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 Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $66.98 – $66.98 |
| Corewell Health Troy | Troy, MI | not published | $131.74 – $131.74 |
| Ascension Saint Thomas River Park | McMinnville, TN | not published | $90.46 – $158.80 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | not published | $66.98 – $66.98 |
| Henry Ford Warren Hospital | Warren, MI | not published | $83.65 – $107.22 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $83.65 – $107.22 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $132.38 – $132.38 |
| Ascension Saint Thomas DeKalb | Smithville, TN | not published | $83.58 – $111.25 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | not published | $77.72 – $110.65 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | not published | $77.72 – $166.84 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | not published | $77.72 – $166.84 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | not published | $77.72 – $166.84 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | not published | $77.72 – $189.09 |
| Ascension Saint Thomas Highlands | Sparta, TN | not published | $83.58 – $125.37 |
| Henry Ford River District Hospital | China Township, MI | not published | $83.65 – $107.22 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $159.00 – $159.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | not published | $77.72 – $191.32 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | not published |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | not published | $11.31 – $95.97 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | not published | $11.31 – $95.97 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $162.21 – $466.19 |
| Covenant Medical Center | Lubbock, TX | not published | $345.33 – $466.19 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | not published | $69.04 – $125.60 |
| South Brooklyn Health | Brooklyn, NY | not published | $72.00 – $317.73 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $111.15 – $113.49 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $107.35 – $109.61 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $107.35 – $109.61 |
| Henry Ford St John Hospital | Detroit, MI | not published | $83.65 – $107.22 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $116.85 – $119.31 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $111.15 – $113.49 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $964.55 – $964.55 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | not published |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | not published | $11.31 – $95.97 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $198.47 – $198.47 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $107.35 – $109.61 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $107.35 – $109.61 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $107.35 – $113.00 |
| Franklin Memorial Hospital | Farmington, ME | not published | $152.64 – $152.64 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $107.35 – $109.61 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $389.89 – $389.89 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $107.35 – $109.61 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $107.35 – $109.61 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | not published | $98.46 – $98.46 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $107.35 – $109.61 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | not published | $98.46 – $98.46 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | not published | $98.46 – $98.46 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | not published | $181.42 – $204.08 |
| Jacobi Medical Center | Bronx, NY | not published | $72.00 – $315.45 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $72.00 – $316.59 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $111.15 – $113.49 |