Observation direct referral from physician office for admission cost at US hospitals
HC Observation Direct Referral From Physician Office for Admission · HCPCS G0379
$21.00
lowest cash price
$384.00
national median
$2,244.79
highest cash price
753
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $21.00–$2,244.79 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($392.45) → Sep 1, 2026 ($387.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $178.08 | $338.52 | $1,399.32 |
| Arizona | 22 | $72.59 | $302.15 | $962.93 |
| Arkansas | 5 | $162.44 | $199.12 | $616.00 |
| California | 87 | $57.05 | $420.81 | $1,377.60 |
| Colorado | 17 | $202.74 | $811.92 | $811.92 |
| Florida | 33 | $247.65 | $1,422.23 | $2,244.79 |
| Georgia | 25 | $49.14 | $758.16 | $1,630.00 |
| Hawaii | 2 | $77.76 | $77.76 | $570.75 |
| Illinois | 45 | $116.90 | $368.40 | $1,607.76 |
| Indiana | 25 | $198.56 | $359.40 | $583.20 |
| Iowa | 26 | $56.16 | $135.60 | $857.35 |
| Kansas | 4 | $81.25 | $168.05 | $168.05 |
| Kentucky | 21 | $184.72 | $257.97 | $952.20 |
| Louisiana | 1 | $578.24 | $578.24 | $578.24 |
| Maine | 7 | $40.50 | $204.65 | $1,971.40 |
| Michigan | 18 | $104.34 | $818.88 | $818.88 |
| Minnesota | 19 | $76.00 | $179.71 | $225.60 |
| Mississippi | 11 | $106.60 | $249.32 | $428.00 |
| Missouri | 14 | $99.45 | $421.85 | $453.20 |
| Montana | 2 | $450.40 | $450.40 | $509.60 |
| Nebraska | 10 | $98.28 | $273.42 | $357.74 |
| Nevada | 4 | $371.26 | $411.10 | $548.05 |
| New Hampshire | 1 | $392.45 | $392.45 | $392.45 |
| New Jersey | 21 | $225.75 | $382.90 | $722.02 |
| New Mexico | 2 | $137.76 | $137.76 | $137.76 |
| New York | 19 | $50.40 | $725.52 | $1,666.91 |
| North Carolina | 14 | $360.50 | $523.50 | $523.50 |
| North Dakota | 4 | $114.40 | $210.40 | $846.40 |
| Ohio | 51 | $159.25 | $489.75 | $1,593.80 |
| Oklahoma | 9 | $394.55 | $539.00 | $955.30 |
| Oregon | 10 | $203.25 | $1,183.50 | $1,721.25 |
| Pennsylvania | 32 | $84.00 | $141.60 | $984.00 |
| South Carolina | 10 | $320.00 | $354.50 | $1,323.60 |
| South Dakota | 7 | $111.20 | $212.00 | $436.00 |
| Tennessee | 23 | $49.14 | $138.00 | $231.63 |
| Texas | 106 | $21.00 | $384.00 | $2,029.37 |
| Virginia | 27 | $138.00 | $395.00 | $738.00 |
| Washington | 30 | $80.40 | $688.80 | $1,332.80 |
| West Virginia | 15 | $145.00 | $485.50 | $1,296.50 |
| Wisconsin | 25 | $74.80 | $147.50 | $1,477.47 |
| Wyoming | 4 | $274.68 | $288.41 | $378.01 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | $21.00 | $304.06 – $838.92 |
| Lincoln Health | Damariscotta, ME | $40.50 | $15.39 – $38.07 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $49.14 | $24.90 – $3,642.00 |
| CHI Memorial Hospital Hixson | Hixson, TN | $49.14 | $16.76 – $3,642.00 |
| UPMC Chautauqua | Jamestown, NY | $50.40 | $50.40 – $2,207.16 |
| CHI Health Mercy Corning | Corning, IA | $56.16 | $50.31 – $114.66 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $57.05 | $785.48 – $1,570.97 |
| CHI Health Missouri Valley | Missouri Valley, IA | $57.33 | $40.95 – $114.66 |
| Covenant Hospital Plainview | Plainview, TX | $65.94 | $268.43 – $838.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $70.22 | $16.76 – $3,642.00 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $72.28 | $32.74 – $613.10 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $72.28 | $31.62 – $596.60 |
| Banner Gateway Medical Center | Gilbert, AZ | $72.59 | $30.00 – $1,078.19 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $74.80 | $441.78 – $1,136.86 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $74.80 | not published |
| SSM Health Ripon Community Hospital | Ripon, WI | $74.80 | not published |
| Sanford Worthington Medical Center | Worthington, MN | $76.00 | $36.83 – $631.78 |
| CASTLE MEDICAL CENTER | Kailua, HI | $77.76 | $243.00 – $738.70 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $80.40 | $710.46 – $1,999.11 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $81.25 | $1.19 – $1,128.52 |
| UPMC Cole | Coudersport, PA | $84.00 | $38.81 – $112.00 |
| UPMC Mercy | Pittsburgh, PA | $85.20 | $26.56 – $642.97 |
| CHI Health Plainview | Plainview, NE | $98.28 | $71.37 – $158.45 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $99.45 | $393.69 – $3,827.03 |
| CHI Health Schuyler | Schuyler, NE | $99.45 | $25.07 – $132.47 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $103.39 | $32.74 – $627.38 |
| Henry Ford Rochester Hospital | Rochester, MI | $104.34 | $68.57 – $73.57 |
| UPMC Jameson | New Castle, PA | $105.00 | $26.56 – $730.65 |
| Mercy Hospital Stoddard | Dexter, MO | $105.95 | $585.16 – $3,827.03 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $106.60 | $613.10 – $625.36 |
| UPMC Horizon-Greenville | Greenville, PA | $109.20 | $31.88 – $1,096.85 |
| New Ulm Medical Center | MN 56073, MN | $110.71 | $86.54 – $997.29 |
| Sanford USD Medical Center | Sioux Falls, SD | $111.20 | $36.77 – $643.76 |
| UPMC Northwest | Seneca, PA | $112.80 | $31.88 – $631.28 |
| Waldo County General Hospital | Belfast, ME | $113.65 | $45.65 – $107.06 |
| Sanford Fargo Medical Center | Fargo, ND | $114.40 | $39.71 – $643.76 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $116.90 | not published |
| UPMC Muncy | Muncy, PA | $117.00 | $29.25 – $175.50 |
| UPMC Williamsport | Williamsport, PA | $117.00 | $590.25 – $631.28 |
| UPMC Altoona | Altoona, PA | $117.00 | $27.00 – $2,064.00 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $121.72 | $32.74 – $613.10 |
| CHI Health St. Elizabeth | Lincoln, NE | $123.00 | $56.58 – $196.80 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $126.00 | $114.45 – $686.70 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $126.00 | $114.45 – $686.70 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $126.00 | $137.34 – $793.52 |
| Methodist Charlton Medical Center | Dallas, TX | $126.50 | $245.70 – $1,579.88 |
| Methodist Dallas Medical Center | Dallas, TX | $126.50 | $245.70 – $1,615.26 |
| Methodist Mansfield Medical Center | Mansfield, TX | $126.50 | $245.70 – $1,617.92 |
| Methodist Midlothian Medical Center | Midlothian, TX | $126.50 | $598.24 – $1,615.26 |
| Methodist Richardson Medical Center | Richardson, TX | $126.50 | $320.16 – $1,615.26 |
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