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 2,201–2,250. 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
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069 · +$220 outlier payments per case	1,227	$2,831	About average	$2,247	$27,948
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	33	$2,832	About average	$2,242	$7,238
Shore Medical CenterSomers Point, NJ · CCN 310047	824	$2,832	About average	$2,250	$24,882
Warren General HospitalWarren, PA · CCN 390146	271	$2,834	About average	$2,247	$16,562
Jefferson Stratford HospitalStratford, NJ · CCN 310086	2,235	$2,834	About average	$2,251	$17,545
Rochester General HospitalRochester, NY · CCN 330125	340	$2,834	About average	$2,244	$10,420
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	280	$2,834	About average	$2,249	$17,435
Mountainview HospitalLas Vegas, NV · CCN 290039	348	$2,834	About average	$2,236	$53,587
Newton Medical CenterNewton, NJ · CCN 310028	361	$2,834	About average	$2,251	$42,530
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	189	$2,835	About average	$2,253	$24,574
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	300	$2,835	About average	$2,252	$28,965
Oneida Health HospitalOneida, NY · CCN 330115	88	$2,836	About average	$2,260	$12,597
Community Medical CenterToms River, NJ · CCN 310041	1,857	$2,837	About average	$2,253	$21,709
Ahs Hospital CorpHackettstown, NJ · CCN 310115 · +$463 outlier payments per case	180	$2,837	About average	$2,257	$40,397
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	46	$2,839	About average	$2,262	$7,716
Legacy Emanuel Medical CenterPortland, OR · CCN 380007 · +$401 outlier payments per case	218	$2,841	About average	$2,257	$18,466
Cooper University HospitalCamden, NJ · CCN 310014	728	$2,841	About average	$2,258	$25,519
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 290041	504	$2,841	About average	$2,246	$58,658
Peconic Bay Medical CenterRiverhead, NY · CCN 330107 · +$829 outlier payments per case	598	$2,841	About average	$2,223	$35,187
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 290053	266	$2,842	About average	$2,244	$47,606
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	417	$2,842	About average	$2,263	$19,696
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	722	$2,843	About average	$2,259	$28,417
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	300	$2,843	About average	$2,262	$17,221
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	799	$2,844	About average	$2,261	$34,811
St Peter's HospitalAlbany, NY · CCN 330057	486	$2,846	About average	$2,255	$15,946
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	331	$2,846	About average	$2,254	$12,378
Ocean Medical CenterBrick, NJ · CCN 310052 · +$53 outlier payments per case	1,687	$2,846	About average	$2,262	$30,408
JFK University Medical CenterEdison, NJ · CCN 310108	638	$2,847	About average	$2,250	$28,625
Yavapai Regional Medical CenterPrescott, AZ · CCN 030012	226	$2,849	About average	$2,267	$22,615
Trinitas Regional Medical CenterElizabeth, NJ · CCN 310027	134	$2,849	About average	$2,265	$19,672
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	139	$2,849	About average	$2,267	$42,095
Inspira Medical Center VinelandVineland, NJ · CCN 310032 · +$162 outlier payments per case	695	$2,850	About average	$2,266	$29,715
Providence Portland Medical CenterPortland, OR · CCN 380061	109	$2,851	About average	$2,267	$11,433
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$2,042 outlier payments per case	226	$2,851	About average	$2,261	$27,592
Bertrand Chaffee HospitalSpringville, NY · CCN 330111	46	$2,852	About average	$2,262	$8,188
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	600	$2,852	About average	$2,263	$15,936
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	337	$2,852	About average	$2,254	$44,080
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	235	$2,853	About average	$2,255	$56,800
Wynn HospitalUtica, NY · CCN 330044	291	$2,854	About average	$2,264	$20,271
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	129	$2,855	About average	$2,262	$18,437
Capital Health Regional Medical CenterTrenton, NJ · CCN 310092	423	$2,855	About average	$2,272	$106,318
Yuma Regional Medical CenterYuma, AZ · CCN 030013 · +$28 outlier payments per case	2,412	$2,855	About average	$2,274	$26,832
Adventist Health PortlandPortland, OR · CCN 380060	174	$2,856	About average	$2,275	$22,624
Raritan Bay Medical CenterPerth Amboy, NJ · CCN 310039 · +$98 outlier payments per case	510	$2,856	About average	$2,261	$32,178
Providence St Vincent Medical CenterPortland, OR · CCN 380004	385	$2,857	About average	$2,273	$10,592
Saint Rose Dominican Hospitals - North Las VegasNorth Las Vegas, NV · CCN 290058	139	$2,857	About average	$2,260	$38,214
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	38	$2,858	About average	$2,261	$10,335
Crouse HospitalSyracuse, NY · CCN 330203	492	$2,859	About average	$2,269	$9,920
Canyon Vista Medical CenterSierra Vista, AZ · CCN 030043	134	$2,859	About average	$2,276	$21,936
Saint Vincent HospitalErie, PA · CCN 390009	821	$2,859	About average	$2,273	$24,222

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.