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 |
|---|---|---|---|
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $147.50 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $147.50 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $147.50 | not published |
| Aurora Medical Center Summit | Summit, WI | $147.50 | not published |
| Aurora Medical Center Washington County | Hartford, WI | $147.50 | not published |
| Aurora West Allis Medical Center | West Allis, WI | $147.50 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $148.20 | $160.55 – $586.87 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $149.15 | $765.95 – $1,378.71 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $149.15 | $765.95 – $1,378.71 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $149.15 | $765.95 – $2,041.26 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $150.15 | $88.29 – $231.00 |
| MercyOne Newton Medical Center | Newton, IA | $150.15 | $150.15 – $1,156.17 |
| CHI Health Good Samaritan | Kearney, NE | $153.11 | $52.71 – $233.43 |
| Providence St Joseph Hospital | Chewelah, WA | $153.30 | not published |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $156.33 | $432.55 – $432.55 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $156.80 | $35.28 – $1,059.85 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $159.20 | $459.83 – $1,098.74 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $159.20 | $593.53 – $1,038.68 |
| Southeastern Medical Center | Cambridge, OH | $159.25 | $563.42 – $585.96 |
| Banner Baywood Medical Center | Mesa, AZ | $160.88 | $30.00 – $1,078.19 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $160.93 | $593.21 – $1,073.69 |
| ADVENTIST HEALTH DELANO | Delano, CA | $161.00 | $497.00 – $1,723.39 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $161.00 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $161.00 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $162.24 | $689.62 – $1,613.71 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $162.24 | $689.62 – $2,095.06 |
| Swedish Issaquah | Issaquah, WA | $162.24 | $691.55 – $1,535.25 |
| CHI St. Vincent North | Sherwood, AR | $162.44 | $29.06 – $2,088.00 |
| Adventhealth Rollins Brook | Lampasas, TX | $162.54 | $489.80 – $489.80 |
| Adventhealth Central Texas | Killeen, TX | $162.54 | $489.80 – $957.19 |
| Marion General Hospital | Marion, OH | $163.80 | $568.64 – $591.38 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $165.45 | $50.00 – $1,122.84 |
| UPMC Bedford | Everett, PA | $166.20 | $31.88 – $2,207.16 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $168.05 | $563.82 – $1,635.08 |
| Adventhealth South Overland Park | Overland Park, KS | $168.05 | $563.82 – $1,635.08 |
| Adventhealth Ottawa | Ottawa, KS | $168.05 | $1.05 – $952.04 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $170.10 | $630.00 – $973.49 |
| Allina Health Faribault Medical Center | Faribualt, MN | $171.36 | $207.15 – $802.72 |
| Buffalo Hospital | Buffalo, MN | $171.36 | $207.15 – $802.72 |
| Cambridge Medical Center | Cambridge, MN | $171.36 | $207.15 – $802.72 |
| River Falls Area Hospital | River Falls, MN | $171.36 | $129.47 – $1,416.39 |
| Owatonna Hospital | Owatonna, MN | $171.36 | $207.15 – $802.72 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $173.60 | $156.24 – $2,819.69 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $173.60 | $652.46 – $1,500.00 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $176.04 | $32.74 – $592.21 |
| St Elias Specialty Hospital | Anchorage, AK | $178.08 | $239.10 – $631.15 |
| Abbott Northwestern Hospital | MN 55407, MN | $179.71 | $300.54 – $716.35 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $179.71 | $300.54 – $716.35 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $179.71 | $300.54 – $716.35 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $182.40 | $101.12 – $643.76 |
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