Observation care discharge cost at US hospitals
OBSERVATION CARE DISCHARGE · CPT 99217
$137.40
lowest cash price
$144.00
national median
$655.85
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 $137.40–$655.85 — the variation is the story.
Cheapest published cash price
$137.40
MercyOne Genesis Davenport West Medical Center — Davenport, IAMedian cash price over time
Aug 1, 2025 ($165.45) → Sep 1, 2026 ($141.60)
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 | 46 | $655.85 | $655.85 | $655.85 |
| Illinois | 15 | $144.00 | $144.00 | $144.00 |
| Indiana | 16 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 14 | $137.40 | $144.00 | $144.00 |
| Kansas | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $165.45 | $165.45 | $165.45 |
| 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 | 1 | $141.60 | $141.60 | $141.60 |
| 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 |
|---|---|---|---|
| cleveland clinic main campus | Cleveland, OH | not published | $68.73 – $79.59 |
| Atrium Health Pineville | Charlotte, NC | not published | $59.48 – $60.67 |
| Atrium Health Mercy | Charlotte, NC | not published | $59.48 – $60.67 |
| Covenant Children's Hospital | Lubbock, TX | not published | $253.16 – $253.16 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $704.20 – $704.20 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $83.60 – $85.36 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $704.20 – $704.20 |
| Ascension Saint Thomas Midtown | Nashville, TN | not published | $61.20 – $65.63 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $704.20 – $704.20 |
| Covenant Hospital Plainview | Plainview, TX | not published | $156.65 – $159.22 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $704.20 – $704.20 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $704.20 – $704.20 |
| Atrium Health Anson | Wadesboro, NC | not published | $59.48 – $60.67 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $116.00 – $116.00 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $116.00 – $116.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $116.00 – $116.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $363.47 – $413.69 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $235.87 – $235.87 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | not published | $115.67 – $115.67 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $116.00 – $116.00 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $76.95 – $81.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $80.75 – $82.45 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $80.75 – $82.45 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $116.00 – $116.00 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $224.01 – $254.83 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $355.11 – $404.13 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $704.20 – $704.20 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | not published | $115.67 – $115.67 |
| Lincoln Health | Damariscotta, ME | not published | $140.92 – $140.92 |
| Stephens Memorial Hospital | Norway, ME | not published | $140.92 – $140.92 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $76.95 – $81.00 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $214.27 – $268.18 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | not published | $178.78 – $178.78 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | not published | $145.20 – $214.72 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $214.27 – $268.18 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $227.04 – $268.18 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $178.78 – $178.78 |
| North Central Bronx | Bronx, NY | not published | $72.00 – $231.13 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $178.78 – $178.78 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | not published | $178.78 – $178.78 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $65.63 – $65.63 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | not published | $61.20 – $65.63 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $70.16 – $70.16 |
| Corewell Health Troy | Troy, MI | not published | $97.65 – $97.65 |