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

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

Average payment across these 232 hospitals: $2,444National $2,634 · Texas $2,445
Median hospital: $2,445
Lowest to highest: $2,235–$2,718
Medicare procedures: 57,552

232 hospitals reported at least 11 Medicare procedures for this in 2024; showing 201–232. 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
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	17	$2,538	About average	$2,022	$40,382
St Joseph Medical CenterHouston, TX · CCN 450035	21	$2,538	About average	$2,022	$24,399
St Luke's Sugar Land HospitalSugar Land, TX · CCN 670053	50	$2,538	About average	$2,022	$26,363
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	179	$2,538	About average	$2,021	$49,970
Elite Hospital KingwoodKingwood, TX · CCN 670285 · +$15,682 outlier payments per case	56	$2,538	About average	$2,020	$63,131
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	76	$2,538	About average	$2,020	$61,623
HCA Houston Healthcare PearlandPearland, TX · CCN 670106	25	$2,538	About average	$2,020	$53,711
HCA Houston Healthcare ConroeConroe, TX · CCN 450222	83	$2,538	About average	$2,019	$55,617
East Houston Medical CenterHouston, TX · CCN 670320 · +$2,036 outlier payments per case	41	$2,538	About average	$2,018	$73,683
St Michaels Medical Hospital LLCSugar Land, TX · CCN 670314	13	$2,538	About average	$2,013	$42,624
HCA Houston Healthcare WestHouston, TX · CCN 450644	33	$2,539	About average	$2,001	$44,016
Brownfield Regional Medical CenterBrownfield, TX · CCN 450399	45	$2,544	About average	$2,027	$9,786
Lamb Healthcare CenterLittlefield, TX · CCN 450698	12	$2,544	About average	$2,027	$6,961
UT Health East Texas Jacksonville HospitalJacksonville, TX · CCN 450194	13	$2,544	About average	$2,027	$36,427
UT Health East Texas Carthage HospitalCarthage, TX · CCN 450210	28	$2,544	About average	$2,027	$29,197
Memorial HospitalGonzales, TX · CCN 450235	127	$2,544	About average	$2,026	$9,114
Covenant Hospital PlainviewPlainview, TX · CCN 450539	85	$2,544	About average	$2,026	$16,222
Permian Regional Medical Center Andrews County HoAndrews, TX · CCN 450144	107	$2,544	About average	$2,026	$10,274
Tyler County HospitalWoodville, TX · CCN 450460	24	$2,544	About average	$2,025	$6,548
Faith Community HospitalJacksboro, TX · CCN 450241	46	$2,544	About average	$2,025	$12,301
Val Verde Regional Medical CenterDel Rio, TX · CCN 450154	98	$2,544	About average	$2,023	$22,394
Eastland Memorial HospitalEastland, TX · CCN 450411	107	$2,544	About average	$2,022	$8,265
El Campo Memorial HospitalEl Campo, TX · CCN 450694	104	$2,544	About average	$2,019	$8,512
Christus Spohn Hospital AliceAlice, TX · CCN 450828	46	$2,548	About average	$2,028	$40,912
Columbus Community HospitalColumbus, TX · CCN 450370	232	$2,550	About average	$2,030	$9,564
Christus Spohn Hospital KlebergKingsville, TX · CCN 450163	26	$2,558	About average	$2,034	$39,430
Christus Spohn Hospital BeevilleBeeville, TX · CCN 450082	40	$2,558	About average	$2,031	$40,528
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	106	$2,582	About average	$2,049	$20,653
Christus Mother Frances Hospital Sulphur SpringsSulphur Springs, TX · CCN 450236	147	$2,606	About average	$2,071	$44,223
North Texas Medical CenterGainesville, TX · CCN 450090	96	$2,616	About average	$2,080	$13,380
Paris Regional Medical CenterParis, TX · CCN 450196	377	$2,628	About average	$2,091	$17,507
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	26	$2,718	About average	$2,166	$35,475

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.