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 1,701–1,750. 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
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	757	$2,540	About average	$2,017	$17,837
Athur M Blank HospitalAtlanta, GA · CCN 113300	12	$2,540	About average	$2,024	$18,668
Piedmont Rockdale HospitalConyers, GA · CCN 110091	98	$2,540	About average	$2,024	$23,314
Southern Regional Medical CenterRiverdale, GA · CCN 110165	20	$2,540	About average	$2,024	$26,956
Ngmc Barrow, LLCWinder, GA · CCN 110045	139	$2,540	About average	$2,023	$27,613
Franciscan Health Crown PointCrown Point, IN · CCN 150126	454	$2,541	About average	$2,018	$23,072
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	161	$2,542	About average	$2,011	$75,907
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	67	$2,543	About average	$2,012	$18,528
Brownfield Regional Medical CenterBrownfield, TX · CCN 450399	45	$2,544	About average	$2,027	$9,786
Lamb Healthcare CenterLittlefield, TX · CCN 450698	12	$2,544	About average	$2,027	$6,961
UT Health East Texas Jacksonville HospitalJacksonville, TX · CCN 450194	13	$2,544	About average	$2,027	$36,427
UT Health East Texas Carthage HospitalCarthage, TX · CCN 450210	28	$2,544	About average	$2,027	$29,197
Memorial HospitalGonzales, TX · CCN 450235	127	$2,544	About average	$2,026	$9,114
Covenant Hospital PlainviewPlainview, TX · CCN 450539	85	$2,544	About average	$2,026	$16,222
Permian Regional Medical Center Andrews County HoAndrews, TX · CCN 450144	107	$2,544	About average	$2,026	$10,274
Tyler County HospitalWoodville, TX · CCN 450460	24	$2,544	About average	$2,025	$6,548
Faith Community HospitalJacksboro, TX · CCN 450241	46	$2,544	About average	$2,025	$12,301
Val Verde Regional Medical CenterDel Rio, TX · CCN 450154	98	$2,544	About average	$2,023	$22,394
Eastland Memorial HospitalEastland, TX · CCN 450411	107	$2,544	About average	$2,022	$8,265
El Campo Memorial HospitalEl Campo, TX · CCN 450694	104	$2,544	About average	$2,019	$8,512
Carlsbad Medical CenterCarlsbad, NM · CCN 320063	225	$2,544	About average	$2,022	$35,330
Western Arizona Regional Medical CenterBullhead City, AZ · CCN 030101	17	$2,544	About average	$2,001	$50,027
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	153	$2,544	About average	$2,023	$20,277
St Mary Medical Center IncHobart, IN · CCN 150034	515	$2,544	About average	$2,021	$20,458
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122 · +$97 outlier payments per case	648	$2,545	About average	$2,023	$20,349
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	328	$2,545	About average	$2,021	$18,706
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	363	$2,546	About average	$2,017	$27,277
Methodist Hospitals IncGary, IN · CCN 150002	221	$2,546	About average	$2,022	$21,318
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	413	$2,547	About average	$2,025	$20,649
Christus Spohn Hospital AliceAlice, TX · CCN 450828	46	$2,548	About average	$2,028	$40,912
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	355	$2,548	About average	$2,022	$17,275
West Suburban Medical CenterOak Park, IL · CCN 140049	93	$2,548	About average	$2,029	$23,529
Jackson Park HospitalChicago, IL · CCN 140177 · +$837 outlier payments per case	86	$2,548	About average	$2,027	$29,677
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	163	$2,549	About average	$2,026	$21,011
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	84	$2,549	About average	$2,021	$28,878
United Hospital Center, IncBridgeport, WV · CCN 510006	183	$2,550	About average	$2,017	$14,108
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	936	$2,550	About average	$2,021	$26,327
Columbus Community HospitalColumbus, TX · CCN 450370	232	$2,550	About average	$2,030	$9,564
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	50	$2,550	About average	$2,021	$13,640
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	267	$2,551	About average	$2,029	$20,885
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	211	$2,551	About average	$2,029	$14,685
Vidant Roanoke Chowan HospitalAhoskie, NC · CCN 340099	131	$2,551	About average	$2,031	$12,398
Avera St LukesAberdeen, SD · CCN 430014	148	$2,552	About average	$2,031	$20,669
Artesia General HospitalArtesia, NM · CCN 320030	56	$2,553	About average	$2,034	$19,164
Covenant Health Hobbs HospitalHobbs, NM · CCN 320065	41	$2,553	About average	$2,032	$18,694
Wellspan York HospitalYork, PA · CCN 390046	704	$2,553	About average	$2,029	$20,049
Milton S Hershey Medical CenterHershey, PA · CCN 390256	446	$2,554	About average	$2,029	$17,421
Up Health System PortageHancock, MI · CCN 230108	55	$2,554	About average	$2,031	$17,922
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	105	$2,554	About average	$2,024	$12,689
Virginia Hospital CenterArlington, VA · CCN 490050	644	$2,554	About average	$2,032	$12,061

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.