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 251–300. 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
Kansas Heart HospitalWichita, KS · CCN 170186	35	$2,284	13% below the national average	$1,805	$7,720
Stephens County HospitalToccoa, GA · CCN 110032	124	$2,284	13% below the national average	$1,812	$10,826
Donalsonville Hospital IncDonalsonville, GA · CCN 110194	58	$2,284	13% below the national average	$1,811	$8,029
Northeast Georgia Medical Center HabershamDemorest, GA · CCN 110041 · +$159 outlier payments per case	309	$2,284	13% below the national average	$1,814	$25,434
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	109	$2,285	13% below the national average	$1,806	$16,061
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	1,054	$2,285	13% below the national average	$1,811	$21,669
West Calcasieu Cameron HospitalSulphur, LA · CCN 190013	126	$2,285	13% below the national average	$1,817	$11,071
Highland Hills Medical CenterSenatobia, MS · CCN 250172	134	$2,285	13% below the national average	$1,814	$9,039
Bibb Medical CenterCentreville, AL · CCN 010058	53	$2,285	13% below the national average	$1,816	$4,220
Harrison Memorial HospitalCynthiana, KY · CCN 180079	192	$2,285	13% below the national average	$1,819	$9,460
NMC HealthNewton, KS · CCN 170103	221	$2,285	13% below the national average	$1,808	$11,733
University Of Kentucky HospitalLexington, KY · CCN 180067	330	$2,285	13% below the national average	$1,802	$16,968
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	162	$2,286	13% below the national average	$1,809	$26,157
Baptist Health - Fort SmithFort Smith, AR · CCN 040055	556	$2,286	13% below the national average	$1,812	$19,090
Ochsner American Legion HospitalJennings, LA · CCN 190053	45	$2,286	13% below the national average	$1,809	$7,133
Slidell Memorial HospitalSlidell, LA · CCN 190040	449	$2,286	13% below the national average	$1,813	$17,648
St Vincent's ChiltonClanton, AL · CCN 010173	43	$2,286	13% below the national average	$1,822	$14,054
Cleveland ClinicCleveland, OH · CCN 360180	429	$2,287	13% below the national average	$1,814	$15,976
Highland Community HospitalPicayune, MS · CCN 250117	157	$2,287	13% below the national average	$1,818	$14,850
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	638	$2,287	13% below the national average	$1,810	$15,613
Tift Regional Medical CenterTifton, GA · CCN 110095	287	$2,287	13% below the national average	$1,811	$14,215
Rock Regional Hospital, LLCDerby, KS · CCN 170204	158	$2,287	13% below the national average	$1,815	$10,632
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	846	$2,287	13% below the national average	$1,810	$19,633
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064 · +$73 outlier payments per case	1,199	$2,287	13% below the national average	$1,815	$18,430
Avoyelles HospitalMarksville, LA · CCN 190099	92	$2,288	13% below the national average	$1,816	$9,722
University Medical Center New OrleansNew Orleans, LA · CCN 190005	223	$2,288	13% below the national average	$1,815	$20,009
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	45	$2,288	13% below the national average	$1,815	$46,074
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	117	$2,288	13% below the national average	$1,810	$18,473
Tristar Summit Medical CenterHermitage, TN · CCN 440150	186	$2,288	13% below the national average	$1,807	$40,892
Arkansas Heart Hospital-EncoreBryant, AR · CCN 040161	138	$2,289	13% below the national average	$1,813	$6,051
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	162	$2,289	13% below the national average	$1,799	$33,565
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	433	$2,290	13% below the national average	$1,813	$24,311
University Of Missouri Health CareColumbia, MO · CCN 260141	790	$2,290	13% below the national average	$1,817	$14,490
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	214	$2,290	13% below the national average	$1,811	$14,369
Doctors HospitalAugusta, GA · CCN 110177	353	$2,290	13% below the national average	$1,818	$32,103
Savoy Medical CenterMamou, LA · CCN 190025	43	$2,290	13% below the national average	$1,825	$13,713
Arkansas Heart Hospital, LLCLittle Rock, AR · CCN 040134	176	$2,291	13% below the national average	$1,822	$6,296
West Jefferson Medical CenterMarrero, LA · CCN 190039	299	$2,291	13% below the national average	$1,818	$16,811
Allen HospitalWaterloo, IA · CCN 160110	137	$2,291	13% below the national average	$1,814	$11,141
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	134	$2,291	13% below the national average	$1,813	$24,317
Merit Health CentralJackson, MS · CCN 250072	11	$2,291	13% below the national average	$1,826	$40,999
Crossgates River Oaks HospitalBrandon, MS · CCN 250096	41	$2,291	13% below the national average	$1,826	$29,656
Magee General HospitalMagee, MS · CCN 250124	106	$2,292	13% below the national average	$1,821	$7,180
Merit Health MadisonCanton, MS · CCN 250038	44	$2,292	13% below the national average	$1,817	$37,470
Ochsner St MaryMorgan City, LA · CCN 190014	35	$2,292	13% below the national average	$1,788	$20,323
Wagoner Community HospitalWagoner, OK · CCN 370166	57	$2,292	13% below the national average	$1,819	$7,151
De Tar Hospital NavarroVictoria, TX · CCN 450147	138	$2,292	13% below the national average	$1,805	$48,898
Navicent Health BaldwinMilledgeville, GA · CCN 110150	47	$2,292	13% below the national average	$1,826	$9,515
Siloam Springs Regional HospitalSiloam Springs, AR · CCN 040001	111	$2,292	13% below the national average	$1,821	$25,740
Memorial HealthLawton, OK · CCN 370056	463	$2,292	13% below the national average	$1,817	$13,939

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.