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 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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