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 Manchester | Manchester, KY | $184.72 | $558.78 – $558.78 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $189.35 | $35.98 – $405.75 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $191.62 | $30.00 – $980.17 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $192.00 | $82.08 – $216.00 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $192.50 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $192.50 | not published |
| Gouverneur Hospital | Gouverneur, NY | $192.54 | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $193.00 | $638.18 – $1,033.86 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $193.00 | $624.78 – $1,033.86 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $193.00 | $624.78 – $1,033.86 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $193.00 | $638.18 – $1,033.86 |
| Massena Hospital | Massena, NY | $193.54 | not published |
| Sanford Westbrook Hospital | Westbrook, MN | $194.40 | $58.83 – $218.70 |
| Sanford Tracy Hospital | Tracy, MN | $194.40 | $58.83 – $218.70 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $195.00 | $39.20 – $4,658.00 |
| Texas Health Hospital Mansfield | Mansfield, TX | $196.31 | $347.06 – $1,196.49 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $196.31 | $347.06 – $1,198.46 |
| Canton-Potsdam Hospital | Potsdam, NY | $196.31 | not published |
| Sanford Luverne Medical Center | Luverne, MN | $196.80 | $59.56 – $221.40 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $197.05 | $33.78 – $281.50 |
| Baptist Health Floyd | New Albany, IN | $198.56 | $264.74 – $945.12 |
| Baptist Health Hardin | Elizabethtown, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Corbin | Corbin, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health La Grange | La Grange, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Lexington | Lexington, KY | $198.56 | $264.74 – $538.22 |
| Baptist Health Louisville | Louisville, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Paducah | Paducah, KY | $198.56 | $264.74 – $529.48 |
| 62-1138045 BMH Union City | Union City, TN | $198.60 | $50.00 – $1,119.66 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $199.12 | $520.29 – $1,129.90 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $199.98 | $75.00 – $3,888.50 |
| Sanford Bagley Medical Center | Bagley, MN | $200.00 | $60.53 – $225.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | $200.00 | $113.93 – $631.78 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $202.74 | $351.85 – $5,346.00 |
| Providence Hood River Memorial Hospital | Hood River, OR | $203.25 | not published |
| Banner Estrella Medical Center | Phoenix, AZ | $204.05 | $30.00 – $1,078.19 |
| Stephens Memorial Hospital | Norway, ME | $204.65 | $79.81 – $194.42 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $206.25 | $174.00 – $1,228.18 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $207.50 | $163.51 – $11,037.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $207.50 | $163.51 – $11,037.00 |
| Advocate Sherman Hospital | Elgin, IL | $207.50 | $126.99 – $7,395.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $207.50 | $163.51 – $11,037.00 |
| Advocate Trinity Hospital | Chicago, IL | $207.50 | $163.51 – $11,037.00 |
| Advocate Christ Medical Center | Oak Lawn, IL | $207.50 | $163.51 – $11,037.00 |
| Advocate Condell Medical Center | Libertyville, IL | $207.50 | $163.51 – $8,058.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $207.50 | $163.51 – $11,037.00 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $207.60 | $291.00 – $1,723.39 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $208.75 | $83.54 – $532.35 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $210.40 | $63.67 – $236.70 |
| Sanford Medical Center Mayville | Mayville, ND | $210.40 | $63.67 – $236.70 |
| Sanford Hospital Webster | Webster, SD | $212.00 | $83.21 – $238.50 |
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