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 |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $75.00 | $237.90 – $237.90 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $75.00 | $237.90 – $237.90 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $75.07 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $75.15 | $41.75 – $41.75 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $75.15 | $41.75 – $41.75 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $75.25 | not published |
| Banner Gateway Medical Center | Gilbert, AZ | $75.89 | $26.00 – $10,759.00 |
| Sanford Worthington Medical Center | Worthington, MN | $76.00 | $1.00 – $85.50 |
| St. Clare Hospital | Lakewood, WA | $76.67 | $63.12 – $168.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $76.70 | $8.46 – $6,171.00 |
| Sanford Bagley Medical Center | Bagley, MN | $76.80 | $23.24 – $86.40 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $76.80 | not published |
| Whitesburg ARH Hospital | Whitesburg, KY | $76.80 | not published |
| Providence Saint John's Health Center | Santa Monica, CA | $77.35 | $44.70 – $44.70 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $77.50 | not published |
| Middlesboro ARH Hospital | Middlesboro, KY | $78.00 | not published |
| MercyOne New Hampton Medical Center | New Hampton, IA | $78.65 | $42.76 – $108.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $78.65 | $55.59 – $112.88 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $78.75 | not published |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $78.75 | not published |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $79.10 | not published |
| Riverside Methodist Hospital | Columbus, OH | $79.30 | not published |
| Dublin Methodist Hospital | Dublin, OH | $79.30 | not published |
| Grant Medical Center | Columbus, OH | $79.30 | not published |
| Doctors Hospital | Columbus, OH | $79.30 | not published |
| Morrow County Hospital | Mount Gilead, OH | $79.69 | $220.00 – $363.00 |
| O'Bleness Hospital | Athens, OH | $79.95 | not published |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $80.73 | $28.03 – $44.85 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $80.73 | $14.78 – $23.65 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $80.73 | $28.03 – $44.85 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $80.73 | $44.85 – $44.85 |
| Mercy General Hospital | Sacramento, CA | $80.88 | $49.00 – $296.80 |
| St. Anthony Hospital | Gig Harbor, WA | $80.90 | $63.12 – $168.00 |
| St. Anne Hospital | Burien, WA | $81.22 | $54.29 – $165.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $81.55 | not published |
| SIERRA VISTA HOSPITAL, INC. | San Luis Obispo, CA | $81.63 | $306.00 – $397.80 |
| Aurora Medical Center Bay Area | Marinette, WI | $82.50 | not published |
| United Hospital Center | Bridgeport, WV | $82.50 | not published |
| Advocate Christ Medical Center | Oak Lawn, IL | $82.50 | $51.22 – $11,037.00 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $82.50 | $53.19 – $11,037.00 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $82.55 | $44.99 – $44.99 |
| Mercy Hospital Healdton | Healdton, OK | $82.55 | $44.99 – $44.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $82.93 | $17.07 – $124.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $82.93 | $16.59 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $82.93 | $26.62 – $469.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $82.93 | $42.85 – $124.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $82.93 | $16.59 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $82.93 | $15.20 – $384.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $82.93 | $27.64 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $82.93 | $26.26 – $110.58 |
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