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 |
|---|---|---|---|
| Sequoia Hospital | Redwood City, CA | $334.88 | $52.00 – $2,814.21 |
| Providence Valdez Medical Center | Valdez, AK | $338.52 | not published |
| Grady Memorial Hospital | Delaware, OH | $340.60 | $574.22 – $597.19 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $343.75 | $449.89 – $599.85 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $348.00 | $136.97 – $136.97 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $348.00 | $136.97 – $136.97 |
| Clara Maass Medical Center | Belleville, NJ | $348.07 | $687.85 – $4,982.00 |
| Reynolds Memorial Hospital | Glen Dale, WV | $349.00 | $571.27 – $999.72 |
| Southern Virginia Medical Center | Emporia, VA | $351.30 | not published |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $352.30 | $565.86 – $933.69 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $353.60 | not published |
| Downey Medical Center | Downey, CA | $353.60 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $353.60 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $353.60 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $353.60 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $353.60 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $353.60 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $353.60 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $353.60 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $353.60 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $353.60 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $353.60 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $353.60 | not published |
| MUSC Health Black River Medical Center | Cades, SC | $354.00 | $108.08 – $609.28 |
| O'Bleness Hospital | Athens, OH | $354.25 | $568.64 – $574.33 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $354.50 | $88.58 – $609.28 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $354.50 | $553.89 – $609.28 |
| Ogallala Community Hospital | Ogallala, NE | $357.74 | $287.76 – $634.38 |
| Northwestern Memorial Hospital | Chicago, IL | $358.40 | not published |
| Adventhealth Waterman | Tavares, FL | $358.70 | $621.90 – $1,254.87 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $359.40 | $136.97 – $136.97 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $359.40 | $136.97 – $136.97 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $359.40 | $136.97 – $136.97 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $359.40 | $136.97 – $136.97 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $359.40 | $136.97 – $136.97 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $360.50 | $569.22 – $580.61 |
| Mercy Hospital Aurora | Aurora, MO | $362.05 | $614.98 – $614.98 |
| Washakie Medical Center | Worland, WY | $362.32 | $313.92 – $634.38 |
| Community Medical Center | Toms River, NJ | $362.95 | $670.04 – $7,757.00 |
| Jersey City Medical Center | Jersey City, NJ | $363.65 | $722.02 – $5,761.00 |
| Newark Beth Israel Medical Center | Newark, NJ | $364.52 | $687.85 – $6,387.00 |
| ST HELENA HOSPITAL | Vallejo, CA | $365.70 | $791.14 – $1,424.05 |
| OSF St Joseph Medical Center | Bloomington, IL | $368.40 | $638.18 – $650.95 |
| OSF St Mary Medical Center | Galesburg, IL | $369.00 | $638.18 – $650.95 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $370.82 | $687.85 – $8,203.00 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $371.20 | $580.00 – $580.00 |
| San Martin Hospital | Las Vegas, NV | $371.26 | $543.30 – $1,249.59 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $373.27 | $711.39 – $10,534.00 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $374.50 | $592.67 – $610.10 |
| Sentara RMH Medical Center | Harrisonburg, VA | $374.50 | $592.67 – $610.10 |
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