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 1,601–1,650. 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
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	231	$2,519	About average	$1,999	$19,645
CHI St Alexius HealthBismarck, ND · CCN 350002	86	$2,519	About average	$1,996	$13,142
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068 · +$102 outlier payments per case	628	$2,519	About average	$2,003	$36,819
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004 · +$231 outlier payments per case	377	$2,519	About average	$2,000	$16,379
Christus Jasper Memorial HospitalJasper, TX · CCN 450573	77	$2,519	About average	$2,000	$21,852
Emory Hillandale HospitalLithonia, GA · CCN 110226	96	$2,519	About average	$2,000	$15,372
Franklin Memorial HospitalFarmington, ME · CCN 200037	22	$2,519	About average	$2,007	$10,906
Riverside Medical CenterKankakee, IL · CCN 140186	446	$2,519	About average	$1,995	$27,056
Inova Fairfax HospitalFalls Church, VA · CCN 490063 · +$84 outlier payments per case	2,015	$2,520	About average	$1,997	$18,494
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	151	$2,520	About average	$2,002	$10,142
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	152	$2,520	About average	$1,996	$18,773
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057 · +$128 outlier payments per case	700	$2,520	About average	$2,005	$15,768
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	543	$2,520	About average	$2,003	$29,090
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034	338	$2,520	About average	$2,002	$28,911
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	283	$2,521	About average	$2,003	$12,573
Corewell Health Big Rapids HospitalBig Rapids, MI · CCN 230093	131	$2,521	About average	$1,993	$12,762
Corewell Health Ludington HospitalLudington, MI · CCN 230110	69	$2,521	About average	$1,996	$12,841
Hurley Medical CenterFlint, MI · CCN 230132	354	$2,521	About average	$1,998	$13,695
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	616	$2,522	About average	$2,003	$20,966
Decatur Memorial HospitalDecatur, IL · CCN 140135	245	$2,522	About average	$2,006	$16,023
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	769	$2,522	About average	$2,006	$16,740
Holy Cross HospitalChicago, IL · CCN 140133	106	$2,522	About average	$1,990	$22,904
Essentia HealthFargo, ND · CCN 350070	294	$2,523	About average	$2,008	$13,535
St Claire Regional Medical CenterMorehead, KY · CCN 180018	179	$2,523	About average	$2,009	$13,328
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	212	$2,523	About average	$2,001	$15,582
Warren Memorial HospitalFront Royal, VA · CCN 490033	231	$2,524	About average	$2,004	$10,823
Community Memorial HospitalSouth Hill, VA · CCN 490098	226	$2,524	About average	$2,002	$17,746
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	141	$2,524	About average	$2,003	$49,474
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$515 outlier payments per case	641	$2,524	About average	$2,006	$12,897
Matagorda Regional Medical CenterBay City, TX · CCN 450465	209	$2,525	About average	$2,007	$11,672
OhioHealth O'Bleness HospitalAthens, OH · CCN 360014	148	$2,525	About average	$2,001	$15,376
Northside HospitalAtlanta, GA · CCN 110161	136	$2,525	About average	$2,008	$26,456
Columbus Community Hospital, IncColumbus, NE · CCN 280111	101	$2,526	About average	$2,012	$16,102
Regional West Medical CenterScottsbluff, NE · CCN 280061	194	$2,526	About average	$2,010	$21,823
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	142	$2,526	About average	$2,009	$29,251
St Catherine Hospital IncEast Chicago, IN · CCN 150008	172	$2,527	About average	$1,999	$19,489
Essentia Health VirginiaVirginia, MN · CCN 240084	123	$2,527	About average	$2,013	$12,613
Emory University Hospital MidtownAtlanta, GA · CCN 110078	477	$2,528	About average	$2,008	$12,920
Oakbend Medical CenterRichmond, TX · CCN 450330	200	$2,528	About average	$2,012	$17,199
Stafford Hospital, LLCStafford, VA · CCN 490140	212	$2,528	About average	$2,006	$12,906
Range Regional Health ServicesHibbing, MN · CCN 240040	103	$2,528	About average	$2,010	$18,558
United Regional Health Care SystemWichita Falls, TX · CCN 450010	676	$2,528	About average	$2,004	$13,047
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	504	$2,529	About average	$2,011	$13,116
Genesis HospitalZanesville, OH · CCN 360039	884	$2,529	About average	$2,007	$13,761
Christus Southern New MexicoAlamogordo, NM · CCN 320004	210	$2,529	About average	$2,013	$42,521
Inova Alexandria HospitalAlexandria, VA · CCN 490040	1,065	$2,529	About average	$2,005	$19,564
Harris HealthHouston, TX · CCN 450289 · +$935 outlier payments per case	278	$2,529	About average	$2,011	$14,645
Heartland Regional Medical CenterMarion, IL · CCN 140184	132	$2,529	About average	$2,041	$29,092
Sentara Albemarle Medical CenterElizabeth City, NC · CCN 340109	282	$2,529	About average	$2,011	$14,579
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	167	$2,530	About average	$2,009	$10,405

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.