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 2,551–2,600. 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
Redlands Community HospitalRedlands, CA · CCN 050272	212	$3,340	27% above the national average	$2,653	$53,842
Mercy Medical Center ReddingRedding, CA · CCN 050280 · +$444 outlier payments per case	675	$3,341	27% above the national average	$2,656	$48,186
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	1,249	$3,341	27% above the national average	$2,656	$37,696
Scripps Green HospitalLa Jolla, CA · CCN 050424	111	$3,341	27% above the national average	$2,657	$18,959
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	112	$3,341	27% above the national average	$2,656	$31,787
Memorial Medical CenterModesto, CA · CCN 050557	352	$3,343	27% above the national average	$2,657	$33,220
Ventura County Medical CenterVentura, CA · CCN 050159 · +$859 outlier payments per case	155	$3,344	27% above the national average	$2,664	$29,471
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	267	$3,344	27% above the national average	$2,662	$25,913
San Gorgonio Memorial HospitalBanning, CA · CCN 050054	130	$3,345	27% above the national average	$2,651	$32,307
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	932	$3,345	27% above the national average	$2,660	$34,267
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	314	$3,346	27% above the national average	$2,663	$34,612
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112 · +$195 outlier payments per case	702	$3,346	27% above the national average	$2,662	$27,676
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036 · +$122 outlier payments per case	572	$3,347	27% above the national average	$2,662	$35,980
Community Regional Medical CenterFresno, CA · CCN 050060	511	$3,347	27% above the national average	$2,661	$25,646
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	133	$3,347	27% above the national average	$2,660	$18,774
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	249	$3,347	27% above the national average	$2,661	$27,406
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	905	$3,347	27% above the national average	$2,663	$24,574
Mercy Medical CenterMerced, CA · CCN 050444 · +$211 outlier payments per case	308	$3,348	27% above the national average	$2,663	$50,745
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	162	$3,349	27% above the national average	$2,661	$31,447
Huntington HospitalPasadena, CA · CCN 050438 · +$62 outlier payments per case	968	$3,349	27% above the national average	$2,664	$42,540
Temecula Valley HospitalTemecula, CA · CCN 050775	327	$3,349	27% above the national average	$2,657	$42,473
Mercy HospitalBakersfield, CA · CCN 050295	510	$3,349	27% above the national average	$2,665	$38,158
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	185	$3,351	27% above the national average	$2,664	$60,918
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116 · +$132 outlier payments per case	387	$3,351	27% above the national average	$2,666	$58,695
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262 · +$713 outlier payments per case	780	$3,352	27% above the national average	$2,667	$28,515
Uci Health-OrangeOrange, CA · CCN 050348 · +$1,119 outlier payments per case	800	$3,352	27% above the national average	$2,667	$30,308
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	454	$3,352	27% above the national average	$2,669	$32,740
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	1,408	$3,352	27% above the national average	$2,668	$35,729
Saint Agnes Medical CenterFresno, CA · CCN 050093	568	$3,352	27% above the national average	$2,668	$21,875
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	213	$3,353	27% above the national average	$2,669	$38,102
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	438	$3,353	27% above the national average	$2,669	$41,531
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	223	$3,353	27% above the national average	$2,665	$71,372
San Antonio Regional HospitalUpland, CA · CCN 050099	449	$3,353	27% above the national average	$2,668	$46,302
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025 · +$376 outlier payments per case	534	$3,354	27% above the national average	$2,668	$27,875
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	258	$3,355	27% above the national average	$2,669	$71,704
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327 · +$290 outlier payments per case	827	$3,355	27% above the national average	$2,671	$37,634
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	577	$3,355	27% above the national average	$2,665	$91,642
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573 · +$298 outlier payments per case	1,845	$3,355	27% above the national average	$2,670	$35,768
Scripps Mercy HospitalSan Diego, CA · CCN 050077	266	$3,355	27% above the national average	$2,671	$38,858
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	285	$3,356	27% above the national average	$2,665	$37,653
Providence St Joseph HospitalEureka, CA · CCN 050006	269	$3,356	27% above the national average	$2,671	$39,936
Grossmont HospitalLa Mesa, CA · CCN 050026	1,010	$3,357	27% above the national average	$2,668	$31,118
Providence St. Joseph HospitalOrange, CA · CCN 050069	616	$3,357	27% above the national average	$2,672	$22,664
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	951	$3,357	27% above the national average	$2,672	$34,339
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678 · +$99 outlier payments per case	623	$3,357	27% above the national average	$2,671	$48,325
Kaweah Health Medical CenterVisalia, CA · CCN 050057	826	$3,358	27% above the national average	$2,673	$21,020
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	616	$3,358	28% above the national average	$2,674	$29,882
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	719	$3,358	28% above the national average	$2,674	$28,257
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	788	$3,358	28% above the national average	$2,674	$34,779
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	909	$3,359	28% above the national average	$2,674	$43,625

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.