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 1,651–1,700. 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
Carle Health Proctor HospitalPeoria, IL · CCN 140013	63	$2,530	About average	$2,015	$22,826
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	86	$2,530	About average	$2,015	$19,357
Touchette Regional Hospital IncCentreville, IL · CCN 140077	13	$2,530	About average	$2,015	$10,694
Carle Health Methodist HospitalPeoria, IL · CCN 140209	143	$2,530	About average	$2,014	$24,492
Gateway Regional Medical CenterGranite City, IL · CCN 140125	86	$2,530	About average	$2,014	$38,670
Jersey Community HospitalJerseyville, IL · CCN 140059	132	$2,530	About average	$2,013	$13,749
UnityPoint Health - MeriterMadison, WI · CCN 520089	398	$2,530	About average	$2,010	$21,650
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	62	$2,530	About average	$2,011	$16,609
Palestine Regional Medical CenterPalestine, TX · CCN 450747	149	$2,530	About average	$2,013	$33,073
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	1,713	$2,530	About average	$2,011	$18,551
Pottstown HospitalPottstown, PA · CCN 390123	267	$2,530	About average	$2,005	$22,678
McLaren Northern MichiganPetoskey, MI · CCN 230105	116	$2,530	About average	$2,012	$10,647
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	773	$2,531	About average	$2,002	$14,458
LmhLawrence, KS · CCN 170137	155	$2,532	About average	$2,012	$20,680
Humboldt Park HealthChicago, IL · CCN 140206 · +$470 outlier payments per case	112	$2,533	About average	$2,014	$21,087
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	430	$2,533	About average	$2,015	$32,099
Franciscan Health DyerDyer, IN · CCN 150090	211	$2,534	About average	$2,011	$21,113
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	360	$2,534	About average	$2,009	$18,969
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	304	$2,534	About average	$2,012	$14,917
Munson Medical CenterTraverse City, MI · CCN 230097	435	$2,534	About average	$2,016	$14,668
Inova Loudoun HospitalLeesburg, VA · CCN 490043	1,074	$2,535	About average	$2,012	$20,717
Dickinson County Memorial HospitalIron Mountain, MI · CCN 230055	106	$2,535	About average	$2,016	$17,199
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	128	$2,535	About average	$2,015	$15,039
Nazareth HospitalPhiladelphia, PA · CCN 390204	174	$2,536	About average	$2,008	$19,337
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	24	$2,536	About average	$2,003	$16,032
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	955	$2,537	About average	$2,013	$14,521
Fauquier HospitalWarrenton, VA · CCN 490023	136	$2,537	About average	$2,014	$24,741
Southside Community Hospital, IncFarmville, VA · CCN 490090	150	$2,537	About average	$2,019	$19,985
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	122	$2,537	About average	$2,017	$13,558
Community HospitalMunster, IN · CCN 150125	1,533	$2,538	About average	$2,011	$19,566
Golden Valley Memorial HospitalClinton, MO · CCN 260175	91	$2,538	About average	$2,016	$13,954
Ascension All Saints HospitalRacine, WI · CCN 520096	109	$2,538	About average	$2,014	$17,951
HCA Houston Healthcare Medical CenterHouston, TX · CCN 450659	28	$2,538	About average	$2,022	$36,820
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	17	$2,538	About average	$2,022	$40,382
St Joseph Medical CenterHouston, TX · CCN 450035	21	$2,538	About average	$2,022	$24,399
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	50	$2,538	About average	$2,022	$26,363
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	179	$2,538	About average	$2,021	$49,970
Elite Hospital KingwoodKingwood, TX · CCN 670285 · +$15,682 outlier payments per case	56	$2,538	About average	$2,020	$63,131
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	76	$2,538	About average	$2,020	$61,623
HCA Houston Healthcare PearlandPearland, TX · CCN 670106	25	$2,538	About average	$2,020	$53,711
HCA Houston Healthcare ConroeConroe, TX · CCN 450222	83	$2,538	About average	$2,019	$55,617
East Houston Medical CenterHouston, TX · CCN 670320 · +$2,036 outlier payments per case	41	$2,538	About average	$2,018	$73,683
St Michaels Medical Hospital LLCSugar Land, TX · CCN 670314	13	$2,538	About average	$2,013	$42,624
HCA Houston Healthcare WestHouston, TX · CCN 450644	33	$2,539	About average	$2,001	$44,016
Billings Clinic HospitalBillings, MT · CCN 270004	389	$2,539	About average	$2,018	$8,375
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	196	$2,539	About average	$2,016	$14,232
Carteret General HospitalMorehead City, NC · CCN 340142	266	$2,539	About average	$2,020	$8,095
Jefferson Abington HospitalAbington, PA · CCN 390231	1,140	$2,539	About average	$2,017	$14,355
Carolina East Medical CenterNew Bern, NC · CCN 340131	686	$2,540	About average	$2,020	$14,811
Intermountain Health St Vincent Regional HospitalBillings, MT · CCN 270049	718	$2,540	About average	$2,018	$9,155

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.