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 Ohio

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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Ohio

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Average payment across these 109 hospitals: $2,318National $2,634 · Ohio $2,317
Median hospital: $2,324
Lowest to highest: $1,451–$2,591
Medicare procedures: 31,499

109 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
Marietta Memorial HospitalMarietta, OH · CCN 360147	694	$1,451	45% below the national average	$978	$16,783
MetroHealth SystemCleveland, OH · CCN 360059	351	$1,481	44% below the national average	$1,004	$18,030
Memorial HospitalFremont, OH · CCN 360156	192	$1,958	26% below the national average	$1,483	$18,796
East Liverpool City HospitalEast Liverpool, OH · CCN 360096	11	$1,992	24% below the national average	$1,518	$22,426
Bay Park Community HospitalOregon, OH · CCN 360259	191	$2,180	17% below the national average	$1,705	$37,779
Summa Health SystemAkron, OH · CCN 360020	222	$2,180	17% below the national average	$1,704	$28,425
Parma Community General HospitalParma, OH · CCN 360041	368	$2,184	17% below the national average	$1,712	$15,289
West Chester HospitalWest Chester, OH · CCN 360354	102	$2,232	15% below the national average	$1,748	$16,874
Lake HealthConcord, OH · CCN 360098	291	$2,236	15% below the national average	$1,760	$15,265
Trinity Medical Center East &Trinity Medical Center WestSteubenville, OH · CCN 360211	138	$2,236	15% below the national average	$1,761	$11,942
Pomerene HospitalMillersburg, OH · CCN 360148	67	$2,246	15% below the national average	$1,773	$7,939
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	46	$2,251	15% below the national average	$1,775	$25,870
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	71	$2,277	14% below the national average	$1,809	$15,744
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	165	$2,280	13% below the national average	$1,801	$13,640
Mercy Medical CenterCanton, OH · CCN 360070	306	$2,281	13% below the national average	$1,806	$19,722
MH St Joseph Warren HospitalWarren, OH · CCN 360161	81	$2,283	13% below the national average	$1,810	$21,818
Cleveland ClinicCleveland, OH · CCN 360180	429	$2,287	13% below the national average	$1,814	$15,976
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	638	$2,287	13% below the national average	$1,810	$15,613
Summa Western Reserve HospitalCuyahoga Falls, OH · CCN 360150	45	$2,288	13% below the national average	$1,815	$46,074
UH Cleveland Medical CenterCleveland, OH · CCN 360137	297	$2,293	13% below the national average	$1,816	$15,991
UH St John Medical CenterWestlake, OH · CCN 360123	437	$2,293	13% below the national average	$1,824	$15,093
Upper Valley Medical CenterTroy, OH · CCN 360174	333	$2,294	13% below the national average	$1,818	$21,148
Bellevue HospitalBellevue, OH · CCN 360107	185	$2,294	13% below the national average	$1,820	$13,964
University Hospitals - Elyria Medical CenterElyria, OH · CCN 360145	338	$2,296	13% below the national average	$1,829	$14,732
Holzer Medical CenterGallipolis, OH · CCN 360054	180	$2,298	13% below the national average	$1,825	$12,048
UH Regional HospitalsChardon, OH · CCN 360075	320	$2,299	13% below the national average	$1,826	$16,451
Alliance Community HospitalAlliance, OH · CCN 360131	122	$2,300	13% below the national average	$1,825	$8,826
Akron General Medical CenterAkron, OH · CCN 360027	700	$2,301	13% below the national average	$1,827	$16,822
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	66	$2,301	13% below the national average	$1,828	$11,130
Hillcrest HospitalMayfield Heights, OH · CCN 360230	1,102	$2,301	13% below the national average	$1,826	$17,278
HMHP St Elizabeth Boardman Health CenterBoardman, OH · CCN 360276	288	$2,303	13% below the national average	$1,830	$21,228
Wayne HospitalGreenville, OH · CCN 360044	92	$2,305	12% below the national average	$1,828	$12,564
Mercy Regional Medical CenterLorain, OH · CCN 360172	122	$2,306	12% below the national average	$1,831	$17,721
Mercer County Joint Township Community HospitalColdwater, OH · CCN 360058	282	$2,309	12% below the national average	$1,836	$11,811
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	287	$2,310	12% below the national average	$1,836	$22,161
Firelands Regional Medical CenterSandusky, OH · CCN 360025	398	$2,310	12% below the national average	$1,837	$9,546
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	897	$2,311	12% below the national average	$1,837	$15,415
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	77	$2,312	12% below the national average	$1,828	$17,017
Fairview HospitalCleveland, OH · CCN 360077	783	$2,313	12% below the national average	$1,838	$16,358
Mercy Health St Ritas Medical CenterLima, OH · CCN 360066	337	$2,313	12% below the national average	$1,837	$22,176
Euclid HospitalEuclid, OH · CCN 360082	156	$2,314	12% below the national average	$1,838	$16,726
Trihealth Clinton Regional HospitalWilmington, OH · CCN 360175	128	$2,315	12% below the national average	$1,840	$13,769
Aultman HospitalCanton, OH · CCN 360084	403	$2,315	12% below the national average	$1,841	$15,444
Marymount HospitalGarfield Heights, OH · CCN 360143	316	$2,316	12% below the national average	$1,844	$17,538
Wood County HospitalBowling Green, OH · CCN 360029	189	$2,316	12% below the national average	$1,840	$10,279
Union HospitalDover, OH · CCN 360010	290	$2,316	12% below the national average	$1,842	$19,273
Bethesda NorthCincinnati, OH · CCN 360179	386	$2,317	12% below the national average	$1,832	$12,729
Blanchard Valley HospitalFindlay, OH · CCN 360095	307	$2,318	12% below the national average	$1,843	$11,880
Salem Regional Medical CenterSalem, OH · CCN 360185	164	$2,318	12% below the national average	$1,844	$10,704
Mercy Health - Tiffin HospitalTiffin, OH · CCN 360089	103	$2,319	12% below the national average	$1,846	$15,716

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.