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 |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $36.00 | not published |
| Banner Ocotillo Medical Center | Chandler, AZ | $36.40 | $26.00 – $10,759.00 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $37.50 | not published |
| Providence St Joseph Hospital | Chewelah, WA | $37.80 | not published |
| CHI St. Vincent North | Sherwood, AR | $38.39 | $29.06 – $2,088.00 |
| CHI St. Vincent Morrilton | Morrilton, AR | $38.46 | $29.06 – $44.40 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $38.70 | $5,064.00 – $5,064.00 |
| Adventhealth Wauchula | Wauchula, FL | $39.73 | not published |
| Southside Regional Medical Center | Petersburg, VA | $40.20 | not published |
| Adventhealth Waterman | Tavares, FL | $40.60 | not published |
| Covenant Health Hobbs Hospital | Hobbs, NM | $40.74 | not published |
| Banner Wyoming Medical Center | Casper, WY | $41.58 | $26.73 – $96.03 |
| Adventhealth Sebring | Sebring, FL | $41.71 | not published |
| UPMC Jameson | New Castle, PA | $42.00 | $26.56 – $60.88 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $42.00 | $179.00 – $179.00 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $42.00 | not published |
| Houston Methodist West Hospital | Houston, TX | $42.00 | not published |
| Houston Methodist Baytown Hospital | Baytown, TX | $42.00 | not published |
| Houston Methodist Willowbrook Hospital | Houston, TX | $42.00 | not published |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $42.00 | not published |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $42.00 | not published |
| Houston Methodist Continuing Care Hospital | Katy, TX | $42.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $42.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $42.50 | not published |
| Houston Methodist Hospital | Houston, TX | $42.50 | not published |
| Berger Hospital | Circleville, OH | $43.55 | $158.29 – $158.29 |
| Jefferson Medical Center | Ranson, WV | $44.00 | not published |
| Southeastern Medical Center | Cambridge, OH | $44.20 | not published |
| Adventhealth Manchester | Manchester, KY | $44.36 | not published |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $44.80 | $20.78 – $36.23 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $44.80 | $19.60 – $44.69 |
| Aurora Medical Center Kenosha | Kenosha, WI | $45.00 | not published |
| Aurora Medical Center Summit | Summit, WI | $45.00 | not published |
| MultiCare Valley Hospital | Spokane Valley, WA | $45.20 | $546.48 – $578.62 |
| MultiCare Deaconess Hospital | Spokane, WA | $45.20 | $550.38 – $582.76 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $45.60 | $10.35 – $7,461.30 |
| CASTLE MEDICAL CENTER | Kailua, HI | $46.08 | $87.00 – $639.00 |
| Van Wert Hospital | Van Wert, OH | $46.15 | not published |
| Providence St Joseph Medical Center | Polson, MT | $46.40 | not published |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $46.55 | $54.00 – $191.52 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $46.55 | $54.00 – $148.20 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $46.55 | $54.00 – $149.34 |
| CHI Health Good Samaritan | Kearney, NE | $46.97 | $16.17 – $71.61 |
| Adventhealth Redmond | Rome, GA | $47.12 | not published |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $47.20 | $14.28 – $53.10 |
| Sanford Medical Center Mayville | Mayville, ND | $47.20 | $14.28 – $53.10 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $48.75 | $44.99 – $44.99 |
| Sterling Regional Medical Center | Sterling, CO | $48.93 | $26.50 – $92.15 |
| Sentara Halifax Regional Hospital | South Boston, VA | $49.00 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $49.00 | not published |
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