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 201–250. 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
Parkridge Medical CenterChattanooga, TN · CCN 440156	140	$2,270	14% below the national average	$1,794	$32,651
Integris Health Enid HospitalEnid, OK · CCN 370016	57	$2,270	14% below the national average	$1,796	$29,083
Bailey Medical Center, LLCOwasso, OK · CCN 370228	78	$2,271	14% below the national average	$1,801	$25,318
Hawkins County Memorial HospitalRogersville, TN · CCN 440032	35	$2,271	14% below the national average	$1,803	$11,642
Finley HospitalDubuque, IA · CCN 160117	107	$2,272	14% below the national average	$1,795	$11,379
Maury Regional HospitalColumbia, TN · CCN 440073	490	$2,272	14% below the national average	$1,800	$17,688
Neshoba County General HospitalPhiladelphia, MS · CCN 250043	62	$2,274	14% below the national average	$1,784	$6,841
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	140	$2,274	14% below the national average	$1,804	$16,533
Erlanger Medical CenterChattanooga, TN · CCN 440104	366	$2,275	14% below the national average	$1,798	$21,380
New Orleans East HospitalNew Orleans, LA · CCN 190313	81	$2,275	14% below the national average	$1,803	$14,428
Acadian Medical CenterEunice, LA · CCN 190318	35	$2,276	14% below the national average	$1,813	$19,031
Allen Parish HospitalKinder, LA · CCN 190133	17	$2,276	14% below the national average	$1,813	$9,369
Ochsner University Hospital And ClinicsLafayette, LA · CCN 190006	51	$2,276	14% below the national average	$1,813	$11,163
Richardson Medical CenterRayville, LA · CCN 190151	98	$2,276	14% below the national average	$1,812	$8,773
Claiborne Memorial Medical CenterHomer, LA · CCN 190114	130	$2,276	14% below the national average	$1,812	$8,677
Abbeville General HospitalAbbeville, LA · CCN 190034	32	$2,276	14% below the national average	$1,811	$14,284
Mymichigan Medical Center ClareClare, MI · CCN 230180	87	$2,276	14% below the national average	$1,790	$16,685
Winn Parish Medical CenterWinnfield, LA · CCN 190090	102	$2,276	14% below the national average	$1,809	$9,275
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	1,289	$2,276	14% below the national average	$1,807	$20,489
Dodge County HospitalEastman, GA · CCN 110092	48	$2,276	14% below the national average	$1,806	$9,909
Cox Medical CentersSpringfield, MO · CCN 260040	428	$2,276	14% below the national average	$1,809	$18,768
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	71	$2,277	14% below the national average	$1,809	$15,744
Saint Joseph LondonLondon, KY · CCN 180011	96	$2,277	14% below the national average	$1,809	$17,792
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	591	$2,278	14% below the national average	$1,808	$20,148
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	218	$2,278	14% below the national average	$1,810	$18,392
Susan B Allen Memorial HospitalEl Dorado, KS · CCN 170017	64	$2,279	13% below the national average	$1,800	$10,928
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	97	$2,279	13% below the national average	$1,807	$13,030
Saint Francis Hospital Vinita, IncVinita, OK · CCN 370237	103	$2,279	13% below the national average	$1,814	$16,158
Mon Health Medical CenterMorgantown, WV · CCN 510024	190	$2,280	13% below the national average	$1,805	$15,692
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	165	$2,280	13% below the national average	$1,801	$13,640
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	354	$2,280	13% below the national average	$1,807	$21,875
Cabell Huntington Hospital, IncHuntington, WV · CCN 510055	408	$2,280	13% below the national average	$1,808	$18,029
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	611	$2,280	13% below the national average	$1,811	$18,154
Baptist Health CorbinCorbin, KY · CCN 180080	116	$2,281	13% below the national average	$1,814	$29,621
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	37	$2,281	13% below the national average	$1,784	$12,332
St Marys Medical CenterHuntington, WV · CCN 510007	1,072	$2,281	13% below the national average	$1,805	$14,127
Mercy Medical CenterCanton, OH · CCN 360070	306	$2,281	13% below the national average	$1,806	$19,722
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	406	$2,281	13% below the national average	$1,807	$15,106
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 040022	150	$2,281	13% below the national average	$1,810	$32,894
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	187	$2,281	13% below the national average	$1,809	$13,775
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	92	$2,281	13% below the national average	$1,793	$7,332
Tug Valley ARH Regional Medical CenterSouth Williamson, KY · CCN 180069	93	$2,282	13% below the national average	$1,809	$22,193
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	457	$2,282	13% below the national average	$1,809	$20,672
Baptist Health LagrangeLa Grange, KY · CCN 180138	123	$2,282	13% below the national average	$1,803	$24,254
Southeast Health Medical CenterDothan, AL · CCN 010001	557	$2,282	13% below the national average	$1,806	$11,069
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	377	$2,282	13% below the national average	$1,814	$17,647
Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · CCN 180070	128	$2,282	13% below the national average	$1,814	$14,863
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	51	$2,283	13% below the national average	$1,804	$21,387
Owensboro Health Muhlenberg Community HospitalGreenville, KY · CCN 180004	140	$2,283	13% below the national average	$1,816	$9,471
MH St Joseph Warren HospitalWarren, OH · CCN 360161	81	$2,283	13% below the national average	$1,810	$21,818

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.