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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 Illinois

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
Illinois
Specific hospitals up to 10
Average payment across these 113 hospitals
$2,573National $2,634 · Illinois $2,573
Median hospital
$2,567
Lowest to highest
$2,385–$2,709
Medicare procedures
39,922

113 hospitals reported at least 11 Medicare procedures for this in 2024; showing 101–113. Download as CSV

Medicare payments per case for Comprehensive Observation Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Saint Joseph Hospital-ElginElgin, IL · CCN 14021787$2,649About average$2,104$31,183
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008277$2,655About average$2,110$20,707
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224100$2,662About average$2,121$24,541
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080158$2,662About average$2,119$30,942
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 1401891,064$2,671About average$2,121$20,877
Blessing HospitalQuincy, IL · CCN 140015413$2,673About average$2,122$19,423
Presence Mercy Medical CenterAurora, IL · CCN 14017495$2,674About average$2,126$33,554
St Mary Medical CenterGalesburg, IL · CCN 140064185$2,674About average$2,124$18,525
Harrisburg Medical CenterHarrisburg, IL · CCN 140210132$2,677About average$2,125$19,992
Carle Richland Memorial HospitalOlney, IL · CCN 14014767$2,677About average$2,126$19,425
Saint James HospitalPontiac, IL · CCN 14016167$2,692About average$2,128$20,069
St Anthonys Memorial HospitalEffingham, IL · CCN 140032460$2,700About average$2,147$17,221
Mc Donough District HospitalMacomb, IL · CCN 14008982$2,709About average$2,158$17,937

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont51,308$1,285$1,180–$1,485
Alabama738,112$2,241$2,169–$2,264
Mississippi5211,311$2,278$2,235–$2,347
West Virginia225,181$2,285$2,226–$2,367
Louisiana6414,412$2,288$2,259–$2,300
Tennessee7316,493$2,299$2,237–$2,337
Ohio11031,616$2,317$2,300–$2,380
Oklahoma6111,406$2,348$2,322–$2,440
Arkansas4011,142$2,356$2,302–$2,439
Kentucky6115,821$2,359$2,296–$2,442
South Carolina5015,082$2,368$2,308–$2,382
Kansas337,920$2,377$2,321–$2,503
Iowa317,279$2,385$2,330–$2,467
Missouri6315,191$2,393$2,335–$2,465
Michigan8123,451$2,410$2,364–$2,467
Georgia9221,579$2,422$2,298–$2,481
North Carolina7821,007$2,426$2,380–$2,450
Texas23358,602$2,445$2,375–$2,511
Nebraska193,391$2,450$2,431–$2,480
Florida16677,597$2,457$2,443–$2,471
Maine172,448$2,457$2,370–$2,519
Virginia6926,889$2,459$2,332–$2,524
Indiana7318,659$2,464$2,412–$2,485
New Mexico224,083$2,469$2,369–$2,549
Utah313,560$2,478$2,429–$2,452
Wisconsin6110,886$2,497$2,447–$2,538
Idaho122,397$2,548$2,440–$2,614
Pennsylvania12233,705$2,553$2,415–$2,601
Illinois11339,922$2,573$2,522–$2,604
North Dakota62,780$2,590$2,532–$2,653
Montana103,213$2,595$2,543–$2,721
Colorado4813,460$2,608$2,586–$2,606
Minnesota4511,221$2,627$2,574–$2,716
New Hampshire135,226$2,637$2,593–$2,699
South Dakota112,485$2,638$2,559–$2,731
Arizona5422,819$2,686$2,639–$2,669
Delaware64,912$2,718$2,698–$2,727
Wyoming91,733$2,722$2,695–$2,745
Rhode Island92,010$2,752$2,748–$2,778
District of Columbia61,453$2,758$2,739–$2,795
Washington458,931$2,802$2,728–$2,893
New Jersey5936,741$2,897$2,835–$3,029
Nevada217,349$2,900$2,857–$2,915
Oregon325,804$2,901$2,821–$2,873
Massachusetts5132,481$2,920$2,905–$2,928
Alaska61,743$2,936$2,857–$2,998
New York11538,093$2,983$2,877–$3,083
Connecticut2615,665$3,045$3,022–$3,054
Hawaii121,584$3,127$3,076–$3,276
California24275,162$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.