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.

Cheapest published cash price

$10.81

Dickenson Community Hospital — CLINTWOOD, VA

Most expensive published cash price

$821.60

martin north hospital — Stuart, FL

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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