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 1,401–1,450. 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
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	400	$2,475	About average	$1,966	$18,990
Rolling Plains Memorial HospitalSweetwater, TX · CCN 450055	102	$2,475	About average	$1,965	$9,209
Southern Maine Health CareBiddeford, ME · CCN 200019	64	$2,476	About average	$1,953	$13,512
AdventHealth GordonCalhoun, GA · CCN 110023	105	$2,477	About average	$1,969	$34,515
Lexington Memorial Hospital IncLexington, NC · CCN 340096	110	$2,477	About average	$1,968	$12,316
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	134	$2,477	About average	$1,973	$17,183
Mcalester Regional Health CenterMcalester, OK · CCN 370034	162	$2,477	About average	$1,970	$11,808
Franciscan Health MunsterMunster, IN · CCN 150165	148	$2,477	About average	$1,954	$20,987
Wayne Memorial HospitalJesup, GA · CCN 110124	151	$2,478	About average	$1,974	$12,131
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	98	$2,478	About average	$1,973	$10,682
Memorial Health Meadows HospitalVidalia, GA · CCN 110128	55	$2,478	About average	$1,973	$21,675
Appling HealthcareBaxley, GA · CCN 110071	86	$2,478	About average	$1,965	$14,891
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046 · +$115 outlier payments per case	1,091	$2,478	About average	$1,968	$15,959
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	199	$2,478	About average	$1,965	$18,687
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	329	$2,478	About average	$1,958	$22,909
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	344	$2,479	About average	$1,972	$19,817
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	435	$2,479	About average	$1,963	$23,522
Memorial HospitalBelleville, IL · CCN 140185	167	$2,479	About average	$1,967	$21,616
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	405	$2,479	About average	$1,972	$17,331
AdventHealth Central TexasKilleen, TX · CCN 450152	104	$2,479	About average	$1,964	$21,262
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	160	$2,479	About average	$1,964	$15,791
HCA Florida Highlands HospitalSebring, FL · CCN 100049	61	$2,479	About average	$1,975	$26,792
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249	113	$2,479	About average	$1,975	$34,357
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	60	$2,479	About average	$1,975	$47,573
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236	182	$2,479	About average	$1,974	$57,330
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	736	$2,479	About average	$1,974	$21,166
The Villages Regional HospitalThe Villages, FL · CCN 100290	678	$2,479	About average	$1,974	$17,397
AdventHealth North PinellasTarpon Springs, FL · CCN 100055	113	$2,479	About average	$1,974	$26,750
HCA Florida Putnam HospitalPalatka, FL · CCN 100232	111	$2,479	About average	$1,974	$32,096
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	187	$2,479	About average	$1,974	$24,636
HCA Florida Englewood HospitalEnglewood, FL · CCN 100267	163	$2,479	About average	$1,974	$55,177
AdventHealth DelandDeland, FL · CCN 100045	227	$2,479	About average	$1,973	$21,989
HCA Florida Poinciana HospitalKissimmee, FL · CCN 100320	43	$2,479	About average	$1,972	$61,528
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292	278	$2,479	About average	$1,972	$26,986
Ucf Lake Nona HospitalOrlando, FL · CCN 100350	108	$2,480	About average	$1,971	$62,580
Lakeside Medical CenterBelle Glade, FL · CCN 100130	80	$2,480	About average	$1,970	$15,575
Larkin Community Hospital Palm Springs CampusHialeah, FL · CCN 100050	142	$2,480	About average	$1,968	$26,124
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	95	$2,480	About average	$1,967	$21,701
Keralty HospitalMiami, FL · CCN 100284	277	$2,480	About average	$1,965	$12,782
St Josephs HospitalBreese, IL · CCN 140145	121	$2,480	About average	$1,965	$16,635
Hialeah HospitalHialeah, FL · CCN 100053	76	$2,480	About average	$1,962	$47,494
Palmetto General HospitalHialeah, FL · CCN 100187	72	$2,480	About average	$1,951	$39,790
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	433	$2,480	About average	$1,971	$25,308
Moberly Regional Medical CenterMoberly, MO · CCN 260074	44	$2,481	About average	$1,972	$32,188
Hampton Regional Medical CenterVarnville, SC · CCN 420072	150	$2,481	About average	$1,974	$12,914
Northside Hospital CherokeeCanton, GA · CCN 110008	218	$2,481	About average	$1,965	$27,366
Northside Hospital ForsythCumming, GA · CCN 110005	137	$2,481	About average	$1,965	$25,953
Integris Miami HospitalMiami, OK · CCN 370004	78	$2,482	About average	$1,973	$16,295
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	102	$2,483	About average	$1,970	$19,740
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	284	$2,483	About average	$1,976	$11,575

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.