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 1,951–2,000. 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
Howard Young Medical CenterWoodruff, WI · CCN 520091	38	$2,623	About average	$2,090	$13,674
Mile Bluff Medical CenterMauston, WI · CCN 520109	95	$2,623	About average	$2,090	$25,134
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	277	$2,625	About average	$2,082	$17,847
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	13	$2,625	About average	$2,056	$20,477
Phoenixville HospitalPhoenixville, PA · CCN 390127	270	$2,625	About average	$2,085	$21,030
Kingman Regional Medical CenterKingman, AZ · CCN 030055	296	$2,626	About average	$2,082	$36,336
Intermountain Health Sevier Valley HospitalRichfield, UT · CCN 460026	27	$2,626	About average	$2,092	$12,527
Uintah Basin Medical CenterRoosevelt, UT · CCN 460019	71	$2,626	About average	$2,092	$15,008
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	347	$2,626	About average	$2,082	$23,676
Ashley Regional Medical CenterVernal, UT · CCN 460030	45	$2,626	About average	$2,091	$18,544
Riddle Memorial HospitalMedia, PA · CCN 390222	129	$2,626	About average	$2,086	$23,756
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	268	$2,626	About average	$2,089	$23,849
Augusta HealthFishersville, VA · CCN 490018	698	$2,628	About average	$2,091	$13,154
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	565	$2,628	About average	$2,084	$20,570
Paris Regional Medical CenterParis, TX · CCN 450196	377	$2,628	About average	$2,091	$17,507
Upson Regional Medical CenterThomaston, GA · CCN 110002	97	$2,629	About average	$2,084	$24,600
Rush University Medical CenterChicago, IL · CCN 140119	834	$2,630	About average	$2,088	$15,207
Banner Gateway Medical CenterGilbert, AZ · CCN 030122	321	$2,630	About average	$2,083	$16,034
Northwestern Memorial HospitalChicago, IL · CCN 140281	1,858	$2,630	About average	$2,089	$26,228
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	1,258	$2,630	About average	$2,089	$13,871
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	405	$2,631	About average	$2,088	$21,403
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	112	$2,632	About average	$2,092	$17,631
Marion General HospitalMarion, IN · CCN 150011	274	$2,632	About average	$2,092	$12,038
Olmsted Medical CenterRochester, MN · CCN 240006	43	$2,633	About average	$2,098	$10,628
Southern NH Medical CenterNashua, NH · CCN 300020	475	$2,633	About average	$2,089	$15,942
Banner Ironwood Medical CenterQueen Creek, AZ · CCN 030130	128	$2,636	About average	$2,093	$21,084
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	236	$2,636	About average	$2,083	$39,954
Ed Fraser Memorial HospitalMacclenny, FL · CCN 100134	110	$2,636	About average	$2,095	$13,835
Banner Estrella Medical CenterPhoenix, AZ · CCN 030115	674	$2,638	About average	$2,093	$18,793
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	99	$2,638	About average	$2,096	$50,123
Abrazo Central CampusPhoenix, AZ · CCN 030030	68	$2,638	About average	$2,093	$54,176
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	198	$2,638	About average	$2,095	$18,239
Campbell County HealthGillette, WY · CCN 530002	25	$2,639	About average	$2,102	$8,489
Chester County HospitalWest Chester, PA · CCN 390179	959	$2,639	About average	$2,101	$20,571
Copley Memorial HospitalAurora, IL · CCN 140029	706	$2,639	About average	$2,096	$23,172
The University Of Chicago Medical CenterChicago, IL · CCN 140088 · +$285 outlier payments per case	501	$2,639	About average	$2,101	$35,765
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	237	$2,639	About average	$2,095	$28,222
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	309	$2,639	About average	$2,097	$17,660
Banner Thunderbird Medical CenterGlendale, AZ · CCN 030089	1,177	$2,640	About average	$2,096	$17,926
Doylestown HospitalDoylestown, PA · CCN 390203	478	$2,641	About average	$2,104	$17,469
Astria Toppenish HospitalToppenish, WA · CCN 500037	41	$2,641	About average	$2,070	$29,383
HCA Florida Raulerson HospitalOkeechobee, FL · CCN 100252	150	$2,641	About average	$2,100	$35,191
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	570	$2,642	About average	$2,099	$30,377
Flagler HospitalSaint Augustine, FL · CCN 100090	824	$2,642	About average	$2,101	$19,506
Banner Desert Medical CenterMesa, AZ · CCN 030065	850	$2,643	About average	$2,097	$19,030
HCA Florida Lake City HospitalLake City, FL · CCN 100156	177	$2,644	About average	$2,101	$36,468
Maine General Medical CenterAugusta, ME · CCN 200039	49	$2,644	About average	$2,098	$14,037
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	762	$2,644	About average	$2,101	$27,973
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	690	$2,644	About average	$2,102	$27,610
Graham Hospital AssociationCanton, IL · CCN 140001	76	$2,645	About average	$2,101	$17,212

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.