Observation per hour cost at US hospitals
HC Observation per Hour · HCPCS G0378
$10.81
lowest cash price
$82.50
national median
$821.60
highest cash price
680
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $10.81–$821.60 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($126.85) → Sep 1, 2026 ($327.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $53.34 | $151.32 | $188.76 |
| Arizona | 22 | $26.91 | $36.40 | $75.89 |
| Arkansas | 5 | $38.39 | $59.15 | $117.00 |
| California | 89 | $27.58 | $166.40 | $341.64 |
| Colorado | 10 | $48.93 | $202.00 | $202.00 |
| Florida | 72 | $39.73 | $121.07 | $821.60 |
| Georgia | 25 | $14.06 | $49.14 | $125.09 |
| Hawaii | 2 | $46.08 | $46.08 | $123.75 |
| Illinois | 44 | $19.75 | $118.30 | $785.60 |
| Indiana | 21 | $52.80 | $198.56 | $387.00 |
| Iowa | 25 | $12.96 | $72.80 | $235.30 |
| Kansas | 6 | $35.75 | $89.11 | $89.11 |
| Kentucky | 15 | $29.40 | $91.80 | $198.56 |
| Louisiana | 1 | $23.40 | $23.40 | $23.40 |
| Maine | 6 | $93.90 | $120.30 | $255.50 |
| Maryland | 2 | $144.00 | $144.00 | $144.00 |
| Michigan | 26 | $59.92 | $327.00 | $625.57 |
| Minnesota | 19 | $52.80 | $76.80 | $168.00 |
| Missouri | 11 | $52.65 | $59.80 | $74.10 |
| Montana | 2 | $46.40 | $46.40 | $76.80 |
| Nebraska | 10 | $21.00 | $21.00 | $53.01 |
| Nevada | 4 | $23.99 | $26.56 | $67.94 |
| New Hampshire | 1 | $126.85 | $126.85 | $126.85 |
| New Jersey | 17 | $38.70 | $62.49 | $281.55 |
| New Mexico | 2 | $40.74 | $40.74 | $40.74 |
| New York | 14 | $21.60 | $60.14 | $503.00 |
| North Carolina | 3 | $34.00 | $36.00 | $107.10 |
| North Dakota | 4 | $47.20 | $47.20 | $123.20 |
| Ohio | 39 | $43.55 | $293.00 | $695.20 |
| Oklahoma | 9 | $21.37 | $82.55 | $102.70 |
| Oregon | 11 | $71.74 | $74.25 | $160.50 |
| Pennsylvania | 24 | $32.40 | $176.40 | $793.20 |
| South Carolina | 12 | $31.00 | $49.00 | $136.50 |
| South Dakota | 7 | $56.00 | $65.60 | $89.60 |
| Tennessee | 25 | $10.81 | $11.10 | $365.67 |
| Texas | 91 | $20.58 | $75.00 | $644.35 |
| Virginia | 32 | $10.81 | $40.20 | $268.50 |
| Washington | 28 | $37.80 | $87.36 | $168.40 |
| West Virginia | 7 | $18.00 | $82.50 | $585.00 |
| Wisconsin | 18 | $32.50 | $62.50 | $182.82 |
| Wyoming | 4 | $41.58 | $61.66 | $111.34 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Dickenson Community Hospital | CLINTWOOD, VA | $10.81 | $47.00 – $47.00 |
| Hancock County Hospital | SNEEDVILLE, TN | $10.81 | $12.00 – $12.00 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $10.81 | $47.00 – $47.00 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $10.81 | $12.00 – $12.00 |
| Bristol Regional Medical Center | BRISTOL, TN | $11.10 | $12.00 – $12.00 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $11.10 | $17.00 – $17.00 |
| Greeneville Community Hospital | GREENEVILLE, TN | $11.10 | $12.00 – $12.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $11.10 | $12.00 – $12.00 |
| Holston Valley Medical Center | KINGSPORT, TN | $11.10 | $12.00 – $12.00 |
| Indian Path Community Hospital | KINGSPORT, TN | $11.10 | $12.00 – $12.00 |
| Johnson City Medical Center | JOHNSON CITY, TN | $11.10 | $12.00 – $12.00 |
| Johnston Memorial Hospital | ABINGDON, VA | $11.10 | $12.00 – $12.00 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $11.10 | $49.00 – $49.00 |
| Russell County Hospital | LEBANON, VA | $11.10 | $49.00 – $49.00 |
| Smyth County Community Hospital | MARION, VA | $11.10 | $49.00 – $49.00 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $11.10 | $12.00 – $12.00 |
| CHI Health Mercy Corning | Corning, IA | $12.96 | $11.61 – $26.46 |
| CHI Health Missouri Valley | Missouri Valley, IA | $13.23 | $9.45 – $26.46 |
| Wellstar Cobb Hospital | Austell, GA | $14.06 | not published |
| Wellstar Douglas Hospital | Douglasville, GA | $14.06 | not published |
| Wellstar Kennestone Hospital | Marietta, GA | $14.06 | not published |
| Wellstar MCG Health | Augusta, GA | $14.06 | not published |
| Wellstar North Fulton Hospital | Roswell, GA | $14.06 | not published |
| Wellstar Paulding Hospital | Hiram, GA | $14.06 | not published |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $14.06 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $14.06 | not published |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $14.06 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $14.06 | not published |
| Wellstar Windy Hill Hospital | Marietta, GA | $14.06 | not published |
| St Mary's Hospital | Richmond, VA | $14.40 | not published |
| St Francis Medical Center | Midlothian, VA | $14.40 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $14.40 | not published |
| Richmond Community Hospital | Richmond, VA | $14.40 | not published |
| Mary Immaculate Hospital | Newport News, VA | $15.00 | not published |
| Maryview Hospital | Portsmouth, VA | $15.00 | not published |
| Harbour View Medical Center | Suffolk, VA | $15.00 | not published |
| Claiborne Medical Center | Tazewell, TN | $15.12 | $24.30 – $2,322.00 |
| Rappahannock General Hospital | Kilmarnock, VA | $16.80 | not published |
| Braxton County Memorial Hospital | Gassaway, WV | $18.00 | not published |
| Southampton Medical Center | Franklin, VA | $19.20 | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $19.75 | not published |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $19.75 | not published |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $19.75 | not published |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $19.75 | not published |
| Covenant Hospital Levelland | Levelland, TX | $20.58 | $274.15 – $304.06 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $21.00 | $7.20 – $40.80 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $21.00 | $8.16 – $40.80 |
| Lasting Hope Recovery Center | Omaha, NE | $21.00 | $8.16 – $40.80 |
| CHI Health Immanuel | Omaha, NE | $21.00 | $6.72 – $40.80 |
| CHI Health Lakeside | Omaha, NE | $21.00 | $7.68 – $40.80 |
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