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 Oklahoma

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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Oklahoma

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Average payment across these 61 hospitals: $2,348National $2,634 · Oklahoma $2,348
Median hospital: $2,334
Lowest to highest: $2,223–$2,500
Medicare procedures: 11,406

61 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
Oklahoma Surgical Hospital, LLCTulsa, OK · CCN 370210	53	$2,223	16% below the national average	$1,747	$4,938
Integris Health Enid HospitalEnid, OK · CCN 370016	57	$2,270	14% below the national average	$1,796	$29,083
Bailey Medical Center, LLCOwasso, OK · CCN 370228	78	$2,271	14% below the national average	$1,801	$25,318
Saint Francis Hospital Vinita, IncVinita, OK · CCN 370237	103	$2,279	13% below the national average	$1,814	$16,158
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	134	$2,291	13% below the national average	$1,813	$24,317
Wagoner Community HospitalWagoner, OK · CCN 370166	57	$2,292	13% below the national average	$1,819	$7,151
Memorial HealthLawton, OK · CCN 370056	463	$2,292	13% below the national average	$1,817	$13,939
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	537	$2,297	13% below the national average	$1,826	$17,144
Saint Francis Hospital, IncTulsa, OK · CCN 370091	935	$2,306	12% below the national average	$1,831	$17,581
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	900	$2,307	12% below the national average	$1,833	$24,443
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	345	$2,308	12% below the national average	$1,833	$18,774
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	144	$2,309	12% below the national average	$1,830	$21,778
St John OwassoOwasso, OK · CCN 370227	139	$2,311	12% below the national average	$1,838	$13,355
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	139	$2,313	12% below the national average	$1,838	$25,202
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	217	$2,321	12% below the national average	$1,836	$10,296
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	340	$2,322	12% below the national average	$1,842	$18,913
Norman RegionalNorman, OK · CCN 370008	713	$2,324	12% below the national average	$1,843	$18,174
Hillcrest Hospital HenryettaHenryetta, OK · CCN 370183	58	$2,324	12% below the national average	$1,851	$12,785
Muscogee (Creek) Nation Medical CenterOkmulgee, OK · CCN 370057	50	$2,324	12% below the national average	$1,851	$11,431
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	126	$2,324	12% below the national average	$1,850	$13,774
Choctaw Memorial HospitalHugo, OK · CCN 370100	278	$2,324	12% below the national average	$1,849	$8,793
Hillcrest Hospital CushingCushing, OK · CCN 370099	53	$2,324	12% below the national average	$1,849	$16,929
St Mary's Regional Medical CenterEnid, OK · CCN 370026	92	$2,325	12% below the national average	$1,843	$34,754
Pushmataha HospitalAntlers, OK · CCN 370083	77	$2,325	12% below the national average	$1,841	$7,554
Integris Canadian Valley HospitalYukon, OK · CCN 370211	190	$2,325	12% below the national average	$1,843	$23,126
Memorial HospitalStilwell, OK · CCN 370178	27	$2,325	12% below the national average	$1,833	$7,434
Clinton Regional HospitalClinton, OK · CCN 370245	12	$2,325	12% below the national average	$1,829	$19,075
Sequoyah County-City Of Sallisaw Hospital AuthoritSallisaw, OK · CCN 370112	91	$2,328	12% below the national average	$1,855	$8,500
Hillcrest Medical CenterTulsa, OK · CCN 370001	189	$2,328	12% below the national average	$1,849	$34,732
O U Medical CenterOklahoma City, OK · CCN 370093 · +$351 outlier payments per case	304	$2,331	12% below the national average	$1,850	$40,987
Purcell Municipal HospitalPurcell, OK · CCN 370158	68	$2,334	11% below the national average	$1,855	$9,040
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	253	$2,336	11% below the national average	$1,856	$12,524
Ascension St John Medical CenterTulsa, OK · CCN 370114	242	$2,336	11% below the national average	$1,856	$12,104
Oklahoma Heart Hospital, LLCOklahoma City, OK · CCN 370215	376	$2,343	11% below the national average	$1,861	$9,524
Southwestern Medical CenterLawton, OK · CCN 370097	127	$2,344	11% below the national average	$1,859	$19,719
Integris Health Edmond HospitalEdmond, OK · CCN 370236	244	$2,344	11% below the national average	$1,863	$22,723
Hillcrest Hospital SouthTulsa, OK · CCN 370202	176	$2,348	11% below the national average	$1,868	$27,307
Hillcrest Hospital PryorPryor, OK · CCN 370015	89	$2,348	11% below the national average	$1,866	$18,189
Oklahoma State University Medical CenterTulsa, OK · CCN 370078	337	$2,349	11% below the national average	$1,866	$13,911
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	169	$2,349	11% below the national average	$1,868	$36,677
AllianceHealth DurantDurant, OK · CCN 370014	185	$2,356	11% below the national average	$1,872	$42,920
Integris Community Hospital - Council CrossingOklahoma City, OK · CCN 370240	43	$2,358	10% below the national average	$1,879	$19,301
Grady Memorial HospitalChickasha, OK · CCN 370054	57	$2,385	About average	$1,879	$10,150
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	36	$2,429	About average	$1,916	$22,586
Northeastern Health SystemTahlequah, OK · CCN 370089	180	$2,438	About average	$1,930	$9,307
Elkview General HospitalHobart, OK · CCN 370783	38	$2,440	About average	$1,968	$6,522
Harper County Community HospitalBuffalo, OK · CCN 370781	21	$2,440	About average	$1,968	$4,285
Stillwater Medical-BlackwellBlackwell, OK · CCN 370780	67	$2,440	About average	$1,965	$23,230
Stillwater Medical - PerryPerry, OK · CCN 370779	33	$2,440	About average	$1,950	$23,439
Great Plains Regional Medical CenterElk City, OK · CCN 370019	134	$2,460	About average	$1,947	$13,989

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.