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 New York

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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New York

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Year of care

Average payment across these 114 hospitals: $2,982National $2,634 · New York $2,983
Median hospital: $3,026
Lowest to highest: $2,593–$3,156
Medicare procedures: 37,466

114 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
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185 · +$192 outlier payments per case	733	$2,593	About average	$1,972	$31,994
Westfield Memorial Hospital, IncWestfield, NY · CCN 330166	17	$2,731	About average	$2,176	$11,090
Newark-Wayne Community HospitalNewark, NY · CCN 330030	66	$2,797	About average	$2,207	$9,859
Mercy Hospital Of BuffaloBuffalo, NY · CCN 330279	314	$2,799	About average	$2,208	$8,407
Ellis HospitalSchenectady, NY · CCN 330153	455	$2,804	About average	$2,229	$14,772
UPMC ChautauquaJamestown, NY · CCN 330239	55	$2,818	About average	$2,228	$7,160
Nathan Littauer HospitalGloversville, NY · CCN 330276	115	$2,822	About average	$2,230	$21,915
Unity HospitalRochester, NY · CCN 330226	273	$2,826	About average	$2,236	$7,766
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	33	$2,832	About average	$2,242	$7,238
Rochester General HospitalRochester, NY · CCN 330125	340	$2,834	About average	$2,244	$10,420
Oneida Health HospitalOneida, NY · CCN 330115	88	$2,836	About average	$2,260	$12,597
Nicholas H Noyes Memorial HospitalDansville, NY · CCN 330238	46	$2,839	About average	$2,262	$7,716
Peconic Bay Medical CenterRiverhead, NY · CCN 330107 · +$829 outlier payments per case	598	$2,841	About average	$2,223	$35,187
St Peter's HospitalAlbany, NY · CCN 330057	486	$2,846	About average	$2,255	$15,946
St Joseph's Hospital Health CenterSyracuse, NY · CCN 330140	331	$2,846	About average	$2,254	$12,378
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241 · +$2,042 outlier payments per case	226	$2,851	About average	$2,261	$27,592
Bertrand Chaffee HospitalSpringville, NY · CCN 330111	46	$2,852	About average	$2,262	$8,188
United Health Services Hospitals, IncBinghamton, NY · CCN 330394	600	$2,852	About average	$2,263	$15,936
Wynn HospitalUtica, NY · CCN 330044	291	$2,854	About average	$2,264	$20,271
Crouse HospitalSyracuse, NY · CCN 330203	492	$2,859	About average	$2,269	$9,920
Kaleida HealthBuffalo, NY · CCN 330005	1,053	$2,861	About average	$2,272	$14,441
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	184	$2,861	About average	$2,272	$7,216
Strong Memorial HospitalRochester, NY · CCN 330285 · +$133 outlier payments per case	442	$2,862	About average	$2,272	$20,382
F F Thompson HospitalCanandaigua, NY · CCN 330074	187	$2,862	About average	$2,275	$10,985
Albany Medical Center HospitalAlbany, NY · CCN 330013	343	$2,868	About average	$2,277	$17,811
Samaritan Hospital Of Troy, New YorkTroy, NY · CCN 330180	209	$2,869	About average	$2,276	$13,136
Highland HospitalRochester, NY · CCN 330164	280	$2,869	About average	$2,279	$12,471
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 330011	317	$2,873	About average	$2,282	$15,393
Erie County Medical CenterBuffalo, NY · CCN 330219 · +$266 outlier payments per case	252	$2,875	About average	$2,284	$15,706
Northern Westchester HospitalMount Kisco, NY · CCN 330162	948	$2,880	About average	$2,246	$25,354
Glens Falls HospitalGlens Falls, NY · CCN 330191	309	$2,887	About average	$2,297	$9,494
Geneva General HospitalGeneva, NY · CCN 330058 · +$358 outlier payments per case	159	$2,888	About average	$2,298	$15,201
Kenmore Mercy HospitalKenmore, NY · CCN 330102	168	$2,888	About average	$2,298	$7,925
Corning HospitalCorning, NY · CCN 330277	181	$2,889	About average	$2,299	$19,906
Mount St. Mary's Hospital & Health CenterLewiston, NY · CCN 330188	190	$2,890	About average	$2,300	$8,597
Arnot Ogden Medical CenterElmira, NY · CCN 330090	230	$2,892	About average	$2,302	$11,989
Columbia Memorial HospitalHudson, NY · CCN 330094	244	$2,893	About average	$2,302	$13,688
Rome Memorial Hospital, IncRome, NY · CCN 330215	275	$2,894	About average	$2,303	$21,098
Saratoga HospitalSaratoga Springs, NY · CCN 330222	564	$2,894	About average	$2,304	$23,736
United Memorial Medical CenterBatavia, NY · CCN 330073	62	$2,902	10% above the national average	$2,312	$8,969
Oswego HospitalOswego, NY · CCN 330218	43	$2,902	10% above the national average	$2,312	$9,940
Niagara Falls Memorial Medical CenterNiagara Falls, NY · CCN 330065	35	$2,902	10% above the national average	$2,312	$8,049
St Marys HealthcareAmsterdam, NY · CCN 330047	93	$2,902	10% above the national average	$2,310	$14,576
Huntington HospitalHuntington, NY · CCN 330045 · +$329 outlier payments per case	153	$2,917	11% above the national average	$2,296	$32,990
Putnam Hospital CenterCarmel, NY · CCN 330273	313	$2,930	11% above the national average	$2,295	$18,678
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	643	$2,937	12% above the national average	$2,311	$16,603
Southside HospitalBay Shore, NY · CCN 330043 · +$244 outlier payments per case	555	$2,937	12% above the national average	$2,311	$27,290
HealthAlliance Hospital Marys Avenue CampusKingston, NY · CCN 330224 · +$1,079 outlier payments per case	224	$2,939	12% above the national average	$2,333	$48,023
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	162	$2,950	12% above the national average	$2,324	$14,692
Long Island Community HospitalPatchogue, NY · CCN 330141	427	$2,985	13% above the national average	$2,361	$47,915

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.