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 401–450. 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
Euclid HospitalEuclid, OH · CCN 360082	156	$2,314	12% below the national average	$1,838	$16,726
Lewisgale Hospital PulaskiPulaski, VA · CCN 490116	44	$2,314	12% below the national average	$1,835	$25,226
Sentara Careplex HospitalHampton, VA · CCN 490093	210	$2,314	12% below the national average	$1,834	$22,940
University Health SystemSan Antonio, TX · CCN 450213	62	$2,314	12% below the national average	$1,830	$25,528
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	566	$2,314	12% below the national average	$1,835	$17,120
Saline Memorial HospitalBenton, AR · CCN 040084	117	$2,314	12% below the national average	$1,833	$14,406
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$672 outlier payments per case	557	$2,314	12% below the national average	$1,831	$27,796
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	128	$2,315	12% below the national average	$1,840	$13,769
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	701	$2,315	12% below the national average	$1,839	$26,390
University Medical Center Of El PasoEl Paso, TX · CCN 450024	148	$2,315	12% below the national average	$1,829	$19,767
Tristar Hendersonville Medical CenterHendersonville, TN · CCN 440194	129	$2,315	12% below the national average	$1,835	$39,273
Aultman HospitalCanton, OH · CCN 360084	403	$2,315	12% below the national average	$1,841	$15,444
Marymount HospitalGarfield Heights, OH · CCN 360143	316	$2,316	12% below the national average	$1,844	$17,538
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	74	$2,316	12% below the national average	$1,801	$12,696
Wood County HospitalBowling Green, OH · CCN 360029	189	$2,316	12% below the national average	$1,840	$10,279
Baptist Health HardinElizabethtown, KY · CCN 180012	264	$2,316	12% below the national average	$1,837	$28,545
Aiken Regional Medical CenterAiken, SC · CCN 420082	193	$2,316	12% below the national average	$1,834	$28,272
Burke Medical CenterWaynesboro, GA · CCN 110113	51	$2,316	12% below the national average	$1,846	$11,060
Union HospitalDover, OH · CCN 360010	290	$2,316	12% below the national average	$1,842	$19,273
University McDuffie County Regional Medical CenterThomson, GA · CCN 110111	35	$2,316	12% below the national average	$1,844	$12,669
Bethesda NorthCincinnati, OH · CCN 360179	386	$2,317	12% below the national average	$1,832	$12,729
University Of Kansas HospitalKansas City, KS · CCN 170040	704	$2,317	12% below the national average	$1,833	$31,582
Johnson City Medical CenterJohnson City, TN · CCN 440063	219	$2,317	12% below the national average	$1,830	$16,847
Blanchard Valley HospitalFindlay, OH · CCN 360095	307	$2,318	12% below the national average	$1,843	$11,880
Salem Regional Medical CenterSalem, OH · CCN 360185	164	$2,318	12% below the national average	$1,844	$10,704
Plains Regional Medical CenterClovis, NM · CCN 320022	194	$2,318	12% below the national average	$1,842	$15,150
St Charles Parish HospitalLuling, LA · CCN 190079	52	$2,319	12% below the national average	$1,847	$10,181
Conway Medical CenterConway, SC · CCN 420049	608	$2,319	12% below the national average	$1,839	$17,705
Mercy Health - Tiffin HospitalTiffin, OH · CCN 360089	103	$2,319	12% below the national average	$1,846	$15,716
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	189	$2,319	12% below the national average	$1,838	$22,506
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	606	$2,319	12% below the national average	$1,845	$14,684
Hillsdale HospitalHillsdale, MI · CCN 230037	73	$2,319	12% below the national average	$1,847	$9,293
Medina HospitalMedina, OH · CCN 360091	328	$2,320	12% below the national average	$1,845	$16,825
McLeod Loris HospitalLoris, SC · CCN 420105	381	$2,320	12% below the national average	$1,842	$21,172
South Pointe HospitalWarrensville Heights, OH · CCN 360144	255	$2,320	12% below the national average	$1,847	$17,846
Valley Regional Medical CenterBrownsville, TX · CCN 450662	68	$2,320	12% below the national average	$1,831	$47,270
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	331	$2,320	12% below the national average	$1,840	$12,865
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	278	$2,321	12% below the national average	$1,840	$17,622
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 170142	236	$2,321	12% below the national average	$1,846	$17,563
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	76	$2,321	12% below the national average	$1,848	$25,661
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	217	$2,321	12% below the national average	$1,836	$10,296
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	340	$2,322	12% below the national average	$1,842	$18,913
Bon Secours Southern Virginia Medical CenterEmporia, VA · CCN 490097	54	$2,322	12% below the national average	$1,843	$62,582
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	382	$2,322	12% below the national average	$1,842	$16,776
Prisma Health Richland HospitalColumbia, SC · CCN 420018	362	$2,322	12% below the national average	$1,843	$18,472
Clinch Valley Medical CenterRichlands, VA · CCN 490060	124	$2,322	12% below the national average	$1,846	$35,819
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	130	$2,323	12% below the national average	$1,837	$13,637
Baptist Health LouisvilleLouisville, KY · CCN 180130	2,158	$2,323	12% below the national average	$1,843	$25,609
Riverside Regional Medical CenterNewport News, VA · CCN 490052	779	$2,323	12% below the national average	$1,841	$17,209
Tristar Horizon Medical CenterDickson, TN · CCN 440046	106	$2,323	12% below the national average	$1,840	$32,329

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.