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 |
|---|---|---|---|
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $115.80 | $78.30 – $78.30 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $117.00 | $29.06 – $1,906.00 |
| St. Michael Medical Center | Silverdale, WA | $117.39 | $79.54 – $132.00 |
| Northwestern Memorial Hospital | Chicago, IL | $118.30 | not published |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $120.00 | $57.13 – $11,037.00 |
| Franklin Memorial Hospital | Farmington, ME | $120.30 | $36.09 – $113.08 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $120.84 | $52.00 – $155.80 |
| Adventhealth Tampa | Tampa, FL | $121.07 | not published |
| Adventhealth Riverview | Riverview, FL | $121.07 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $121.07 | not published |
| Adventhealth Zephyrhills | Zephyrhills, FL | $121.07 | not published |
| Adventhealth Carrollwood | Tampa, FL | $121.07 | not published |
| Covenant Medical Center | Lubbock, TX | $121.38 | $34.85 – $433.82 |
| Covenant Specialty Hospital | Lubbock, TX | $121.38 | not published |
| Redwood Memorial Hospital | Fortuna, CA | $122.91 | not published |
| Sanford Medical Center Bismarck | Bismarck, ND | $123.20 | $29.49 – $83.70 |
| Moanalua Medical Center | HONOLULU, HI | $123.75 | not published |
| Kadlec Regional Medical Center | Richland, WA | $124.60 | not published |
| Advocate South Suburban Hospital | Hazel Crest, IL | $125.00 | $65.01 – $11,037.00 |
| Advocate Trinity Hospital | Chicago, IL | $125.00 | $65.01 – $11,037.00 |
| Adventhealth Murray | Po Box 1406, GA | $125.09 | not published |
| Adventhealth Gordon | Calhoun, GA | $125.09 | not published |
| MaineHealth - Memorial Hospital | North Conway, NH | $126.85 | $30.63 – $84.69 |
| Baptist Hospital | MIAMI, FL | $128.70 | $34.25 – $178.20 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $128.70 | $53.46 – $198.00 |
| Doctors Hospital | CORAL GABLES, FL | $128.70 | $34.65 – $178.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $128.70 | $34.45 – $178.20 |
| Fishermens Community Hospital | MARATHON, FL | $128.70 | $33.07 – $178.20 |
| Homestead Hospital | HOMESTEAD, FL | $128.70 | $33.66 – $178.20 |
| West Kendall Baptist Hospital | MIAMI, FL | $128.70 | $33.86 – $178.20 |
| Mariners Hospital | TAVERNIER, FL | $128.70 | $34.25 – $178.20 |
| Providence Seaside Hospital | Seaside, OR | $129.00 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $129.48 | $59.50 – $1,374.00 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $129.60 | $128.00 – $128.00 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $130.05 | not published |
| MercyOne Clinton Medical Center | Clinton, IA | $133.90 | $30.00 – $3,077.00 |
| Stephens Memorial Hospital | Norway, ME | $134.15 | $52.32 – $127.44 |
| Prisma Health Greer Memorial Hospital | GREER, SC | $136.50 | $4.47 – $332.27 |
| Advocate Condell Medical Center | Libertyville, IL | $137.50 | $53.19 – $8,058.00 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $138.00 | $78.30 – $78.30 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $139.30 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $139.30 | not published |
| Advocate Sherman Hospital | Elgin, IL | $140.00 | $50.49 – $7,395.00 |
| Mercy Medical Center Redding | Redding, CA | $140.44 | $63.00 – $271.46 |
| Petaluma Valley Hospital | Petaluma, CA | $141.27 | not published |
| Providence St Joseph Hospital Eureka | Eureka, CA | $141.27 | not published |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $142.20 | not published |
| OSF Saint Francis Medical Center | Peoria, IL | $142.80 | not published |
| Providence Seward Hospital | Seward, AK | $143.52 | not published |
| UPMC Western Maryland | Cumberland, MD | $144.00 | $1.00 – $1.00 |
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