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 1,201–1,250. 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
White River Medical CenterBatesville, AR · CCN 040119	896	$2,452	About average	$1,947	$8,725
Brigham City Community HospitalBrigham City, UT · CCN 460017	45	$2,452	About average	$1,954	$24,462
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	59	$2,452	About average	$1,954	$14,325
Intermountain Health Spanish Fork HospitalSpanish Fork, UT · CCN 460062	37	$2,452	About average	$1,954	$15,334
LDS HospitalSalt Lake City, UT · CCN 460006	50	$2,452	About average	$1,954	$11,913
Lone Peak HospitalDraper, UT · CCN 460060	51	$2,452	About average	$1,954	$33,027
Bear River Valley HospitalTremonton, UT · CCN 460039	17	$2,452	About average	$1,954	$13,055
Cache Valley HospitalNorth Logan, UT · CCN 460054	13	$2,452	About average	$1,954	$15,915
Holy Cross Hospital - Salt LakeSalt Lake City, UT · CCN 460003	11	$2,452	About average	$1,954	$15,978
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	72	$2,452	About average	$1,953	$14,490
Intermountain Health Layton HospitalLayton, UT · CCN 460061	55	$2,452	About average	$1,950	$17,127
Three Rivers HealthThree Rivers, MI · CCN 230015	63	$2,452	About average	$1,942	$12,830
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	196	$2,452	About average	$1,952	$16,112
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	103	$2,452	About average	$1,950	$22,505
Central Florida Lake Monroe HospitalSanford, FL · CCN 100161	73	$2,452	About average	$1,948	$44,974
Henry County Memorial HospitalNew Castle, IN · CCN 150030	297	$2,452	About average	$1,950	$18,905
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	158	$2,453	About average	$1,951	$12,129
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	2,366	$2,453	About average	$1,945	$24,165
Baptist HospitalPensacola, FL · CCN 100093	670	$2,453	About average	$1,947	$30,153
Cape Coral HospitalCape Coral, FL · CCN 100244	780	$2,453	About average	$1,948	$22,646
Mercy Hospital, IncMoundridge, KS · CCN 170780	34	$2,453	About average	$1,978	$5,928
Baptist Hospital Of MiamiMiami, FL · CCN 100008	1,622	$2,453	About average	$1,945	$26,238
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	522	$2,453	About average	$1,947	$32,512
Memorial Hospital PembrokePembroke Pines, FL · CCN 100230	152	$2,454	About average	$1,946	$27,939
Baptist Health Medical Center-Hot Springs CountyMalvern, AR · CCN 040076	66	$2,454	About average	$1,940	$17,414
Javon Bea HospitalRockford, IL · CCN 140239	199	$2,454	About average	$1,943	$27,052
Gulf Breeze HospitalGulf Breeze, FL · CCN 100266	236	$2,454	About average	$1,950	$32,326
Morton Plant HospitalClearwater, FL · CCN 100127	1,649	$2,454	About average	$1,949	$21,598
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	150	$2,454	About average	$1,946	$16,129
Aurora Medical CenterGrafton, WI · CCN 520207	317	$2,454	About average	$1,949	$19,325
Piedmont Hospital, IncAtlanta, GA · CCN 110083	499	$2,454	About average	$1,937	$22,046
Alton Memorial HospitalAlton, IL · CCN 140002	108	$2,455	About average	$1,941	$16,178
Franciscan Health CrawfordsvilleCrawfordsville, IN · CCN 150022	114	$2,455	About average	$1,949	$18,386
South Miami HospitalMiami, FL · CCN 100154	888	$2,455	About average	$1,950	$21,511
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	82	$2,455	About average	$1,949	$53,766
Saint Joseph Regional Medical Center - PlymouthPlymouth, IN · CCN 150076	126	$2,456	About average	$1,948	$17,755
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	167	$2,456	About average	$1,948	$40,848
HCA Florida Largo HospitalLargo, FL · CCN 100248	255	$2,456	About average	$1,950	$47,704
Parkland Health & Hospital SystemDallas, TX · CCN 450015 · +$147 outlier payments per case	565	$2,456	About average	$1,955	$26,099
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	765	$2,456	About average	$1,951	$25,641
Medical City ArlingtonArlington, TX · CCN 450675	134	$2,456	About average	$1,951	$51,342
Prisma Health Laurens County HospitalClinton, SC · CCN 420038	91	$2,457	About average	$1,948	$16,542
St Josephs HospitalTampa, FL · CCN 100075	2,431	$2,457	About average	$1,952	$24,566
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	616	$2,457	About average	$1,952	$61,510
Texas Health Presbyterian Hospital DentonDenton, TX · CCN 450743	578	$2,457	About average	$1,955	$22,898
Manatee Memorial HospitalBradenton, FL · CCN 100035	361	$2,458	About average	$1,944	$38,519
St Luke's Hospital At The VintageHouston, TX · CCN 670075	58	$2,458	About average	$1,942	$33,350
IU Health West HospitalAvon, IN · CCN 150158	173	$2,458	About average	$1,958	$19,461
Winter Haven HospitalWinter Haven, FL · CCN 100052	1,046	$2,458	About average	$1,947	$22,071
Baptist Beaumont HospitalBeaumont, TX · CCN 450346	574	$2,458	About average	$1,951	$32,176

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.