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 1,251–1,300. 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
North Shore Medical CenterMiami, FL · CCN 100029	131	$2,459	About average	$1,938	$43,391
Ascension St Vincent CarmelCarmel, IN · CCN 150157	147	$2,459	About average	$1,956	$17,037
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	384	$2,459	About average	$1,958	$35,507
Union General HospitalBlairsville, GA · CCN 110051	315	$2,459	About average	$1,954	$10,404
Three Rivers Medical CenterLouisa, KY · CCN 180128	97	$2,459	About average	$1,969	$19,962
AdventHealthmanchesterManchester, KY · CCN 180043	69	$2,459	About average	$1,960	$23,631
Kentucky River Medical CenterJackson, KY · CCN 180139	17	$2,459	About average	$1,960	$23,974
Whitesburg ARH HospitalWhitesburg, KY · CCN 180002	81	$2,459	About average	$1,959	$23,568
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	81	$2,459	About average	$1,955	$21,792
West Kendall Baptist HospitalMiami, FL · CCN 100314	396	$2,460	About average	$1,952	$28,861
Atrium Health AnsonWadesboro, NC · CCN 340084	31	$2,460	About average	$1,959	$16,066
MUSC Health Chester Medical CenterChester, SC · CCN 420019	20	$2,460	About average	$1,950	$12,223
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	126	$2,460	About average	$1,944	$25,157
Great Plains Regional Medical CenterElk City, OK · CCN 370019	134	$2,460	About average	$1,947	$13,989
Faith HealthNorfolk, NE · CCN 280125	115	$2,460	About average	$1,958	$16,356
Memorial Regional HospitalHollywood, FL · CCN 100038	841	$2,460	About average	$1,952	$31,460
Chelsea HospitalChelsea, MI · CCN 230259	237	$2,460	About average	$1,940	$16,249
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	188	$2,460	About average	$1,949	$21,879
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046 · +$205 outlier payments per case	334	$2,460	About average	$1,956	$42,195
Orlando Health Bayfront HospitalSaint Petersburg, FL · CCN 100032	301	$2,460	About average	$1,951	$30,604
UPMC LititzLititz, PA · CCN 390068	96	$2,460	About average	$1,960	$15,874
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	18	$2,460	About average	$1,960	$13,177
Aurora Medical Center - SummitSummit, WI · CCN 520206	129	$2,460	About average	$1,957	$17,196
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	749	$2,460	About average	$1,956	$38,582
Ouachita County Medical CenterCamden, AR · CCN 040050	161	$2,461	About average	$1,953	$9,861
AdventHealth Fish MemorialOrange City, FL · CCN 100072	105	$2,461	About average	$1,957	$26,450
Cleveland Clinic Martin North HospitalStuart, FL · CCN 100044	2,405	$2,461	About average	$1,958	$22,287
AdventHealth SebringSebring, FL · CCN 100109	384	$2,461	About average	$1,956	$24,972
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	171	$2,461	About average	$1,954	$23,479
Orlando Health Melbourne HospitalMelbourne, FL · CCN 100291	109	$2,461	About average	$1,955	$27,126
The Health Care Authority Of The City Of Greenville- Lv Stabler HospitalGreenville, AL · CCN 010150	20	$2,461	About average	$1,961	$30,049
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	330	$2,461	About average	$1,956	$22,559
Holy Family MemorialManitowoc, WI · CCN 520107	52	$2,462	About average	$1,961	$13,459
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	77	$2,462	About average	$1,961	$14,146
HCA Florida Trinity HospitalTrinity, FL · CCN 100191	365	$2,462	About average	$1,957	$65,294
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	180	$2,462	About average	$1,948	$11,134
Integris Health Ponca CityPonca City, OK · CCN 370006	73	$2,462	About average	$1,956	$46,708
Integris Grove HospitalGrove, OK · CCN 370113	82	$2,462	About average	$1,956	$17,109
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	143	$2,462	About average	$1,958	$15,827
St Anthonys HospitalSaint Petersburg, FL · CCN 100067	1,122	$2,463	About average	$1,957	$22,373
Lee Memorial HospitalFort Myers, FL · CCN 100012	1,339	$2,463	About average	$1,959	$22,365
AdventHealth TampaTampa, FL · CCN 100173	597	$2,463	About average	$1,956	$28,911
Dallas Regional Medical CenterMesquite, TX · CCN 450688	14	$2,463	About average	$1,963	$26,247
Medical Center Of McKinneyMckinney, TX · CCN 450403	76	$2,463	About average	$1,963	$49,297
Baylor Scott And White Medical Center SunnyvaleSunnyvale, TX · CCN 670060	52	$2,463	About average	$1,959	$22,921
Medical City Las ColinasIrving, TX · CCN 450822	34	$2,463	About average	$1,957	$59,494
White Rock Medical CenterDallas, TX · CCN 450678	21	$2,463	About average	$1,956	$20,628
Childrens Medical Center Of DallasDallas, TX · CCN 453302	27	$2,463	About average	$1,956	$31,384
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	216	$2,463	About average	$1,953	$14,984
Marion Communtiy HospitalOcala, FL · CCN 100212	933	$2,464	About average	$1,958	$42,274

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.