Coombs direct cost at US hospitals
HC Coombs Direct · CPT 86880
$5.93
lowest cash price
$76.80
national median
$719.79
highest cash price
885
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $5.93–$719.79 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($13.35) → Sep 1, 2026 ($80.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $12.48 | $143.52 | $246.12 |
| Arizona | 23 | $16.64 | $28.63 | $191.44 |
| Arkansas | 11 | $18.60 | $51.68 | $498.00 |
| California | 91 | $12.46 | $106.92 | $459.55 |
| Colorado | 17 | $22.20 | $123.83 | $123.83 |
| Florida | 81 | $27.39 | $112.45 | $507.11 |
| Georgia | 25 | $7.40 | $196.26 | $283.00 |
| Hawaii | 2 | $69.00 | $69.00 | $609.60 |
| Illinois | 51 | $24.75 | $85.68 | $298.90 |
| Indiana | 26 | $45.88 | $88.55 | $145.80 |
| Iowa | 31 | $46.56 | $71.50 | $140.00 |
| Kansas | 11 | $35.20 | $79.95 | $268.20 |
| Kentucky | 23 | $29.32 | $72.00 | $90.10 |
| Louisiana | 1 | $39.78 | $39.78 | $39.78 |
| Maine | 7 | $13.35 | $101.60 | $295.55 |
| Maryland | 2 | $12.60 | $12.60 | $12.60 |
| Michigan | 27 | $13.44 | $81.00 | $165.60 |
| Minnesota | 18 | $32.80 | $75.31 | $94.92 |
| Mississippi | 11 | $11.13 | $51.75 | $88.92 |
| Missouri | 21 | $10.50 | $45.10 | $147.55 |
| Montana | 2 | $86.40 | $86.40 | $151.20 |
| Nebraska | 13 | $39.56 | $92.16 | $107.50 |
| Nevada | 4 | $72.78 | $73.15 | $101.53 |
| New Hampshire | 1 | $67.80 | $67.80 | $67.80 |
| New Jersey | 22 | $5.93 | $5.93 | $69.95 |
| New Mexico | 2 | $183.12 | $183.12 | $183.12 |
| New York | 22 | $13.20 | $70.29 | $114.45 |
| North Carolina | 15 | $41.00 | $60.35 | $81.00 |
| North Dakota | 4 | $33.60 | $33.60 | $33.60 |
| Ohio | 68 | $24.05 | $65.47 | $199.20 |
| Oklahoma | 17 | $61.98 | $72.05 | $248.30 |
| Oregon | 12 | $21.25 | $65.25 | $77.25 |
| Pennsylvania | 33 | $37.20 | $75.00 | $238.40 |
| South Carolina | 11 | $54.00 | $77.00 | $206.00 |
| South Dakota | 7 | $20.52 | $51.20 | $91.20 |
| Tennessee | 38 | $7.40 | $28.80 | $73.92 |
| Texas | 113 | $35.45 | $98.01 | $719.79 |
| Virginia | 43 | $16.33 | $79.20 | $176.40 |
| Washington | 32 | $37.60 | $72.45 | $214.90 |
| West Virginia | 17 | $15.20 | $71.50 | $294.00 |
| Wisconsin | 35 | $31.80 | $67.50 | $192.57 |
| Wyoming | 4 | $49.98 | $83.52 | $141.96 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Orange | Orange, CA | $89.76 | $8.61 – $140.37 |
| Sequoia Hospital | Redwood City, CA | $89.91 | $6.47 – $156.50 |
| Corewell Health Pennock | Hastings, MI | $90.00 | $5.12 – $5.12 |
| Corewell Health Big Rapids | Big Rapids, MI | $90.00 | $5.12 – $105.80 |
| Corewell Health Gerber | Fremont, MI | $90.00 | $5.12 – $5.12 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | $90.00 | $5.12 – $105.80 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | $90.00 | $5.12 – $105.80 |
| Corewell Health Reed City | Po Box 75, MI | $90.00 | $5.12 – $5.12 |
| Corewell Health Greenville | Greenville, MI | $90.00 | $5.12 – $105.80 |
| Corewell Health Zeeland | Zeeland, MI | $90.00 | $5.12 – $105.80 |
| OSF Saint Anthony's Health Center | Alton, IL | $90.00 | $4.57 – $64.48 |
| Adventhealth Manchester | Manchester, KY | $90.10 | $5.39 – $55.35 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $90.35 | $4.39 – $122.73 |
| St. John's Camarillo Hospital | Camarillo, CA | $90.67 | $5.83 – $43.12 |
| Platte County Hospital | Wheatland, WY | $90.72 | $57.60 – $116.40 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $91.00 | $43.47 – $129.44 |
| MercyOne Elkader Medical Center | Elkader, IA | $91.00 | $59.19 – $120.20 |
| MercyOne Newton Medical Center | Newton, IA | $91.00 | $55.84 – $115.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $91.00 | $5.39 – $140.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $91.16 | $5.66 – $127.20 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $91.16 | $5.66 – $127.20 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $91.20 | $38.99 – $102.60 |
| Ogallala Community Hospital | Ogallala, NE | $92.16 | $52.80 – $116.40 |
| Allina Health Faribault Medical Center | Faribualt, MN | $92.23 | $5.39 – $66.42 |
| Buffalo Hospital | Buffalo, MN | $92.23 | $5.39 – $63.84 |
| Cambridge Medical Center | Cambridge, MN | $92.23 | $5.39 – $66.42 |
| River Falls Area Hospital | River Falls, MN | $92.23 | $5.39 – $115.86 |
| Owatonna Hospital | Owatonna, MN | $92.23 | $5.39 – $63.11 |
| Marion General Hospital | Marion, OH | $92.30 | $56.33 – $58.58 |
| Mary Immaculate Hospital | Newport News, VA | $92.40 | not published |
| Harbour View Medical Center | Suffolk, VA | $92.40 | not published |
| Rochester General Hospital | Rochester, NY | $92.99 | $4.73 – $6.95 |
| Newark Wayne Community Hospital | Newark, NY | $92.99 | $4.64 – $8.41 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $93.66 | $10.08 – $189.55 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $93.66 | $10.08 – $189.55 |
| Lasting Hope Recovery Center | Omaha, NE | $93.66 | $22.66 – $189.55 |
| CHI Health Immanuel | Omaha, NE | $93.66 | $10.08 – $189.55 |
| CHI Health Lakeside | Omaha, NE | $93.66 | $10.08 – $189.55 |
| CHI Health Midlands | Papillion, NE | $93.66 | $10.08 – $189.55 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $94.05 | $6.74 – $59.42 |
| HSHS St. Joseph's Hospital | Breese, IL | $94.32 | $3.11 – $158.04 |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $94.50 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $94.50 | not published |
| New Ulm Medical Center | MN 56073, MN | $94.92 | $23.83 – $81.58 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $95.04 | $4.46 – $132.00 |
| OSF Saint Paul Medical Center | Mendota, IL | $95.20 | not published |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $96.48 | $4.79 – $25.73 |
| Providence Holy Family Hospital | Spokane, WA | $96.60 | $11.55 – $121.61 |
| Maryview Hospital | Portsmouth, VA | $96.60 | not published |
| O'Bleness Hospital | Athens, OH | $96.85 | $56.33 – $56.89 |