Initial observation care cost at US hospitals
INITIAL OBSERVATION CARE · CPT 99220
$204.60
lowest cash price
$369.00
national median
$467.80
highest cash price
8
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $204.60–$467.80 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($467.80) → Sep 1, 2026 ($204.60)
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 | $369.00 | $369.00 | $369.00 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 14 | $351.60 | $369.00 | $369.00 |
| Kansas | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $467.80 | $467.80 | $467.80 |
| 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 | not published by hospital | not published by hospital | not published by hospital |
| Oklahoma | 6 | not published by hospital | not published by hospital | not published by hospital |
| Pennsylvania | 2 | $204.60 | $204.60 | $204.60 |
| 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 |
|---|---|---|---|
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $205.20 – $209.52 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $197.60 – $208.00 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $197.60 – $201.76 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | not published | $26.18 – $188.12 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | not published | $338.70 – $382.02 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | not published | $183.47 – $183.47 |
| Henry Ford Providence Novi Hospital | Novi, MI | not published | $202.83 – $239.14 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $197.60 – $208.00 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $101.94 – $101.94 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | not published | $26.18 – $188.12 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $209.52 – $209.52 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $197.60 – $208.00 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $197.60 – $201.76 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $197.60 – $201.76 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $26.18 – $188.12 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | not published | $26.18 – $188.12 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $201.76 – $201.76 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $197.60 – $208.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $197.60 – $201.76 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $1,798.20 – $1,798.20 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | not published | $227.43 – $227.43 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | not published | $26.18 – $188.12 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $452.00 – $452.00 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | not published | $26.18 – $188.12 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $101.94 – $101.94 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $101.94 – $101.94 |
| Queens Hospital Center | Jamaica, NY | not published | $168.00 – $593.98 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | not published | $26.18 – $188.12 |
| Woodhull Medical Center | Brooklyn, NY | not published | $168.00 – $589.75 |
| Advocate Trinity Hospital | Chicago, IL | not published | $797.14 – $907.27 |
| Mid Coast Hospital | Brunswick, ME | not published | $214.87 – $214.87 |
| Harlem Hospital Center | New York, NY | not published | $168.00 – $589.75 |
| Waldo County General Hospital | Belfast, ME | not published | $306.76 – $306.76 |
| Pen Bay Medical Center | Rockport, ME | not published | $250.44 – $250.44 |
| Metropolitan Hospital Center | New York, NY | not published | $168.00 – $589.75 |
| Lincoln Medical Center | Bronx, NY | not published | $168.00 – $591.86 |
| Kings County Hospital Center | Brooklyn, NY | not published | $168.00 – $589.75 |
| Bellevue Hospital Center | NY 10016, NY | not published | $168.00 – $591.86 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $800.41 – $910.55 |
| Advocate Sherman Hospital | Elgin, IL | not published | $375.31 – $426.89 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $789.93 – $898.75 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $802.38 – $913.17 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $272.81 – $285.30 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $272.81 – $285.30 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $285.30 – $295.56 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $205.20 – $209.52 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $26.18 – $188.12 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | not published | $26.18 – $188.12 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $197.60 – $201.76 |