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 301–350. 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
St Tammany Parish HospitalCovington, LA · CCN 190045	552	$2,292	13% below the national average	$1,821	$13,287
Lane Regional Medical CenterZachary, LA · CCN 190020 · +$293 outlier payments per case	255	$2,293	13% below the national average	$1,820	$18,113
The GeneralBaton Rouge, LA · CCN 190316	27	$2,293	13% below the national average	$1,821	$9,020
UH Cleveland Medical CenterCleveland, OH · CCN 360137	297	$2,293	13% below the national average	$1,816	$15,991
UH St John Medical CenterWestlake, OH · CCN 360123	437	$2,293	13% below the national average	$1,824	$15,093
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	93	$2,293	13% below the national average	$1,810	$16,015
Memorial Hospital And ManorBainbridge, GA · CCN 110132	90	$2,293	13% below the national average	$1,820	$15,238
East Jefferson General HospitalMetairie, LA · CCN 190176	711	$2,293	13% below the national average	$1,822	$24,201
Upper Valley Medical CenterTroy, OH · CCN 360174	333	$2,294	13% below the national average	$1,818	$21,148
Spectrum HealthGrand Rapids, MI · CCN 230038	849	$2,294	13% below the national average	$1,803	$10,143
Bellevue HospitalBellevue, OH · CCN 360107	185	$2,294	13% below the national average	$1,820	$13,964
Piedmont Macon North HospitalMacon, GA · CCN 110201	136	$2,295	13% below the national average	$1,816	$23,829
Candler HospitalSavannah, GA · CCN 110024	198	$2,295	13% below the national average	$1,825	$15,378
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	469	$2,295	13% below the national average	$1,819	$12,683
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114	763	$2,295	13% below the national average	$1,818	$20,456
Mercy Hospital JoplinJoplin, MO · CCN 260001	369	$2,295	13% below the national average	$1,828	$18,164
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	338	$2,296	13% below the national average	$1,829	$14,732
Paintsville ARH HospitalPaintsville, KY · CCN 180078	71	$2,296	13% below the national average	$1,823	$22,338
McLaren OaklandPontiac, MI · CCN 230207	100	$2,296	13% below the national average	$1,804	$12,544
The Medical Center At RussellvilleRussellville, KY · CCN 180066	44	$2,296	13% below the national average	$1,830	$41,432
TJ Health ColumbiaColumbia, KY · CCN 180149	38	$2,296	13% below the national average	$1,830	$10,156
Middlesboro ARH HospitalMiddlesboro, KY · CCN 180020	95	$2,296	13% below the national average	$1,829	$21,115
Murray-Calloway County HospitalMurray, KY · CCN 180027	239	$2,296	13% below the national average	$1,829	$17,390
Opelousas General Health SystemOpelousas, LA · CCN 190017	169	$2,297	13% below the national average	$1,828	$14,854
Grady General HospitalCairo, GA · CCN 110121	110	$2,297	13% below the national average	$1,824	$16,640
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	537	$2,297	13% below the national average	$1,826	$17,144
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	42	$2,297	13% below the national average	$1,802	$13,836
Minden Medical CenterMinden, LA · CCN 190144	143	$2,298	13% below the national average	$1,829	$20,504
Elmore Community HospitalWetumpka, AL · CCN 010097	17	$2,298	13% below the national average	$1,831	$7,731
Evans Memorial HospitalClaxton, GA · CCN 110142	118	$2,298	13% below the national average	$1,816	$22,011
Holzer Medical CenterGallipolis, OH · CCN 360054	180	$2,298	13% below the national average	$1,825	$12,048
UPMC JamesonNew Castle, PA · CCN 390016	40	$2,299	13% below the national average	$1,802	$9,819
UH Regional HospitalsChardon, OH · CCN 360075	320	$2,299	13% below the national average	$1,826	$16,451
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 170200	303	$2,299	13% below the national average	$1,820	$17,332
Christus Ochsner Lake Area HospitalLake Charles, LA · CCN 190201	29	$2,299	13% below the national average	$1,829	$18,812
Beckley ARH HospitalBeckley, WV · CCN 510062	105	$2,300	13% below the national average	$1,828	$28,469
Our Lady Of The Angels HospitalBogalusa, LA · CCN 190312	158	$2,300	13% below the national average	$1,830	$12,115
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	185	$2,300	13% below the national average	$1,816	$20,146
Ochsner Medical Center - Baton RougeBaton Rouge, LA · CCN 190202	129	$2,300	13% below the national average	$1,828	$9,214
Alliance Community HospitalAlliance, OH · CCN 360131	122	$2,300	13% below the national average	$1,825	$8,826
Touro InfirmaryNew Orleans, LA · CCN 190046	204	$2,300	13% below the national average	$1,829	$20,944
Ochsner Medical Center-KennerKenner, LA · CCN 190274	103	$2,301	13% below the national average	$1,828	$9,599
Akron General Medical CenterAkron, OH · CCN 360027	700	$2,301	13% below the national average	$1,827	$16,822
Blount Memorial HospitalMaryville, TN · CCN 440011	96	$2,301	13% below the national average	$1,820	$12,094
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	66	$2,301	13% below the national average	$1,828	$11,130
Hillcrest HospitalMayfield Heights, OH · CCN 360230	1,102	$2,301	13% below the national average	$1,826	$17,278
Mercy Hospital StoddardDexter, MO · CCN 260160	28	$2,302	13% below the national average	$1,834	$12,219
Pemiscot County Memorial HospitalHayti, MO · CCN 260070	51	$2,302	13% below the national average	$1,834	$10,163
Vanderbilt Bedford HospitalShelbyville, TN · CCN 440137	131	$2,302	13% below the national average	$1,825	$24,317
Valley Baptist Medical Center- BrownsvilleBrownsville, TX · CCN 450028	58	$2,302	13% below the national average	$1,817	$46,053

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.