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Hospital Observation Service, per Hour

Wisconsin rates for HCPCS G0378

Hospital observation service, per hour

Rates data updated July 2026.

How much does Hospital Observation Service, per Hour cost?

$81.28

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $97.72 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$60.26 to $60.26
FacilityA hospital or hospital-owned outpatient department$97.72$79.43 to $191

How much rates vary

Facilitymedian $98 · 10th to 90th $56 to $741Professionalmedian $60 · 10th to 90th $35 to $85
$10$50$200$1Kfacility $98professional $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
$57.54
Median
$97.72
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$89.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$89.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$89.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Wisconsin 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.

Wisconsin· 25th of 51

$81.28

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.