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
- $2,090
- Average billed charge
- $24,060
- Hospitals reporting
- 2,753
Hospitals in Tennessee
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.
- Average payment across these 73 hospitals
- $2,299
- Median hospital
- $2,276
- Lowest to highest
- $2,091–$2,505
- Medicare procedures
- 16,493
73 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Francis Bartlett Medical Center | 141 | $2,091 | 21% below the national average | $1,619 | $41,389 |
| Indian Path Community Hospital | 13 | $2,132 | 19% below the national average | $1,670 | $21,732 |
| University Health System, Inc | 707 | $2,167 | 18% below the national average | $1,707 | $12,561 |
| Franklin Woods Community Hospital | 25 | $2,193 | 17% below the national average | $1,733 | $15,109 |
| West Tennessee Healthcare Milan Hospital | 57 | $2,196 | 17% below the national average | $1,735 | $13,711 |
| Sycamore Shoals Hospital | 26 | $2,200 | 16% below the national average | $1,735 | $14,936 |
| Fort Sanders Regional Medical Center | 293 | $2,203 | 16% below the national average | $1,742 | $10,603 |
| Claiborne Medical Center | 102 | $2,205 | 16% below the national average | $1,744 | $8,025 |
| Physicians Regional Medical Center | 219 | $2,208 | 16% below the national average | $1,749 | $25,796 |
| Tennova Healthcare - Newport Medical Center | 109 | $2,210 | 16% below the national average | $1,746 | $26,252 |
| Parkwest Medical Center | 397 | $2,210 | 16% below the national average | $1,750 | $9,090 |
| Leconte Medical Center | 117 | $2,213 | 16% below the national average | $1,752 | $9,829 |
| West Tennessee Healthcare Henry County Hospital | 243 | $2,213 | 16% below the national average | $1,754 | $12,278 |
| Hardin Medical Center | 87 | $2,216 | 16% below the national average | $1,757 | $18,042 |
| Methodist Medical Center Of Oak Ridge | 89 | $2,217 | 16% below the national average | $1,758 | $10,607 |
| Fort Loudoun Medical Center | 198 | $2,221 | 16% below the national average | $1,762 | $9,571 |
| St Francis Hospital | 62 | $2,223 | 16% below the national average | $1,752 | $37,300 |
| Volunteer Community Hospital | 72 | $2,234 | 15% below the national average | $1,773 | $12,892 |
| Regional One Health | 74 | $2,237 | 15% below the national average | $1,767 | $17,691 |
| Morristown Hamblen Hospital Association | 189 | $2,238 | 15% below the national average | $1,779 | $9,822 |
| Greeneville Community Hospital | 100 | $2,241 | 15% below the national average | $1,782 | $18,439 |
| Tennova Healthcare-Jefferson Memorial Hospital | 132 | $2,244 | 15% below the national average | $1,782 | $28,428 |
| Vanderbilt University Medical Center | 673 | $2,245 | 15% below the national average | $1,780 | $24,552 |
| Lincoln Medical Center | 164 | $2,245 | 15% below the national average | $1,787 | $14,418 |
| Baptist Memorial Hospital | 615 | $2,248 | 15% below the national average | $1,775 | $29,110 |
| Baptist Memorial Hospital Tipton | 94 | $2,250 | 15% below the national average | $1,780 | $22,571 |
| Baptist Memorial Hospital Union City | 37 | $2,252 | 15% below the national average | $1,774 | $20,661 |
| Sweetwater Hospital Association | 65 | $2,257 | 14% below the national average | $1,799 | $17,583 |
| Baptist Memorial Hospital - Carroll County | 78 | $2,257 | 14% below the national average | $1,798 | $17,823 |
| Roane Medical Center | 158 | $2,257 | 14% below the national average | $1,797 | $8,176 |
| Starr Regional Medical Center Athens | 61 | $2,262 | 14% below the national average | $1,802 | $53,558 |
| Unity Medical Center | 29 | $2,269 | 14% below the national average | $1,805 | $6,499 |
| Parkridge Medical Center | 140 | $2,270 | 14% below the national average | $1,794 | $32,651 |
| Hawkins County Memorial Hospital | 35 | $2,271 | 14% below the national average | $1,803 | $11,642 |
| Maury Regional Hospital | 490 | $2,272 | 14% below the national average | $1,800 | $17,688 |
| Erlanger Medical Center | 366 | $2,275 | 14% below the national average | $1,798 | $21,380 |
| Methodist Hospitals Of Memphis | 1,289 | $2,276 | 14% below the national average | $1,807 | $20,489 |
| Wellmont Holston Valley Medical Center | 109 | $2,285 | 13% below the national average | $1,806 | $16,061 |
| Memorial Healthcare System, Inc | 1,054 | $2,285 | 13% below the national average | $1,811 | $21,669 |
| Tristar Summit Medical Center | 186 | $2,288 | 13% below the national average | $1,807 | $40,892 |
| Wellmont Bristol Regional Medical Center | 214 | $2,290 | 13% below the national average | $1,811 | $14,369 |
| Blount Memorial Hospital | 96 | $2,301 | 13% below the national average | $1,820 | $12,094 |
| Vanderbilt Bedford Hospital | 131 | $2,302 | 13% below the national average | $1,825 | $24,317 |
| Wayne Medical Center | 29 | $2,306 | 12% below the national average | $1,817 | $14,241 |
| Tristar Centennial Medical Center | 114 | $2,309 | 12% below the national average | $1,825 | $31,298 |
| Tristar Hendersonville Medical Center | 129 | $2,315 | 12% below the national average | $1,835 | $39,273 |
| Johnson City Medical Center | 219 | $2,317 | 12% below the national average | $1,830 | $16,847 |
| Tristar Horizon Medical Center | 106 | $2,323 | 12% below the national average | $1,840 | $32,329 |
| Southern Tennessee Regional Health System Lawrence | 74 | $2,325 | 12% below the national average | $1,852 | $32,007 |
| Tristar Stonecrest Medical Center | 116 | $2,329 | 12% below the national average | $1,847 | $23,509 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.