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 |
|---|---|---|---|
| Sentara Leigh Hospital | Norfolk, VA | $97.00 | $5.39 – $59.28 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $97.00 | $5.39 – $59.28 |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $97.00 | $5.39 – $59.28 |
| Sentara Obici Hospital | Suffolk, VA | $97.00 | $5.39 – $59.28 |
| Sentara CarePlex Hospital | Hampton, VA | $97.00 | $5.39 – $59.28 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $97.00 | $4.70 – $59.28 |
| Sentara Norfolk General Hospital | Norfolk, VA | $97.00 | $5.39 – $59.28 |
| Mark Twain Medical Center | San Andreas, CA | $97.24 | $5.39 – $27.01 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $97.35 | $63.22 – $66.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $97.35 | $63.22 – $66.38 |
| ADVENTIST HEALTH DELANO | Delano, CA | $97.40 | $1.59 – $35.37 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $97.44 | $4.53 – $157.46 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $97.50 | $7.51 – $102.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $98.01 | $4.53 – $23.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $98.01 | $4.53 – $151.53 |
| UPMC Mercy | Pittsburgh, PA | $98.40 | $4.49 – $10.37 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $98.40 | $63.22 – $64.48 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $99.00 | $2.54 – $12.29 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $99.00 | $2.54 – $12.29 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $99.00 | $2.54 – $12.29 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $99.00 | $2.54 – $12.29 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $99.00 | $2.54 – $12.29 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | $99.00 | $2.54 – $12.29 |
| Richmond Community Hospital | Richmond, VA | $99.60 | not published |
| Mansfield Hospital | Mansfield, OH | $100.10 | $56.33 – $58.58 |
| Shelby Hospital | Shelby, OH | $100.10 | not published |
| Springfield Medical Center | Springfield, OH | $100.20 | not published |
| Rose de Lima Hospital | Henderson, NV | $101.53 | $3.51 – $82.80 |
| Lincoln Health | Damariscotta, ME | $101.60 | $5.39 – $95.50 |
| Rappahannock General Hospital | Kilmarnock, VA | $103.20 | not published |
| Mercy Medical Center Merced | Merced, CA | $104.03 | $6.47 – $28.88 |
| Mercy Medical Center Redding | Redding, CA | $104.45 | $4.79 – $26.25 |
| UPMC Kane | Kane, PA | $105.00 | $5.32 – $23.26 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $105.00 | $2.54 – $12.29 |
| Grady Memorial Hospital | Delaware, OH | $105.95 | $56.88 – $59.16 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $106.92 | $1.78 – $62.80 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $107.14 | $1.47 – $9.70 |
| CHI Health St. Elizabeth | Lincoln, NE | $107.50 | $6.85 – $172.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $108.72 | $3.11 – $158.04 |