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 |
|---|---|---|---|
| CHI Health Midlands | Papillion, NE | $21.00 | $8.64 – $40.80 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $21.37 | $55.40 – $55.40 |
| UPMC Chautauqua | Jamestown, NY | $21.60 | $21.60 – $2,207.16 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $21.70 | $4.96 – $90.90 |
| Baylor St Luke's Medical Center | Houston, TX | $21.70 | $6.82 – $90.90 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $21.70 | $4.96 – $90.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $21.70 | $6.20 – $90.90 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $21.70 | $4.96 – $90.90 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $23.40 | $50.61 – $50.61 |
| CHI Health Plainview | Plainview, NE | $23.52 | $16.47 – $36.57 |
| CHI Health Schuyler | Schuyler, NE | $23.80 | $5.79 – $30.57 |
| San Martin Hospital | Las Vegas, NV | $23.99 | $10.42 – $80.73 |
| Siena Hospital | Henderson, NV | $26.56 | $10.42 – $80.73 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $26.91 | $26.00 – $10,541.00 |
| Banner University Medical Center South | Tucson, AZ | $27.43 | $26.00 – $10,636.00 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $27.56 | $26.00 – $10,759.00 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $27.58 | $394.00 – $563.03 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $27.99 | $10.03 – $24.50 |
| Banner Baywood Medical Center | Mesa, AZ | $28.99 | $26.00 – $10,759.00 |
| Lourdes Hospital | Paducah, KY | $29.40 | not published |
| Potomac Valley Hospital | Keyser, WV | $29.50 | not published |
| Ascension Providence | Waco, TX | $29.97 | $14.39 – $14.39 |
| CHI Health St. Elizabeth | Lincoln, NE | $30.00 | $13.80 – $48.00 |
| Arizona General Hospital Laveen | Phoenix, AZ | $30.23 | $30.75 – $107.85 |
| Methodist Charlton Medical Center | Dallas, TX | $30.50 | $166.02 – $166.02 |
| Methodist Dallas Medical Center | Dallas, TX | $30.50 | $166.02 – $166.02 |
| Methodist Mansfield Medical Center | Mansfield, TX | $30.50 | $166.02 – $166.02 |
| Methodist Richardson Medical Center | Richardson, TX | $30.50 | $216.33 – $216.33 |
| Methodist Celina Medical Center | Celina, TX | $30.50 | $392.42 – $392.42 |
| Methodist Southlake Medical Center | Souhtlake, TX | $30.50 | $166.02 – $166.02 |
| Covenant Hospital Plainview | Plainview, TX | $30.66 | $268.43 – $274.15 |
| MUSC Health Black River Medical Center | Cades, SC | $31.00 | not published |
| MUSC Health Kershaw Medical Center | Camden, SC | $31.00 | not published |
| Banner University Medical Center Tucson | Tucson, AZ | $31.85 | $26.00 – $10,636.00 |
| ADVENTIST HEALTH DELANO | Delano, CA | $32.00 | $54.00 – $190.56 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $32.24 | $26.00 – $10,759.00 |
| UPMC Kane | Kane, PA | $32.40 | $26.56 – $1,074.19 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $32.50 | not published |
| Arizona General Hospital Mesa | Mesa, AZ | $32.61 | $30.75 – $107.85 |
| Banner Thunderbird Medical Center | Glendale, AZ | $32.76 | $26.00 – $10,759.00 |
| Rose de Lima Hospital | Henderson, NV | $33.47 | $10.42 – $80.73 |
| Adventhealth Hendersonville | Hendersonville, NC | $34.00 | not published |
| Banner Desert Medical Center | Mesa, AZ | $34.32 | $26.00 – $10,759.00 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $34.50 | $186.63 – $186.63 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $34.54 | $19.65 – $131.00 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $34.54 | $19.65 – $131.00 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $34.54 | $23.58 – $136.24 |
| St Francis Downtown | Greenville, SC | $35.40 | not published |
| St Francis Eastside | Greenville, SC | $35.40 | not published |
| Mercy Hospital Pittsburg | Pittsburg, KS | $35.75 | $1.18 – $59.25 |
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