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 2,451–2,500. 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
Saint Clare's Hospital/ Denville CampusDenville, NJ · CCN 310050	50	$3,080	17% above the national average	$2,450	$11,311
The University HospitalNewark, NJ · CCN 310119 · +$1,743 outlier payments per case	389	$3,081	17% above the national average	$2,448	$33,483
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	243	$3,081	17% above the national average	$2,451	$11,073
Brooks-TLC Hospital System, IncDunkirk, NY · CCN 330229	89	$3,082	17% above the national average	$2,446	$11,105
Straub Clinic And HospitalHonolulu, HI · CCN 120022	178	$3,082	17% above the national average	$2,441	$17,473
Lenox Hill HospitalNew York, NY · CCN 330119	50	$3,083	17% above the national average	$2,457	$25,140
Mount Sinai Beth IsraelNew York, NY · CCN 330169	20	$3,083	17% above the national average	$2,457	$19,140
Mount Sinai WestNew York, NY · CCN 330046	13	$3,083	17% above the national average	$2,457	$25,082
Montefiore Medical CenterBronx, NY · CCN 330059	68	$3,083	17% above the national average	$2,456	$33,238
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	204	$3,084	17% above the national average	$2,451	$13,868
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	214	$3,085	17% above the national average	$2,453	$20,918
Aurelia Osborn Fox Memorial HospitalOneonta, NY · CCN 330085	140	$3,086	17% above the national average	$2,458	$12,677
Bassett HealthcareCooperstown, NY · CCN 330136 · +$197 outlier payments per case	283	$3,091	17% above the national average	$2,458	$11,484
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	107	$3,092	17% above the national average	$2,458	$24,335
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	353	$3,092	17% above the national average	$2,459	$35,274
Nyack HospitalNyack, NY · CCN 330104 · +$669 outlier payments per case	527	$3,097	18% above the national average	$2,462	$48,733
Adventist Health CastleKailua, HI · CCN 120006	147	$3,099	18% above the national average	$2,460	$19,341
Flushing Hospital Medical CenterFlushing, NY · CCN 330193 · +$901 outlier payments per case	175	$3,101	18% above the national average	$2,467	$13,180
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158 · +$170 outlier payments per case	251	$3,102	18% above the national average	$2,471	$50,634
Valley HospitalParamus, NJ · CCN 310012	1,164	$3,104	18% above the national average	$2,471	$20,468
Mount Sinai HospitalNew York, NY · CCN 330024 · +$383 outlier payments per case	527	$3,104	18% above the national average	$2,472	$26,099
Westchester Medical CenterValhalla, NY · CCN 330234 · +$1,951 outlier payments per case	366	$3,106	18% above the national average	$2,475	$65,496
Adirondack Medical Center - Saranac LakeSaranac Lake, NY · CCN 330079	110	$3,108	18% above the national average	$2,476	$13,952
Samaritan Medical CenterWatertown, NY · CCN 330157	210	$3,108	18% above the national average	$2,476	$21,301
Wyoming County Community HospitalWarsaw, NY · CCN 330008	35	$3,108	18% above the national average	$2,476	$6,881
Jones Memorial HospitalWellsville, NY · CCN 330096	202	$3,108	18% above the national average	$2,475	$8,939
Cayuga Medical Center At IthacaIthaca, NY · CCN 330307	518	$3,108	18% above the national average	$2,475	$14,267
Claxton-Hepburn Medical CenterOgdensburg, NY · CCN 330211	60	$3,108	18% above the national average	$2,473	$11,270
Holy Name Medical CenterTeaneck, NJ · CCN 310008	403	$3,109	18% above the national average	$2,475	$20,126
White Plains Hospital CenterWhite Plains, NY · CCN 330304	849	$3,110	18% above the national average	$2,478	$23,198
Bergen New Bridge Medical CenterParamus, NJ · CCN 310058	31	$3,115	18% above the national average	$2,482	$8,224
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395 · +$499 outlier payments per case	84	$3,115	18% above the national average	$2,482	$23,748
St Mary's General HospitalPassaic, NJ · CCN 310006	36	$3,115	18% above the national average	$2,482	$6,293
New York Community Hospital Of Brooklyn, Inc.Brooklyn, NY · CCN 330019 · +$2,546 outlier payments per case	89	$3,115	18% above the national average	$2,481	$27,770
Maimonides Medical CenterBrooklyn, NY · CCN 330194 · +$71 outlier payments per case	527	$3,115	18% above the national average	$2,481	$24,244
St John's Riverside HospitalYonkers, NY · CCN 330208 · +$205 outlier payments per case	290	$3,115	18% above the national average	$2,481	$20,533
Lincoln Medical & Mental Health CenterBronx, NY · CCN 330080	46	$3,115	18% above the national average	$2,481	$9,226
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	55	$3,115	18% above the national average	$2,479	$10,398
South Brooklyn HealthBrooklyn, NY · CCN 330196	307	$3,115	18% above the national average	$2,478	$8,219
Carepoint Health - Bayonne Medical CenterBayonne, NJ · CCN 310025 · +$2,946 outlier payments per case	154	$3,115	18% above the national average	$2,475	$223,858
Jacobi Medical CenterBronx, NY · CCN 330127	21	$3,115	18% above the national average	$2,473	$11,570
St Joseph's Medical CenterYonkers, NY · CCN 330006	65	$3,115	18% above the national average	$2,472	$19,419
Bellevue Hospital CenterNew York, NY · CCN 330204	43	$3,115	18% above the national average	$2,469	$10,232
Elmhurst Hospital CenterElmhurst, NY · CCN 330128	77	$3,115	18% above the national average	$2,469	$12,098
Northeastern Nevada Regional HospitalElko, NV · CCN 290008	131	$3,140	19% above the national average	$2,499	$31,373
Wahiawa General HospitalWahiawa, HI · CCN 120004	11	$3,148	20% above the national average	$2,508	$11,587
Kuakini Medical CenterHonolulu, HI · CCN 120007 · +$557 outlier payments per case	145	$3,148	20% above the national average	$2,508	$27,896
Nantucket Cottage HospitalNantucket, MA · CCN 220177	72	$3,148	20% above the national average	$2,508	$13,615
Kaiser Foundation Hospital-Moreno ValleyMoreno Valley, CA · CCN 050765	63	$3,149	20% above the national average	$2,458	$32,429
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	167	$3,156	20% above the national average	$2,509	$33,100

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.