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Hospital Observation Service, per Hour

Virginia rates for HCPCS G0378

Hospital observation service, per hour

Rates data updated July 2026.

How much does Hospital Observation Service, per Hour cost?

$69.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $87.10 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 6 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$60.26 to $63.10
FacilityA hospital or hospital-owned outpatient department$87.10$56.23 to $135

How much rates vary

Facilitymedian $87 · 10th to 90th $32 to $282Professionalmedian $60 · 10th to 90th $51 to $89
$10$100$1K$10Kfacility $87professional $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
$31.62
Median
$87.10
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$104.71
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$107.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$10,964.78

Where Virginia 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.

Virginia· 36th of 51

$69.18

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.