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 |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield, CA | $144.24 | $25.00 – $1,298.00 |
| UnityPoint Health - Meriter Hospital | Madison, WI | $144.27 | $29.38 – $153.28 |
| Mercy Hospital of Folsom | Folsom, CA | $144.32 | $38.00 – $304.22 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | $145.00 | $99.00 – $104.21 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $147.15 | $59.00 – $264.60 |
| MercyOne Centerville Medical Center | Centerville, IA | $150.00 | $29.64 – $108.00 |
| Providence Alaska Medical Center | Anchorage, AK | $151.32 | $241.08 – $241.08 |
| Providence Valdez Medical Center | Valdez, AK | $152.88 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $155.40 | $4.39 – $90.00 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $156.98 | $23.65 – $23.65 |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $157.20 | not published |
| Providence Medford Medical Center | Medford, OR | $160.50 | not published |
| OSF St Joseph Medical Center | Bloomington, IL | $160.80 | not published |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $165.20 | $5.88 – $98.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $166.40 | not published |
| Downey Medical Center | Downey, CA | $166.40 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $166.40 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $166.40 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $166.40 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $166.40 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $166.40 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $166.40 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $166.40 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $166.40 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $166.40 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $166.40 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $166.40 | not published |
| St. Bernardine Medical Center | San Bernardino, CA | $166.84 | $59.66 – $128.74 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $167.50 | $55.16 – $11,037.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | $168.00 | $1.02 – $86.40 |
| MultiCare Auburn Medical Center | Auburn, WA | $168.40 | $78.09 – $603.69 |
| MultiCare Covington Medical Center | Covington, WA | $168.40 | $78.09 – $603.69 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $168.40 | $78.09 – $617.65 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $168.40 | $78.09 – $2,020.91 |
| MultiCare Allenmore Hospital | Tacoma, WA | $168.40 | $78.09 – $617.89 |
| Mark Twain Medical Center | San Andreas, CA | $168.50 | $65.46 – $247.94 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $173.60 | $109.44 – $2,600.00 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $173.60 | $1,500.00 – $2,600.00 |
| UPMC Muncy | Muncy, PA | $176.40 | $1,074.19 – $1,088.84 |
| UPMC Williamsport | Williamsport, PA | $176.40 | $1,074.19 – $1,372.04 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $177.54 | $52.00 – $154.00 |
| French Hospital | San Luis Obispo, CA | $178.36 | $59.13 – $214.62 |
| Queen of The Valley Medical Center | Napa, CA | $181.05 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $182.82 | not published |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $182.82 | not published |
| HSHS St. Vincent Hospital | Green Bay, WI | $182.82 | not published |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $182.82 | not published |
| Mercy Medical Center Merced | Merced, CA | $184.89 | $25.00 – $167.32 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $187.13 | $44.25 – $1,424.00 |
| Dominican Hospital | Santa Cruz, CA | $187.20 | $55.00 – $353.60 |
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