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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

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Texas
Specific hospitals up to 10
Average payment across these 232 hospitals
$2,444National $2,634 · Texas $2,445
Median hospital
$2,445
Lowest to highest
$2,235–$2,718
Medicare procedures
57,552

232 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Glen Rose Medical CenterGlen Rose, TX · CCN 45045128$2,471About average$1,965$11,992
Lake Granbury Medical CenterGranbury, TX · CCN 45059674$2,471About average$1,962$41,523
USMD Hospital At Arlington L PArlington, TX · CCN 45087221$2,471About average$1,959$19,630
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 45078897$2,474About average$1,968$54,664
Rolling Plains Memorial HospitalSweetwater, TX · CCN 450055102$2,475About average$1,965$9,209
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080199$2,478About average$1,965$18,687
AdventHealth Central TexasKilleen, TX · CCN 450152104$2,479About average$1,964$21,262
The Woodlands Specialty HospitalSpring, TX · CCN 67026711$2,489About average$1,983$125,966
Cleveland Emergency HospitalHumble, TX · CCN 670115 · +$3,874 outlier payments per case18$2,489About average$1,977$225,815
HCA Houston Healthcare TomballTomball, TX · CCN 450670122$2,490About average$1,972$47,768
Anson General HospitalAnson, TX · CCN 67078161$2,493About average$2,007$7,430
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709535$2,494About average$1,975$28,547
Houston Methodist Baytown HospitalBaytown, TX · CCN 450424461$2,494About average$1,977$30,470
Stephens Memorial HospitalBreckenridge, TX · CCN 45049845$2,494About average$1,987$8,779
Medical Arts HospitalLamesa, TX · CCN 45048928$2,494About average$1,987$10,066
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088352$2,494About average$1,978$24,144
Nocona General HospitalNocona, TX · CCN 45064139$2,494About average$1,986$6,057
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 4508201,023$2,497About average$1,980$27,635
Houston Methodist HospitalHouston, TX · CCN 4503581,771$2,504About average$1,987$26,464
Memorial Hermann Katy HospitalKaty, TX · CCN 450847817$2,508About average$1,991$34,832
Memorial Hermann Hospital SystemHouston, TX · CCN 450184 · +$33 outlier payments per case2,449$2,509About average$1,992$32,741
Shannon Medical CenterSan Angelo, TX · CCN 450571549$2,509About average$1,993$23,135
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684359$2,510About average$1,994$31,680
St Luke's Patients Medical CenterPasadena, TX · CCN 67003156$2,511About average$1,995$36,137
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 6701221,007$2,512About average$1,996$28,850
Houston Methodist West HospitalHouston, TX · CCN 670077945$2,513About average$1,996$21,408
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848571$2,514About average$1,997$33,261
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 45058765$2,514About average$1,987$32,865
Starr County Memorial HospitalRio Grande City, TX · CCN 45065469$2,514About average$1,997$7,755
Baylor St Lukes Medical CenterHouston, TX · CCN 450193 · +$239 outlier payments per case170$2,514About average$1,997$30,219
Scenic Mountain Medical CenterBig Spring, TX · CCN 45065380$2,516About average$1,990$19,525
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844873$2,517About average$2,000$24,471
CHI St Luke's Health BrazosportLake Jackson, TX · CCN 450072194$2,518About average$2,000$31,116
Hendrick Medical CenterAbilene, TX · CCN 450229386$2,518About average$1,996$41,807
Childress Regional Medical CenterChildress, TX · CCN 45036979$2,518About average$1,995$9,905
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX · CCN 670108160$2,518About average$2,001$26,987
Huntsville Memorial HospitalHuntsville, TX · CCN 450347231$2,519About average$1,999$19,645
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068 · +$102 outlier payments per case628$2,519About average$2,003$36,819
Christus Jasper Memorial HospitalJasper, TX · CCN 45057377$2,519About average$2,000$21,852
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610543$2,520About average$2,003$29,090
Christus Southeast Texas- St ElizabethBeaumont, TX · CCN 450034338$2,520About average$2,002$28,911
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018769$2,522About average$2,006$16,740
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775141$2,524About average$2,003$49,474
Matagorda Regional Medical CenterBay City, TX · CCN 450465209$2,525About average$2,007$11,672
Oakbend Medical CenterRichmond, TX · CCN 450330200$2,528About average$2,012$17,199
United Regional Health Care SystemWichita Falls, TX · CCN 450010676$2,528About average$2,004$13,047
Harris HealthHouston, TX · CCN 450289 · +$935 outlier payments per case278$2,529About average$2,011$14,645
Palestine Regional Medical CenterPalestine, TX · CCN 450747149$2,530About average$2,013$33,073
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862430$2,533About average$2,015$32,099
HCA Houston Healthcare Medical CenterHouston, TX · CCN 45065928$2,538About average$2,022$36,820

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont51,308$1,285$1,180–$1,485
Alabama738,112$2,241$2,169–$2,264
Mississippi5211,311$2,278$2,235–$2,347
West Virginia225,181$2,285$2,226–$2,367
Louisiana6414,412$2,288$2,259–$2,300
Tennessee7316,493$2,299$2,237–$2,337
Ohio11031,616$2,317$2,300–$2,380
Oklahoma6111,406$2,348$2,322–$2,440
Arkansas4011,142$2,356$2,302–$2,439
Kentucky6115,821$2,359$2,296–$2,442
South Carolina5015,082$2,368$2,308–$2,382
Kansas337,920$2,377$2,321–$2,503
Iowa317,279$2,385$2,330–$2,467
Missouri6315,191$2,393$2,335–$2,465
Michigan8123,451$2,410$2,364–$2,467
Georgia9221,579$2,422$2,298–$2,481
North Carolina7821,007$2,426$2,380–$2,450
Texas23358,602$2,445$2,375–$2,511
Nebraska193,391$2,450$2,431–$2,480
Florida16677,597$2,457$2,443–$2,471
Maine172,448$2,457$2,370–$2,519
Virginia6926,889$2,459$2,332–$2,524
Indiana7318,659$2,464$2,412–$2,485
New Mexico224,083$2,469$2,369–$2,549
Utah313,560$2,478$2,429–$2,452
Wisconsin6110,886$2,497$2,447–$2,538
Idaho122,397$2,548$2,440–$2,614
Pennsylvania12233,705$2,553$2,415–$2,601
Illinois11339,922$2,573$2,522–$2,604
North Dakota62,780$2,590$2,532–$2,653
Montana103,213$2,595$2,543–$2,721
Colorado4813,460$2,608$2,586–$2,606
Minnesota4511,221$2,627$2,574–$2,716
New Hampshire135,226$2,637$2,593–$2,699
South Dakota112,485$2,638$2,559–$2,731
Arizona5422,819$2,686$2,639–$2,669
Delaware64,912$2,718$2,698–$2,727
Wyoming91,733$2,722$2,695–$2,745
Rhode Island92,010$2,752$2,748–$2,778
District of Columbia61,453$2,758$2,739–$2,795
Washington458,931$2,802$2,728–$2,893
New Jersey5936,741$2,897$2,835–$3,029
Nevada217,349$2,900$2,857–$2,915
Oregon325,804$2,901$2,821–$2,873
Massachusetts5132,481$2,920$2,905–$2,928
Alaska61,743$2,936$2,857–$2,998
New York11538,093$2,983$2,877–$3,083
Connecticut2615,665$3,045$3,022–$3,054
Hawaii121,584$3,127$3,076–$3,276
California24275,162$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.