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 |
|---|---|---|---|
| Methodist Celina Medical Center | Celina, TX | $126.50 | $580.76 – $1,495.61 |
| Methodist Southlake Medical Center | Souhtlake, TX | $126.50 | $245.70 – $1,617.92 |
| UPMC Magee | Pittsburgh, PA | $126.60 | $26.56 – $642.97 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $127.13 | $32.74 – $904.45 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $127.13 | $32.74 – $7,845.34 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $127.13 | $32.74 – $7,461.30 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $128.44 | $32.74 – $142.41 |
| Covenant Medical Center | Lubbock, TX | $128.52 | $239.10 – $631.15 |
| Covenant Children's Hospital | Lubbock, TX | $128.52 | $433.82 – $433.82 |
| Covenant Specialty Hospital | Lubbock, TX | $128.52 | not published |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $130.04 | $32.74 – $7,461.30 |
| UPMC East | Monroeville, PA | $130.20 | $31.88 – $2,207.16 |
| UPMC McKeesport | Mckeesport, PA | $130.20 | $31.88 – $642.97 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $132.70 | $32.74 – $613.10 |
| UPMC St. Margaret | Pittsburgh, PA | $133.20 | $31.88 – $642.97 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $134.55 | $41.61 – $4,658.00 |
| Hancock County Hospital | SNEEDVILLE, TN | $135.47 | $12.00 – $12.00 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $135.60 | $146.90 – $586.87 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $137.40 | $77.86 – $167.17 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $137.40 | $105.34 – $703.79 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $137.76 | $590.72 – $827.01 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $137.92 | $765.95 – $1,723.39 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $138.00 | $31.88 – $642.97 |
| Bristol Regional Medical Center | BRISTOL, TN | $138.00 | $12.00 – $12.00 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $138.00 | $17.00 – $17.00 |
| Greeneville Community Hospital | GREENEVILLE, TN | $138.00 | $12.00 – $12.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $138.00 | $12.00 – $12.00 |
| Holston Valley Medical Center | KINGSPORT, TN | $138.00 | $12.00 – $12.00 |
| Indian Path Community Hospital | KINGSPORT, TN | $138.00 | $12.00 – $12.00 |
| Johnson City Medical Center | JOHNSON CITY, TN | $138.00 | $12.00 – $12.00 |
| Johnston Memorial Hospital | ABINGDON, VA | $138.00 | $12.00 – $12.00 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $138.00 | $49.00 – $49.00 |
| Russell County Hospital | LEBANON, VA | $138.00 | $49.00 – $49.00 |
| Smyth County Community Hospital | MARION, VA | $138.00 | $49.00 – $49.00 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $138.00 | $12.00 – $12.00 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $138.55 | $815.00 – $1,476.61 |
| UPMC Hamot | Erie, PA | $138.60 | $674.61 – $728.58 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $139.42 | $30.00 – $980.17 |
| UPMC Presbyterian | Pittsburgh, PA | $141.00 | $31.88 – $642.97 |
| UPMC Wellsboro | Wellsboro, PA | $141.60 | not published |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $142.50 | $32.74 – $613.10 |
| United Hospital Center | Bridgeport, WV | $145.00 | $576.05 – $1,008.09 |
| Providence St Mary Medical Center | Walla Walla, WA | $145.60 | $569.15 – $1,227.71 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $146.40 | $78.08 – $4,283.45 |
| Aurora Baycare Medical Center | Green Bay, WI | $147.50 | not published |
| Aurora Medical Center Bay Area | Marinette, WI | $147.50 | not published |
| Aurora Medical Center Burlington | Burlington, WI | $147.50 | not published |
| Aurora Medical Center Grafton | Grafton, WI | $147.50 | not published |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $147.50 | not published |
| Aurora Medical Center Kenosha | Kenosha, WI | $147.50 | not published |
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