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 2,101–2,150. 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
Avera St Mary's HospitalPierre, SD · CCN 430015	128	$2,731	About average	$2,173	$23,502
Westfield Memorial Hospital, IncWestfield, NY · CCN 330166	17	$2,731	About average	$2,176	$11,090
Banner Wyoming Medical CenterCasper, WY · CCN 530012	582	$2,732	About average	$2,170	$11,437
Monument Health Rapid City HospitalRapid City, SD · CCN 430077 · +$142 outlier payments per case	719	$2,732	About average	$2,173	$20,382
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	228	$2,734	About average	$2,174	$10,409
University Of Washington Medical CenterSeattle, WA · CCN 500008	310	$2,734	About average	$2,177	$15,246
Temple University HospitalPhiladelphia, PA · CCN 390027	545	$2,735	About average	$2,172	$51,386
George Washington University HospitalWashington, DC · CCN 090001	131	$2,735	About average	$2,166	$51,494
UPMC HamotErie, PA · CCN 390063	125	$2,739	About average	$2,149	$29,598
St James HospitalButte, MT · CCN 270017	222	$2,739	About average	$2,179	$14,096
Santiam Hospital & ClinicsStayton, OR · CCN 380056	25	$2,741	About average	$2,184	$20,487
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	618	$2,742	About average	$2,176	$9,529
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004 · +$102 outlier payments per case	1,206	$2,742	About average	$2,181	$17,736
Hutchinson HealthHutchinson, MN · CCN 240187	170	$2,743	About average	$2,184	$8,892
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	259	$2,743	About average	$2,182	$34,044
Providence St Peter HospitalOlympia, WA · CCN 500024	293	$2,743	About average	$2,183	$27,515
St Francis Community HospitalFederal Way, WA · CCN 500141	212	$2,744	About average	$2,171	$29,578
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	159	$2,744	About average	$2,182	$37,892
Rhode Island HospitalProvidence, RI · CCN 410007	382	$2,745	About average	$2,178	$17,887
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	129	$2,745	About average	$2,183	$14,170
Skagit Valley HospitalMount Vernon, WA · CCN 500003	391	$2,745	About average	$2,184	$26,664
Kent County Memorial HospitalWarwick, RI · CCN 410009	253	$2,745	About average	$2,181	$14,493
St Johns Medical CenterJackson, WY · CCN 530015	158	$2,745	About average	$2,187	$12,033
Harborview Medical CenterSeattle, WA · CCN 500064	46	$2,747	About average	$2,189	$40,275
Providence Holy Family HospitalSpokane, WA · CCN 500077	151	$2,747	About average	$2,189	$16,065
Trios HealthKennewick, WA · CCN 500053	67	$2,747	About average	$2,188	$25,875
Avera Sacred Heart HospitalYankton, SD · CCN 430012	148	$2,748	About average	$2,190	$14,046
Evanston Regional HospitalEvanston, WY · CCN 530032	56	$2,748	About average	$2,190	$14,322
Sagewest Health CareRiverton, WY · CCN 530008	58	$2,748	About average	$2,190	$26,154
The Miriam HospitalProvidence, RI · CCN 410012	603	$2,748	About average	$2,183	$15,264
Logan Health Medical CenterKalispell, MT · CCN 270051	231	$2,749	About average	$2,187	$12,944
St Joseph Medical CenterTacoma, WA · CCN 500108	156	$2,749	About average	$2,175	$31,510
Newport HospitalNewport, RI · CCN 410006	78	$2,749	About average	$2,183	$12,790
MedStar Washington Hospital CenterWashington, DC · CCN 090011 · +$472 outlier payments per case	446	$2,750	About average	$2,179	$27,409
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	301	$2,754	About average	$2,186	$19,792
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003 · +$267 outlier payments per case	540	$2,754	About average	$2,186	$22,193
Island HospitalAnacortes, WA · CCN 500007	165	$2,754	About average	$2,191	$12,674
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111 · +$315 outlier payments per case	785	$2,755	About average	$2,194	$54,820
Mount Nittany Medical CenterState College, PA · CCN 390268	333	$2,756	About average	$2,194	$15,949
EvergreenHealth MonroeMonroe, WA · CCN 500084	56	$2,756	About average	$2,187	$16,084
Cascade Valley HospitalArlington, WA · CCN 500060	57	$2,756	About average	$2,188	$22,064
South County Hospital IncWakefield, RI · CCN 410008	316	$2,757	About average	$2,192	$13,564
St Elizabeth HospitalFort Morgan, CO · CCN 060044	65	$2,757	About average	$2,183	$28,566
Highline Medical CenterBurien, WA · CCN 500011	118	$2,758	About average	$2,188	$30,087
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	20	$2,758	About average	$2,171	$15,271
St Clare HospitalLakewood, WA · CCN 500021	71	$2,758	About average	$2,181	$32,671
Westerly HospitalWesterly, RI · CCN 410013 · +$167 outlier payments per case	264	$2,761	About average	$2,196	$27,276
Vail Health HospitalVail, CO · CCN 060096	76	$2,761	About average	$2,192	$16,791
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	105	$2,763	About average	$2,193	$11,902
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	644	$2,765	About average	$2,196	$20,728

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.