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 Michigan

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 81 hospitals: $2,410National $2,634 · Michigan $2,410
Median hospital: $2,399
Lowest to highest: $2,218–$2,618
Medicare procedures: 23,451

81 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
McLaren Central MichiganMount Pleasant, MI · CCN 230080	21	$2,218	16% below the national average	$1,730	$8,692
Ascension River District HospitalEast China, MI · CCN 230241	24	$2,259	14% below the national average	$1,761	$9,954
Mymichigan Medical Center ClareClare, MI · CCN 230180	87	$2,276	14% below the national average	$1,790	$16,685
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	92	$2,281	13% below the national average	$1,793	$7,332
Spectrum HealthGrand Rapids, MI · CCN 230038	849	$2,294	13% below the national average	$1,803	$10,143
McLaren OaklandPontiac, MI · CCN 230207	100	$2,296	13% below the national average	$1,804	$12,544
Edward W Sparrow HospitalLansing, MI · CCN 230230	455	$2,305	12% below the national average	$1,820	$22,604
Hillsdale HospitalHillsdale, MI · CCN 230037	73	$2,319	12% below the national average	$1,847	$9,293
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	169	$2,329	12% below the national average	$1,842	$11,938
Bronson South Haven HospitalSouth Haven, MI · CCN 230085	33	$2,336	11% below the national average	$1,850	$11,917
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	461	$2,336	11% below the national average	$1,847	$16,061
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	402	$2,343	11% below the national average	$1,855	$10,993
Oaklawn HospitalMarshall, MI · CCN 230217	128	$2,344	11% below the national average	$1,858	$21,092
McLaren Greater LansingLansing, MI · CCN 230167	101	$2,350	11% below the national average	$1,847	$17,752
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	265	$2,350	11% below the national average	$1,851	$14,460
Borgess Medical CenterKalamazoo, MI · CCN 230117	278	$2,351	11% below the national average	$1,864	$17,163
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	90	$2,352	11% below the national average	$1,864	$13,783
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	821	$2,354	11% below the national average	$1,868	$12,209
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	878	$2,357	11% below the national average	$1,870	$9,931
McLaren Port HuronPort Huron, MI · CCN 230216	433	$2,362	10% below the national average	$1,870	$11,162
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	209	$2,364	10% below the national average	$1,872	$22,884
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	319	$2,367	10% below the national average	$1,875	$27,034
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	141	$2,369	10% below the national average	$1,882	$13,503
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	316	$2,372	About average	$1,881	$23,217
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047 · +$74 outlier payments per case	930	$2,379	About average	$1,889	$15,809
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	409	$2,379	About average	$1,883	$14,877
McLaren MacombMount Clemens, MI · CCN 230227	730	$2,380	About average	$1,888	$8,492
McLaren Bay RegionBay City, MI · CCN 230041	100	$2,381	About average	$1,884	$9,306
Memorial HealthcareOwosso, MI · CCN 230121	126	$2,381	About average	$1,891	$28,749
Corewell Health Wayne HospitalWayne, MI · CCN 230142	149	$2,384	About average	$1,890	$22,571
Corewell Health Zeeland HospitalZeeland, MI · CCN 230003	84	$2,385	About average	$1,900	$13,501
Spectrum Health United HospitalGreenville, MI · CCN 230035	103	$2,385	About average	$1,900	$12,899
Trinity Health Grand Haven HospitalGrand Haven, MI · CCN 230174	41	$2,385	About average	$1,897	$11,150
Holland HospitalHolland, MI · CCN 230072	94	$2,385	About average	$1,896	$14,369
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	548	$2,391	About average	$1,894	$9,931
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130 · +$45 outlier payments per case	1,076	$2,391	About average	$1,895	$22,028
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	119	$2,392	About average	$1,893	$22,709
University Of Michigan Health - WestWyoming, MI · CCN 230236	178	$2,396	About average	$1,909	$15,154
University Of Michigan Health-Sparrow CarsonCarson City, MI · CCN 230208	66	$2,397	About average	$1,909	$18,271
Covenant Medical CenterSaginaw, MI · CCN 230070	450	$2,399	About average	$1,902	$13,980
Harper University HospitalDetroit, MI · CCN 230104	86	$2,399	About average	$1,901	$21,867
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	216	$2,400	About average	$1,903	$24,711
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	448	$2,405	About average	$1,906	$23,670
Henry Ford Health HospitalDetroit, MI · CCN 230053 · +$159 outlier payments per case	602	$2,406	About average	$1,909	$15,215
Beaumont Hospital, TroyTroy, MI · CCN 230269	1,046	$2,407	About average	$1,910	$21,547
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	614	$2,407	About average	$1,910	$15,158
Karmanos Cancer CenterDetroit, MI · CCN 230297	51	$2,411	About average	$1,921	$12,638
Henry Ford Allegiance HealthJackson, MI · CCN 230092	405	$2,416	About average	$1,918	$15,983
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	175	$2,417	About average	$1,918	$12,959
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	716	$2,423	About average	$1,952	$11,283

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.