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 Texas

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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Year of care

Average payment across these 232 hospitals: $2,444National $2,634 · Texas $2,445
Median hospital: $2,445
Lowest to highest: $2,235–$2,718
Medicare procedures: 57,552

232 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
Ascension Seton SouthwestAustin, TX · CCN 450865	11	$2,235	15% below the national average	$1,745	$24,129
Crescent Medical Center LancasterLancaster, TX · CCN 670090	45	$2,244	15% below the national average	$1,788	$18,130
VHS Harlingen Hospital Company LLCHarlingen, TX · CCN 450033	36	$2,270	14% below the national average	$1,785	$62,270
De Tar Hospital NavarroVictoria, TX · CCN 450147	138	$2,292	13% below the national average	$1,805	$48,898
Valley Baptist Medical Center- BrownsvilleBrownsville, TX · CCN 450028	58	$2,302	13% below the national average	$1,817	$46,053
Parkview Regional HospitalMexia, TX · CCN 450400	32	$2,305	12% below the national average	$1,812	$21,678
Kell West Regional HospitalWichita Falls, TX · CCN 450827	72	$2,314	12% below the national average	$1,838	$7,295
University Health SystemSan Antonio, TX · CCN 450213	62	$2,314	12% below the national average	$1,830	$25,528
University Medical Center Of El PasoEl Paso, TX · CCN 450024	148	$2,315	12% below the national average	$1,829	$19,767
Valley Regional Medical CenterBrownsville, TX · CCN 450662	68	$2,320	12% below the national average	$1,831	$47,270
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	363	$2,325	12% below the national average	$1,842	$12,431
Nacogdoches Medical CenterNacogdoches, TX · CCN 450656	80	$2,328	12% below the national average	$1,843	$44,781
Medical Center HospitalOdessa, TX · CCN 450132	341	$2,330	12% below the national average	$1,846	$17,939
CHI St Lukes Health Memorial LufkinLufkin, TX · CCN 450211	151	$2,334	11% below the national average	$1,853	$27,618
Baylor University Medical CenterDallas, TX · CCN 450021 · +$350 outlier payments per case	183	$2,336	11% below the national average	$1,843	$24,800
Altus Lumberton HospitalLumberton, TX · CCN 670134 · +$4,199 outlier payments per case	55	$2,336	11% below the national average	$1,858	$94,235
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	42	$2,337	11% below the national average	$1,841	$23,711
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	101	$2,338	11% below the national average	$1,854	$50,111
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	107	$2,342	11% below the national average	$1,848	$22,079
University Medical CenterLubbock, TX · CCN 450686	932	$2,342	11% below the national average	$1,859	$24,341
Midland Memorial HospitalMidland, TX · CCN 450133	281	$2,343	11% below the national average	$1,859	$23,217
Baptist Medical CenterSan Antonio, TX · CCN 450058	184	$2,344	11% below the national average	$1,857	$53,157
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	115	$2,345	11% below the national average	$1,843	$25,864
Bsa HospitalAmarillo, TX · CCN 450231	212	$2,346	11% below the national average	$1,863	$21,678
Brushy Creek Family Hospital LLCRound Rock, TX · CCN 670326 · +$14,488 outlier payments per case	23	$2,346	11% below the national average	$1,869	$235,634
Northwest Texas HospitalAmarillo, TX · CCN 450209	67	$2,350	11% below the national average	$1,858	$49,932
Christus St Michael Health SystemTexarkana, TX · CCN 450801	715	$2,352	11% below the national average	$1,866	$28,471
Peterson Regional Medical CenterKerrville, TX · CCN 450007	956	$2,353	11% below the national average	$1,870	$23,133
Covenant Medical CenterLubbock, TX · CCN 450040	908	$2,354	11% below the national average	$1,871	$50,097
Cuero Regional HospitalCuero, TX · CCN 450597	125	$2,360	10% below the national average	$1,873	$20,484
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	112	$2,360	10% below the national average	$1,874	$21,309
South Texas Health SystemEdinburg, TX · CCN 450119	128	$2,360	10% below the national average	$1,873	$68,557
Christus Mother Frances HospitalTyler, TX · CCN 450102	1,881	$2,361	10% below the national average	$1,878	$36,483
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	870	$2,361	10% below the national average	$1,876	$26,542
Connally Memorial Medical CenterFloresville, TX · CCN 450108	130	$2,361	10% below the national average	$1,873	$13,689
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	296	$2,363	10% below the national average	$1,880	$33,473
Methodist HospitalSan Antonio, TX · CCN 450388	313	$2,363	10% below the national average	$1,878	$37,035
Palo Pinto General HospitalMineral Wells, TX · CCN 450565	160	$2,363	10% below the national average	$1,879	$9,348
Woodland Heights Medical CenterLufkin, TX · CCN 450484	171	$2,364	10% below the national average	$1,875	$30,244
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	401	$2,364	10% below the national average	$1,865	$16,094
Laredo Medical CenterLaredo, TX · CCN 450029	234	$2,364	10% below the national average	$1,874	$38,236
Resolute Health HospitalNew Braunfels, TX · CCN 670098	121	$2,365	10% below the national average	$1,877	$42,541
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	418	$2,366	10% below the national average	$1,880	$28,390
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	283	$2,368	10% below the national average	$1,883	$14,012
Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX · CCN 670078	312	$2,369	10% below the national average	$1,886	$44,810
Covenant Hospital LevellandLevelland, TX · CCN 450755	21	$2,375	About average	$1,892	$10,026
Freestone Medical CenterFairfield, TX · CCN 450658	66	$2,375	About average	$1,892	$17,454
University Of Texas Health Science Center At TylerTyler, TX · CCN 450690	24	$2,375	About average	$1,892	$21,069
Methodist Hospital AtascosaJourdanton, TX · CCN 450165	56	$2,375	About average	$1,892	$33,193
Nacogdoches Memorial HospitalNacogdoches, TX · CCN 450508	50	$2,375	About average	$1,892	$18,890

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.