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 Missouri

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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Missouri

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Average payment across these 63 hospitals: $2,393National $2,634 · Missouri $2,393
Median hospital: $2,374
Lowest to highest: $2,164–$2,612
Medicare procedures: 15,191

63 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
Christian Hospital NortheastSaint Louis, MO · CCN 260180	25	$2,164	18% below the national average	$1,670	$17,089
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	59	$2,236	15% below the national average	$1,750	$11,403
Cox Medical CentersSpringfield, MO · CCN 260040	428	$2,276	14% below the national average	$1,809	$18,768
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	591	$2,278	14% below the national average	$1,808	$20,148
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	218	$2,278	14% below the national average	$1,810	$18,392
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	97	$2,279	13% below the national average	$1,807	$13,030
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	37	$2,281	13% below the national average	$1,784	$12,332
University Of Missouri Health CareColumbia, MO · CCN 260141	790	$2,290	13% below the national average	$1,817	$14,490
Mercy Hospital JoplinJoplin, MO · CCN 260001	369	$2,295	13% below the national average	$1,828	$18,164
St Luke's Des Peres HospitalSt Louis, MO · CCN 260176	42	$2,297	13% below the national average	$1,802	$13,836
Mercy Hospital StoddardDexter, MO · CCN 260160	28	$2,302	13% below the national average	$1,834	$12,219
Pemiscot County Memorial HospitalHayti, MO · CCN 260070	51	$2,302	13% below the national average	$1,834	$10,163
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	54	$2,310	12% below the national average	$1,820	$10,715
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	238	$2,329	12% below the national average	$1,842	$16,481
Boone Hospital CenterColumbia, MO · CCN 260068	79	$2,329	12% below the national average	$1,853	$10,261
Centerpoint Medical CenterIndependence, MO · CCN 260095	163	$2,332	11% below the national average	$1,844	$45,172
St Joseph Medical CenterKansas City, MO · CCN 260085	36	$2,338	11% below the national average	$1,852	$33,592
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	146	$2,341	11% below the national average	$1,855	$14,958
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138 · +$696 outlier payments per case	336	$2,347	11% below the national average	$1,861	$40,630
Saint Luke's East HospitalLees Summit, MO · CCN 260216	686	$2,347	11% below the national average	$1,861	$39,438
Saint Lukes North HospitalKansas City, MO · CCN 260062	224	$2,348	11% below the national average	$1,862	$36,648
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	142	$2,352	11% below the national average	$1,864	$42,747
Nkc HealthNorth Kansas City, MO · CCN 260096	1,075	$2,355	11% below the national average	$1,869	$21,124
Research Medical CenterKansas City, MO · CCN 260027	113	$2,357	11% below the national average	$1,868	$48,333
Liberty HospitalLiberty, MO · CCN 260177	788	$2,358	10% below the national average	$1,872	$17,975
Belton Regional Medical CenterBelton, MO · CCN 260214	179	$2,359	10% below the national average	$1,870	$47,328
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	166	$2,367	10% below the national average	$1,883	$13,503
SSM St Clare Health CenterFenton, MO · CCN 260081	283	$2,368	10% below the national average	$1,879	$14,661
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	161	$2,369	10% below the national average	$1,880	$20,822
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	199	$2,370	10% below the national average	$1,882	$16,868
Cameron Regional Medical CenterCameron, MO · CCN 260057	115	$2,374	About average	$1,888	$20,262
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	219	$2,374	About average	$1,876	$14,192
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	164	$2,377	About average	$1,881	$17,028
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	568	$2,382	About average	$1,886	$16,702
St Lukes HospitalChesterfield, MO · CCN 260179	606	$2,384	About average	$1,888	$12,010
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	309	$2,386	About average	$1,889	$15,152
Progress West HospitalOfallon, MO · CCN 260219	42	$2,390	About average	$1,890	$17,007
Mercy Hospital WashingtonWashington, MO · CCN 260052	244	$2,398	About average	$1,904	$17,381
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	225	$2,402	About average	$1,904	$17,148
Mercy Hospital SouthSaint Louis, MO · CCN 260077	416	$2,402	About average	$1,907	$14,134
Cox Medical Center BransonBranson, MO · CCN 260094	167	$2,427	About average	$1,928	$19,000
Citizens Memorial HospitalBolivar, MO · CCN 260195	126	$2,434	About average	$1,933	$17,383
Nevada Regional Medical CenterNevada, MO · CCN 260061	67	$2,436	About average	$1,935	$10,669
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	139	$2,437	About average	$1,932	$37,369
Lake Regional Health SystemOsage Beach, MO · CCN 260186	390	$2,439	About average	$1,937	$20,639
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	158	$2,453	About average	$1,951	$12,129
Fitzgibbon HospitalMarshall, MO · CCN 260142	96	$2,465	About average	$1,964	$19,007
Mercy Hospital LebanonLebanon, MO · CCN 260059	54	$2,465	About average	$1,964	$14,914
Texas County Memorial HospitalHouston, MO · CCN 260024	95	$2,465	About average	$1,964	$11,545
Ozarks HealthcareWest Plains, MO · CCN 260078	141	$2,465	About average	$1,964	$13,515

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.