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 1,451–1,500. 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
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	60	$2,483	About average	$1,971	$11,871
AdventHealth Lake WalesLake Wales, FL · CCN 100099	155	$2,484	About average	$1,971	$41,307
Schneck Medical CenterSeymour, IN · CCN 150065	241	$2,484	About average	$1,979	$9,858
Anmed HealthAnderson, SC · CCN 420027	296	$2,484	About average	$1,972	$21,534
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	85	$2,484	About average	$1,972	$14,364
Memorial Medical CenterSpringfield, IL · CCN 140148	146	$2,485	About average	$1,974	$16,753
Parkview Noble HospitalKendallville, IN · CCN 150146	47	$2,485	About average	$1,971	$15,702
Carle Health Pekin HospitalPekin, IL · CCN 140120	90	$2,485	About average	$1,971	$23,596
Reading HospitalWest Reading, PA · CCN 390044	1,129	$2,485	About average	$1,975	$17,813
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	190	$2,485	About average	$1,976	$16,607
Parkview Whitley HospitalColumbia City, IN · CCN 150101	105	$2,485	About average	$1,980	$16,862
St Joseph Health System, LLCFort Wayne, IN · CCN 150047	49	$2,486	About average	$1,975	$25,289
Central Maine Medical CenterLewiston, ME · CCN 200024 · +$973 outlier payments per case	120	$2,486	About average	$1,976	$13,391
Munson Healthcare Grayling HospitalGrayling, MI · CCN 230058	68	$2,486	About average	$1,975	$14,091
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	377	$2,487	About average	$1,978	$17,005
UPMC MemorialYork, PA · CCN 390101	245	$2,487	About average	$1,973	$17,247
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	133	$2,488	About average	$1,979	$18,359
Lancaster General HospitalLancaster, PA · CCN 390100	739	$2,488	About average	$1,972	$14,670
Northern Light Mercy HospitalPortland, ME · CCN 200008	55	$2,488	About average	$1,971	$16,680
Community Medical CenterMissoula, MT · CCN 270023	62	$2,488	About average	$1,965	$14,373
Carle Bromenn Medical CenterNormal, IL · CCN 140127	257	$2,488	About average	$1,976	$17,913
Self Regional HealthcareGreenwood, SC · CCN 420071	536	$2,488	About average	$1,980	$13,246
Stillwater Medical CenterStillwater, OK · CCN 370049	218	$2,489	About average	$1,973	$22,236
The Woodlands Specialty HospitalSpring, TX · CCN 670267	11	$2,489	About average	$1,983	$125,966
Cleveland Emergency HospitalHumble, TX · CCN 670115 · +$3,874 outlier payments per case	18	$2,489	About average	$1,977	$225,815
HSHS Holy Family Hospital IncGreenville, IL · CCN 140137	45	$2,489	About average	$1,970	$12,303
Mercy Hospital AdaAda, OK · CCN 370020	110	$2,489	About average	$1,976	$13,747
Elkview General HospitalHobart, OK · CCN 370153	25	$2,489	About average	$1,983	$5,849
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	299	$2,489	About average	$1,964	$35,151
Goshen HospitalGoshen, IN · CCN 150026	411	$2,490	About average	$1,975	$15,224
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	414	$2,490	About average	$1,983	$14,605
HCA Houston Healthcare TomballTomball, TX · CCN 450670	122	$2,490	About average	$1,972	$47,768
Herrin HospitalHerrin, IL · CCN 140011	264	$2,492	About average	$1,977	$26,134
White County Medical CenterSearcy, AR · CCN 040014	501	$2,492	About average	$1,985	$10,545
Northside Hospital DuluthDuluth, GA · CCN 110252	167	$2,492	About average	$1,971	$22,209
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	122	$2,493	About average	$1,979	$27,356
CHI Health St. FrancisGrand Island, NE · CCN 280023	93	$2,493	About average	$1,974	$18,250
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	106	$2,493	About average	$1,976	$15,504
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	631	$2,493	About average	$1,981	$10,583
Anson General HospitalAnson, TX · CCN 670781	61	$2,493	About average	$2,007	$7,430
Ascension Wisconsin Hospital Menomonee Falls CampusMenomonee Falls, WI · CCN 520214	43	$2,494	About average	$1,987	$15,299
Froedtert Community HospitalNew Berlin, WI · CCN 520213	27	$2,494	About average	$1,986	$9,336
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	535	$2,494	About average	$1,975	$28,547
St Marys HospitalDecatur, IL · CCN 140166	113	$2,494	About average	$1,977	$19,794
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	94	$2,494	About average	$1,983	$15,118
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	351	$2,494	About average	$1,977	$21,008
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424	461	$2,494	About average	$1,977	$30,470
Trinity Rock IslandRock Island, IL · CCN 140280	57	$2,494	About average	$1,980	$13,038
Stephens Memorial HospitalBreckenridge, TX · CCN 450498	45	$2,494	About average	$1,987	$8,779
Medical Arts HospitalLamesa, TX · CCN 450489	28	$2,494	About average	$1,987	$10,066

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.