facebook tracking Comprehensive Observation Services cost in Pennsylvania: 127 hospitals compared (APC 8011)

Comprehensive Observation Services in Pennsylvania

What 127 hospitals in Pennsylvania charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.

APC 8011 Outpatient 2024 Medicare data
Average charge $21,723 Hospital list price billed
Average allowed $2,553 Medicare's payment + patient's share
Medicare paid $2,027 Average per service
State rank #28 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $21,723 for comprehensive observation services, about 8.5 times the average medicare-allowed amount of $2,553. That payment is 3% below the U.S. average of $2,634.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $2,553Billed $21,723

About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: comprehensive observation services

Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Jefferson Health- NortheastPhiladelphia 1,258 $13,871 $2,630 $2,089
Abington Memorial HospitalAbington 1,140 $14,355 $2,539 $2,018
Lehigh Valley HospitalAllentown 1,138 $29,077 $2,620 $2,077
Reading Hospital and Med CtrWest Reading 1,129 $17,813 $2,485 $1,975
UPMC Pinnacle HospitalsHarrisburg 1,049 $16,097 $2,433 $1,935
Chester County HospitalWest Chester 959 $20,571 $2,639 $2,101
Thomas Jefferson University HospitalPhiladelphia 905 $19,956 $2,572 $2,040
Saint Vincent Health CenterErie 821 $24,222 $2,859 $2,273
Chambersburg HospitalChambersburg 812 $18,368 $2,731 $2,175
Hospital of the Univ of PaPhiladelphia 785 $54,820 $2,755 $2,194
St Mary Medical CenterLanghorne 772 $15,270 $2,702 $2,150
Lancaster General HospitalLancaster 739 $14,670 $2,488 $1,972
York HospitalYork 704 $20,049 $2,553 $2,029
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 599 $19,053 $2,419 $1,921
Jefferson Regional Medical CenterClairton 578 $16,520 $2,413 $1,917
St Clair Memorial HospitalPittsburgh 577 $11,755 $2,431 $1,934
Jefferson Einstein Montgomery HospitalEast Norriton 574 $16,254 $2,561 $2,039
Crozer Chester Medical CenterChester 557 $42,065 $2,659 $2,114
Temple University HospitalPhiladelphia 545 $51,386 $2,735 $2,172
Doylestown HospitalDoylestown 478 $17,469 $2,641 $2,104
St Luke's Hospital - Anderson CampusEaston 478 $33,022 $2,421 $1,914
Milton S Hershey Medical CenterHershey 446 $17,421 $2,554 $2,029
Meadville Medical CenterMeadville 433 $15,228 $2,594 $2,061
Allegheny General HospitalPittsburgh 413 $20,657 $2,415 $1,917
AHN Wexford HospitalWexford 390 $17,777 $2,405 $1,907
Main Line Hospital PaoliPaoli 387 $22,764 $2,614 $2,077
Main Line Hospital Bryn Mawr CampusBryn Mawr 371 $21,826 $2,596 $2,057
Geisinger-Community Medical CenterScranton 367 $28,900 $2,416 $1,917
St Luke's Hospital BethlehemBethlehem 363 $32,554 $2,599 $2,056
Williamsport Hospital & Medical CenterWilliamsport 357 $22,148 $2,423 $1,925
Carlisle Regional Medical CtrCarlisle 352 $15,341 $2,434 $1,930
Evangelical Community HospitalLewisburg 346 $27,438 $2,428 $1,931
Hanover HospitalHanover 342 $18,417 $2,576 $2,052
Good Samaritan HospitalLebanon 334 $18,650 $2,589 $2,062
Mount Nittany Medical CenterState College 333 $15,949 $2,756 $2,194
