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 |
|---|---|---|---|
| Providence Kodiak Island Medical Center | Kodiak, AK | $188.76 | not published |
| St. Mary Medical Center | Long Beach, CA | $196.94 | $42.75 – $1,424.00 |
| Baptist Health Floyd | New Albany, IN | $198.56 | $264.74 – $397.11 |
| Baptist Health Hardin | Elizabethtown, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Corbin | Corbin, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health La Grange | La Grange, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Lexington | Lexington, KY | $198.56 | $264.74 – $538.22 |
| Baptist Health Louisville | Louisville, KY | $198.56 | $264.74 – $529.48 |
| Baptist Health Paducah | Paducah, KY | $198.56 | $264.74 – $529.48 |
| Arroyo Grande Hospital | Santa Maria, CA | $198.60 | $63.00 – $257.00 |
| Urbana Hospital | Urbana, OH | $198.60 | not published |
| AdventHealth Parker | Parker, CO | $202.00 | not published |
| AdventHealth Littleton | Littleton, CO | $202.00 | not published |
| AdventHealth Castle Rock | Castle Rock, CO | $202.00 | not published |
| AdventHealth Avista | Louisville, CO | $202.00 | not published |
| AdventHealth Porter | Denver, CO | $202.00 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $210.96 | $118.00 – $118.00 |
| UPMC Wellsboro | Wellsboro, PA | $213.60 | $1,074.19 – $1,088.84 |
| Southern Virginia Medical Center | Emporia, VA | $222.00 | not published |
| California Hospital Medical Center | Los Angeles, CA | $223.10 | $35.50 – $1,424.00 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $230.10 | $168.00 – $294.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $232.63 | $71.76 – $293.02 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $232.80 | $78.30 – $78.30 |
| MercyOne North Iowa Medical Center | Mason City, IA | $235.30 | $32.00 – $6,683.00 |
| OSF Holy Family Medical Center | Monmouth, IL | $248.80 | not published |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $249.56 | $308.00 – $348.96 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $251.20 | $3,417.89 – $3,417.89 |
| Redwood City Medical Center | Redwood City, CA | $255.36 | not published |
| Oakland Medical Center | Oakland, CA | $255.36 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $255.36 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $255.36 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $255.36 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $255.36 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $255.36 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $255.36 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $255.36 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $255.36 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $255.36 | not published |
| Vallejo Medical Center | VALLEJO, CA | $255.36 | not published |
| Antioch Medical Center | ANTIOCH, CA | $255.36 | not published |
| Fremont Medical Center | FREMONT, CA | $255.36 | not published |
| Fresno Medical Center | FRESNO, CA | $255.36 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $255.36 | not published |
| San Jose Medical Center | SAN JOSE, CA | $255.36 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $255.36 | not published |
| Pen Bay Medical Center | Rockport, ME | $255.50 | $87.15 – $103.82 |
| Mid Coast Hospital | Brunswick, ME | $255.50 | $180.38 – $241.19 |
| Sequoia Hospital | Redwood City, CA | $261.36 | $52.00 – $604.31 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $261.60 | not published |
| Inova Alexandria Hospital | Alexandria, VA | $268.50 | $89.16 – $1,286.85 |
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