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 |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $955.30 | $572.76 – $1,225.71 |
| Chandler Regional Medical Center | Chandler, AZ | $962.93 | $30.75 – $2,267.16 |
| Uniontown Hospital | Uniontown, PA | $984.00 | $50.00 – $1,351.54 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $1,014.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $1,036.00 | $663.63 – $1,688.93 |
| Providence Centralia Hospital | Centralia, WA | $1,086.80 | $689.62 – $1,275.79 |
| Providence St Peter Hospital | Olympia, WA | $1,086.80 | $582.17 – $2,236.23 |
| Petaluma Valley Hospital | Petaluma, CA | $1,117.92 | $802.54 – $818.92 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $1,129.20 | $638.18 – $1,187.02 |
| HSHS St. Mary's Hospital | DECATUR, IL | $1,151.28 | $1,599.00 – $1,599.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $1,151.28 | $1,599.00 – $1,599.00 |
| Grant Memorial Hospital | Petersburg, WV | $1,166.40 | not published |
| Willard Hospital | Willard, OH | $1,172.40 | not published |
| Providence Newberg Medical Center | Newberg, OR | $1,183.50 | $651.36 – $1,211.36 |
| Providence Portland Medical Center | Portland, OR | $1,183.50 | $651.36 – $2,148.76 |
| Providence St Vincent Medical Center | Portland, OR | $1,183.50 | $651.36 – $2,148.76 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $1,183.50 | $651.36 – $2,148.76 |
| Providence Milwaukie Hospital | Milwaukie, OR | $1,183.50 | $651.36 – $2,148.76 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $1,196.65 | $589.12 – $1,841.00 |
| MUSC Health Chester Medical Center | Chester, SC | $1,221.50 | $120.57 – $633.21 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $1,237.66 | $621.90 – $1,135.59 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $1,253.52 | $1,741.00 – $1,741.00 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $1,279.98 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $1,283.36 | $678.19 – $1,573.41 |
| Weirton Medical Center | Weirton, WV | $1,296.50 | $33.00 – $2,907.42 |
| Queen of The Valley Medical Center | Napa, CA | $1,312.74 | $845.57 – $845.57 |
| St Francis Downtown | Greenville, SC | $1,323.60 | not published |
| Providence Holy Family Hospital | Spokane, WA | $1,332.80 | $663.63 – $1,742.02 |
| AdventHealth Deland | Deland, FL | $1,354.50 | $590.81 – $1,240.26 |
| Redwood City Medical Center | Redwood City, CA | $1,377.60 | not published |
| Oakland Medical Center | Oakland, CA | $1,377.60 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $1,377.60 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $1,377.60 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $1,377.60 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $1,377.60 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $1,377.60 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $1,377.60 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $1,377.60 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $1,377.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $1,377.60 | not published |
| Vallejo Medical Center | VALLEJO, CA | $1,377.60 | not published |
| Antioch Medical Center | ANTIOCH, CA | $1,377.60 | not published |
| Fremont Medical Center | FREMONT, CA | $1,377.60 | not published |
| Fresno Medical Center | FRESNO, CA | $1,377.60 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $1,377.60 | not published |
| San Jose Medical Center | SAN JOSE, CA | $1,377.60 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $1,377.60 | not published |
| Adventhealth Palm Coast | Palm Coast, FL | $1,387.46 | $590.81 – $1,328.32 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $1,387.46 | $590.81 – $1,328.32 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $1,389.96 | $432.55 – $527.96 |
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