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 |
|---|---|---|---|
| Adventhealth Carrollwood | Tampa, FL | $2,142.76 | $621.90 – $1,380.62 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $2,183.57 | $621.90 – $1,380.62 |
| Adventhealth Connerton | Land O Lakes, FL | $2,244.79 | not published |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $988.36 – $1,029.98 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $988.36 – $1,029.98 |
| HCA HealthONE AURORA | Aurora, CO | not published | $988.36 – $1,029.98 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $297.69 – $297.69 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $297.69 – $297.69 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $118.70 – $176.13 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $124.05 – $176.13 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $349.86 – $349.86 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $349.86 – $349.86 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $349.86 – $349.86 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $349.86 – $349.86 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $349.86 – $349.86 |
| WellSpan Newberry Hospital | Etters, PA | not published | not published |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $349.86 – $349.86 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $141.75 – $567.33 |
| Parkwest Medical Center | Knoxville, TN | not published | $51.28 – $567.33 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $141.75 – $567.33 |
| LeConte Medical Center | Sevierville, TN | not published | $141.75 – $607.60 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $349.86 – $349.86 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $141.75 – $567.33 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $141.75 – $567.33 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $141.75 – $607.60 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $57.92 – $935.25 |
| Claiborne Medical Center | Tazewell, TN | not published | $141.75 – $607.60 |
| Roane County Medical Center | Harriman, TN | not published | $141.75 – $567.33 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $52.00 – $1,503.22 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $678.19 – $1,722.61 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $95.52 – $110.61 |
| Sanford Canby Medical Center | Canby, MN | not published | $643.76 – $643.76 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $663.63 – $729.99 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $349.86 – $349.86 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $300.24 – $300.24 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $300.24 – $300.24 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $592.67 – $610.10 |
| Corewell Health Wayne | Wayne, MI | not published | $552.09 – $1,737.14 |
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