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 |
|---|---|---|---|
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | $109.18 | $4.00 – $121.42 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $109.20 | $2.54 – $12.29 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $109.20 | $2.54 – $12.29 |
| Southern Virginia Medical Center | Emporia, VA | $109.20 | not published |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $109.80 | $2.54 – $12.29 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $110.10 | $6.47 – $26.25 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $111.00 | $2.54 – $59.00 |
| University Hospitals Geneva Medical Center | Geneva, OH | $111.00 | $2.54 – $69.00 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $111.30 | $6.47 – $26.25 |
| Love County Health Center | Marietta, OK | $112.00 | $4.79 – $4.79 |
| Providence St Mary Medical Center | Walla Walla, WA | $112.00 | $34.83 – $121.61 |
| cleveland clinic florida weston hospital | Weston, FL | $112.45 | $2.08 – $166.00 |
| martin north hospital | Stuart, FL | $112.45 | $2.19 – $67.76 |
| indian river hospital | Vero Beach, FL | $112.45 | $2.08 – $110.40 |
| St. Joseph's Behavioral Health Center | Stockton, CA | $112.49 | $2.63 – $21.00 |
| AdventHealth Deland | Deland, FL | $112.85 | $58.52 – $122.86 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $113.93 | $4.53 – $157.46 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $114.40 | $4.85 – $106.36 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $114.40 | $5.39 – $176.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $114.40 | $5.39 – $176.00 |
| The Unity Hospital of Rochester | Rochester, NY | $114.45 | $4.69 – $6.95 |
| CHI St. Vincent North | Sherwood, AR | $115.67 | $4.06 – $250.25 |
| Hardin Memorial Hospital | Kenton, OH | $117.00 | not published |
| Mercy Hospital Stoddard | Dexter, MO | $117.00 | $8.89 – $379.10 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $117.00 | $7.51 – $141.35 |
| University Hospitals Elyria Medical Center | Elyria, OH | $117.00 | $7.51 – $100.46 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $117.00 | $2.54 – $108.49 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $117.00 | $5.39 – $100.46 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $117.00 | $2.54 – $100.46 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $117.00 | $2.54 – $108.49 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $117.00 | $2.54 – $100.46 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $117.00 | $2.54 – $140.40 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $118.30 | $5.29 – $379.10 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $120.45 | $6.47 – $24.00 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $120.60 | $2.54 – $12.29 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $121.10 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $121.10 | not published |
| Northwestern Memorial Hospital | Chicago, IL | $121.10 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $121.16 | $67.00 – $67.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $121.16 | $67.00 – $67.00 |
| Downey Medical Center | Downey, CA | $121.16 | $67.00 – $67.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $121.16 | $67.00 – $67.00 |
| Riverside Medical Center | RIVERSIDE, CA | $121.16 | $67.00 – $67.00 |
| South Bay Medical Center | HARBOR CITY, CA | $121.16 | $67.00 – $67.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $121.16 | $67.00 – $67.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $121.16 | $67.00 – $67.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $121.16 | $67.00 – $67.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $121.16 | $67.00 – $67.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $121.16 | $67.00 – $67.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $121.16 | $67.00 – $67.00 |