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 Pennsylvania

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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Average payment across these 122 hospitals: $2,553National $2,634 · Pennsylvania $2,553
Median hospital: $2,486
Lowest to highest: $2,299–$2,859
Medicare procedures: 33,705

122 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
UPMC JamesonNew Castle, PA · CCN 390016	40	$2,299	13% below the national average	$1,802	$9,819
Heritage Valley BeaverBeaver, PA · CCN 390036	128	$2,308	12% below the national average	$1,809	$7,660
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	134	$2,313	12% below the national average	$1,822	$16,893
Penn Highlands Mon ValleyMonongahela, PA · CCN 390147	74	$2,316	12% below the national average	$1,801	$12,696
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	37	$2,339	11% below the national average	$1,843	$24,781
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	205	$2,360	10% below the national average	$1,860	$47,501
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	46	$2,360	10% below the national average	$1,862	$23,409
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	250	$2,360	10% below the national average	$1,855	$17,946
UPMC NorthwestSeneca, PA · CCN 390091	93	$2,361	10% below the national average	$1,862	$17,836
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	154	$2,378	About average	$1,878	$16,694
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	28	$2,382	About average	$1,878	$9,712
UPMC HorizonGreenville, PA · CCN 390178	33	$2,386	About average	$1,883	$18,162
Allegheny Valley HospitalNatrona, PA · CCN 390032	182	$2,391	About average	$1,894	$17,062
Geisinger Medical CenterDanville, PA · CCN 390006	179	$2,392	About average	$1,891	$58,222
Regional Hospital Of ScrantonScranton, PA · CCN 390237	114	$2,395	About average	$1,898	$20,527
West Penn HospitalPittsburgh, PA · CCN 390090	134	$2,401	About average	$1,904	$21,322
UPMC EastMonroeville, PA · CCN 390328	220	$2,403	About average	$1,901	$17,480
Canonsburg General HospitalCanonsburg, PA · CCN 390160	141	$2,403	About average	$1,906	$16,467
Ahn Wexford HospitalWexford, PA · CCN 390334	390	$2,405	About average	$1,907	$17,777
UPMC MercyPittsburgh, PA · CCN 390028	205	$2,405	About average	$1,904	$22,521
Geisinger Medical Center MuncyMuncy, PA · CCN 390337	49	$2,405	About average	$1,905	$16,123
Heritage Valley SewickleySewickley, PA · CCN 390037	52	$2,407	About average	$1,910	$9,528
UPMC St MargaretPittsburgh, PA · CCN 390102	161	$2,409	About average	$1,908	$26,329
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	104	$2,409	About average	$1,909	$21,489
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	193	$2,409	About average	$1,915	$42,777
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	105	$2,410	About average	$1,910	$22,086
Uniontown HospitalUniontown, PA · CCN 390041	115	$2,411	About average	$1,913	$9,121
Grove City Medical CenterGrove City, PA · CCN 390266	132	$2,412	About average	$1,918	$19,343
Jefferson HospitalJefferson Hills, PA · CCN 390265	578	$2,413	About average	$1,917	$16,520
Chan Soon- Shiong Medical Center At WindberWindber, PA · CCN 390112	64	$2,414	About average	$1,915	$7,555
Allegheny General HospitalPittsburgh, PA · CCN 390050	413	$2,415	About average	$1,917	$20,657
Geisinger-Community Medical CenterScranton, PA · CCN 390001	367	$2,416	About average	$1,917	$28,900
Penn State Health St. JosephReading, PA · CCN 390096	153	$2,419	About average	$1,910	$14,699
Conemaugh Nason Medical CenterRoaring Spring, PA · CCN 390062	74	$2,419	About average	$1,914	$11,011
Forbes HospitalMonroeville, PA · CCN 390267	599	$2,419	About average	$1,921	$19,053
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	478	$2,421	About average	$1,914	$33,022
UPMC WilliamsportWilliamsport, PA · CCN 390045	357	$2,423	About average	$1,925	$22,148
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	98	$2,425	About average	$1,925	$9,329
ACMH HospitalKittanning, PA · CCN 390163	113	$2,428	About average	$1,930	$18,297
The Washington HospitalWashington, PA · CCN 390042	232	$2,428	About average	$1,931	$9,075
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	346	$2,428	About average	$1,931	$27,438
UPMC PassavantPittsburgh, PA · CCN 390107	130	$2,430	About average	$1,931	$28,860
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	135	$2,430	About average	$1,933	$9,221
St Clair HospitalPittsburgh, PA · CCN 390228	577	$2,431	About average	$1,934	$11,755
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	1,049	$2,433	About average	$1,935	$16,097
UPMC CarlisleCarlisle, PA · CCN 390058	352	$2,434	About average	$1,930	$15,341
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	221	$2,436	About average	$1,938	$19,997
Sharon Regional Medical CenterSharon, PA · CCN 390211	38	$2,445	About average	$1,947	$13,859
UPMC GreeneWaynesburg, PA · CCN 390150	70	$2,445	About average	$1,947	$9,399
Ahn Emerus Westmoreland, LLCGreensburg, PA · CCN 390333	105	$2,445	About average	$1,945	$15,520

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.