Initial observation care cost at US hospitals
INITIAL OBSERVATION CARE · CPT 99218
$102.00
lowest cash price
$156.00
national median
$250.65
highest cash price
12
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $102.00–$250.65 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($250.65) → Sep 1, 2026 ($110.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 1 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 1 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 45 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 15 | $196.20 | $196.20 | $196.20 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 14 | $186.60 | $196.20 | $196.20 |
| Kansas | 5 | $102.00 | $102.00 | $102.00 |
| Maine | 7 | $250.65 | $250.65 | $250.65 |
| Michigan | 12 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 3 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 13 | $156.00 | $156.00 | $156.00 |
| Oklahoma | 6 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 3 | $110.40 | $110.40 | $115.20 |
| Tennessee | 6 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 23 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 1 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 5 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $102.00 | $132.77 – $132.77 |
| UPMC Community Osteopathic | Harrisburg, PA | $110.40 | $156.40 – $156.40 |
| UPMC Somerset | Somerset, PA | $110.40 | not published |
| UPMC Cole | Coudersport, PA | $115.20 | $53.22 – $153.60 |
| akron general | Akron, OH | $156.00 | $35.71 – $3,544.00 |
| lodi hospital | Lodi, OH | $156.00 | $67.87 – $216.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $186.60 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $196.20 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $196.20 | $300.84 – $327.00 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $196.20 | $238.71 – $2,679.00 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $196.20 | $327.00 – $2,970.16 |
| Spring Harbor Hospital | Westbrook, ME | $250.65 | $152.64 – $189.15 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | not published | $98.46 – $98.46 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $107.35 – $109.61 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $107.35 – $109.61 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $109.61 – $109.61 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $107.35 – $109.61 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | not published | $98.46 – $98.46 |
| Covenant Hospital Levelland | Levelland, TX | not published | $219.79 – $242.04 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $107.35 – $113.00 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $116.85 – $119.31 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $964.55 – $964.55 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $107.35 – $113.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $107.35 – $113.00 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $56.10 – $57.22 |
| Atrium Health University City | Charlotte, NC | not published | $56.10 – $57.22 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | not published | $11.31 – $95.97 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $56.66 – $56.66 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $144.21 – $144.21 |
| south pointe hospital | Warrensville Heights, OH | not published | $62.46 – $72.33 |
| mercy hospital | Canton, OH | not published | $56.04 – $61.64 |
| medina hospital | Medina, OH | not published | $54.91 – $63.58 |
| Atrium Health Union | Monroe, NC | not published | $56.10 – $57.22 |
| marymount hospital | Garfield Heights, OH | not published | $52.93 – $61.29 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $56.10 – $57.22 |
| Atrium Health Cabarrus | Concord, NC | not published | $56.10 – $57.22 |
| Atrium Health Cleveland | Shelby, NC | not published | $56.10 – $57.22 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $56.10 – $127.25 |
| Adventhealth Central Texas | Killeen, TX | not published | $389.89 – $389.89 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | not published | $181.42 – $204.08 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $107.35 – $109.61 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | not published | $98.46 – $98.46 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | not published | $98.46 – $98.46 |
| hillcrest hospital | Mayfield Heights, OH | not published | $58.67 – $67.94 |
| Atrium Health Stanly | Albermarle, NC | not published | $56.10 – $57.22 |
| lutheran hospital | Cleveland, OH | not published | $53.61 – $62.07 |
| fairview hospital | Cleveland, OH | not published | $56.32 – $65.21 |
| euclid hospital | Euclid, OH | not published | $59.95 – $69.41 |