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 Deland | Deland, FL | $67.45 | not published |
| Banner Churchill Community Hospital | Fallon, NV | $67.94 | $28.08 – $103.68 |
| Sanford Luverne Medical Center | Luverne, MN | $68.00 | $20.58 – $76.50 |
| Henry Ford River District Hospital | China Township, MI | $69.44 | $9.75 – $124.00 |
| Henry Ford St John Hospital | Detroit, MI | $70.00 | $4.00 – $60.77 |
| Aurora West Allis Medical Center | West Allis, WI | $70.00 | not published |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $70.20 | $78.30 – $78.30 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $70.20 | $9.64 – $5,037.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $70.20 | $40.82 – $121.56 |
| WILLITS HOSPITAL INC | Willits, CA | $70.20 | $234.00 – $234.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $70.22 | $16.76 – $3,642.00 |
| Sanford Canby Medical Center | Canby, MN | $70.40 | $21.30 – $79.20 |
| Community Hospital San Bernardino | San Bernardino, CA | $70.78 | $64.00 – $141.00 |
| Providence St Joseph Hospital Orange | Orange, CA | $71.04 | not published |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $71.31 | $6,483.00 – $6,483.00 |
| Marion General Hospital | Marion, OH | $71.50 | not published |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $71.74 | $161.42 – $476.52 |
| Banner Heart Hospital | Mesa, AZ | $72.00 | $30.00 – $10,759.00 |
| Mercy Hospital Lincoln | Troy, MO | $72.15 | $79.00 – $86.90 |
| Chandler Regional Medical Center | Chandler, AZ | $72.63 | $30.75 – $227.64 |
| Sanford Sheldon Medical Center | Sheldon, IA | $72.80 | $25.94 – $81.90 |
| Providence St Mary Medical Center | Walla Walla, WA | $72.80 | not published |
| Providence Holy Family Hospital | Spokane, WA | $73.50 | not published |
| Adventhealth Dade City | Dade City, FL | $73.65 | not published |
| Mercy Hospital Carthage | Carthage, MO | $74.10 | $5.20 – $86.90 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $74.10 | $5.20 – $95.93 |
| Providence Newberg Medical Center | Newberg, OR | $74.25 | not published |
| Providence Portland Medical Center | Portland, OR | $74.25 | not published |
| Providence St Vincent Medical Center | Portland, OR | $74.25 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $74.25 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $74.25 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $74.25 | not published |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $74.40 | $78.30 – $78.30 |
| Sanford Fargo Medical Center | Fargo, ND | $74.40 | $1.00 – $83.70 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $75.00 | $237.90 – $237.90 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $75.00 | $186.63 – $186.63 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Hospital Frisco | Frisco, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $75.00 | $186.63 – $186.63 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $75.00 | $237.90 – $237.90 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Hospital Rockwall | Rockwall, TX | $75.00 | $186.63 – $186.63 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $75.00 | $186.63 – $186.63 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $75.00 | $172.76 – $172.76 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $75.00 | $172.76 – $172.76 |
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