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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $45.0M |
| 2 | University Hospital Newark, NJ · General Acute Care Hospital | $38.0M |
| 3 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $32.1M |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $27.4M |
| 5 | Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital | $27.2M |
| 6 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $25.3M |
| 7 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $22.2M |
| 8 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $21.0M |
| 9 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $19.3M |
| 10 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $18.4M |
| 11 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $16.7M |
| 12 | 1013010917 | $16.6M |
| 13 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $15.6M |
| 14 | 1609983790 | $15.4M |
| 15 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $14.7M |
| 16 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $14.4M |
| 17 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $13.8M |
| 18 | 1194368167 | $13.6M |
| 19 | Kaiser Foundation Hospitals Downey, CA · General Acute Care Hospital | $13.4M |
| 20 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $13.3M |
Showing top 20 of 3K providers billing this code