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
- $2,090
- Average billed charge
- $24,060
- Hospitals reporting
- 2,753
Compare hospitals
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.
2,746 hospitals reported at least 11 Medicare procedures for this in 2024; showing 351–400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Prisma Health Hillcrest Hospital | 194 | $2,303 | 13% below the national average | $1,823 | $17,883 |
| HMHP St Elizabeth Boardman Health Center | 288 | $2,303 | 13% below the national average | $1,830 | $21,228 |
| King's Daughters' Medical Center | 845 | $2,304 | 13% below the national average | $1,831 | $17,428 |
| Prisma Health Tuomey Hospital | 231 | $2,304 | 13% below the national average | $1,827 | $14,779 |
| St Marys Regional Medical Center | 233 | $2,304 | 13% below the national average | $1,828 | $38,229 |
| MercyOne Waterloo Medical Center | 114 | $2,305 | 12% below the national average | $1,833 | $12,763 |
| Wayne Hospital | 92 | $2,305 | 12% below the national average | $1,828 | $12,564 |
| Parkview Regional Hospital | 32 | $2,305 | 12% below the national average | $1,812 | $21,678 |
| Edward W Sparrow Hospital | 455 | $2,305 | 12% below the national average | $1,820 | $22,604 |
| Saint Francis Hospital, Inc | 935 | $2,306 | 12% below the national average | $1,831 | $17,581 |
| Wayne Medical Center | 29 | $2,306 | 12% below the national average | $1,817 | $14,241 |
| Broadlawns Medical Center | 129 | $2,306 | 12% below the national average | $1,828 | $12,636 |
| Mercy Regional Medical Center | 122 | $2,306 | 12% below the national average | $1,831 | $17,721 |
| KershawHealth | 82 | $2,306 | 12% below the national average | $1,828 | $19,238 |
| McLeod Health Cheraw | 104 | $2,307 | 12% below the national average | $1,824 | $17,464 |
| St Bernards Medical Center | 1,031 | $2,307 | 12% below the national average | $1,836 | $7,613 |
| MUSC Health Marion Medical Center | 63 | $2,307 | 12% below the national average | $1,838 | $20,319 |
| Integris Baptist Medical Center, Inc | 900 | $2,307 | 12% below the national average | $1,833 | $24,443 |
| Christus St Frances Cabrini Hospital | 293 | $2,307 | 12% below the national average | $1,823 | $15,363 |
| Baptist Health Medical Center North Little Rock | 724 | $2,308 | 12% below the national average | $1,830 | $18,487 |
| Heritage Valley Beaver | 128 | $2,308 | 12% below the national average | $1,809 | $7,660 |
| Saint Francis Hospital South, LLC | 345 | $2,308 | 12% below the national average | $1,833 | $18,774 |
| North Alabama Shoals Hospital | 18 | $2,308 | 12% below the national average | $1,839 | $14,590 |
| Arkansas Methodist Medical Center | 132 | $2,309 | 12% below the national average | $1,840 | $6,564 |
| Johnson Regional Medical Center | 109 | $2,309 | 12% below the national average | $1,839 | $6,781 |
| East Carroll Parish Hospital | 93 | $2,309 | 12% below the national average | $1,838 | $6,875 |
| Tristar Centennial Medical Center | 114 | $2,309 | 12% below the national average | $1,825 | $31,298 |
| Mercer County Joint Township Community Hospital | 282 | $2,309 | 12% below the national average | $1,836 | $11,811 |
| Mercy Hospital Oklahoma City, Inc | 144 | $2,309 | 12% below the national average | $1,830 | $21,778 |
| MH St Elizabeth Youngstown Hospital | 287 | $2,310 | 12% below the national average | $1,836 | $22,161 |
| Truman Medical Center Hospital Hill | 54 | $2,310 | 12% below the national average | $1,820 | $10,715 |
| Firelands Regional Medical Center | 398 | $2,310 | 12% below the national average | $1,837 | $9,546 |
| St John Owasso | 139 | $2,311 | 12% below the national average | $1,838 | $13,355 |
| MUSC Medical Center | 715 | $2,311 | 12% below the national average | $1,831 | $15,148 |
| Baptist Health Richmond | 226 | $2,311 | 12% below the national average | $1,832 | $29,176 |
| Cleveland Clinic Avon Hospital | 897 | $2,311 | 12% below the national average | $1,837 | $15,415 |
| Sentara Princess Anne Hospital | 527 | $2,311 | 12% below the national average | $1,829 | $23,464 |
| Russell County Hospital | 42 | $2,312 | 12% below the national average | $1,828 | $11,776 |
| Lexington Medical Center | 501 | $2,312 | 12% below the national average | $1,834 | $18,893 |
| Mercy Health - Clermont Hospital | 77 | $2,312 | 12% below the national average | $1,828 | $17,017 |
| Baptist Memorial Hospital-Crittenden, Inc | 44 | $2,313 | 12% below the national average | $1,839 | $24,680 |
| Penn State Health Lancaster Medical Center | 134 | $2,313 | 12% below the national average | $1,822 | $16,893 |
| Fairview Hospital | 783 | $2,313 | 12% below the national average | $1,838 | $16,358 |
| Hillcrest Hospital Claremore | 139 | $2,313 | 12% below the national average | $1,838 | $25,202 |
| Riverside Walter Reed Hospital | 235 | $2,313 | 12% below the national average | $1,835 | $14,452 |
| Mercy Health St Ritas Medical Center | 337 | $2,313 | 12% below the national average | $1,837 | $22,176 |
| Dorminy Medical Center | 72 | $2,314 | 12% below the national average | $1,843 | $11,473 |
| Taylor Regional Hospital | 31 | $2,314 | 12% below the national average | $1,843 | $8,471 |
| Sentara Obici Hospital | 489 | $2,314 | 12% below the national average | $1,835 | $22,275 |
| Kell West Regional Hospital | 72 | $2,314 | 12% below the national average | $1,838 | $7,295 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.