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 |
|---|---|---|---|
| Inova Fairfax Hospital | Falls Church, VA | $268.50 | $89.16 – $1,286.85 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $268.50 | $89.16 – $1,286.85 |
| Inova Loudoun Hospital | Leesburg, VA | $268.50 | $89.16 – $1,286.85 |
| Inova Mount Vernon Hospital | Alexandria, VA | $268.50 | $89.16 – $1,286.85 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $281.55 | $800.95 – $8,116.00 |
| OSF St Francis Hospital | Escanaba, MI | $284.80 | not published |
| Parkview Bryan Hospital | Bryan, OH | $293.00 | not published |
| Parkview Montpelier Hospital | Montpelier, OH | $293.00 | not published |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $295.71 | $15.75 – $527.96 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $327.00 | $75.03 – $75.03 |
| Corewell Health Taylor | Taylor, MI | $327.00 | not published |
| Corewell Health Trenton | Trenton, MI | $327.00 | not published |
| Corewell Health Troy | Troy, MI | $327.00 | $74.66 – $74.66 |
| Corewell Health Wayne | Wayne, MI | $327.00 | not published |
| St. John's Camarillo Hospital | Camarillo, CA | $328.07 | $34.56 – $3,227.50 |
| Northridge Hospital Medical Center | Northridge, CA | $328.11 | $25.00 – $3,380.00 |
| OSF Saint Anthony's Health Center | Alton, IL | $328.80 | not published |
| AdventHealth Orlando | Orlando, FL | $335.00 | not published |
| Reynolds Memorial Hospital | Glen Dale, WV | $336.00 | $57.00 – $1,074.19 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $341.64 | $298.00 – $491.70 |
| UPMC Horizon-Greenville | Greenville, PA | $355.80 | $31.88 – $1,074.19 |
| Ascension Saint Thomas Highlands | Sparta, TN | $365.67 | $114.00 – $114.00 |
| Ascension Saint Thomas River Park | McMinnville, TN | $365.67 | $114.00 – $114.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $365.67 | $114.00 – $114.00 |
| Ascension Saint Thomas Midtown | Nashville, TN | $365.67 | $114.00 – $114.00 |
| UPMC Cole | Coudersport, PA | $370.80 | $25.50 – $2,015.60 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $387.00 | not published |
| Parkview DeKalb Hospital | Auburn, IN | $387.00 | not published |
| Parkview Huntington Hospital | Huntington, IN | $387.00 | not published |
| Parkview LaGrange Hospital | Lagrange, IN | $387.00 | not published |
| Parkview Logansport Hospital | Logansport, IN | $387.00 | not published |
| Parkview Wabash Hospital | Wabash, IN | $387.00 | not published |
| Parkview Noble Hospital | Kendallville, IN | $387.00 | not published |
| Parkview Ortho Hospital | Fort Wayne, IN | $387.00 | not published |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $387.00 | not published |
| UPMC Northwest | Seneca, PA | $443.40 | $1,074.19 – $1,171.85 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $487.20 | $1,220.68 – $3,417.89 |
| Corewell Health Pennock | Hastings, MI | $489.00 | not published |
| Corewell Health Big Rapids | Big Rapids, MI | $489.00 | not published |
| Corewell Health Gerber | Fremont, MI | $489.00 | not published |
| Corewell Health Reed City | Po Box 75, MI | $489.00 | not published |
| Corewell Health Greenville | Greenville, MI | $489.00 | not published |
| Corewell Health Zeeland | Zeeland, MI | $489.00 | not published |
| NewYork-Presbyterian Queens | Flushing, NY | $503.00 | $39.00 – $68.34 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $504.00 | $68.33 – $68.33 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $504.00 | $68.33 – $68.33 |
| UPMC East | Monroeville, PA | $516.00 | $27.85 – $2,207.16 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $540.80 | $1,220.68 – $1,220.68 |
| UPMC Bedford | Everett, PA | $580.20 | $24.50 – $2,207.16 |
| Weirton Medical Center | Weirton, WV | $585.00 | $33.00 – $1,074.19 |
Related professional services procedures
- 3d bn img algor drvd fr MRI from $170.99
- Aco annual medicare visit (awv), initial g0438aco from $29.89
- Aco annual medicare visit (awv), subsq g0439aco from $23.59
- Aco depression screen annual medicare g0444aco from $3.15
- Administration vaccine hepatitis b from $4.34
- Administration vaccine influenza virus from $8.28