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 1,351–1,400. 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
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	1,179	$2,470	About average	$1,962	$37,304
Piedmont Walton HospitalMonroe, GA · CCN 110046	170	$2,470	About average	$1,952	$28,206
AdventHealth ZephyrhillsZephyrhills, FL · CCN 100046	397	$2,470	About average	$1,963	$30,855
Jupiter Medical CenterJupiter, FL · CCN 100253	963	$2,470	About average	$1,965	$13,405
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	172	$2,470	About average	$1,953	$25,576
Labette HealthParsons, KS · CCN 170120	136	$2,470	About average	$1,962	$11,204
Jackson Health SystemMiami, FL · CCN 100022 · +$30 outlier payments per case	1,237	$2,470	About average	$1,960	$14,835
Naples Community HospitalNaples, FL · CCN 100018	1,792	$2,471	About average	$1,964	$23,906
Madison Memorial HospitalRexburg, ID · CCN 130025	29	$2,471	About average	$1,969	$12,536
Baylor Scott & White Emergency HospitalAubrey, TX · CCN 670062	82	$2,471	About average	$1,969	$18,801
Texas Health Heart & Vascular Hospital ArlingtonArlington, TX · CCN 670071	73	$2,471	About average	$1,969	$10,026
The Heart Hospital Baylor DentonDenton, TX · CCN 450893	45	$2,471	About average	$1,969	$22,628
Texas Health Harris Methodist Hospital AzleAzle, TX · CCN 450419	71	$2,471	About average	$1,968	$23,886
Methodist Southlake Medical CenterSouthlake, TX · CCN 670132 · +$2,659 outlier payments per case	146	$2,471	About average	$1,968	$23,408
Medical City AllianceFort Worth, TX · CCN 670103	36	$2,471	About average	$1,968	$43,191
Medical City WeatherfordWeatherford, TX · CCN 450203	77	$2,471	About average	$1,967	$31,183
Medical City LewisvilleLewisville, TX · CCN 450669	73	$2,471	About average	$1,966	$45,628
Medical City DentonDenton, TX · CCN 450634	212	$2,471	About average	$1,966	$49,727
Glen Rose Medical CenterGlen Rose, TX · CCN 450451	28	$2,471	About average	$1,965	$11,992
Lake Granbury Medical CenterGranbury, TX · CCN 450596	74	$2,471	About average	$1,962	$41,523
USMD Hospital At Arlington L PArlington, TX · CCN 450872	21	$2,471	About average	$1,959	$19,630
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	478	$2,472	About average	$1,956	$28,251
St Nicholas HospitalSheboygan, WI · CCN 520044	99	$2,472	About average	$1,965	$18,165
Saint Francis Medical CenterPeoria, IL · CCN 140067	684	$2,472	About average	$1,956	$20,787
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009 · +$136 outlier payments per case	658	$2,472	About average	$1,962	$29,815
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	556	$2,472	About average	$1,967	$26,703
St Vincent Heart CenterCarmel, IN · CCN 150153	67	$2,472	About average	$1,970	$20,989
Franciscan Health MooresvilleMooresville, IN · CCN 150057	86	$2,472	About average	$1,968	$21,675
Ascension St Vincent AndersonAnderson, IN · CCN 150088	62	$2,472	About average	$1,968	$19,454
Broward Health Imperial PointFort Lauderdale, FL · CCN 100200	274	$2,472	About average	$1,963	$16,844
HCA Florida Bayonet Point HospitalHudson, FL · CCN 100256	283	$2,472	About average	$1,966	$59,380
Doctors HospitalCoral Gables, FL · CCN 100296	285	$2,473	About average	$1,968	$23,920
Ascension St Vincent FishersFishers, IN · CCN 150181	53	$2,473	About average	$1,961	$17,592
Palm Bay HospitalPalm Bay, FL · CCN 100316	288	$2,473	About average	$1,969	$17,814
Great River Medical CenterBlytheville, AR · CCN 040069	170	$2,473	About average	$1,969	$13,624
Homestead HospitalHomestead, FL · CCN 100125	574	$2,473	About average	$1,963	$27,979
Baptist Health PaducahPaducah, KY · CCN 180104	489	$2,473	About average	$1,963	$29,180
Alamance Regional Medical CenterBurlington, NC · CCN 340070	177	$2,473	About average	$1,968	$14,856
South Florida Baptist HospitalPlant City, FL · CCN 100132	254	$2,474	About average	$1,970	$20,592
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 100264	339	$2,474	About average	$1,968	$60,469
HCA Florida Fort Walton-Destin HospitalFort Walton Beach, FL · CCN 100223	344	$2,474	About average	$1,968	$59,493
Robert Packer HospitalSayre, PA · CCN 390079	306	$2,474	About average	$1,964	$20,063
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	88	$2,474	About average	$1,951	$22,525
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	351	$2,474	About average	$1,970	$37,393
HCA Florida Blake HospitalBradenton, FL · CCN 100213	350	$2,474	About average	$1,968	$43,805
Vanderbilt Clarksville HospitalClarksville, TN · CCN 440035	296	$2,474	About average	$1,960	$28,727
AdventHealth OcalaOcala, FL · CCN 100062	718	$2,474	About average	$1,968	$19,957
Colleton Medical CenterWalterboro, SC · CCN 420030	162	$2,474	About average	$1,958	$27,725
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	97	$2,474	About average	$1,968	$54,664
Tanner Medical Center Villa RicaVilla Rica, GA · CCN 110015	183	$2,474	About average	$1,956	$19,363

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.