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 |
|---|---|---|---|
| West Kendall Baptist Hospital | MIAMI, FL | $452.40 | $119.02 – $626.40 |
| Mariners Hospital | TAVERNIER, FL | $452.40 | $120.41 – $626.40 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $453.20 | $584.56 – $715.79 |
| Riverside Methodist Hospital | Columbus, OH | $458.90 | $574.22 – $574.22 |
| Dublin Methodist Hospital | Dublin, OH | $458.90 | $574.22 – $574.22 |
| Grant Medical Center | Columbus, OH | $458.90 | $574.22 – $574.22 |
| Doctors Hospital | Columbus, OH | $458.90 | $586.78 – $586.78 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $460.80 | not published |
| St. Elizabeth Community Hospital | Red Bluff, CA | $461.36 | $442.40 – $779.00 |
| Berkeley Medical Center | Martinsburg, WV | $463.00 | $575.98 – $1,007.97 |
| Sentara Leigh Hospital | Norfolk, VA | $465.00 | $592.67 – $610.10 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $465.00 | $592.67 – $610.10 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $465.00 | $592.67 – $610.10 |
| Sentara Obici Hospital | Suffolk, VA | $465.00 | $592.67 – $610.10 |
| Sentara CarePlex Hospital | Hampton, VA | $465.00 | $592.67 – $610.10 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $465.00 | $592.67 – $610.10 |
| Sentara Norfolk General Hospital | Norfolk, VA | $465.00 | $592.67 – $610.10 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $465.75 | $577.55 – $1,039.58 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $472.85 | $765.95 – $1,417.01 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $472.85 | $765.95 – $1,417.01 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $484.80 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $484.80 | not published |
| Kettering Health Dayton (Grandview) | Dayton, OH | $484.80 | not published |
| Soin Medical Center | Beaver Creek, OH | $484.80 | not published |
| Kettering Health Greene Memorial | Xenia, OH | $484.80 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $484.80 | not published |
| Kettering Health Troy | Troy, OH | $484.80 | not published |
| Jefferson Medical Center | Ranson, WV | $485.50 | not published |
| Dominican Hospital | Santa Cruz, CA | $485.55 | $55.00 – $2,636.43 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $489.75 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $489.75 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $509.60 | $614.51 – $1,788.50 |
| St. Mary Medical Center | Long Beach, CA | $512.99 | $66.00 – $1,246.40 |
| OSF Saint Clare Medical Center | Princeton, IL | $515.20 | not published |
| OSF St Francis Hospital | Escanaba, MI | $515.20 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $515.20 | $638.18 – $650.95 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $515.61 | $765.95 – $765.95 |
| Allen Hospital | Oberlin, OH | $516.60 | not published |
| Rose de Lima Hospital | Henderson, NV | $517.95 | $225.00 – $1,224.75 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $520.10 | $765.95 – $1,417.01 |
| Arizona General Hospital Laveen | Phoenix, AZ | $521.21 | $30.75 – $1,859.50 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $521.50 | $638.18 – $638.18 |
| Providence Saint John's Health Center | Santa Monica, CA | $521.85 | $132.63 – $1,417.01 |
| Banner Thunderbird Medical Center | Glendale, AZ | $521.89 | $30.00 – $1,078.19 |
| Atrium Health Anson | Wadesboro, NC | $523.50 | $156.63 – $994.65 |
| Atrium Health Mercy | Charlotte, NC | $523.50 | $228.35 – $1,679.00 |
| Atrium Health Pineville | Charlotte, NC | $523.50 | $104.70 – $1,679.00 |
| Atrium Health Stanly | Albermarle, NC | $523.50 | $125.64 – $1,679.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $523.50 | $195.79 – $1,679.00 |
| Atrium Health Cleveland | Shelby, NC | $523.50 | $146.58 – $1,679.00 |
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