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 1,901–1,950. 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
HCA Healthone Mountain RidgeThornton, CO · CCN 060065	56	$2,606	About average	$2,076	$83,387
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	69	$2,606	About average	$2,076	$63,556
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	45	$2,606	About average	$2,076	$27,511
Banner Fort Collins Medical CenterFort Collins, CO · CCN 060126	28	$2,606	About average	$2,076	$10,489
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	257	$2,606	About average	$2,076	$34,003
St Francis Hospital - InterquestColorado Springs, CO · CCN 060133	14	$2,606	About average	$2,076	$37,170
St Mary-Corwin HospitalPueblo, CO · CCN 060012	11	$2,606	About average	$2,076	$28,227
UCHealth Broomfield HospitalBroomfield, CO · CCN 060129	26	$2,606	About average	$2,076	$31,111
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	151	$2,606	About average	$2,076	$17,549
AdventHealth LittletonLittleton, CO · CCN 060113	166	$2,606	About average	$2,075	$48,755
HCA Healthone RoseDenver, CO · CCN 060032	154	$2,606	About average	$2,075	$63,629
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	218	$2,606	About average	$2,074	$64,727
AdventHealth Castle RockCastle Rock, CO · CCN 060125	81	$2,606	About average	$2,073	$45,750
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	147	$2,606	About average	$2,071	$44,223
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	199	$2,606	About average	$2,074	$19,930
San Juan Regional Medical Center IncFarmington, NM · CCN 320005 · +$124 outlier payments per case	509	$2,606	About average	$2,066	$23,573
Jackson HospitalMarianna, FL · CCN 100142	173	$2,607	About average	$2,067	$7,061
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	186	$2,607	About average	$2,071	$25,419
Main Line Hospital LankenauWynnewood, PA · CCN 390195	244	$2,607	About average	$2,068	$21,706
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	188	$2,608	About average	$2,069	$22,515
Lower Keys Medical CenterKey West, FL · CCN 100150	144	$2,608	About average	$2,070	$33,013
Saint Anthony Medical CenterRockford, IL · CCN 140233	191	$2,608	About average	$2,065	$20,249
St. George Regional HospitalSt George, UT · CCN 460021	565	$2,608	About average	$2,077	$14,471
Hannibal Regional HospitalHannibal, MO · CCN 260025	274	$2,609	About average	$2,077	$21,232
Winchester Medical CenterWinchester, VA · CCN 490005	1,116	$2,610	About average	$2,063	$12,085
Uw HealthRockford, IL · CCN 140228	808	$2,610	About average	$2,072	$33,403
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	141	$2,611	About average	$2,074	$39,613
Frisbie Memorial HospitalRochester, NH · CCN 300014	58	$2,611	About average	$2,080	$29,526
Missouri Delta Medical CenterSikeston, MO · CCN 260113	27	$2,612	About average	$2,067	$18,786
Marshfield Medical CenterMarshfield, WI · CCN 520037	184	$2,612	About average	$2,079	$12,956
Portneuf Medical CenterPocatello, ID · CCN 130028	103	$2,613	About average	$2,081	$24,037
MacNeal HospitalBerwyn, IL · CCN 140054	349	$2,613	About average	$2,072	$25,226
Abrazo West CampusGoodyear, AZ · CCN 030110	182	$2,613	About average	$2,066	$48,845
Paoli HospitalPaoli, PA · CCN 390153	387	$2,614	About average	$2,077	$22,764
Great Plains HealthNorth Platte, NE · CCN 280065	150	$2,615	About average	$2,073	$16,191
UCHealth Greeley HospitalGreeley, CO · CCN 060131	383	$2,616	About average	$2,083	$22,208
North Texas Medical CenterGainesville, TX · CCN 450090	96	$2,616	About average	$2,080	$13,380
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	209	$2,616	About average	$2,080	$18,929
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	203	$2,617	About average	$2,082	$21,401
Exceptional Community Hospital - MaricopaMaricopa, AZ · CCN 030152	54	$2,617	About average	$2,082	$84,837
St Joseph Regional Medical CenterLewiston, ID · CCN 130003	102	$2,618	About average	$2,081	$15,785
Loyola University Medical CenterMaywood, IL · CCN 140276	436	$2,618	About average	$2,077	$18,201
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	159	$2,618	About average	$2,084	$28,867
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 030092	425	$2,618	About average	$2,075	$31,041
Penn Highlands HuntingdonHuntingdon, PA · CCN 390056	34	$2,618	About average	$2,086	$10,615
UPMC KaneKane, PA · CCN 390104	71	$2,618	About average	$2,080	$9,486
UPMC Bedford MemorialEverett, PA · CCN 390117	30	$2,618	About average	$2,080	$14,568
Lehigh Valley HospitalAllentown, PA · CCN 390133	1,138	$2,620	About average	$2,077	$29,077
UNC Lenoir Health CareKinston, NC · CCN 340027	124	$2,620	About average	$2,088	$11,235
St Joseph's HospitalTucson, AZ · CCN 030011	88	$2,621	About average	$2,074	$50,265

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.