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 |
|---|---|---|---|
| MercyOne Oelwein Medical Center | Oelwein, IA | $97.50 | $41.28 – $108.00 |
| MercyOne Newton Medical Center | Newton, IA | $97.50 | $70.20 – $108.00 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $97.68 | $148.00 – $444.00 |
| Sunnyside Medical Center | CLACKAMAS, OR | $99.45 | not published |
| Westside Medical Center | HILLSBORO, OR | $99.45 | not published |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $100.10 | $29.47 – $38.57 |
| Texas Health Hospital Mansfield | Mansfield, TX | $100.44 | $347.06 – $347.06 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $100.44 | $347.06 – $347.06 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $100.80 | $12.20 – $35.10 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $100.80 | $12.20 – $7,845.34 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $100.80 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $101.52 | $376.00 – $461.35 |
| Woodland Memorial Hospital | Woodland, CA | $101.66 | $40.81 – $371.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $101.66 | $38.00 – $307.93 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $102.24 | not published |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $102.24 | not published |
| Swedish Issaquah | Issaquah, WA | $102.24 | not published |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $102.70 | $44.99 – $44.99 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $103.35 | $38.57 – $56.43 |
| East Morgan County Hospital | Brush, CO | $103.36 | $40.03 – $92.15 |
| Adventhealth Lake Wales | Lake Wales, FL | $103.44 | not published |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $105.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $105.00 | $67.23 – $67.23 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $105.69 | not published |
| Waldo County General Hospital | Belfast, ME | $106.20 | $42.66 – $100.04 |
| Methodist Hospital of Sacramento | Sacramento, CA | $106.85 | $38.00 – $307.93 |
| AdventHealth Polk | Columbus, NC | $107.10 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $107.81 | $30.55 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $107.81 | $28.75 – $297.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $107.81 | $28.75 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $107.81 | $26.95 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $107.81 | $19.77 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $107.81 | $19.77 – $297.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $107.81 | $30.55 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $107.81 | $50.31 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $107.81 | $21.56 – $390.57 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $107.81 | $19.77 – $390.57 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $107.81 | $23.07 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $107.81 | $26.95 – $390.57 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $107.81 | $14.38 – $390.57 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $108.24 | $68.50 – $68.50 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $108.89 | $20.53 – $43.58 |
| Community Hospital | Torrington, WY | $111.34 | $41.80 – $92.15 |
| UPMC Community Osteopathic | Harrisburg, PA | $111.60 | $45.01 – $3,000.00 |
| UPMC Lititz | Lititz, PA | $111.60 | $60.88 – $60.88 |
| UPMC Memorial | York, PA | $111.60 | $22.48 – $60.88 |
| UPMC Somerset | Somerset, PA | $111.60 | $27.31 – $1,252.90 |
| UPMC Carlisle | Carlisle, PA | $111.60 | $25.48 – $2,137.42 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $114.10 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $114.10 | not published |
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