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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,746 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1,301–1,350. 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
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	644	$2,464	About average	$1,958	$17,590
AdventHealth WatermanTavares, FL · CCN 100057	243	$2,464	About average	$1,958	$26,829
Sarasota Memorial HospitalSarasota, FL · CCN 100087	1,401	$2,464	About average	$1,960	$21,769
Ascension ProvidenceWaco, TX · CCN 450042	90	$2,464	About average	$1,958	$18,036
HCA Florida West HospitalPensacola, FL · CCN 100231	395	$2,464	About average	$1,958	$39,826
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · CCN 100014	134	$2,465	About average	$1,959	$19,749
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	179	$2,465	About average	$1,948	$24,001
Bartow Regional Medical CenterBartow, FL · CCN 100121	126	$2,465	About average	$1,957	$20,999
Sacred Heart HospitalPensacola, FL · CCN 100025	610	$2,465	About average	$1,960	$18,569
Fitzgibbon HospitalMarshall, MO · CCN 260142	96	$2,465	About average	$1,964	$19,007
Mercy Hospital LebanonLebanon, MO · CCN 260059	54	$2,465	About average	$1,964	$14,914
Texas County Memorial HospitalHouston, MO · CCN 260024	95	$2,465	About average	$1,964	$11,545
Ozarks HealthcareWest Plains, MO · CCN 260078	141	$2,465	About average	$1,964	$13,515
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	1,638	$2,465	About average	$1,958	$23,231
Tampa General HospitalTampa, FL · CCN 100128	856	$2,465	About average	$1,959	$30,401
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	2,493	$2,465	About average	$1,961	$20,403
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	255	$2,465	About average	$1,963	$25,408
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	680	$2,465	About average	$1,960	$25,563
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	424	$2,465	About average	$1,961	$23,149
Orlando Health South Lake HospitalClermont, FL · CCN 100051	850	$2,466	About average	$1,959	$34,388
Viera HospitalMelbourne, FL · CCN 100315	179	$2,466	About average	$1,964	$16,238
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	216	$2,466	About average	$1,958	$15,924
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	209	$2,466	About average	$1,957	$18,290
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	292	$2,466	About average	$1,961	$21,365
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	1,178	$2,466	About average	$1,964	$12,630
HCA Florida Aventura HospitalAventura, FL · CCN 100131	450	$2,466	About average	$1,959	$39,002
Orlando Health St Cloud HospitalSaint Cloud, FL · CCN 100302	151	$2,466	About average	$1,962	$34,851
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	95	$2,467	About average	$1,962	$11,876
CHI Health MidlandsPapillion, NE · CCN 280105	40	$2,467	About average	$1,962	$20,245
Larkin Community HospitalSouth Miami, FL · CCN 100181	46	$2,467	About average	$1,957	$23,345
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	45	$2,467	About average	$1,959	$18,344
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 100126	141	$2,467	About average	$1,960	$64,858
Mercy Health - Lourdes HospitalPaducah, KY · CCN 180102	214	$2,467	About average	$1,958	$22,452
Trinity Health Livingston HospitalHowell, MI · CCN 230069	241	$2,467	About average	$1,954	$14,053
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	159	$2,467	About average	$1,959	$35,341
JPS Health NetworkFort Worth, TX · CCN 450039 · +$89 outlier payments per case	898	$2,467	About average	$1,962	$18,086
HCA Florida Osceola HospitalKissimmee, FL · CCN 100110	164	$2,467	About average	$1,962	$77,272
Piedmont Henry HospitalStockbridge, GA · CCN 110191	335	$2,468	About average	$1,951	$21,805
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	176	$2,468	About average	$1,960	$28,703
Watertown Memorial HospitalWatertown, WI · CCN 520116	79	$2,468	About average	$1,961	$16,912
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	410	$2,469	About average	$1,966	$17,013
HCA Florida Mercy HospitalPlantation, FL · CCN 100167	182	$2,469	About average	$1,964	$56,193
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	873	$2,469	About average	$1,964	$22,833
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	332	$2,469	About average	$1,954	$23,826
Granville Health SystemsOxford, NC · CCN 340127	75	$2,469	About average	$1,967	$21,770
Mease Dunedin HospitalDunedin, FL · CCN 100043	377	$2,469	About average	$1,964	$21,440
Person Memorial HospitalRoxboro, NC · CCN 340159	128	$2,469	About average	$1,964	$32,145
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	232	$2,469	About average	$1,959	$10,860
HCA Florida Citrus HospitalInverness, FL · CCN 100023	194	$2,469	About average	$1,962	$55,354
Eskenazi HealthIndianapolis, IN · CCN 150024	295	$2,469	About average	$1,963	$22,077

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.