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 Iowa

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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Year of care

Average payment across these 31 hospitals: $2,385National $2,634 · Iowa $2,385
Median hospital: $2,349
Lowest to highest: $2,266–$2,585
Medicare procedures: 7,279

31 hospitals reported at least 11 Medicare procedures for this in 2024. 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
Sartori Memorial Hospital, IncCedar Falls, IA · CCN 160040	31	$2,266	14% below the national average	$1,805	$12,773
Finley HospitalDubuque, IA · CCN 160117	107	$2,272	14% below the national average	$1,795	$11,379
Allen HospitalWaterloo, IA · CCN 160110	137	$2,291	13% below the national average	$1,814	$11,141
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	114	$2,305	12% below the national average	$1,833	$12,763
Broadlawns Medical CenterDes Moines, IA · CCN 160101	129	$2,306	12% below the national average	$1,828	$12,636
MercyOne Des Moines Medical CenterDes Moines, IA · CCN 160083	701	$2,315	12% below the national average	$1,839	$26,390
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	331	$2,320	12% below the national average	$1,840	$12,865
Mary Greeley Medical CenterAmes, IA · CCN 160030	524	$2,326	12% below the national average	$1,848	$13,514
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	658	$2,334	11% below the national average	$1,856	$19,515
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	307	$2,336	11% below the national average	$1,858	$8,749
St Lukes HospitalCedar Rapids, IA · CCN 160045	304	$2,339	11% below the national average	$1,858	$12,790
Lakes Regional HealthcareSpirit Lake, IA · CCN 160124	181	$2,341	11% below the national average	$1,866	$9,015
Spencer Municipal HospitalSpencer, IA · CCN 160112	137	$2,341	11% below the national average	$1,866	$11,018
Trinity - BettendorfBettendorf, IA · CCN 160104	27	$2,345	11% below the national average	$1,869	$15,543
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	650	$2,349	11% below the national average	$1,871	$16,446
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	25	$2,349	11% below the national average	$1,872	$12,590
MercyOne Newton Medical CenterNewton, IA · CCN 160032	79	$2,349	11% below the national average	$1,872	$18,145
St Anthony Regional Hospital & Nursing HomeCarroll, IA · CCN 160005	16	$2,383	About average	$1,873	$10,182
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058 · +$188 outlier payments per case	626	$2,415	About average	$1,918	$25,934
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029 · +$191 outlier payments per case	420	$2,422	About average	$1,927	$27,932
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	79	$2,445	About average	$1,936	$17,618
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	123	$2,451	About average	$1,945	$13,593
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 160047	95	$2,467	About average	$1,962	$11,876
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	45	$2,467	About average	$1,959	$18,344
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	60	$2,483	About average	$1,971	$11,871
Trinity Regional Medical CenterFort Dodge, IA · CCN 160016	85	$2,484	About average	$1,972	$14,364
MercyOne Dubuque Medical CenterDubuque, IA · CCN 160069	190	$2,485	About average	$1,976	$16,607
Ottumwa Regional Health CenterOttumwa, IA · CCN 160089	64	$2,497	About average	$1,981	$21,311
Trinity MuscatineMuscatine, IA · CCN 160013	48	$2,508	About average	$1,994	$12,602
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057 · +$128 outlier payments per case	700	$2,520	About average	$2,005	$15,768
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	286	$2,585	About average	$2,043	$15,305

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.