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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 Oregon

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.

Location
Oregon
Specific hospitals up to 10
Average payment across these 32 hospitals
$2,901National $2,634 · Oregon $2,901
Median hospital
$2,853
Lowest to highest
$2,654–$3,559
Medicare procedures
5,804

32 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Comprehensive Observation Services by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Legacy Silverton Medical CenterSilverton, OR · CCN 38002925$2,654About average$2,097$10,750
Asante Ashland Community HospitalAshland, OR · CCN 380005113$2,677About average$2,132$19,400
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002445$2,681About average$2,132$19,222
Kaiser Sunnyside Medical CenterClackamas, OR · CCN 38009160$2,726About average$2,168$12,775
Santiam Hospital & ClinicsStayton, OR · CCN 38005625$2,741About average$2,184$20,487
Providence Milwaukie HospitalMilwaukie, OR · CCN 38008220$2,758About average$2,171$15,271
Samaritan Albany General HospitalAlbany, OR · CCN 38002249$2,796About average$2,218$14,303
Kaiser Foundation Hospital WestsideHillsboro, OR · CCN 38010321$2,816About average$2,244$16,305
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 38002098$2,822About average$2,239$21,657
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014246$2,823About average$2,246$13,642
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017107$2,829About average$2,244$14,727
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089217$2,830About average$2,245$14,737
Saint Alphonsus Medical Center OntarioOntario, OR · CCN 38005237$2,830About average$2,242$18,783
Legacy Emanuel Medical CenterPortland, OR · CCN 380007 · +$401 outlier payments per case218$2,841About average$2,257$18,466
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102417$2,842About average$2,263$19,696
Providence Portland Medical CenterPortland, OR · CCN 380061109$2,851About average$2,267$11,433
Willamette Valley Medical CenterMcminnville, OR · CCN 380071129$2,855About average$2,262$18,437
Adventist Health PortlandPortland, OR · CCN 380060174$2,856About average$2,275$22,624
Providence St Vincent Medical CenterPortland, OR · CCN 380004385$2,857About average$2,273$10,592
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025134$2,872About average$2,288$15,959
Providence Willamette Falls Medical CenterOregon City, OR · CCN 38003824$2,872About average$2,288$12,163
Hillsboro Medical CenterHillsboro, OR · CCN 380021 · +$208 outlier payments per case197$2,872About average$2,288$19,641
OHSU Hospital And ClinicsPortland, OR · CCN 380009 · +$289 outlier payments per case261$2,872About average$2,288$18,586
Providence Newberg Medical CenterNewberg, OR · CCN 38003751$2,872About average$2,287$10,932
St Charles Medical Center - BendBend, OR · CCN 380047781$2,874About average$2,287$18,145
Salem HospitalSalem, OR · CCN 380051324$2,96112% above the national average$2,342$16,278
Bay Area HospitalCoos Bay, OR · CCN 380090219$2,98013% above the national average$2,370$15,221
Mid-Columbia Medical CenterThe Dalles, OR · CCN 38000198$2,98113% above the national average$2,375$13,595
Mercy Medical CenterRoseburg, OR · CCN 380027283$2,98213% above the national average$2,371$17,701
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018324$3,30525% above the national average$2,632$18,983
Providence Medford Medical CenterMedford, OR · CCN 38007570$3,32326% above the national average$2,648$13,265
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050143$3,55935% above the national average$2,835$15,021

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont51,308$1,285$1,180–$1,485
Alabama738,112$2,241$2,169–$2,264
Mississippi5211,311$2,278$2,235–$2,347
West Virginia225,181$2,285$2,226–$2,367
Louisiana6414,412$2,288$2,259–$2,300
Tennessee7316,493$2,299$2,237–$2,337
Ohio11031,616$2,317$2,300–$2,380
Oklahoma6111,406$2,348$2,322–$2,440
Arkansas4011,142$2,356$2,302–$2,439
Kentucky6115,821$2,359$2,296–$2,442
South Carolina5015,082$2,368$2,308–$2,382
Kansas337,920$2,377$2,321–$2,503
Iowa317,279$2,385$2,330–$2,467
Missouri6315,191$2,393$2,335–$2,465
Michigan8123,451$2,410$2,364–$2,467
Georgia9221,579$2,422$2,298–$2,481
North Carolina7821,007$2,426$2,380–$2,450
Texas23358,602$2,445$2,375–$2,511
Nebraska193,391$2,450$2,431–$2,480
Florida16677,597$2,457$2,443–$2,471
Maine172,448$2,457$2,370–$2,519
Virginia6926,889$2,459$2,332–$2,524
Indiana7318,659$2,464$2,412–$2,485
New Mexico224,083$2,469$2,369–$2,549
Utah313,560$2,478$2,429–$2,452
Wisconsin6110,886$2,497$2,447–$2,538
Idaho122,397$2,548$2,440–$2,614
Pennsylvania12233,705$2,553$2,415–$2,601
Illinois11339,922$2,573$2,522–$2,604
North Dakota62,780$2,590$2,532–$2,653
Montana103,213$2,595$2,543–$2,721
Colorado4813,460$2,608$2,586–$2,606
Minnesota4511,221$2,627$2,574–$2,716
New Hampshire135,226$2,637$2,593–$2,699
South Dakota112,485$2,638$2,559–$2,731
Arizona5422,819$2,686$2,639–$2,669
Delaware64,912$2,718$2,698–$2,727
Wyoming91,733$2,722$2,695–$2,745
Rhode Island92,010$2,752$2,748–$2,778
District of Columbia61,453$2,758$2,739–$2,795
Washington458,931$2,802$2,728–$2,893
New Jersey5936,741$2,897$2,835–$3,029
Nevada217,349$2,900$2,857–$2,915
Oregon325,804$2,901$2,821–$2,873
Massachusetts5132,481$2,920$2,905–$2,928
Alaska61,743$2,936$2,857–$2,998
New York11538,093$2,983$2,877–$3,083
Connecticut2615,665$3,045$3,022–$3,054
Hawaii121,584$3,127$3,076–$3,276
California24275,162$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.