$36,325
Mary Lanning HealthcareHastings, NE · CCN 280032	140	$2,452	About average	$1,946	$17,957
Hamilton Medical CenterDalton, GA · CCN 110001	407	$2,452	About average	$1,944	$23,556
Memorial Hospital WestPembroke Pines, FL · CCN 100281	473	$2,452	About average	$1,946	$30,343

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.