Outpatient / APC 8011
APC 8011 · 2,753 hospitals · 816,376 services
Comprehensive Observation Services
Hospital outpatient departments billed Medicare for 816,376 services in APC 8011 in 2024. They charged an average of $24,056; Medicare allowed $2,634 — a ratio of 9.1 to 1 — and paid $2,090 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $3,237 to $304,001 across hospitals.
- 1Average charge $24,056
- 2Medicare allowed $2,634
- 3Reporting hospitals 2,753
- 4Services 816,376
By state
The average charge for this service was highest in California ($41,628) and lowest in Montana ($10,951). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| California | 75,258 | $41,628 | $3,470 |
| Nevada | 7,349 | $39,164 | $2,900 |
| New Jersey | 36,752 | $34,388 | $2,897 |
| Colorado | 13,466 | $34,074 | $2,608 |
| Alaska | 1,743 | $28,781 | $2,936 |
| Florida | 77,629 | $28,431 | $2,457 |
| Texas | 58,732 | $27,955 | $2,445 |
| New York | 38,115 | $26,675 | $2,983 |
| District of Columbia | 1,459 | $25,706 | $2,758 |
| Arizona | 22,831 | $24,129 | $2,686 |
| Connecticut | 15,666 | $23,465 | $3,045 |
| Kansas | 7,949 | $22,571 | $2,377 |
| Washington | 8,938 | $22,427 | $2,802 |
| Pennsylvania | 33,728 | $21,732 | $2,553 |
| Illinois | 39,940 | $21,498 | $2,573 |
| New Mexico | 4,083 | $21,444 | $2,469 |
| Georgia | 21,613 | $20,900 | $2,422 |
| South Carolina | 15,084 | $20,764 | $2,368 |
| New Hampshire | 5,226 | $20,649 | $2,637 |
| Missouri | 15,198 | $20,571 | $2,393 |
| Kentucky | 15,831 | $20,333 | $2,359 |
| Tennessee | 16,531 | $19,917 | $2,299 |
| Virginia | 26,890 | $19,506 | $2,459 |
| Oklahoma | 11,430 | $18,889 | $2,348 |
| North Carolina | 21,008 | $18,779 | $2,426 |
| Hawaii | 1,590 | $18,402 | $3,127 |
| Indiana | 18,664 | $18,399 | $2,464 |
| South Dakota | 2,485 | $18,366 | $2,638 |
| Utah | 3,561 | $18,167 | $2,478 |
| Wisconsin | 10,902 | $17,717 | $2,497 |
| Iowa | 7,279 | $17,461 | $2,385 |
| Rhode Island | 2,020 | $17,131 | $2,752 |
| Ohio | 31,641 | $17,044 | $2,317 |
| Oregon | 5,804 | $16,975 | $2,901 |
| Alabama | 8,141 | $16,650 | $2,241 |
| Vermont | 1,309 | $16,438 | $1,285 |
| Nebraska | 3,400 | $16,361 | $2,450 |
| Louisiana | 14,440 | $16,215 | $2,288 |
| Idaho | 2,403 | $16,143 | $2,548 |
| Delaware | 4,914 | $16,076 | $2,718 |
| Mississippi | 11,314 | $16,069 | $2,279 |
| West Virginia | 5,188 | $15,697 | $2,286 |
| Michigan | 23,469 | $15,355 | $2,410 |
| Arkansas | 11,163 | $15,198 | $2,356 |
| Wyoming | 1,734 | $15,002 | $2,722 |
| Minnesota | 11,228 | $14,738 | $2,627 |
| Massachusetts | 32,499 | $14,010 | $2,921 |
| North Dakota | 2,780 | $13,866 | $2,590 |
| Maine | 2,448 | $13,250 | $2,457 |
| Montana | 3,213 | $10,951 | $2,595 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Carepoint Health-Christ Hospital Jersey City, NJ | $304,001 | $3,020 |
| Brushy Creek Family Hospital LLC Round Rock, TX | $235,634 | $2,346 |
| Cleveland Emergency Hospital Humble, TX | $225,815 | $2,489 |
| Carepoint Health-Hoboken University Medical Center Hoboken, NJ | $224,188 | $3,072 |
| Carepoint Health - Bayonne Medical Center Bayonne, NJ | $223,858 | $3,115 |
| The Woodlands Specialty Hospital Spring, TX | $125,966 | $2,489 |
| Capital Health Regional Medical Center Trenton, NJ | $106,318 | $2,855 |
| San Ramon Regional Medical Center San Ramon, CA | $104,503 | $3,774 |
| Regional Medical Center of San Jose San Jose, CA | $102,210 | $3,855 |
| Capital Health Medical Center - Hopewell Pennington, NJ | $100,832 | $2,828 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Lake Martin Community Hospital Dadeville, AL | $3,237 | $2,188 |
| Beacham Memorial Hospital Magnolia, MS | $4,055 | $2,235 |
| Bibb Medical Center Centreville, AL | $4,220 | $2,285 |
| Harper County Community Hospital Buffalo, OK | $4,285 | $2,440 |
| Jackson Medical Center Jackson, AL | $4,346 | $2,215 |
| Essentia Health Duluth Duluth, MN | $4,503 | $1,835 |
| Hale County Hospital Greensboro, AL | $4,719 | $2,328 |
| Yalobusha General Hospital Water Valley, MS | $4,841 | $2,235 |
| Oklahoma Surgical Hospital, LLC Tulsa, OK | $4,938 | $2,223 |
| Leonard J Chabert Medical Center Houma, LA | $5,042 | $2,247 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.