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
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

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