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 2,251–2,300. 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
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	354	$2,859	About average	$2,262	$49,891
Kaleida HealthBuffalo, NY · CCN 330005	1,053	$2,861	About average	$2,272	$14,441
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	184	$2,861	About average	$2,272	$7,216
Hunterdon Medical CenterFlemington, NJ · CCN 310005	512	$2,861	About average	$2,279	$21,993
Strong Memorial HospitalRochester, NY · CCN 330285 · +$133 outlier payments per case	442	$2,862	About average	$2,272	$20,382
F F Thompson HospitalCanandaigua, NY · CCN 330074	187	$2,862	About average	$2,275	$10,985
Deborah Heart And Lung CenterBrowns Mills, NJ · CCN 310031	186	$2,866	About average	$2,281	$21,393
CentraState Medical CenterFreehold, NJ · CCN 310111 · +$222 outlier payments per case	1,172	$2,867	About average	$2,274	$23,046
Albany Medical Center HospitalAlbany, NY · CCN 330013	343	$2,868	About average	$2,277	$17,811
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073 · +$119 outlier payments per case	1,568	$2,869	About average	$2,277	$28,207
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	209	$2,869	About average	$2,276	$13,136
Highland HospitalRochester, NY · CCN 330164	280	$2,869	About average	$2,279	$12,471
Spring Valley Hospital Medical CenterLas Vegas, NV · CCN 290046	346	$2,871	About average	$2,271	$42,306
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	134	$2,872	About average	$2,288	$15,959
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	24	$2,872	About average	$2,288	$12,163
Hillsboro Medical CenterHillsboro, OR · CCN 380021 · +$208 outlier payments per case	197	$2,872	About average	$2,288	$19,641
OHSU Hospital And ClinicsPortland, OR · CCN 380009 · +$289 outlier payments per case	261	$2,872	About average	$2,288	$18,586
North Vista HospitalNorth Las Vegas, NV · CCN 290005	75	$2,872	About average	$2,258	$24,939
Providence Newberg Medical CenterNewberg, OR · CCN 380037	51	$2,872	About average	$2,287	$10,932
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	317	$2,873	About average	$2,282	$15,393
St Charles Medical Center - BendBend, OR · CCN 380047	781	$2,874	About average	$2,287	$18,145
Erie County Medical CenterBuffalo, NY · CCN 330219 · +$266 outlier payments per case	252	$2,875	About average	$2,284	$15,706
Winchester HospitalWinchester, MA · CCN 220105	177	$2,876	About average	$2,276	$10,447
Riverview Medical CenterRed Bank, NJ · CCN 310034 · +$78 outlier payments per case	997	$2,878	About average	$2,286	$29,944
Northern Westchester HospitalMount Kisco, NY · CCN 330162	948	$2,880	About average	$2,246	$25,354
Boston Medical Center-BrightonBrighton, MA · CCN 220036	79	$2,880	About average	$2,283	$10,638
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	380	$2,884	About average	$2,287	$13,065
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070 · +$2,512 outlier payments per case	458	$2,885	About average	$2,293	$85,742
Bayshore Medical CenterHolmdel, NJ · CCN 310112	466	$2,886	About average	$2,289	$29,179
Glens Falls HospitalGlens Falls, NY · CCN 330191	309	$2,887	About average	$2,297	$9,494
Geneva General HospitalGeneva, NY · CCN 330058 · +$358 outlier payments per case	159	$2,888	About average	$2,298	$15,201
Kenmore Mercy HospitalKenmore, NY · CCN 330102	168	$2,888	About average	$2,298	$7,925
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	231	$2,889	About average	$2,289	$24,374
Corning HospitalCorning, NY · CCN 330277	181	$2,889	About average	$2,299	$19,906
Mount St. Mary's Hospital & Health CenterLewiston, NY · CCN 330188	190	$2,890	About average	$2,300	$8,597
Arnot Ogden Medical CenterElmira, NY · CCN 330090	230	$2,892	About average	$2,302	$11,989
Palomar Medical Center PowayPoway, CA · CCN 050636	249	$2,892	About average	$2,202	$45,957
Columbia Memorial HospitalHudson, NY · CCN 330094	244	$2,893	About average	$2,302	$13,688
University Medical CenterLas Vegas, NV · CCN 290007	407	$2,893	About average	$2,292	$36,598
Samaritan HospitalMoses Lake, WA · CCN 500033	48	$2,893	About average	$2,295	$18,750
Falmouth HospitalFalmouth, MA · CCN 220135	471	$2,894	About average	$2,297	$18,977
Rome Memorial Hospital, IncRome, NY · CCN 330215	275	$2,894	About average	$2,303	$21,098
Saratoga HospitalSaratoga Springs, NY · CCN 330222	564	$2,894	About average	$2,304	$23,736
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	268	$2,896	About average	$2,298	$23,892
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	907	$2,896	About average	$2,306	$32,304
Holyoke Medical CenterHolyoke, MA · CCN 220024	105	$2,896	About average	$2,296	$8,892
Saint Mary's Regional Medical CenterReno, NV · CCN 290009	182	$2,897	10% above the national average	$2,297	$13,758
Northern Nevada Sierra Medical CenterReno, NV · CCN 290061	69	$2,898	10% above the national average	$2,295	$39,725
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	263	$2,898	10% above the national average	$2,297	$23,112
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076 · +$88 outlier payments per case	729	$2,898	10% above the national average	$2,300	$24,558

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.