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 1,551–1,600. 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
Northeast Regional Medical CenterKirksville, MO · CCN 260022	81	$2,507	About average	$1,993	$26,248
Trinity MuscatineMuscatine, IA · CCN 160013	48	$2,508	About average	$1,994	$12,602
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	343	$2,508	About average	$1,988	$23,594
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	817	$2,508	About average	$1,991	$34,832
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	805	$2,508	About average	$1,996	$21,082
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	507	$2,508	About average	$1,990	$22,376
Onslow Memorial HospitalJacksonville, NC · CCN 340042	272	$2,509	About average	$1,990	$15,360
Emory University HospitalAtlanta, GA · CCN 110010	577	$2,509	About average	$1,992	$14,325
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	623	$2,509	About average	$1,998	$19,117
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	65	$2,509	About average	$1,993	$28,327
Memorial Hermann Hospital SystemHouston, TX · CCN 450184 · +$33 outlier payments per case	2,449	$2,509	About average	$1,992	$32,741
Shannon Medical CenterSan Angelo, TX · CCN 450571	549	$2,509	About average	$1,993	$23,135
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	94	$2,510	About average	$1,992	$16,205
Wythe County Community HospitalWytheville, VA · CCN 490111	144	$2,510	About average	$1,997	$35,164
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	359	$2,510	About average	$1,994	$31,680
OSF Sacred Heart Medical CenterDanville, IL · CCN 140093	103	$2,510	About average	$1,995	$19,216
Anderson HospitalMaryville, IL · CCN 140289	258	$2,510	About average	$1,994	$24,140
St Luke's Patients Medical CenterPasadena, TX · CCN 670031	56	$2,511	About average	$1,995	$36,137
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	1,007	$2,512	About average	$1,996	$28,850
Knox Community HospitalMount Vernon, OH · CCN 360040	317	$2,512	About average	$1,995	$15,022
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	605	$2,512	About average	$1,988	$21,277
Houston Methodist West HospitalHouston, TX · CCN 670077	945	$2,513	About average	$1,996	$21,408
Grady Memorial HospitalAtlanta, GA · CCN 110079	410	$2,513	About average	$1,995	$28,347
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	192	$2,513	About average	$1,999	$19,284
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	150	$2,513	About average	$1,997	$32,828
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	571	$2,514	About average	$1,997	$33,261
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	65	$2,514	About average	$1,987	$32,865
Starr County Memorial HospitalRio Grande City, TX · CCN 450654	69	$2,514	About average	$1,997	$7,755
Baylor St Lukes Medical CenterHouston, TX · CCN 450193 · +$239 outlier payments per case	170	$2,514	About average	$1,997	$30,219
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	307	$2,515	About average	$2,002	$19,103
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	107	$2,515	About average	$1,992	$18,376
CGH Medical CenterSterling, IL · CCN 140043	276	$2,515	About average	$2,000	$24,253
Hays Medical CenterHays, KS · CCN 170013	240	$2,515	About average	$2,000	$19,286
Northern Maine Medical CenterFort Kent, ME · CCN 200052	40	$2,515	About average	$2,004	$8,489
Memorial Satilla HealthWaycross, GA · CCN 110003	142	$2,516	About average	$1,992	$26,814
Ecu Health North HospitalRoanoke Rapids, NC · CCN 340151	55	$2,516	About average	$1,996	$11,403
Scenic Mountain Medical CenterBig Spring, TX · CCN 450653	80	$2,516	About average	$1,990	$19,525
St Joseph Medical CenterBloomington, IL · CCN 140162	160	$2,517	About average	$2,003	$19,775
Mymichigan Medical Center MidlandMidland, MI · CCN 230222 · +$150 outlier payments per case	464	$2,517	About average	$1,995	$13,624
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	873	$2,517	About average	$2,000	$24,471
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	326	$2,517	About average	$1,992	$17,541
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	559	$2,518	About average	$1,996	$12,994
CHI St Luke's Health BrazosportLake Jackson, TX · CCN 450072	194	$2,518	About average	$2,000	$31,116
Hendrick Medical CenterAbilene, TX · CCN 450229	386	$2,518	About average	$1,996	$41,807
Stonesprings Hospital CenterDulles, VA · CCN 490145	83	$2,518	About average	$1,996	$24,997
Childress Regional Medical CenterChildress, TX · CCN 450369	79	$2,518	About average	$1,995	$9,905
Watauga Medical CenterBoone, NC · CCN 340051	186	$2,518	About average	$2,000	$11,134
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108	160	$2,518	About average	$2,001	$26,987
Bothwell Regional Health CenterSedalia, MO · CCN 260009	294	$2,519	About average	$1,997	$18,976
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 230133	115	$2,519	About average	$1,996	$12,512

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.