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Hospital Observation Service, per Hour

Pennsylvania rates for HCPCS G0378

Hospital observation service, per hour

Rates data updated July 2026.

How much does Hospital Observation Service, per Hour cost?

$97.72

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$51.29 to $60.26
FacilityA hospital or hospital-owned outpatient department$100$81.28 to $324

How much rates vary

Facilitymedian $100 · 10th to 90th $56 to $759Professionalmedian $60 · 10th to 90th $35 to $60
$10$50$200$1Kfacility $100professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$60.26
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$34,673.69
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$102.33
Typical High
$138.04
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$199,526.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$691.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$60.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$177.83

Where Pennsylvania sits

The same service costs 7.1 times more in New Jersey than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 8th of 51

$97.72

NJ $251VT $35.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.