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#91 of 11K

G0378

Hospital observation service, per hour

Hospital observation service, per hour is the #91 most-billed Medicaid procedure code, with $2.16B in payments across 12.0M claims from 2018–2024. The national median cost per claim is $99.39. Costs vary widely — the 90th percentile is $687.23 per claim, 6.9× the median.

Total Paid

$2.16B

0.20% of all spending

Total Claims

12.0M

Providers

3K

Avg Cost/Claim

$179

National Cost Distribution

How much do providers bill per claim for G0378? Based on 3K providers billing this code nationally.

Median

$99.39

Average

$240.66

Std Dev

$363.67

Max

$4,070.47

Percentile Distribution (Cost per Claim)

p10
$8.50
p25
$33.03
Median
$99.39
p75
$290.77
p90
$687.23
p95
$964.01
p99
$1,667.45

50% of providers bill between $33.03 and $290.77 per claim for this code.

90% bill between $8.50 and $687.23.

Top 1% bill above $1,667.45.

About This Procedure

HCPCS code G0378 (Hospital observation service, per hour) was billed by 3K providers across 12.0M claims, totaling $2.16B in Medicaid payments from 2018–2024. This code was used for 7.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.39

Providers Billing

3K

National Spending

$2.16B

Avg/Median Ratio

2.42×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for G0378

#ProviderTotal Paid
1Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$45.0M
2University Hospital

Newark, NJ · General Acute Care Hospital

$38.0M
3Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$32.1M
4State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$27.4M
5Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$27.2M
6Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$25.3M
7Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$22.2M
8Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$21.0M
9Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$19.3M
10Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$18.4M
11Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$16.7M
121013010917$16.6M
13The Cooper Health System

Camden, NJ · General Acute Care Hospital

$15.6M
141609983790$15.4M
15Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$14.7M
16Trustees Of The University Of Pennsylvania

Philadelphia, PA · Community/Behavioral Health

$14.4M
17Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$13.8M
181194368167$13.6M
19Kaiser Foundation Hospitals

Downey, CA · General Acute Care Hospital

$13.4M
20University Of Kentucky

Lexington, KY · General Acute Care Hospital

$13.3M

Showing top 20 of 3K providers billing this code