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 1,801–1,850. 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
Tawas St Joseph HospitalTawas City, MI · CCN 230100	67	$2,570	About average	$2,048	$8,082
AdventHealth AvistaLouisville, CO · CCN 060103	59	$2,571	About average	$2,034	$44,844
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	295	$2,571	About average	$2,045	$17,179
Saint Joseph HospitalDenver, CO · CCN 060028	355	$2,571	About average	$2,038	$27,350
St Francis Regional Medical CenterShakopee, MN · CCN 240104	232	$2,572	About average	$2,040	$15,224
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174 · +$146 outlier payments per case	905	$2,572	About average	$2,040	$19,956
York HospitalYork, ME · CCN 200020	128	$2,572	About average	$2,047	$12,996
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	158	$2,573	About average	$2,042	$19,794
Concord HospitalConcord, NH · CCN 300001 · +$48 outlier payments per case	895	$2,573	About average	$2,037	$18,855
Independence Health System Clarion HospitalClarion, PA · CCN 390093	151	$2,573	About average	$2,042	$9,729
Fairview Lakes Health ServicesWyoming, MN · CCN 240050	195	$2,574	About average	$2,041	$15,759
St Lukes HospitalDuluth, MN · CCN 240047	361	$2,574	About average	$2,046	$13,425
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	336	$2,574	About average	$2,045	$18,665
Presence St Marys HospitalKankakee, IL · CCN 140155	197	$2,574	About average	$2,050	$25,966
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	736	$2,574	About average	$2,042	$37,034
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	177	$2,575	About average	$2,029	$21,440
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	1,115	$2,575	About average	$2,043	$13,193
Vista Medical Center EastWaukegan, IL · CCN 140084	223	$2,575	About average	$2,047	$27,900
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	137	$2,575	About average	$2,046	$29,187
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	651	$2,576	About average	$2,041	$17,580
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	66	$2,576	About average	$2,051	$21,694
Wayne Memorial HospitalHonesdale, PA · CCN 390125	83	$2,576	About average	$2,040	$22,960
Northwestern Medicine MCHenryMchenry, IL · CCN 140116	1,222	$2,576	About average	$2,048	$25,534
UPMC HanoverHanover, PA · CCN 390233	342	$2,576	About average	$2,052	$18,417
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	651	$2,576	About average	$2,048	$22,037
Wentworth-Douglass HospitalDover, NH · CCN 300018	713	$2,577	About average	$2,044	$19,434
Swedish HospitalChicago, IL · CCN 140114	697	$2,578	About average	$2,049	$17,824
Rush Oak Park HospitalOak Park, IL · CCN 140063	306	$2,578	About average	$2,050	$12,747
Kootenai HealthCoeur D'Alene, ID · CCN 130049	1,028	$2,579	About average	$2,049	$14,166
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024 · +$353 outlier payments per case	1,420	$2,579	About average	$2,049	$43,843
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	407	$2,579	About average	$2,048	$14,786
Punxsutawney Area HospitalPunxsutawney, PA · CCN 390199	109	$2,580	About average	$2,044	$6,644
Hennepin County Medical CenterMinneapolis, MN · CCN 240004 · +$106 outlier payments per case	412	$2,581	About average	$2,051	$14,677
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	40	$2,581	About average	$2,048	$18,573
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	106	$2,582	About average	$2,049	$20,653
Indiana Regional Medical CenterIndiana, PA · CCN 390173	103	$2,582	About average	$2,049	$14,468
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	279	$2,583	About average	$2,053	$16,949
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	536	$2,583	About average	$2,053	$34,631
Longs Peak HospitalLongmont, CO · CCN 060128	362	$2,583	About average	$2,053	$35,304
Phelps County Regional Medical CenterRolla, MO · CCN 260017	329	$2,584	About average	$2,053	$23,674
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	286	$2,585	About average	$2,043	$15,305
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	316	$2,585	About average	$2,051	$14,188
Reid HealthRichmond, IN · CCN 150048	877	$2,585	About average	$2,053	$11,608
Poudre Valley HospitalFort Collins, CO · CCN 060010	822	$2,586	About average	$2,055	$23,262
Parkview Medical Center, IncPueblo, CO · CCN 060020	628	$2,586	About average	$2,056	$36,860
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	118	$2,587	About average	$2,055	$15,036
Saint Joseph Medical CenterJoliet, IL · CCN 140007	359	$2,587	About average	$2,058	$30,917
Ridgeview Medical CenterWaconia, MN · CCN 240056	139	$2,588	About average	$2,052	$17,119
John H Stroger Jr HospitalChicago, IL · CCN 140124 · +$2,640 outlier payments per case	252	$2,588	About average	$2,061	$13,078
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	744	$2,588	About average	$2,055	$16,827

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.