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

Hospitals in Alabama

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.

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Alabama

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Average payment across these 73 hospitals: $2,241National $2,634 · Alabama $2,241
Median hospital: $2,228
Lowest to highest: $1,338–$2,461
Medicare procedures: 8,112

73 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. 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
Riverview Regional Medical CenterGadsden, AL · CCN 010046	13	$1,338	49% below the national average	$877	$30,171
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	26	$1,973	25% below the national average	$1,500	$30,401
Coosa Valley Medical CenterSylacauga, AL · CCN 010164	47	$2,053	22% below the national average	$1,592	$14,641
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	39	$2,061	22% below the national average	$1,595	$38,159
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	96	$2,093	21% below the national average	$1,624	$72,394
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	128	$2,100	20% below the national average	$1,635	$14,086
Prattville Baptist HospitalPrattville, AL · CCN 010108	64	$2,101	20% below the national average	$1,629	$10,860
D W McMillan Memorial HospitalBrewton, AL · CCN 010099	108	$2,101	20% below the national average	$1,670	$9,980
St Vincent's St ClairPell City, AL · CCN 010130	33	$2,128	19% below the national average	$1,662	$13,443
Baptist Medical Center SouthMontgomery, AL · CCN 010023	266	$2,129	19% below the national average	$1,671	$9,931
Thomasville Regional Medical CenterThomasville, AL · CCN 010174	33	$2,136	19% below the national average	$1,670	$10,925
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	158	$2,138	19% below the national average	$1,676	$10,270
Thomas HospitalFairhope, AL · CCN 010100	130	$2,143	19% below the national average	$1,683	$12,078
Russellville HospitalRussellville, AL · CCN 010158	55	$2,153	18% below the national average	$1,687	$11,808
Clay County HospitalAshland, AL · CCN 010073	34	$2,156	18% below the national average	$1,700	$7,494
Grandview Medical CenterBirmingham, AL · CCN 010104	130	$2,160	18% below the national average	$1,693	$54,031
Walker Baptist Medical CenterJasper, AL · CCN 010089	70	$2,163	18% below the national average	$1,665	$32,852
North Mississippi Health Services - South MarionWinfield, AL · CCN 010086	136	$2,169	18% below the national average	$1,712	$15,578
Dale Medical CenterOzark, AL · CCN 010021	156	$2,169	18% below the national average	$1,711	$13,541
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	13	$2,170	18% below the national average	$1,705	$10,461
Marshall Medical CentersBoaz, AL · CCN 010005	77	$2,177	17% below the national average	$1,714	$10,296
North Alabama Medical CenterFlorence, AL · CCN 010006	224	$2,181	17% below the national average	$1,726	$15,546
USA Health University HospitalMobile, AL · CCN 010087	79	$2,183	17% below the national average	$1,716	$11,031
North Baldwin InfirmaryBay Minette, AL · CCN 010129	98	$2,188	17% below the national average	$1,725	$11,621
Lake Martin Community HospitalDadeville, AL · CCN 010052	24	$2,188	17% below the national average	$1,728	$3,237
Floyd Cherokee Medical CenterCentre, AL · CCN 010022	33	$2,189	17% below the national average	$1,711	$41,966
St. Vincent's EastBirmingham, AL · CCN 010011	70	$2,191	17% below the national average	$1,723	$16,876
Eamc-LanierValley, AL · CCN 010175	29	$2,196	17% below the national average	$1,750	$6,825
Atmore Community HospitalAtmore, AL · CCN 010169	41	$2,198	17% below the national average	$1,739	$9,402
Baptist Medical Center EastMontgomery, AL · CCN 010149	145	$2,199	17% below the national average	$1,725	$11,328
Evergreen Medical CenterEvergreen, AL · CCN 010148	43	$2,202	16% below the national average	$1,746	$6,648
Helen Keller HospitalSheffield, AL · CCN 010019	154	$2,208	16% below the national average	$1,751	$12,811
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	81	$2,211	16% below the national average	$1,750	$13,784
Jackson Medical CenterJackson, AL · CCN 010128	60	$2,215	16% below the national average	$1,759	$4,346
Fayette Medical CenterFayette, AL · CCN 010045	44	$2,224	16% below the national average	$1,760	$8,743
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	120	$2,225	16% below the national average	$1,752	$11,103
Medical Center EnterpriseEnterprise, AL · CCN 010049	111	$2,228	15% below the national average	$1,767	$41,237
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	162	$2,230	15% below the national average	$1,763	$12,957
Troy Regional Medical CenterTroy, AL · CCN 010126	83	$2,236	15% below the national average	$1,765	$8,276
St Vincent's BirminghamBirmingham, AL · CCN 010056	134	$2,237	15% below the national average	$1,772	$16,977
Wiregrass Medical CenterGeneva, AL · CCN 010062	51	$2,242	15% below the national average	$1,786	$7,856
Crenshaw Community HospitalLuverne, AL · CCN 010008	36	$2,242	15% below the national average	$1,786	$10,956
Lakeland Community HospitalHaleyville, AL · CCN 010125	43	$2,242	15% below the national average	$1,786	$11,079
Mizell Memorial HospitalOpp, AL · CCN 010007	33	$2,242	15% below the national average	$1,786	$7,414
Marion Regional Medical CenterHamilton, AL · CCN 010044	54	$2,242	15% below the national average	$1,782	$10,442
Grove Hill Memorial HospitalGrove Hill, AL · CCN 010091	26	$2,242	15% below the national average	$1,780	$10,274
Huntsville HospitalHuntsville, AL · CCN 010039	943	$2,244	15% below the national average	$1,771	$17,355
Crestwood Medical CenterHuntsville, AL · CCN 010131	129	$2,246	15% below the national average	$1,774	$36,322
Springhill Medical CenterMobile, AL · CCN 010144	302	$2,246	15% below the national average	$1,785	$9,271
Baldwin HealthFoley, AL · CCN 010083	164	$2,252	14% below the national average	$1,790	$31,109

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.