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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 Illinois

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.

Location
Illinois
Specific hospitals up to 10
Average payment across these 113 hospitals
$2,573National $2,634 · Illinois $2,573
Median hospital
$2,567
Lowest to highest
$2,385–$2,709
Medicare procedures
39,922

113 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Genesis Medical CenterSilvis, IL · CCN 14027526$2,385About average$1,870$15,284
FHN Memorial HospitalFreeport, IL · CCN 140160324$2,422About average$1,926$19,208
Carle Foundation HospitalUrbana, IL · CCN 140091303$2,449About average$1,936$22,531
Javon Bea HospitalRockford, IL · CCN 140239199$2,454About average$1,943$27,052
Alton Memorial HospitalAlton, IL · CCN 140002108$2,455About average$1,941$16,178
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164332$2,469About average$1,954$23,826
Saint Francis Medical CenterPeoria, IL · CCN 140067684$2,472About average$1,956$20,787
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187435$2,479About average$1,963$23,522
Memorial HospitalBelleville, IL · CCN 140185167$2,479About average$1,967$21,616
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034160$2,479About average$1,964$15,791
St Josephs HospitalBreese, IL · CCN 140145121$2,480About average$1,965$16,635
Memorial Medical CenterSpringfield, IL · CCN 140148146$2,485About average$1,974$16,753
Carle Health Pekin HospitalPekin, IL · CCN 14012090$2,485About average$1,971$23,596
Carle Bromenn Medical CenterNormal, IL · CCN 140127257$2,488About average$1,976$17,913
HSHS Holy Family Hospital IncGreenville, IL · CCN 14013745$2,489About average$1,970$12,303
Herrin HospitalHerrin, IL · CCN 140011264$2,492About average$1,977$26,134
St Marys HospitalDecatur, IL · CCN 140166113$2,494About average$1,977$19,794
Trinity Rock IslandRock Island, IL · CCN 14028057$2,494About average$1,980$13,038
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046117$2,495About average$1,981$17,195
Mercyhealth Hospital & Physician Clinic-Crystal LaCrystal Lake, IL · CCN 14030822$2,505About average$1,976$19,056
St Johns HospitalSpringfield, IL · CCN 140053216$2,507About average$1,993$23,307
OSF Saint Anthony's Health CenterAlton, IL · CCN 14005294$2,510About average$1,992$16,205
OSF Sacred Heart Medical CenterDanville, IL · CCN 140093103$2,510About average$1,995$19,216
Anderson HospitalMaryville, IL · CCN 140289258$2,510About average$1,994$24,140
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012307$2,515About average$2,002$19,103
CGH Medical CenterSterling, IL · CCN 140043276$2,515About average$2,000$24,253
St Joseph Medical CenterBloomington, IL · CCN 140162160$2,517About average$2,003$19,775
Riverside Medical CenterKankakee, IL · CCN 140186446$2,519About average$1,995$27,056
Decatur Memorial HospitalDecatur, IL · CCN 140135245$2,522About average$2,006$16,023
Holy Cross HospitalChicago, IL · CCN 140133106$2,522About average$1,990$22,904
Heartland Regional Medical CenterMarion, IL · CCN 140184132$2,529About average$2,041$29,092
Carle Health Proctor HospitalPeoria, IL · CCN 14001363$2,530About average$2,015$22,826
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 14011386$2,530About average$2,015$19,357
Touchette Regional Hospital IncCentreville, IL · CCN 14007713$2,530About average$2,015$10,694
Carle Health Methodist HospitalPeoria, IL · CCN 140209143$2,530About average$2,014$24,492
Gateway Regional Medical CenterGranite City, IL · CCN 14012586$2,530About average$2,014$38,670
Jersey Community HospitalJerseyville, IL · CCN 140059132$2,530About average$2,013$13,749
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 14029462$2,530About average$2,011$16,609
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 1400101,713$2,530About average$2,011$18,551
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208773$2,531About average$2,002$14,458
Humboldt Park HealthChicago, IL · CCN 140206 · +$470 outlier payments per case112$2,533About average$2,014$21,087
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291955$2,537About average$2,013$14,521
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 14029267$2,543About average$2,012$18,528
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101363$2,546About average$2,017$27,277
West Suburban Medical CenterOak Park, IL · CCN 14004993$2,548About average$2,029$23,529
Jackson Park HospitalChicago, IL · CCN 140177 · +$837 outlier payments per case86$2,548About average$2,027$29,677
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 14018084$2,549About average$2,021$28,878
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242936$2,550About average$2,021$26,327
Advocate Condell Medical CenterLibertyville, IL · CCN 140202670$2,556About average$2,029$21,575
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200563$2,557About average$2,029$25,986

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont51,308$1,285$1,180–$1,485
Alabama738,112$2,241$2,169–$2,264
Mississippi5211,311$2,278$2,235–$2,347
West Virginia225,181$2,285$2,226–$2,367
Louisiana6414,412$2,288$2,259–$2,300
Tennessee7316,493$2,299$2,237–$2,337
Ohio11031,616$2,317$2,300–$2,380
Oklahoma6111,406$2,348$2,322–$2,440
Arkansas4011,142$2,356$2,302–$2,439
Kentucky6115,821$2,359$2,296–$2,442
South Carolina5015,082$2,368$2,308–$2,382
Kansas337,920$2,377$2,321–$2,503
Iowa317,279$2,385$2,330–$2,467
Missouri6315,191$2,393$2,335–$2,465
Michigan8123,451$2,410$2,364–$2,467
Georgia9221,579$2,422$2,298–$2,481
North Carolina7821,007$2,426$2,380–$2,450
Texas23358,602$2,445$2,375–$2,511
Nebraska193,391$2,450$2,431–$2,480
Florida16677,597$2,457$2,443–$2,471
Maine172,448$2,457$2,370–$2,519
Virginia6926,889$2,459$2,332–$2,524
Indiana7318,659$2,464$2,412–$2,485
New Mexico224,083$2,469$2,369–$2,549
Utah313,560$2,478$2,429–$2,452
Wisconsin6110,886$2,497$2,447–$2,538
Idaho122,397$2,548$2,440–$2,614
Pennsylvania12233,705$2,553$2,415–$2,601
Illinois11339,922$2,573$2,522–$2,604
North Dakota62,780$2,590$2,532–$2,653
Montana103,213$2,595$2,543–$2,721
Colorado4813,460$2,608$2,586–$2,606
Minnesota4511,221$2,627$2,574–$2,716
New Hampshire135,226$2,637$2,593–$2,699
South Dakota112,485$2,638$2,559–$2,731
Arizona5422,819$2,686$2,639–$2,669
Delaware64,912$2,718$2,698–$2,727
Wyoming91,733$2,722$2,695–$2,745
Rhode Island92,010$2,752$2,748–$2,778
District of Columbia61,453$2,758$2,739–$2,795
Washington458,931$2,802$2,728–$2,893
New Jersey5936,741$2,897$2,835–$3,029
Nevada217,349$2,900$2,857–$2,915
Oregon325,804$2,901$2,821–$2,873
Massachusetts5132,481$2,920$2,905–$2,928
Alaska61,743$2,936$2,857–$2,998
New York11538,093$2,983$2,877–$3,083
Connecticut2615,665$3,045$3,022–$3,054
Hawaii121,584$3,127$3,076–$3,276
California24275,162$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.