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 Wisconsin

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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Wisconsin

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Average payment across these 61 hospitals: $2,497National $2,634 · Wisconsin $2,497
Median hospital: $2,477
Lowest to highest: $2,329–$2,673
Medicare procedures: 10,886

61 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
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	53	$2,329	12% below the national average	$1,841	$12,607
Ascension St Francis HospitalMilwaukee, WI · CCN 520078	19	$2,362	10% below the national average	$1,882	$15,013
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	160	$2,390	About average	$1,889	$17,809
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	66	$2,401	About average	$1,901	$15,265
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	143	$2,406	About average	$1,911	$14,928
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	53	$2,421	About average	$1,913	$16,131
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	179	$2,422	About average	$1,920	$19,417
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	180	$2,422	About average	$1,920	$18,939
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	82	$2,425	About average	$1,927	$15,996
Aspirus Wausau HospitalWausau, WI · CCN 520030	84	$2,426	About average	$1,927	$14,351
St Vincent HospitalGreen Bay, WI · CCN 520075	104	$2,427	About average	$1,925	$16,207
West Allis Memorial HospitalWest Allis, WI · CCN 520139	223	$2,431	About average	$1,926	$20,184
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	62	$2,435	About average	$1,931	$12,124
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	390	$2,440	About average	$1,940	$11,559
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	233	$2,442	About average	$1,937	$16,300
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	114	$2,447	About average	$1,942	$12,056
Mercy Health System CorpJanesville, WI · CCN 520066 · +$199 outlier payments per case	269	$2,447	About average	$1,942	$24,526
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	21	$2,449	About average	$1,951	$10,291
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	103	$2,452	About average	$1,950	$22,505
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	150	$2,454	About average	$1,946	$16,129
Aurora Medical CenterGrafton, WI · CCN 520207	317	$2,454	About average	$1,949	$19,325
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	18	$2,460	About average	$1,960	$13,177
Aurora Medical Center - SummitSummit, WI · CCN 520206	129	$2,460	About average	$1,957	$17,196
Holy Family MemorialManitowoc, WI · CCN 520107	52	$2,462	About average	$1,961	$13,459
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	77	$2,462	About average	$1,961	$14,146
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	143	$2,462	About average	$1,958	$15,827
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	644	$2,464	About average	$1,958	$17,590
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	216	$2,466	About average	$1,958	$15,924
Watertown Memorial HospitalWatertown, WI · CCN 520116	79	$2,468	About average	$1,961	$16,912
St Nicholas HospitalSheboygan, WI · CCN 520044	99	$2,472	About average	$1,965	$18,165
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	134	$2,477	About average	$1,973	$17,183
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	405	$2,479	About average	$1,972	$17,331
Ascension Wisconsin Hospital Menomonee Falls CampusMenomonee Falls, WI · CCN 520214	43	$2,494	About average	$1,987	$15,299
Froedtert Community HospitalNew Berlin, WI · CCN 520213	27	$2,494	About average	$1,986	$9,336
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	80	$2,496	About average	$1,987	$17,445
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	343	$2,508	About average	$1,988	$23,594
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	605	$2,512	About average	$1,988	$21,277
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	107	$2,515	About average	$1,992	$18,376
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	326	$2,517	About average	$1,992	$17,541
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004 · +$231 outlier payments per case	377	$2,519	About average	$2,000	$16,379
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	152	$2,520	About average	$1,996	$18,773
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	616	$2,522	About average	$2,003	$20,966
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087 · +$515 outlier payments per case	641	$2,524	About average	$2,006	$12,897
UnityPoint Health - MeriterMadison, WI · CCN 520089	398	$2,530	About average	$2,010	$21,650
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	24	$2,536	About average	$2,003	$16,032
Ascension All Saints HospitalRacine, WI · CCN 520096	109	$2,538	About average	$2,014	$17,951
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	153	$2,544	About average	$2,023	$20,277
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	163	$2,549	About average	$2,026	$21,011
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	83	$2,555	About average	$2,034	$13,346
The Monroe ClinicMonroe, WI · CCN 520028	210	$2,555	About average	$2,031	$16,945

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.