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 151–200. 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
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	46	$2,251	15% below the national average	$1,775	$25,870
Washington Regional Medical CenterFayetteville, AR · CCN 040004	417	$2,251	15% below the national average	$1,784	$14,795
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	96	$2,251	15% below the national average	$1,782	$16,049
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	37	$2,252	15% below the national average	$1,774	$20,661
Ochsner LSU Health MonroeMonroe, LA · CCN 190011	75	$2,252	15% below the national average	$1,786	$12,500
Roosevelt General HospitalPortales, NM · CCN 320084	129	$2,252	15% below the national average	$1,775	$19,742
West Boca Medical CenterBoca Raton, FL · CCN 100268	276	$2,252	15% below the national average	$1,743	$42,097
Baldwin HealthFoley, AL · CCN 010083	164	$2,252	14% below the national average	$1,790	$31,109
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	222	$2,253	14% below the national average	$1,786	$12,773
Taylor Regional HospitalCampbellsville, KY · CCN 180087	126	$2,253	14% below the national average	$1,786	$12,296
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	423	$2,253	14% below the national average	$1,784	$10,231
Lawrence Medical CenterMoulton, AL · CCN 010059	33	$2,256	14% below the national average	$1,786	$6,320
Camden Clark Medical CenterParkersburg, WV · CCN 510058	404	$2,257	14% below the national average	$1,785	$15,906
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	212	$2,257	14% below the national average	$1,791	$20,833
Sweetwater Hospital AssociationSweetwater, TN · CCN 440084	65	$2,257	14% below the national average	$1,799	$17,583
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	78	$2,257	14% below the national average	$1,798	$17,823
Roane Medical CenterHarriman, TN · CCN 440031	158	$2,257	14% below the national average	$1,797	$8,176
Saint Joseph HospitalLexington, KY · CCN 180010	44	$2,258	14% below the national average	$1,776	$15,146
Iberia Medical CenterNew Iberia, LA · CCN 190054	104	$2,258	14% below the national average	$1,793	$12,177
Northern Louisiana Medical CenterRuston, LA · CCN 190086	82	$2,259	14% below the national average	$1,794	$18,186
Ascension River District HospitalEast China, MI · CCN 230241	24	$2,259	14% below the national average	$1,761	$9,954
Athens Limestone HospitalAthens, AL · CCN 010079	178	$2,259	14% below the national average	$1,791	$9,168
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	226	$2,260	14% below the national average	$1,796	$13,748
Pineville Community Health Center, IncPineville, KY · CCN 180154	50	$2,260	14% below the national average	$1,782	$10,655
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	812	$2,261	14% below the national average	$1,797	$12,655
Charleston Area Medical CenterCharleston, WV · CCN 510022 · +$92 outlier payments per case	700	$2,261	14% below the national average	$1,783	$21,340
Merit Health WesleyHattiesburg, MS · CCN 250094	167	$2,261	14% below the national average	$1,797	$32,726
Coliseum Medical CentersMacon, GA · CCN 110164	187	$2,261	14% below the national average	$1,782	$25,302
University Of Mississippi Medical CenterJackson, MS · CCN 250001	240	$2,261	14% below the national average	$1,793	$20,969
Flowers HospitalDothan, AL · CCN 010055	75	$2,261	14% below the national average	$1,780	$40,331
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	405	$2,261	14% below the national average	$1,792	$10,787
Starr Regional Medical Center AthensAthens, TN · CCN 440068	61	$2,262	14% below the national average	$1,802	$53,558
University Of Alabama HospitalBirmingham, AL · CCN 010033 · +$139 outlier payments per case	442	$2,262	14% below the national average	$1,798	$23,654
Desoto Regional Health SystemMansfield, LA · CCN 190118	53	$2,263	14% below the national average	$1,795	$7,457
Beauregard Memorial HospitalDeridder, LA · CCN 190050	285	$2,263	14% below the national average	$1,797	$14,911
Russell Medical CenterAlexander City, AL · CCN 010065	69	$2,264	14% below the national average	$1,803	$8,039
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	498	$2,265	14% below the national average	$1,792	$27,832
Clay County Medical CorporationWest Point, MS · CCN 250067	54	$2,265	14% below the national average	$1,798	$12,178
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	410	$2,265	14% below the national average	$1,796	$20,733
St Dominic-Jackson Memorial HospitalJackson, MS · CCN 250048	1,244	$2,265	14% below the national average	$1,799	$11,828
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	31	$2,266	14% below the national average	$1,805	$12,773
Commonspirit-Memorial Hospital-North GeorgiaRinggold, GA · CCN 110236	76	$2,267	14% below the national average	$1,791	$17,105
North Oaks Medical CenterHammond, LA · CCN 190015	436	$2,267	14% below the national average	$1,803	$34,305
Greenwood Leflore HospitalGreenwood, MS · CCN 250099	128	$2,268	14% below the national average	$1,802	$12,650
Memorial Hospital At GulfportGulfport, MS · CCN 250019	473	$2,268	14% below the national average	$1,799	$30,827
Piedmont Augusta HospitalAugusta, GA · CCN 110028	380	$2,268	14% below the national average	$1,796	$17,658
Methodist Healthcare - Olive Branch HospitalOlive Branch, MS · CCN 250167	219	$2,269	14% below the national average	$1,798	$21,716
Unity Medical CenterManchester, TN · CCN 440007	29	$2,269	14% below the national average	$1,805	$6,499
Citizens Baptist Medical CenterTalladega, AL · CCN 010101	28	$2,269	14% below the national average	$1,806	$44,254
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	36	$2,270	14% below the national average	$1,785	$62,270

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.