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 St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $111.15 – $113.49 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $107.35 – $113.00 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $107.35 – $109.61 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $11.31 – $95.97 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $181.42 – $204.08 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $98.46 – $98.46 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $107.22 – $126.41 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $107.35 – $113.00 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $54.61 – $54.61 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $113.49 – $113.49 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $107.35 – $113.00 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $107.35 – $109.61 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $107.35 – $109.61 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $11.31 – $95.97 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $109.61 – $109.61 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $107.35 – $113.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $107.35 – $109.61 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $964.55 – $964.55 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $132.77 – $132.77 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $11.31 – $95.97 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $193.73 – $193.73 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $11.31 – $95.97 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $54.61 – $54.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $54.61 – $54.61 |
| Queens Hospital Center | Jamaica, NY | not published | $72.00 – $320.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $11.31 – $95.97 |
| Woodhull Medical Center | Brooklyn, NY | not published | $72.00 – $317.73 |
| Advocate Trinity Hospital | Chicago, IL | not published | $342.81 – $390.18 |
| Mid Coast Hospital | Brunswick, ME | not published | $115.45 – $115.45 |
| Harlem Hospital Center | New York, NY | not published | $72.00 – $317.73 |
| Waldo County General Hospital | Belfast, ME | not published | $132.65 – $132.65 |
| Pen Bay Medical Center | Rockport, ME | not published | $134.81 – $134.81 |
| Metropolitan Hospital Center | New York, NY | not published | $72.00 – $317.73 |
| Lincoln Medical Center | Bronx, NY | not published | $72.00 – $318.86 |
| Kings County Hospital Center | Brooklyn, NY | not published | $72.00 – $317.73 |
| Bellevue Hospital Center | NY 10016, NY | not published | $72.00 – $318.86 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $344.22 – $391.59 |
| Advocate Sherman Hospital | Elgin, IL | not published | $161.40 – $183.59 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $339.71 – $386.51 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $345.07 – $392.71 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $134.91 – $144.21 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $134.91 – $144.21 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $134.91 – $156.24 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $111.15 – $113.49 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $11.31 – $95.97 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $11.31 – $95.97 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $107.35 – $109.61 |