Albert Einstein Medical CenterPhiladelphia 309 $17,660 $2,639 $2,097
Robert Packer HospitalSayre 306 $20,063 $2,474 $1,964
St Luke's Hospital - Monroe CampusStroudsburg 299 $35,151 $2,489 $1,964
Warren General HospitalWarren 271 $16,562 $2,834 $2,247
Phoenixville HospitalPhoenixville 270 $21,030 $2,625 $2,085
Holy Redeemer Hosp and Med CtrJenkintown 267 $20,885 $2,551 $2,030
Pottstown Memorial Med CenterPottstown 267 $22,678 $2,530 $2,005
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 259 $34,044 $2,743 $2,182
Holy Spirit HospitalCamp Hill 250 $17,946 $2,360 $1,855
UPMC MemorialYork 245 $17,247 $2,487 $1,974
Main Line Hospital LankenauWynnewood 244 $21,706 $2,607 $2,068
Waynesboro HospitalWaynesboro 242 $21,149 $2,722 $2,166
Washington Hospital, theWashington 232 $9,075 $2,428 $1,931
Butler Health SystemButler 221 $19,997 $2,436 $1,938
UPMC EastMonroeville 220 $17,480 $2,403 $1,901
Dubois Regional Medical CenterDubois 218 $12,523 $2,600 $2,066
Lansdale HospitalLansdale 211 $14,685 $2,551 $2,029
Gettysburg HospitalGettysburg 207 $18,097 $2,687 $2,137
Altoona Regional Health SystemAltoona 207 $15,507 $2,568 $2,033
UPMC MercyPittsburgh 205 $22,521 $2,405 $1,904
UPMC Presbyterian ShadysidePittsburgh 205 $47,501 $2,360 $1,860
Grand View HospitalSellersville 203 $21,401 $2,617 $2,082
Mercy Health SystemConshohocken 198 $18,239 $2,638 $2,095
Geisinger Wyoming Vly Med CtrWilkes-Barre 193 $42,777 $2,409 $1,915
Lewistown HospitalLewistown 186 $25,419 $2,607 $2,071
St Luke's Hospital - Carbon CampusLehighton 183 $33,349 $2,495 $1,988
Allegheny Valley HospitalNatrona Heights 182 $17,062 $2,391 $1,894
Geisinger Medical CenterDanville 179 $58,222 $2,392 $1,891
Pocono Medical CenterEast Stroudsburg 177 $21,440 $2,575 $2,029
Nazareth HospitalPhiladelphia 174 $19,337 $2,536 $2,008
Ephrata Community HospitalEphrata 171 $23,479 $2,461 $1,954
UPMC St MargaretPittsburgh 161 $26,329 $2,409 $1,908
Penn Presbyterian Medical CenterPhiladelphia 159 $37,892 $2,744 $2,182
Penn State Health Hampden Medical CenterEnola 154 $16,694 $2,378 $1,878
St Joseph Medical CenterReading 153 $14,699 $2,419 $1,910
Clarion HospitalClarion 151 $9,729 $2,573 $2,042
St Luke's Quakertown HospitalQuakertown 141 $39,613 $2,611 $2,074
Canonsburg General HospitalCanonsburg 141 $16,467 $2,403 $1,906
Excela Health Westmoreland Regional HospitalGreensburg 135 $9,221 $2,430 $1,933
West Penn HospitalPittsburgh 134 $21,322 $2,401 $1,904
Penn State Health Lancaster Medical CenterLancaster 134 $16,893 $2,313 $1,822
Grove City Medical CenterGrove City 132 $19,343 $2,412 $1,918
UPMC PassavantPittsburgh 130 $28,860 $2,430 $1,931
Riddle Memorial HospitalMedia 129 $23,756 $2,626 $2,086
Heritage Valley BeaverBeaver 128 $7,660 $2,308 $1,809
Hamot Medical CenterErie 125 $29,598 $2,739 $2,149
Uniontown HospitalUniontown 115 $9,121 $2,411 $1,913
Mercy Hospital ScrantonScranton 114 $20,527 $2,395 $1,898
ACMH HospitalKittanning 113 $18,297 $2,428 $1,930
Punxsutawney Area HospitalPunxsutawney 109 $6,644 $2,580 $2,044
Hazleton General HospitalHazleton 105 $22,086 $2,410 $1,910
AHN Emerus Westmoreland, LLCGreensburg 105 $15,520 $2,445 $1,945
Wilkes-Barre General HospitalWilkes-Barre 104 $21,489 $2,409 $1,909
