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 |
|---|---|---|---|
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $58.50 | not published |
| Banner Page Hospital | Page, AZ | $58.64 | $30.00 – $102.60 |
| New Ulm Medical Center | MN 56073, MN | $58.80 | $41.89 – $137.97 |
| ST HELENA HOSPITAL | Vallejo, CA | $58.95 | $298.00 – $298.00 |
| HSHS St. Joseph's Hospital | Breese, IL | $59.04 | $82.00 – $82.00 |
| Mercy Hospital Berryville | Berryville, AR | $59.15 | $56.43 – $62.07 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $59.50 | not published |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $59.60 | $47.25 – $52.50 |
| Mercy Hospital Aurora | Aurora, MO | $59.80 | $5.20 – $86.90 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | $59.92 | $9.75 – $9.75 |
| Henry Ford Warren Hospital | Warren, MI | $59.92 | $9.75 – $107.00 |
| Marcum Wallace Hospital | Irvine, KY | $60.00 | not published |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $60.00 | $19.14 – $7,461.30 |
| Sanford Westbrook Hospital | Westbrook, MN | $60.00 | $18.16 – $67.50 |
| Sanford Tracy Hospital | Tracy, MN | $60.00 | $18.16 – $67.50 |
| Adventhealth Central Texas | Killeen, TX | $60.04 | $489.80 – $489.80 |
| The Unity Hospital of Rochester | Rochester, NY | $60.14 | not published |
| Adventhealth Ocala | Ocala, FL | $60.21 | not published |
| Mercy Hospital Watonga | Watonga, OK | $60.45 | $44.99 – $44.99 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $60.60 | $78.30 – $78.30 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $60.71 | $12.07 – $35.10 |
| Banner Del Webb Medical Center | Sun City West, AZ | $61.12 | $26.00 – $10,759.00 |
| Washakie Medical Center | Worland, WY | $61.66 | $45.60 – $92.15 |
| HSHS Holy Family Hospital | GREENVILLE, IL | $61.92 | not published |
| Jersey City Medical Center | Jersey City, NJ | $62.34 | $5,761.00 – $5,761.00 |
| Newark Beth Israel Medical Center | Newark, NJ | $62.49 | $6,387.00 – $6,387.00 |
| Aurora Medical Center Grafton | Grafton, WI | $62.50 | not published |
| Platte County Hospital | Wheatland, WY | $62.61 | $45.60 – $92.15 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $63.00 | not published |
| Henry Ford Providence Novi Hospital | Novi, MI | $63.84 | $60.77 – $75.03 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $63.99 | $10,534.00 – $10,534.00 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $64.00 | $27.48 – $72.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $64.00 | $27.48 – $72.00 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $64.23 | not published |
| HSHS St. Mary's Hospital | DECATUR, IL | $64.80 | $75.00 – $75.00 |
| MultiCare Capital Medical Center | Olympia, WA | $64.80 | $70.88 – $891.17 |
| Mercy Hospital Logan County | Guthrie, OK | $65.00 | $37.43 – $44.99 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $65.60 | $42.07 – $73.80 |
| Sanford Vermillion Hospital | Vermillion, SD | $65.60 | $24.19 – $73.80 |
| Monmouth Medical Center | Long Branch, NJ | $65.64 | $7,121.00 – $7,121.00 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $66.00 | $78.30 – $78.30 |
| Willard Hospital | Willard, OH | $66.00 | not published |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $66.24 | not published |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $66.60 | $78.30 – $78.30 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $66.67 | $30.75 – $208.67 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $66.68 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $66.72 | not published |
| Banner Lassen Medical Center | Susanville, CA | $66.74 | $44.28 – $104.76 |
| Adventhealth Durand | Durand, WI | $66.97 | not published |
| Allen Hospital | Oberlin, OH | $67.20 | not published |
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