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 |
|---|---|---|---|
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $406.70 | not published |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $409.45 | $32.74 – $613.10 |
| Siena Hospital | Henderson, NV | $411.10 | $543.30 – $1,249.59 |
| Mercy Hospital of Folsom | Folsom, CA | $411.96 | $38.00 – $868.38 |
| Beckley ARH Hospital | Beckley, WV | $413.40 | $528.68 – $2,643.02 |
| Whitesburg ARH Hospital | Whitesburg, KY | $413.40 | $325.55 – $325.55 |
| Harlan ARH Hospital | KY 40831, KY | $413.40 | $563.07 – $563.07 |
| Middlesboro ARH Hospital | Middlesboro, KY | $413.40 | $420.26 – $420.26 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $413.40 | $354.47 – $354.47 |
| Hazard ARH Regional Medical Center | Hazard, KY | $413.40 | $498.26 – $498.26 |
| Paintsville ARH Hospital | Paintsville, KY | $413.40 | $385.97 – $385.97 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $415.97 | $670.04 – $6,483.00 |
| UPMC Community Osteopathic | Harrisburg, PA | $420.00 | $169.40 – $3,000.00 |
| UPMC Hanover | Hanover, PA | $420.00 | $579.83 – $937.10 |
| UPMC Lititz | Lititz, PA | $420.00 | $582.97 – $942.18 |
| UPMC Memorial | York, PA | $420.00 | $613.18 – $1,947.36 |
| UPMC Somerset | Somerset, PA | $420.00 | $50.26 – $631.22 |
| UPMC Carlisle | Carlisle, PA | $420.00 | $95.90 – $2,064.00 |
| Mercy Medical Center Redding | Redding, CA | $420.81 | $63.00 – $813.40 |
| Mercy Hospital Carthage | Carthage, MO | $421.85 | $614.98 – $614.98 |
| Maryview Hospital | Portsmouth, VA | $424.80 | not published |
| Harbour View Medical Center | Suffolk, VA | $424.80 | not published |
| Banner University Medical Center Tucson | Tucson, AZ | $426.41 | $30.00 – $1,078.19 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $428.00 | $551.57 – $1,228.75 |
| Camden Clark Medical Center | Parkersburg, WV | $428.50 | $571.27 – $999.72 |
| East Morgan County Hospital | Brush, CO | $430.99 | $275.60 – $634.38 |
| MercyOne Clinton Medical Center | Clinton, IA | $432.90 | $188.48 – $3,077.00 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $436.00 | $279.59 – $490.50 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $437.80 | $596.49 – $715.79 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $437.80 | $596.49 – $715.79 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $437.80 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $437.80 | $596.49 – $715.79 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $437.80 | $596.49 – $715.79 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $437.80 | $596.49 – $715.79 |
| Adventhealth Hendersonville | Hendersonville, NC | $439.00 | $569.22 – $1,421.35 |
| Lourdes Hospital | Paducah, KY | $439.20 | not published |
| Providence Saint Joseph Medical Center | Burbank, CA | $440.65 | $765.95 – $1,417.01 |
| Banner Page Hospital | Page, AZ | $441.55 | $30.00 – $621.30 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $444.60 | $1,064.75 – $1,064.75 |
| Mercy Hospital Healdton | Healdton, OK | $444.60 | $1,064.75 – $1,064.75 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $447.99 | $59.00 – $805.67 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $449.76 | $651.06 – $1,417.01 |
| Providence St Joseph Medical Center | Polson, MT | $450.40 | $1,788.50 – $1,788.50 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $451.55 | $433.84 – $578.46 |
| Baptist Hospital | MIAMI, FL | $452.40 | $120.41 – $626.40 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $452.40 | $187.92 – $696.00 |
| Doctors Hospital | CORAL GABLES, FL | $452.40 | $121.80 – $626.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $452.40 | $121.10 – $626.40 |
| Fishermens Community Hospital | MARATHON, FL | $452.40 | $116.23 – $626.40 |
| Homestead Hospital | HOMESTEAD, FL | $452.40 | $118.32 – $626.40 |
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