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 |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $82.93 | $20.73 – $384.20 |
| St. Francis Hospital | Federal Way, WA | $83.47 | $63.12 – $168.00 |
| St Jude Medical Center | Fullerton, CA | $83.52 | not published |
| Virginia Mason Medical Center | Seattle, WA | $84.66 | $45.06 – $91.00 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $84.84 | $16.75 – $35.10 |
| OSF Saint Anthony Medical Center | Rockford, IL | $85.80 | not published |
| UPMC Altoona | Altoona, PA | $86.40 | $27.00 – $2,137.43 |
| Mansfield Hospital | Mansfield, OH | $86.45 | not published |
| Shelby Hospital | Shelby, OH | $86.45 | not published |
| Beckley ARH Hospital | Beckley, WV | $87.00 | not published |
| Hazard ARH Regional Medical Center | Hazard, KY | $87.00 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $87.36 | not published |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $87.84 | $122.00 – $122.00 |
| Providence Saint Joseph Medical Center | Burbank, CA | $87.85 | not published |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $87.96 | $61.50 – $9,927.00 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $88.00 | $48.79 – $99.00 |
| St. Joseph Medical Center | Tacoma, WA | $88.09 | $63.12 – $168.00 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $88.18 | $19.94 – $43.24 |
| Emory Decatur Hospital | Decatur, GA | $89.00 | not published |
| Emory Hospital Perry | Perry, GA | $89.00 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $89.00 | not published |
| Emory Hospital Warner Robins | Warner Robins, GA | $89.00 | not published |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $89.00 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $89.00 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $89.00 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $89.00 | not published |
| Emory University Hospital | Ne, GA | $89.00 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $89.00 | not published |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $89.11 | not published |
| Adventhealth South Overland Park | Overland Park, KS | $89.11 | not published |
| Adventhealth Ottawa | Ottawa, KS | $89.11 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $89.60 | $1.00 – $100.80 |
| Allina Health Faribault Medical Center | Faribualt, MN | $90.83 | $37.90 – $119.69 |
| Buffalo Hospital | Buffalo, MN | $90.83 | $37.90 – $119.69 |
| Cambridge Medical Center | Cambridge, MN | $90.83 | $37.90 – $119.69 |
| River Falls Area Hospital | River Falls, MN | $90.83 | $41.15 – $195.92 |
| Owatonna Hospital | Owatonna, MN | $90.83 | $37.90 – $119.69 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $91.20 | $78.30 – $78.30 |
| Abbott Northwestern Hospital | MN 55407, MN | $91.20 | $32.67 – $93.15 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $91.20 | $32.67 – $93.15 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $91.20 | $32.67 – $93.15 |
| Healdsburg Hospital | Healdsburg, CA | $91.80 | not published |
| Harlan ARH Hospital | KY 40831, KY | $91.80 | not published |
| Paintsville ARH Hospital | Paintsville, KY | $91.80 | not published |
| Providence Centralia Hospital | Centralia, WA | $92.56 | not published |
| Providence St Peter Hospital | Olympia, WA | $92.56 | not published |
| Lincoln Health | Damariscotta, ME | $93.90 | $35.68 – $88.27 |
| St. Elizabeth Hospital | Enumclaw, WA | $93.99 | $21.47 – $132.00 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $94.86 | $48.00 – $1,844.50 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $96.42 | $38.57 – $38.57 |
Related professional services procedures
- 3d bn img algor drvd fr MRI from $170.99
- Aco annual medicare visit (awv), initial g0438aco from $29.89
- Aco annual medicare visit (awv), subsq g0439aco from $23.59
- Aco depression screen annual medicare g0444aco from $3.15
- Administration vaccine hepatitis b from $4.34
- Administration vaccine influenza virus from $8.28