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 2,001–2,050. 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
Banner Ocotillo Medical CenterChandler, AZ · CCN 030147	179	$2,645	About average	$2,102	$17,823
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 130013	61	$2,649	About average	$2,109	$16,239
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	87	$2,649	About average	$2,104	$31,183
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	1,826	$2,649	About average	$2,107	$15,482
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	578	$2,652	About average	$2,109	$32,065
Legacy Silverton Medical CenterSilverton, OR · CCN 380029	25	$2,654	About average	$2,097	$10,750
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	277	$2,655	About average	$2,110	$20,707
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	324	$2,655	About average	$2,107	$49,587
Tucson Medical CenterTucson, AZ · CCN 030006	715	$2,656	About average	$2,113	$17,704
Desoto Memorial HospitalArcadia, FL · CCN 100175	274	$2,656	About average	$2,112	$18,170
Ascension Sacred Heart GulfPort Saint Joe, FL · CCN 100313	45	$2,656	About average	$2,112	$15,446
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	58	$2,657	About average	$2,116	$16,386
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	1,955	$2,657	About average	$2,114	$15,890
Chandler Regional Medical CenterChandler, AZ · CCN 030036	873	$2,657	About average	$2,115	$31,901
Banner Boswell Medical CenterSun City, AZ · CCN 030061	1,444	$2,657	About average	$2,114	$15,918
St Joseph HospitalNashua, NH · CCN 300011	283	$2,658	About average	$2,109	$15,493
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	211	$2,659	About average	$2,117	$17,449
Crozer Chester Medical CenterUpland, PA · CCN 390180 · +$228 outlier payments per case	557	$2,659	About average	$2,114	$42,065
Catholic Medical CenterManchester, NH · CCN 300034	649	$2,660	About average	$2,115	$18,066
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	1,118	$2,661	About average	$2,114	$12,855
Beloit Health SystemBeloit, WI · CCN 520100	29	$2,662	About average	$2,121	$30,203
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	100	$2,662	About average	$2,121	$24,541
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	158	$2,662	About average	$2,119	$30,942
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 030146	286	$2,663	About average	$2,122	$27,776
Northwest Medical CenterTucson, AZ · CCN 030085	375	$2,664	About average	$2,107	$37,221
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	436	$2,664	About average	$2,122	$30,567
Banner Baywood Medical CenterMesa, AZ · CCN 030088	661	$2,666	About average	$2,116	$16,237
Banner Goldfield Medical CenterApache Junction, AZ · CCN 030134	68	$2,669	About average	$2,127	$16,644
Banner Heart HospitalMesa, AZ · CCN 030105	60	$2,669	About average	$2,127	$10,480
HonorHealth Tempe Medical CenterPhoenix, AZ · CCN 030037	13	$2,669	About average	$2,127	$18,668
Valleywise Health Medical CenterPhoenix, AZ · CCN 030022	95	$2,669	About average	$2,127	$24,853
Exceptional Community Hospital Bullhead CityBullhead City, AZ · CCN 030155 · +$2,565 outlier payments per case	30	$2,669	About average	$2,127	$82,521
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	323	$2,669	About average	$2,126	$21,376
Dignity Health Arizona General HospitalMesa, AZ · CCN 030139	98	$2,669	About average	$2,126	$28,911
St. Mary's HospitalTucson, AZ · CCN 030010	74	$2,669	About average	$2,125	$38,946
HonorHealth Four Peaks Medical CenterMesa, AZ · CCN 030121	143	$2,669	About average	$2,121	$18,347
Oro Valley HospitalOro Valley, AZ · CCN 030114	413	$2,669	About average	$2,120	$44,080
Dignity Health - Arizona General HospitalLaveen, AZ · CCN 030136	24	$2,669	About average	$2,120	$24,739
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	79	$2,669	About average	$2,114	$52,735
Exceptional Community Hospital YumaYuma, AZ · CCN 030154	31	$2,670	About average	$2,102	$81,262
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	1,064	$2,671	About average	$2,121	$20,877
Blessing HospitalQuincy, IL · CCN 140015	413	$2,673	About average	$2,122	$19,423
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	106	$2,673	About average	$2,129	$15,005
Presence Mercy Medical CenterAurora, IL · CCN 140174	95	$2,674	About average	$2,126	$33,554
St Mary Medical CenterGalesburg, IL · CCN 140064	185	$2,674	About average	$2,124	$18,525
Harrisburg Medical CenterHarrisburg, IL · CCN 140210	132	$2,677	About average	$2,125	$19,992
Asante Ashland Community HospitalAshland, OR · CCN 380005	113	$2,677	About average	$2,132	$19,400
Carle Richland Memorial HospitalOlney, IL · CCN 140147	67	$2,677	About average	$2,126	$19,425
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	445	$2,681	About average	$2,132	$19,222
St Peters HealthHelena, MT · CCN 270003 · +$352 outlier payments per case	165	$2,682	About average	$2,134	$11,261

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.