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 |
|---|---|---|---|
| OSF St Mary Medical Center | Galesburg, IL | $604.80 | not published |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $622.80 | not published |
| Henry Ford Rochester Hospital | Rochester, MI | $625.57 | $68.57 – $73.57 |
| OSF Saint Paul Medical Center | Mendota, IL | $625.60 | not published |
| Adventhealth Rollins Brook | Lampasas, TX | $644.35 | $489.80 – $489.80 |
| UPMC McKeesport | Mckeesport, PA | $652.80 | $31.88 – $1,074.19 |
| cleveland clinic main campus | Cleveland, OH | $657.15 | $8.28 – $242.00 |
| akron general | Akron, OH | $657.15 | $12.35 – $242.00 |
| avon hospital | Avon, OH | $657.15 | $9.37 – $5,638.00 |
| euclid hospital | Euclid, OH | $657.15 | $9.37 – $5,638.00 |
| fairview hospital | Cleveland, OH | $657.15 | $8.55 – $242.00 |
| lutheran hospital | Cleveland, OH | $657.15 | $9.37 – $5,638.00 |
| hillcrest hospital | Mayfield Heights, OH | $657.15 | $8.55 – $242.00 |
| lodi hospital | Lodi, OH | $657.15 | $22.34 – $242.00 |
| marymount hospital | Garfield Heights, OH | $657.15 | $9.37 – $5,638.00 |
| medina hospital | Medina, OH | $657.15 | $7.97 – $5,638.00 |
| mercy hospital | Canton, OH | $657.15 | $11.99 – $5,638.00 |
| south pointe hospital | Warrensville Heights, OH | $657.15 | $9.37 – $5,638.00 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $695.20 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $695.20 | not published |
| Kettering Health Dayton (Grandview) | Dayton, OH | $695.20 | not published |
| Soin Medical Center | Beaver Creek, OH | $695.20 | not published |
| Kettering Health Greene Memorial | Xenia, OH | $695.20 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $695.20 | not published |
| Kettering Health Troy | Troy, OH | $695.20 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $785.60 | not published |
| UPMC Passavant-McCandless | Pittsburgh, PA | $793.20 | $27.85 – $1,074.19 |
| cleveland clinic florida weston hospital | Weston, FL | $821.60 | $18.65 – $3,933.00 |
| indian river hospital | Vero Beach, FL | $821.60 | $38.78 – $4,606.00 |
| martin north hospital | Stuart, FL | $821.60 | $34.32 – $5,300.00 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $5.30 – $5.41 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $5.30 – $5.41 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $5.20 – $59.25 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $5.20 – $59.25 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $5.30 – $5.41 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $5.30 – $5.41 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $5.30 – $5.41 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $107.66 – $109.93 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $107.66 – $109.93 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $93.41 – $98.33 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $99.42 – $101.51 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $109.93 – $109.93 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $98.09 – $100.15 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $99.00 – $104.21 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $99.42 – $101.51 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $99.42 – $101.51 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $102.05 – $104.20 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $99.42 – $101.51 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $99.42 – $101.51 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $92.16 – $97.01 |
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