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 1,851–1,900. 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
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	232	$2,589	About average	$2,054	$11,099
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	334	$2,589	About average	$2,062	$18,650
Mary Rutan HospitalBellefontaine, OH · CCN 360197	130	$2,591	About average	$2,064	$11,510
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	143	$2,591	About average	$2,062	$11,932
Medical Center Of The RockiesLoveland, CO · CCN 060119	603	$2,592	About average	$2,062	$23,382
Maple Grove HospitalMaple Grove, MN · CCN 240214	171	$2,592	About average	$2,059	$10,829
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	466	$2,592	About average	$2,063	$36,663
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	329	$2,593	About average	$2,061	$20,713
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	1,916	$2,593	About average	$2,062	$35,021
Elliot HospitalManchester, NH · CCN 300012	373	$2,593	About average	$2,055	$17,009
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185 · +$192 outlier payments per case	733	$2,593	About average	$1,972	$31,994
Cheshire Medical CenterKeene, NH · CCN 300019 · +$344 outlier payments per case	263	$2,593	About average	$2,060	$21,518
Memorial HospitalLogansport, IN · CCN 150072	107	$2,594	About average	$2,063	$13,819
Fairview Northland Regional HospitalPrinceton, MN · CCN 240141	93	$2,594	About average	$2,061	$17,365
Meadville Medical CenterMeadville, PA · CCN 390113	433	$2,594	About average	$2,061	$15,228
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	1,336	$2,595	About average	$2,067	$14,023
UPMC SomersetSomerset, PA · CCN 390039	84	$2,596	About average	$2,061	$10,410
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	371	$2,596	About average	$2,057	$21,826
Allina Health Faribault Medical CenterFaribault, MN · CCN 240071	132	$2,597	About average	$2,069	$14,192
Owatonna HospitalOwatonna, MN · CCN 240069	82	$2,597	About average	$2,069	$13,480
Sacred Heart HospitalEau Claire, WI · CCN 520013	24	$2,597	About average	$2,069	$18,435
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	309	$2,597	About average	$2,067	$14,448
Longmont United HospitalLongmont, CO · CCN 060003	150	$2,597	About average	$2,067	$39,393
Marshfield Medical Center - Rice LakeRice Lake, WI · CCN 520011	81	$2,597	About average	$2,063	$12,294
Buffalo HospitalBuffalo, MN · CCN 240076	111	$2,598	About average	$2,066	$14,763
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	454	$2,598	About average	$2,066	$19,029
Boulder Community HealthBoulder, CO · CCN 060027	347	$2,598	About average	$2,070	$38,008
Northfield HospitalNorthfield, MN · CCN 240014	116	$2,599	About average	$2,065	$20,654
Insight Hospital And Medical Center ChicagoChicago, IL · CCN 140158	117	$2,599	About average	$2,071	$20,020
Loretto HospitalChicago, IL · CCN 140083	11	$2,599	About average	$2,071	$11,861
St Bernard HospitalChicago, IL · CCN 140103 · +$2,502 outlier payments per case	109	$2,599	About average	$2,071	$13,259
Thorek Memorial HospitalChicago, IL · CCN 140115	27	$2,599	About average	$2,071	$12,940
Provident Hospital Of ChicagoChicago, IL · CCN 140300 · +$1,912 outlier payments per case	144	$2,599	About average	$2,070	$12,889
South Shore HospitalChicago, IL · CCN 140181	23	$2,599	About average	$2,069	$32,987
Louis A Weiss Memorial HospitalChicago, IL · CCN 140082	62	$2,599	About average	$2,068	$17,460
Saint Anthony HospitalChicago, IL · CCN 140095	73	$2,599	About average	$2,067	$13,615
St Lukes HospitalBethlehem, PA · CCN 390049	363	$2,599	About average	$2,056	$32,554
Penn Highlands DuboisDubois, PA · CCN 390086	218	$2,600	About average	$2,066	$12,523
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	320	$2,600	About average	$2,068	$40,484
Lakeview Memorial HospitalStillwater, MN · CCN 240066	127	$2,600	About average	$2,068	$13,268
Advocate Sherman HospitalElgin, IL · CCN 140030	561	$2,601	About average	$2,058	$19,173
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	398	$2,601	About average	$2,068	$9,792
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	76	$2,601	About average	$2,066	$30,586
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	286	$2,602	About average	$2,070	$13,565
Presbyterian Espanola HospitalEspanola, NM · CCN 320011	58	$2,602	About average	$2,073	$13,544
Allina United HospitalSaint Paul, MN · CCN 240038	451	$2,603	About average	$2,071	$14,627
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150 · +$242 outlier payments per case	372	$2,604	About average	$2,064	$21,150
AdventHealth ParkerParker, CO · CCN 060114	78	$2,606	About average	$2,076	$49,764
AdventHealth PorterDenver, CO · CCN 060064 · +$1,039 outlier payments per case	67	$2,606	About average	$2,076	$48,193
Community HospitalGrand Junction, CO · CCN 060054	173	$2,606	About average	$2,076	$28,408

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.