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 North Carolina

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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North Carolina

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Average payment across these 78 hospitals: $2,426National $2,634 · North Carolina $2,426
Median hospital: $2,421
Lowest to highest: $2,319–$2,712
Medicare procedures: 21,007

78 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
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	189	$2,319	12% below the national average	$1,838	$22,506
Maria Parham Medical CenterHenderson, NC · CCN 340132	43	$2,327	12% below the national average	$1,849	$28,455
Sampson Regional Medical CenterClinton, NC · CCN 340024	104	$2,327	12% below the national average	$1,843	$13,266
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	118	$2,346	11% below the national average	$1,866	$14,098
Vidant Edgecombe HospitalTarboro, NC · CCN 340107	55	$2,347	11% below the national average	$1,863	$19,390
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	180	$2,350	11% below the national average	$1,866	$14,037
Betsy Johnson Regional HospitalDunn, NC · CCN 340071	187	$2,352	11% below the national average	$1,865	$23,046
UNC Health NashRocky Mount, NC · CCN 340147	144	$2,355	11% below the national average	$1,862	$15,882
Ecu Health Medical CenterGreenville, NC · CCN 340040 · +$69 outlier payments per case	985	$2,356	11% below the national average	$1,871	$17,158
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	65	$2,356	11% below the national average	$1,868	$14,309
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	76	$2,357	11% below the national average	$1,871	$22,467
Haywood Regional Medical CenterClyde, NC · CCN 340184	158	$2,358	10% below the national average	$1,872	$26,023
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	609	$2,366	10% below the national average	$1,881	$19,243
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	269	$2,368	10% below the national average	$1,884	$17,791
Caromont Regional Medical CenterGastonia, NC · CCN 340032	396	$2,368	10% below the national average	$1,871	$23,300
Atrium Health ClevelandShelby, NC · CCN 340021	145	$2,368	10% below the national average	$1,871	$22,974
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	193	$2,372	About average	$1,888	$13,853
Northern Regional HospitalMount Airy, NC · CCN 340003	262	$2,375	About average	$1,890	$9,479
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	217	$2,379	About average	$1,883	$25,394
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	93	$2,380	About average	$1,884	$12,814
Atrium Health University CityCharlotte, NC · CCN 340166	208	$2,381	About average	$1,879	$21,371
Caldwell Memorial HospitalLenoir, NC · CCN 340041	52	$2,382	About average	$1,898	$16,468
Harris Regional HospitalSylva, NC · CCN 340016	25	$2,382	About average	$1,898	$26,253
UNC RockinghamEden, NC · CCN 340060	23	$2,382	About average	$1,898	$9,127
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	80	$2,382	About average	$1,895	$20,906
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	900	$2,386	About average	$1,895	$23,179
High Point Regional Health SystemHigh Point, NC · CCN 340004	285	$2,392	About average	$1,895	$15,551
Catawba Valley Medical CenterHickory, NC · CCN 340143	211	$2,392	About average	$1,900	$19,339
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	635	$2,393	About average	$1,901	$20,003
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	666	$2,396	About average	$1,904	$14,564
Central Carolina HospitalSanford, NC · CCN 340020	82	$2,397	About average	$1,902	$24,516
Frye Regional Medical CenterHickory, NC · CCN 340116	261	$2,406	About average	$1,911	$35,083
Vidant Duplin HospitalKenansville, NC · CCN 340120	93	$2,410	About average	$1,915	$12,917
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	245	$2,412	About average	$1,912	$18,744
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	618	$2,416	About average	$1,915	$22,785
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	234	$2,418	About average	$1,918	$19,883
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	123	$2,418	About average	$1,918	$17,718
Duke University HospitalDurham, NC · CCN 340030	633	$2,419	About average	$1,923	$16,085
Wilson Medical CenterWilson, NC · CCN 340126	153	$2,420	About average	$1,926	$34,872
Atrium Health LincolnLincolnton, NC · CCN 340145	201	$2,421	About average	$1,921	$23,295
Rex HospitalRaleigh, NC · CCN 340114	724	$2,421	About average	$1,920	$14,986
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	211	$2,423	About average	$1,921	$14,264
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	214	$2,423	About average	$1,922	$17,348
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	159	$2,424	About average	$1,926	$20,472
Atrium Health PinevilleCharlotte, NC · CCN 340098	739	$2,426	About average	$1,925	$23,485
Randolph HospitalAsheboro, NC · CCN 340123	163	$2,426	About average	$1,920	$24,615
Johnston HealthSmithfield, NC · CCN 340090	234	$2,430	About average	$1,930	$20,980
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	225	$2,433	About average	$1,934	$21,971
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	462	$2,434	About average	$1,933	$20,743
The McDowell HospitalMarion, NC · CCN 340087	60	$2,435	About average	$1,938	$18,688

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.