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 1,751–1,800. 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
Benefis Hospitals IncGreat Falls, MT · CCN 270012	507	$2,554	About average	$2,032	$13,156
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	304	$2,554	About average	$2,027	$12,905
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	609	$2,555	About average	$2,030	$11,401
Regions HospitalSaint Paul, MN · CCN 240106	470	$2,555	About average	$2,023	$11,638
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	83	$2,555	About average	$2,034	$13,346
The Monroe ClinicMonroe, WI · CCN 520028	210	$2,555	About average	$2,031	$16,945
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	670	$2,556	About average	$2,029	$21,575
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	200	$2,556	About average	$2,034	$12,503
Norton-King's Daughters' HealthMadison, IN · CCN 150069	148	$2,557	About average	$2,025	$11,697
Reston Hospital CenterReston, VA · CCN 490107	172	$2,557	About average	$2,030	$28,246
Swedish Medical CenterEnglewood, CO · CCN 060034	128	$2,557	About average	$2,027	$66,217
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	563	$2,557	About average	$2,029	$25,986
Froedtert South Inc.Kenosha, WI · CCN 520021	247	$2,558	About average	$2,033	$16,938
Christus Spohn Hospital KlebergKingsville, TX · CCN 450163	26	$2,558	About average	$2,034	$39,430
Christus Spohn Hospital BeevilleBeeville, TX · CCN 450082	40	$2,558	About average	$2,031	$40,528
Edward HospitalNaperville, IL · CCN 140231	992	$2,558	About average	$2,030	$24,730
Sanford Medical Center BismarckBismarck, ND · CCN 350015	911	$2,558	About average	$2,036	$14,643
Ingalls Memorial HospitalHarvey, IL · CCN 140191	447	$2,558	About average	$2,027	$22,592
Exeter Hospital IncExeter, NH · CCN 300023	272	$2,559	About average	$2,027	$19,164
Castleview HospitalPrice, UT · CCN 460011	219	$2,559	About average	$2,028	$18,182
Bates County Memorial HospitalButler, MO · CCN 260034	105	$2,560	About average	$2,039	$19,196
AdventHealth OttawaOttawa, KS · CCN 170014	118	$2,560	About average	$2,038	$23,124
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	574	$2,561	About average	$2,039	$16,254
Sanford Medical Center FargoFargo, ND · CCN 350011	756	$2,561	About average	$2,038	$13,283
Methodist Fremont HealthFremont, NE · CCN 280077	32	$2,561	About average	$2,037	$18,881
Delta County Memorial HospitalDelta, CO · CCN 060071	73	$2,561	About average	$2,036	$10,802
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	1,596	$2,562	About average	$2,032	$19,277
St. Patrick HospitalMissoula, MT · CCN 270014	491	$2,562	About average	$2,040	$10,067
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	1,126	$2,563	About average	$2,038	$29,323
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006 · +$518 outlier payments per case	945	$2,563	About average	$2,040	$16,113
Cambridge Medical CenterCambridge, MN · CCN 240020	117	$2,564	About average	$2,031	$15,845
Palos Community HospitalPalos Heights, IL · CCN 140062	1,257	$2,564	About average	$2,036	$20,928
Advocate Lutheran General HospitalPark Ridge, IL · CCN 140223 · +$40 outlier payments per case	1,095	$2,564	About average	$2,036	$21,025
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	160	$2,565	About average	$2,036	$19,680
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	76	$2,566	About average	$2,031	$18,968
Avera Heart Hospital Of South DakotaSioux Falls, SD · CCN 430095	52	$2,566	About average	$2,045	$18,787
Sanford Medical Center AberdeenAberdeen, SD · CCN 430097	232	$2,566	About average	$2,044	$14,822
Advocate Trinity HospitalChicago, IL · CCN 140048	530	$2,567	About average	$2,037	$19,975
Roseland Community HospitalChicago, IL · CCN 140068	65	$2,567	About average	$2,027	$14,003
Mercy HospitalCoon Rapids, MN · CCN 240115	552	$2,567	About average	$2,035	$16,702
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	262	$2,568	About average	$2,038	$28,248
Suburban Community HospitalNorristown, PA · CCN 390116	32	$2,568	About average	$2,045	$10,797
Intermountain Health Cedar City HospitalCedar City, UT · CCN 460007	126	$2,568	About average	$2,042	$13,572
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	831	$2,568	About average	$2,041	$17,437
UPMC AltoonaAltoona, PA · CCN 390073	207	$2,568	About average	$2,033	$15,507
Parkland Health CenterFarmington, MO · CCN 260163	51	$2,568	About average	$2,038	$12,607
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	339	$2,568	About average	$2,039	$19,073
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	450	$2,569	About average	$2,038	$34,185
Community First Medical CenterChicago, IL · CCN 140251	136	$2,570	About average	$2,035	$19,553
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	249	$2,570	About average	$2,041	$20,189

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.