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
- $2,090
- Average billed charge
- $24,060
- Hospitals reporting
- 2,753
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.
2,746 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Tishomingo Health Services Inc | 39 | $2,235 | 15% below the national average | $1,781 | $9,519 |
| Yalobusha General Hospital | 13 | $2,235 | 15% below the national average | $1,781 | $4,841 |
| Memorial Hospital Biloxi | 40 | $2,235 | 15% below the national average | $1,781 | $53,372 |
| Baptist Memorial Hospital Booneville | 32 | $2,235 | 15% below the national average | $1,779 | $17,391 |
| Beacham Memorial Hospital | 56 | $2,235 | 15% below the national average | $1,777 | $4,055 |
| North Mississippi Medical Center-Gilmore Amory | 48 | $2,235 | 15% below the national average | $1,773 | $15,180 |
| Troy Regional Medical Center | 83 | $2,236 | 15% below the national average | $1,765 | $8,276 |
| Lake Health | 291 | $2,236 | 15% below the national average | $1,760 | $15,265 |
| Trinity Medical Center East &Trinity Medical Center West | 138 | $2,236 | 15% below the national average | $1,761 | $11,942 |
| St Bernard Parish Hospital | 62 | $2,236 | 15% below the national average | $1,762 | $8,859 |
| University Health Lakewood Medical Center | 59 | $2,236 | 15% below the national average | $1,750 | $11,403 |
| St Vincent's Birmingham | 134 | $2,237 | 15% below the national average | $1,772 | $16,977 |
| Regional One Health | 74 | $2,237 | 15% below the national average | $1,767 | $17,691 |
| Morristown Hamblen Hospital Association | 189 | $2,238 | 15% below the national average | $1,779 | $9,822 |
| Ochsner Medical Center Acute | 829 | $2,239 | 15% below the national average | $1,775 | $12,334 |
| Ty Cobb Regional Medical Center, LLC | 50 | $2,240 | 15% below the national average | $1,770 | $14,194 |
| Oakdale Community Hospital | 51 | $2,240 | 15% below the national average | $1,778 | $14,440 |
| Delray Medical Center | 636 | $2,240 | 15% below the national average | $1,732 | $51,977 |
| Ochsner Rush Hospital | 74 | $2,240 | 15% below the national average | $1,780 | $9,253 |
| Greeneville Community Hospital | 100 | $2,241 | 15% below the national average | $1,782 | $18,439 |
| SGMC Health | 306 | $2,242 | 15% below the national average | $1,771 | $14,041 |
| Fmol Health St Francis | 481 | $2,242 | 15% below the national average | $1,779 | $19,166 |
| Wiregrass Medical Center | 51 | $2,242 | 15% below the national average | $1,786 | $7,856 |
| Crenshaw Community Hospital | 36 | $2,242 | 15% below the national average | $1,786 | $10,956 |
| Lakeland Community Hospital | 43 | $2,242 | 15% below the national average | $1,786 | $11,079 |
| Mizell Memorial Hospital | 33 | $2,242 | 15% below the national average | $1,786 | $7,414 |
| Marion Regional Medical Center | 54 | $2,242 | 15% below the national average | $1,782 | $10,442 |
| Grove Hill Memorial Hospital | 26 | $2,242 | 15% below the national average | $1,780 | $10,274 |
| Tennova Healthcare-Jefferson Memorial Hospital | 132 | $2,244 | 15% below the national average | $1,782 | $28,428 |
| Crescent Medical Center Lancaster | 45 | $2,244 | 15% below the national average | $1,788 | $18,130 |
| Huntsville Hospital | 943 | $2,244 | 15% below the national average | $1,771 | $17,355 |
| Morehouse General Hospital | 58 | $2,244 | 15% below the national average | $1,780 | $9,685 |
| Acadia General Hospital | 58 | $2,245 | 15% below the national average | $1,779 | $11,897 |
| McLeod Medical Center - Dillon | 110 | $2,245 | 15% below the national average | $1,766 | $17,027 |
| Merit Health River Oaks | 39 | $2,245 | 15% below the national average | $1,779 | $43,892 |
| Vanderbilt University Medical Center | 673 | $2,245 | 15% below the national average | $1,780 | $24,552 |
| Lincoln Medical Center | 164 | $2,245 | 15% below the national average | $1,787 | $14,418 |
| Crestwood Medical Center | 129 | $2,246 | 15% below the national average | $1,774 | $36,322 |
| Pomerene Hospital | 67 | $2,246 | 15% below the national average | $1,773 | $7,939 |
| Springhill Medical Center | 302 | $2,246 | 15% below the national average | $1,785 | $9,271 |
| Leonard J Chabert Medical Center | 62 | $2,247 | 15% below the national average | $1,770 | $5,042 |
| Franklin Medical Center | 126 | $2,247 | 15% below the national average | $1,781 | $11,810 |
| Thibodaux Regional Medical Center | 391 | $2,247 | 15% below the national average | $1,780 | $16,473 |
| Baptist Memorial Hospital North Ms | 802 | $2,247 | 15% below the national average | $1,782 | $19,445 |
| Baptist Memorial Hospital | 615 | $2,248 | 15% below the national average | $1,775 | $29,110 |
| Anderson Regional Medical Center | 548 | $2,249 | 15% below the national average | $1,788 | $13,646 |
| University Of Louisville Hospital | 211 | $2,249 | 15% below the national average | $1,765 | $15,354 |
| Piedmont Columbus Regional Midtown | 115 | $2,250 | 15% below the national average | $1,777 | $18,661 |
| Weirton Medical Center, Inc | 129 | $2,250 | 15% below the national average | $1,781 | $14,960 |
| Baptist Memorial Hospital Tipton | 94 | $2,250 | 15% below the national average | $1,780 | $22,571 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.