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 Kentucky

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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Kentucky

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Average payment across these 61 hospitals: $2,359National $2,634 · Kentucky $2,359
Median hospital: $2,340
Lowest to highest: $2,195–$2,523
Medicare procedures: 15,821

61 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
Rockcastle County Hospital, Inc.Mount Vernon, KY · CCN 180115	36	$2,195	17% below the national average	$1,728	$7,892
Spring View HospitalLebanon, KY · CCN 180024	147	$2,222	16% below the national average	$1,753	$28,750
University Of Louisville HospitalLouisville, KY · CCN 180141	211	$2,249	15% below the national average	$1,765	$15,354
Taylor Regional HospitalCampbellsville, KY · CCN 180087	126	$2,253	14% below the national average	$1,786	$12,296
Saint Joseph HospitalLexington, KY · CCN 180010	44	$2,258	14% below the national average	$1,776	$15,146
Pineville Community Health Center, IncPineville, KY · CCN 180154	50	$2,260	14% below the national average	$1,782	$10,655
Saint Joseph LondonLondon, KY · CCN 180011	96	$2,277	14% below the national average	$1,809	$17,792
Baptist Health CorbinCorbin, KY · CCN 180080	116	$2,281	13% below the national average	$1,814	$29,621
Tug Valley ARH Regional Medical CenterSouth Williamson, KY · CCN 180069	93	$2,282	13% below the national average	$1,809	$22,193
Baptist Health LagrangeLa Grange, KY · CCN 180138	123	$2,282	13% below the national average	$1,803	$24,254
Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · CCN 180070	128	$2,282	13% below the national average	$1,814	$14,863
Owensboro Health Muhlenberg Community HospitalGreenville, KY · CCN 180004	140	$2,283	13% below the national average	$1,816	$9,471
Harrison Memorial HospitalCynthiana, KY · CCN 180079	192	$2,285	13% below the national average	$1,819	$9,460
University Of Kentucky HospitalLexington, KY · CCN 180067	330	$2,285	13% below the national average	$1,802	$16,968
Paintsville ARH HospitalPaintsville, KY · CCN 180078	71	$2,296	13% below the national average	$1,823	$22,338
The Medical Center At RussellvilleRussellville, KY · CCN 180066	44	$2,296	13% below the national average	$1,830	$41,432
TJ Health ColumbiaColumbia, KY · CCN 180149	38	$2,296	13% below the national average	$1,830	$10,156
Middlesboro ARH HospitalMiddlesboro, KY · CCN 180020	95	$2,296	13% below the national average	$1,829	$21,115
Murray-Calloway County HospitalMurray, KY · CCN 180027	239	$2,296	13% below the national average	$1,829	$17,390
King's Daughters' Medical CenterAshland, KY · CCN 180009	845	$2,304	13% below the national average	$1,831	$17,428
Baptist Health RichmondRichmond, KY · CCN 180049	226	$2,311	12% below the national average	$1,832	$29,176
Baptist Health HardinElizabethtown, KY · CCN 180012	264	$2,316	12% below the national average	$1,837	$28,545
Highlands ARH Regional Medical CenterPrestonsburg, KY · CCN 180005	76	$2,321	12% below the national average	$1,848	$25,661
Baptist Health LouisvilleLouisville, KY · CCN 180130	2,158	$2,323	12% below the national average	$1,843	$25,609
Norton Hospitals, IncLouisville, KY · CCN 180088	1,770	$2,324	12% below the national average	$1,847	$19,750
CHI Saint Joseph Flaget Memorial HospitalBardstown, KY · CCN 180025	126	$2,325	12% below the national average	$1,848	$15,184
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	690	$2,327	12% below the national average	$1,848	$9,607
St Elizabeth FlorenceFlorence, KY · CCN 180045	348	$2,331	11% below the national average	$1,848	$9,879
Bourbon Community HospitalParis, KY · CCN 180046	83	$2,335	11% below the national average	$1,845	$29,330
Clark Regional Medical CenterWinchester, KY · CCN 180092	121	$2,335	11% below the national average	$1,857	$33,179
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	472	$2,340	11% below the national average	$1,860	$14,217
Saint Joseph Mount SterlingMount Sterling, KY · CCN 180064	45	$2,340	11% below the national average	$1,864	$11,406
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	225	$2,347	11% below the national average	$1,869	$13,169
Baptist Health LexingtonLexington, KY · CCN 180103	629	$2,350	11% below the national average	$1,868	$28,930
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	264	$2,351	11% below the national average	$1,868	$15,241
Georgetown Community HospitalGeorgetown, KY · CCN 180101	64	$2,351	11% below the national average	$1,865	$37,433
Frankfort Regional Medical CenterFrankfort, KY · CCN 180127	133	$2,352	11% below the national average	$1,868	$31,874
Hazard ARH Regional Medical CenterHazard, KY · CCN 180029	250	$2,356	11% below the national average	$1,876	$28,957
Uofl Health - Shelbyville HospitalShelbyville, KY · CCN 180016	48	$2,358	10% below the national average	$1,879	$13,604
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	138	$2,365	10% below the national average	$1,882	$35,876
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	258	$2,366	10% below the national average	$1,882	$9,620
Saint Joseph EastLexington, KY · CCN 180143	20	$2,370	About average	$1,889	$14,851
Deaconess Henderson HospitalHenderson, KY · CCN 180056	260	$2,382	About average	$1,891	$11,920
Crittenden Community HospitalMarion, KY · CCN 180779	90	$2,411	About average	$1,943	$13,271
Pikeville Medical CenterPikeville, KY · CCN 180044	383	$2,429	About average	$1,924	$22,986
Harlan ARH HospitalHarlan, KY · CCN 180050	263	$2,442	About average	$1,938	$22,713
Monroe County Medical CenterTompkinsville, KY · CCN 180105	113	$2,442	About average	$1,942	$7,012
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	73	$2,450	About average	$1,940	$31,214
Jennie Stuart Medical CenterHopkinsville, KY · CCN 180051	196	$2,452	About average	$1,952	$16,112
Three Rivers Medical CenterLouisa, KY · CCN 180128	97	$2,459	About average	$1,969	$19,962

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.