Indiana Regional Medical CenterIndiana 103 $14,468 $2,582 $2,049
Geisinger St. Luke's HospitalOrwigsburg 102 $19,740 $2,483 $1,970
Chestnut Hill HospitalPhiladelphia 99 $50,123 $2,638 $2,096
Latrobe Area HospitalLatrobe 98 $9,329 $2,425 $1,925
UPMC LititzLititz 96 $15,874 $2,460 $1,960
St Luke's Miners Memorial HospitalCoaldale 95 $21,701 $2,480 $1,967
Northwest Medical CenterOil City 93 $17,836 $2,361 $1,862
Somerset HospitalSomerset 84 $10,410 $2,596 $2,061
Wayne Memorial HospitalHonesdale 83 $22,960 $2,576 $2,040
Conemaugh Valley Memorial HospitalJohnstown 76 $18,968 $2,566 $2,031
Easton HospitalEaston 76 $30,586 $2,601 $2,066
Nason HospitalRoaring Spring 74 $11,011 $2,419 $1,914
Monongahela Valley HospitalMonongahela 74 $12,696 $2,316 $1,801
UPMC KaneKane 71 $9,486 $2,618 $2,080
UPMC GreeneWaynesburg 70 $9,399 $2,445 $1,947
Windber HospitalWindber 64 $7,555 $2,414 $1,915
Bloomsburg HospitalBloomsburg 52 $23,862 $2,445 $1,942
Heritage Valley SewickleySewickley 52 $9,528 $2,407 $1,910
Geisinger Medical Center MuncyMuncy 49 $16,123 $2,405 $1,905
Lehigh Valley Hospital - Dickson CityDickson City 49 $20,676 $2,445 $1,936
UPMC McKeesportMcKeesport 46 $23,409 $2,360 $1,862
Jameson Memorial HospitalNew Castle 40 $9,819 $2,299 $1,802
Sharon Regional Health SystemSharon 38 $13,859 $2,445 $1,947
Magee Womens Hospital of UPMC Health SystemPittsburgh 37 $24,781 $2,339 $1,843
Penn Highlands HuntingdonHuntingdon 34 $10,615 $2,618 $2,086
UPMC HorizonGreenville 33 $18,162 $2,386 $1,883
Schuylkill Medical Center - South Jackson StreetPottsville 32 $17,285 $2,448 $1,951
Mercy Suburban HospitalNorristown 32 $10,797 $2,568 $2,045
UPMC BedfordEverett 30 $14,568 $2,618 $2,080
Millcreek Community HospitalErie 29 $12,740 $2,445 $1,941
Lower Bucks HospitalBristol 28 $14,204 $2,500 $1,942
Excela Health Frick HospitalMt Pleasant 28 $9,712 $2,382 $1,878
Lehigh Valley Hospital - MacungieMacungie 21 $23,437 $2,495 $1,988
Highlands HospitalConnellsville 13 $7,930 $2,445 $1,924
Fox Chase Cancer CenterPhiladelphia – – – –
Roxborough Memorial HospitalPhiladelphia – – – –
Wellspan Surgery and Rehabilitation HospitalYork – – – –
Children's Hosp of PittsburghPittsburgh – – – –
Children's Hospital of PhiladelphiaPhiladelphia – – – –
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Lowest and highest allowed amounts in Pennsylvania

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Saint Vincent Health CenterErie, PA$2,859
Warren General HospitalWarren, PA$2,834
Mount Nittany Medical CenterState College, PA$2,756
Hospital of the Univ of PaPhiladelphia, PA$2,755
Penn Presbyterian Medical CenterPhiladelphia, PA$2,744

Comprehensive Observation Services in other states

Questions

How much does comprehensive observation services cost in Pennsylvania?

In 2024 Medicare data, comprehensive observation services (APC 8011) at 127 hospitals in Pennsylvania was billed at $21,723 on average, while the average medicare-allowed amount was $2,553, of which Medicare paid $2,027. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Pennsylvania, average charges were 8.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.