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
- $2,090
- Average billed charge
- $24,060
- Hospitals reporting
- 2,753
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.
- Average payment across these 232 hospitals
- $2,444
- 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
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Glen Rose Medical Center | 28 | $2,471 | About average | $1,965 | $11,992 |
| Lake Granbury Medical Center | 74 | $2,471 | About average | $1,962 | $41,523 |
| USMD Hospital At Arlington L P | 21 | $2,471 | About average | $1,959 | $19,630 |
| Corpus Christi Medical Center,The | 97 | $2,474 | About average | $1,968 | $54,664 |
| Rolling Plains Memorial Hospital | 102 | $2,475 | About average | $1,965 | $9,209 |
| Seton Medical Center Harker Heights | 199 | $2,478 | About average | $1,965 | $18,687 |
| AdventHealth Central Texas | 104 | $2,479 | About average | $1,964 | $21,262 |
| The Woodlands Specialty Hospital | 11 | $2,489 | About average | $1,983 | $125,966 |
| Cleveland Emergency Hospital | 18 | $2,489 | About average | $1,977 | $225,815 |
| HCA Houston Healthcare Tomball | 122 | $2,490 | About average | $1,972 | $47,768 |
| Anson General Hospital | 61 | $2,493 | About average | $2,007 | $7,430 |
| Houston Methodist Clear Lake Hospital | 535 | $2,494 | About average | $1,975 | $28,547 |
| Houston Methodist Baytown Hospital | 461 | $2,494 | About average | $1,977 | $30,470 |
| Stephens Memorial Hospital | 45 | $2,494 | About average | $1,987 | $8,779 |
| Medical Arts Hospital | 28 | $2,494 | About average | $1,987 | $10,066 |
| Baylor Scott & White Medical Center- College Stati | 352 | $2,494 | About average | $1,978 | $24,144 |
| Nocona General Hospital | 39 | $2,494 | About average | $1,986 | $6,057 |
| Houston Methodist Sugarland Hospital | 1,023 | $2,497 | About average | $1,980 | $27,635 |
| Houston Methodist Hospital | 1,771 | $2,504 | About average | $1,987 | $26,464 |
| Memorial Hermann Katy Hospital | 817 | $2,508 | About average | $1,991 | $34,832 |
| Memorial Hermann Hospital System | 2,449 | $2,509 | About average | $1,992 | $32,741 |
| Shannon Medical Center | 549 | $2,509 | About average | $1,993 | $23,135 |
| Memorial Hermann Northeast Hospital | 359 | $2,510 | About average | $1,994 | $31,680 |
| St Luke's Patients Medical Center | 56 | $2,511 | About average | $1,995 | $36,137 |
| Houston Methodist The Woodlands Hospital | 1,007 | $2,512 | About average | $1,996 | $28,850 |
| Houston Methodist West Hospital | 945 | $2,513 | About average | $1,996 | $21,408 |
| Memorial Hermann Sugar Land Hospital | 571 | $2,514 | About average | $1,997 | $33,261 |
| Hendrick Medical Center Brownwood | 65 | $2,514 | About average | $1,987 | $32,865 |
| Starr County Memorial Hospital | 69 | $2,514 | About average | $1,997 | $7,755 |
| Baylor St Lukes Medical Center | 170 | $2,514 | About average | $1,997 | $30,219 |
| Scenic Mountain Medical Center | 80 | $2,516 | About average | $1,990 | $19,525 |
| Houston Methodist Willowbrook Hospital | 873 | $2,517 | About average | $2,000 | $24,471 |
| CHI St Luke's Health Brazosport | 194 | $2,518 | About average | $2,000 | $31,116 |
| Hendrick Medical Center | 386 | $2,518 | About average | $1,996 | $41,807 |
| Childress Regional Medical Center | 79 | $2,518 | About average | $1,995 | $9,905 |
| Baylor Scott & White Medical Center - Marble Falls | 160 | $2,518 | About average | $2,001 | $26,987 |
| Huntsville Memorial Hospital | 231 | $2,519 | About average | $1,999 | $19,645 |
| Memorial Hermann - Texas Medical Center | 628 | $2,519 | About average | $2,003 | $36,819 |
| Christus Jasper Memorial Hospital | 77 | $2,519 | About average | $2,000 | $21,852 |
| Memorial Hermann Memorial City Hospital | 543 | $2,520 | About average | $2,003 | $29,090 |
| Christus Southeast Texas- St Elizabeth | 338 | $2,520 | About average | $2,002 | $28,911 |
| University Of Texas Medical Branch Galveston | 769 | $2,522 | About average | $2,006 | $16,740 |
| HCA Houston Healthcare Kingwood | 141 | $2,524 | About average | $2,003 | $49,474 |
| Matagorda Regional Medical Center | 209 | $2,525 | About average | $2,007 | $11,672 |
| Oakbend Medical Center | 200 | $2,528 | About average | $2,012 | $17,199 |
| United Regional Health Care System | 676 | $2,528 | About average | $2,004 | $13,047 |
| Harris Health | 278 | $2,529 | About average | $2,011 | $14,645 |
| Palestine Regional Medical Center | 149 | $2,530 | About average | $2,013 | $33,073 |
| St Luke's The Woodlands Hospital | 430 | $2,533 | About average | $2,015 | $32,099 |
| HCA Houston Healthcare Medical Center | 28 | $2,538 | About 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
View data as a table
| 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
| 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.