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
Sentara Virginia Beach General Hospital Virginia Beach, VA $49.00 not published
Sentara Princess Anne Hospital Virginia Beach, VA $49.00 not published
Sentara Obici Hospital Suffolk, VA $49.00 not published
Sentara CarePlex Hospital Hampton, VA $49.00 not published
Sentara Northern Virginia Medical Center Woodbridge, VA $49.00 not published
Sentara Norfolk General Hospital Norfolk, VA $49.00 not published
MUSC Health Chester Medical Center Chester, SC $49.00 not published
MUSC Health Florence Medical Center Florence, SC $49.00 not published
MUSC Health Lancaster Medical Center Lancaster, SC $49.00 not published
CHI Memorial Hospital - Georgia Ringgold, GA $49.14 $24.90 – $3,642.00
CHI Memorial Hospital Hixson Hixson, TN $49.14 $16.76 – $3,642.00
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $49.17 $250.00 – $8,271.00
Aurora Medical Center Washington County Hartford, WI $50.00 not published
Sentara Martha Jefferson Hospital Charlottesville, VA $50.00 not published
Sentara RMH Medical Center Harrisonburg, VA $50.00 not published
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $50.37 $19.90 – $45.83
Hardin Memorial Hospital Kenton, OH $51.35 not published
Banner Payson Medical Center Payson, AZ $51.84 $30.00 – $97.20
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $52.36 $205.00 – $338.25
Banner Fort Collins Medical Center Fort Collins, CO $52.52 $61.50 – $9,927.00
Mercy Hospital Stoddard Dexter, MO $52.65 $56.43 – $84.65
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN $52.80 $78.30 – $78.30
Sanford Wheaton Wheaton, MN $52.80 $15.98 – $59.40
St. Joseph Health Grimes Hospital Navasota, TX $52.85 $109.51 – $335.22
St. Joseph Health Burleson Hospital Caldwell, TX $52.85 $66.44 – $271.80
St. Joseph Health Madison Hospital Madisonville, TX $52.85 $38.48 – $271.80
St. Joseph Health College Station Hospital College Station, TX $52.85 $24.16 – $256.70
Ogallala Community Hospital Ogallala, NE $53.01 $41.80 – $92.15
St Elias Specialty Hospital Anchorage, AK $53.34 $34.85 – $433.82
CHRISTUS Health - West Beaumont Beaumont, TX $53.79 $174.00 – $177.00
St. Joseph’s Hospital and Medical Center Phoenix, AZ $53.87 $25.08 – $104.28
Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) Anderson, IN $54.00 $78.30 – $78.30
MUSC Health Main Campus - Charleston Charleston, SC $54.50 not published
MUSC Health Orangeburg Medical Center Orangeburg, SC $54.50 not published
Banner Boswell Medical Center Sun City, AZ $54.91 $26.00 – $10,759.00
Aurora Baycare Medical Center Green Bay, WI $55.00 not published
Aurora Medical Center Burlington Burlington, WI $55.00 not published
Mercy Hospital Southeast Cape Girardeau, MO $55.25 $56.43 – $101.57
Adventhealth Fish Memorial Orange City, FL $55.53 not published
Sanford Chamberlain Medical Center Chamberlain, SD $56.00 $23.94 – $63.00
HSHS St. Joseph's Hospital HIGHLAND, IL $56.16 $78.00 – $78.00
Sanford Hospital Webster Webster, SD $56.80 $22.29 – $63.90
Banner University Medical Center Phoenix Phoenix, AZ $57.24 $26.00 – $10,759.00
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $57.40 not published
Sanford Canton Inwood Medical Center Canton, SD $57.60 $24.62 – $64.80
Grady Memorial Hospital Delaware, OH $57.85 not published
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $58.05 $56.00 – $164.36
Banner Estrella Medical Center Phoenix, AZ $58.27 $26.00 – $10,759.00
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $58.38 $366.00 – $475.80
Adventhealth Palm Coast Palm Coast, FL $58.50 not published

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