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 Virginia

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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Virginia

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Average payment across these 69 hospitals: $2,459National $2,634 · Virginia $2,459
Median hospital: $2,442
Lowest to highest: $2,283–$2,661
Medicare procedures: 26,889

69 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
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	51	$2,283	13% below the national average	$1,804	$21,387
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	433	$2,290	13% below the national average	$1,813	$24,311
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	185	$2,300	13% below the national average	$1,816	$20,146
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	527	$2,311	12% below the national average	$1,829	$23,464
Russell County HospitalLebanon, VA · CCN 490002	42	$2,312	12% below the national average	$1,828	$11,776
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	235	$2,313	12% below the national average	$1,835	$14,452
Sentara Obici HospitalSuffolk, VA · CCN 490044	489	$2,314	12% below the national average	$1,835	$22,275
Lewisgale Hospital PulaskiPulaski, VA · CCN 490116	44	$2,314	12% below the national average	$1,835	$25,226
Sentara Careplex HospitalHampton, VA · CCN 490093	210	$2,314	12% below the national average	$1,834	$22,940
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032 · +$672 outlier payments per case	557	$2,314	12% below the national average	$1,831	$27,796
Bon Secours Southern Virginia Medical CenterEmporia, VA · CCN 490097	54	$2,322	12% below the national average	$1,843	$62,582
Carilion New River Valley Medical CenterChristiansburg, VA · CCN 490042	382	$2,322	12% below the national average	$1,842	$16,776
Clinch Valley Medical CenterRichlands, VA · CCN 490060	124	$2,322	12% below the national average	$1,846	$35,819
Riverside Regional Medical CenterNewport News, VA · CCN 490052	779	$2,323	12% below the national average	$1,841	$17,209
Lewisgale Medical CenterSalem, VA · CCN 490048	289	$2,329	12% below the national average	$1,849	$24,384
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	221	$2,331	11% below the national average	$1,849	$15,053
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	204	$2,331	11% below the national average	$1,848	$25,648
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	680	$2,332	11% below the national average	$1,851	$13,053
Sentara Leigh HospitalNorfolk, VA · CCN 490046	983	$2,335	11% below the national average	$1,851	$22,958
Chesapeake General HospitalChesapeake, VA · CCN 490120	460	$2,336	11% below the national average	$1,850	$10,958
CJW Medical CenterRichmond, VA · CCN 490112	332	$2,340	11% below the national average	$1,858	$35,593
Centra Bedford Memorial HospitalBedford, VA · CCN 490088	123	$2,341	11% below the national average	$1,862	$18,094
Carilion Medical CenterRoanoke, VA · CCN 490024	1,164	$2,341	11% below the national average	$1,863	$14,957
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	195	$2,342	11% below the national average	$1,862	$20,733
Johnston Memorial HospitalAbingdon, VA · CCN 490053	148	$2,344	11% below the national average	$1,865	$16,685
Carilion Franklin Memorial HospitalRocky Mount, VA · CCN 490089	107	$2,347	11% below the national average	$1,867	$15,539
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	444	$2,351	11% below the national average	$1,868	$23,450
Carilion Tazewell Community HospitalTazewell, VA · CCN 490117	48	$2,356	11% below the national average	$1,877	$15,415
Smyth County Community HospitalMarion, VA · CCN 490038	60	$2,356	11% below the national average	$1,874	$15,297
Mary Immaculate HospitalNewport News, VA · CCN 490041	29	$2,357	11% below the national average	$1,878	$22,652
Henrico Doctors' HospitalRichmond, VA · CCN 490118	347	$2,363	10% below the national average	$1,878	$35,117
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	222	$2,365	10% below the national average	$1,880	$53,946
John Randolph Medical CenterHopewell, VA · CCN 490020	64	$2,382	About average	$1,898	$36,621
Sovah Health DanvilleDanville, VA · CCN 490075	297	$2,413	About average	$1,917	$33,190
Buchanan General HospitalGrundy, VA · CCN 490127	171	$2,442	About average	$1,921	$18,867
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	183	$2,448	About average	$1,936	$23,173
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	188	$2,460	About average	$1,949	$21,879
Riverside Shore Memorial HospitalOnancock, VA · CCN 490037	216	$2,463	About average	$1,953	$14,984
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009 · +$136 outlier payments per case	658	$2,472	About average	$1,962	$29,815
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	88	$2,474	About average	$1,951	$22,525
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	329	$2,478	About average	$1,958	$22,909
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	106	$2,493	About average	$1,976	$15,504
Twin County Regional HospitalGalax, VA · CCN 490115	158	$2,498	About average	$1,983	$31,867
Bon Secours Southampton Memorial HospitalFranklin, VA · CCN 490092	163	$2,500	About average	$1,986	$19,384
Mary Washington HospitalFredericksburg, VA · CCN 490022	1,253	$2,504	About average	$1,981	$12,647
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	805	$2,508	About average	$1,996	$21,082
Wythe County Community HospitalWytheville, VA · CCN 490111	144	$2,510	About average	$1,997	$35,164
Lewisgale Hospital AlleghanyLow Moor, VA · CCN 490126	192	$2,513	About average	$1,999	$19,284
Stonesprings Hospital CenterDulles, VA · CCN 490145	83	$2,518	About average	$1,996	$24,997
Inova Fairfax HospitalFalls Church, VA · CCN 490063 · +$84 outlier payments per case	2,015	$2,520	About average	$1,997	$18,494

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.