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

Hospitals in Florida

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.

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Average payment across these 164 hospitals: $2,457National $2,634 · Florida $2,457
Median hospital: $2,461
Lowest to highest: $2,240–$2,656
Medicare procedures: 76,734

164 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–150. 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
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
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
Larkin Community HospitalSouth Miami, FL · CCN 100181	46	$2,467	About average	$1,957	$23,345
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 100126	141	$2,467	About average	$1,960	$64,858
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	159	$2,467	About average	$1,959	$35,341
HCA Florida Osceola HospitalKissimmee, FL · CCN 100110	164	$2,467	About average	$1,962	$77,272
Orlando Health Rockledge HospitalRockledge, FL · CCN 100092	176	$2,468	About average	$1,960	$28,703
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
Mease Dunedin HospitalDunedin, FL · CCN 100043	377	$2,469	About average	$1,964	$21,440
HCA Florida Citrus HospitalInverness, FL · CCN 100023	194	$2,469	About average	$1,962	$55,354
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	1,179	$2,470	About average	$1,962	$37,304
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
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
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	556	$2,472	About average	$1,967	$26,703
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
Palm Bay HospitalPalm Bay, FL · CCN 100316	288	$2,473	About average	$1,969	$17,814
Homestead HospitalHomestead, FL · CCN 100125	574	$2,473	About average	$1,963	$27,979
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
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
AdventHealth OcalaOcala, FL · CCN 100062	718	$2,474	About average	$1,968	$19,957
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	400	$2,475	About average	$1,966	$18,990
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

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.