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 Florida

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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Average payment across these 164 hospitals: $2,457National $2,634 · Florida $2,457
Median hospital: $2,461
Lowest to highest: $2,240–$2,656
Medicare procedures: 76,734

164 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
Delray Medical CenterDelray Beach, FL · CCN 100258	636	$2,240	15% below the national average	$1,732	$51,977
West Boca Medical CenterBoca Raton, FL · CCN 100268	276	$2,252	15% below the national average	$1,743	$42,097
Parrish Medical CenterTitusville, FL · CCN 100028	469	$2,349	11% below the national average	$1,841	$25,737
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	281	$2,378	About average	$1,870	$37,636
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	100	$2,381	About average	$1,876	$38,857
Shands JacksonvilleJacksonville, FL · CCN 100001	297	$2,398	About average	$1,892	$22,413
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	451	$2,401	About average	$1,890	$49,777
Ascension St Vincent's Clay CountyMiddleburg, FL · CCN 100321	506	$2,411	About average	$1,919	$19,376
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	88	$2,412	About average	$1,908	$53,855
Baycare Hospital Wesley ChapelWesley Chapel, FL · CCN 100362	155	$2,412	About average	$1,909	$24,859
St Mary's Medical CenterWest Palm Beach, FL · CCN 100288	125	$2,416	About average	$1,900	$42,685
Broward Health NorthDeerfield Beach, FL · CCN 100086	513	$2,417	About average	$1,914	$19,306
Shorepoint Health Punta GordaPunta Gorda, FL · CCN 100047	95	$2,418	About average	$1,911	$28,973
Baptist Medical Center - NassauFernandina Beach, FL · CCN 100140	270	$2,421	About average	$1,916	$24,798
UF Health Shands HospitalGainesville, FL · CCN 100113	204	$2,421	About average	$1,917	$16,136
North Okaloosa Medical CenterCrestview, FL · CCN 100122	137	$2,422	About average	$1,913	$32,854
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	165	$2,422	About average	$1,909	$32,286
Santa Rosa Medical CenterMilton, FL · CCN 100124	142	$2,425	About average	$1,916	$37,415
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	219	$2,426	About average	$1,919	$67,410
Broward Health Coral SpringsCoral Springs, FL · CCN 100276	366	$2,426	About average	$1,918	$16,508
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	131	$2,427	About average	$1,928	$20,585
AdventHealth OrlandoOrlando, FL · CCN 100007 · +$159 outlier payments per case	3,106	$2,427	About average	$1,919	$37,344
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	1,754	$2,429	About average	$1,925	$26,109
Cleveland Clinic HospitalWeston, FL · CCN 100289	833	$2,429	About average	$1,926	$13,283
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	122	$2,431	About average	$1,927	$48,914
Memorial Hospital MiramarMiramar, FL · CCN 100285	149	$2,432	About average	$1,920	$30,049
HCA Florida Kendall HospitalMiami, FL · CCN 100209	171	$2,433	About average	$1,926	$64,194
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	217	$2,434	About average	$1,929	$15,607
Westside Regional Medical CenterPlantation, FL · CCN 100228	262	$2,435	About average	$1,927	$43,729
AdventHealth CarrollwoodTampa, FL · CCN 100069	133	$2,435	About average	$1,929	$31,838
HCA Florida Palms West HospitalLoxahatchee, FL · CCN 100269	228	$2,436	About average	$1,930	$49,142
Mayo ClinicJacksonville, FL · CCN 100151	1,436	$2,437	About average	$1,933	$15,713
Orlando HealthOrlando, FL · CCN 100006	1,106	$2,437	About average	$1,930	$34,231
HCA Florida Orange Park HospitalOrange Park, FL · CCN 100226	235	$2,437	About average	$1,930	$67,043
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	285	$2,438	About average	$1,930	$41,628
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	293	$2,439	About average	$1,926	$22,936
Ascension Sacred Heart BayPanama City, FL · CCN 100026	223	$2,440	About average	$1,936	$21,036
HCA Florida Brandon HospitalBrandon, FL · CCN 100243	246	$2,440	About average	$1,931	$59,787
UF Health Leesburg HospitalLeesburg, FL · CCN 100084	627	$2,442	About average	$1,940	$17,538
HCA Florida St Petersburg HospitalSaint Petersburg, FL · CCN 100180	54	$2,443	About average	$1,937	$60,794
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	341	$2,443	About average	$1,946	$16,653
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	331	$2,444	About average	$1,934	$33,682
Coral Gables HospitalCoral Gables, FL · CCN 100183	57	$2,445	About average	$1,923	$40,077
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	858	$2,446	About average	$1,938	$23,781
AdventHealth Palm Coast ParkwayPalm Coast, FL · CCN 100363	117	$2,446	About average	$1,941	$22,638
Halifax Health /UF Health Medical Center Of DeltonDeltona, FL · CCN 100330	60	$2,447	About average	$1,929	$28,262
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	463	$2,447	About average	$1,949	$17,541
HCA Florida Gulf Coast HospitalPanama City, FL · CCN 100242	124	$2,448	About average	$1,943	$49,207
University Hospital And Medical CenterTamarac, FL · CCN 100224	129	$2,449	About average	$1,944	$54,550
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 100238	194	$2,449	About average	$1,942	$60,976

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.