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.

Cheapest published cash price

$5.93

Cooperman Barnabas Medical Center — Livingston, NJ

Most expensive published cash price

$719.79

MEDICAL CITY LAS COLINAS HOSPITAL — Irving, TX

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
Moreno Valley Medical Center MORENO VALLEY, CA $121.16 $67.00 – $67.00
HSHS St. Mary's Hospital DECATUR, IL $123.12 $3.27 – $171.00
AdventHealth Parker Parker, CO $123.83 $8.09 – $115.13
AdventHealth Littleton Littleton, CO $123.83 $8.09 – $115.13
AdventHealth Porter Denver, CO $123.83 $8.09 – $115.13
AdventHealth Avista Louisville, CO $123.83 $8.09 – $116.40
AdventHealth Castle Rock Castle Rock, CO $123.83 $8.09 – $115.13
WellSpan Evangelical Community Hospital Lewisburg, PA $124.20 $8.17 – $57.37
MercyOne West Des Moines Medical Center West Des Moines, IA $125.00 $5.39 – $125.00
Waldo County General Hospital Belfast, ME $125.55 $5.39 – $118.27
Redwood City Medical Center Redwood City, CA $126.00 $64.00 – $64.00
Oakland Medical Center Oakland, CA $126.00 $64.00 – $64.00
Sacramento Medical Center SACRAMENTO, CA $126.00 $64.00 – $64.00
San Leandro Medical Center SAN LEANDRO, CA $126.00 $64.00 – $64.00
Santa Clara Medical Center SANTA CLARA, CA $126.00 $64.00 – $64.00
San Rafael Medical Center SAN RAFAEL, CA $126.00 $64.00 – $64.00
Santa Rosa Medical Center SANTA ROSA, CA $126.00 $64.00 – $64.00
South San Francisco Medical Center SOUTH SAN FRANCISCO, CA $126.00 $64.00 – $64.00
South Sacramento Medical Center SACRAMENTO, CA $126.00 $64.00 – $64.00
Vacaville Medical Center VACAVILLE, CA $126.00 $64.00 – $64.00
Walnut Creek Medical Center WALNUT CREEK, CA $126.00 $64.00 – $64.00
Vallejo Medical Center VALLEJO, CA $126.00 $64.00 – $64.00
Antioch Medical Center ANTIOCH, CA $126.00 $64.00 – $64.00
Fremont Medical Center FREMONT, CA $126.00 $64.00 – $64.00
Fresno Medical Center FRESNO, CA $126.00 $64.00 – $64.00
Roseville Medical Center ROSEVILLE, CA $126.00 $64.00 – $64.00
San Jose Medical Center SAN JOSE, CA $126.00 $64.00 – $64.00
San Francisco Medical Center SAN FRANCISCO, CA $126.00 $64.00 – $64.00
OSF Holy Family Medical Center Monmouth, IL $128.80 not published
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN $129.00 $2.54 – $12.29
St. Elizabeth Community Hospital Red Bluff, CA $129.65 $4.79 – $26.25
French Hospital San Luis Obispo, CA $129.66 $4.32 – $16.31
Riverside Methodist Hospital Columbus, OH $130.00 $20.21 – $56.88
Dublin Methodist Hospital Dublin, OH $130.00 $20.21 – $56.88
Grant Medical Center Columbus, OH $130.00 $20.21 – $56.88
Doctors Hospital Columbus, OH $130.00 $20.21 – $58.13
Lorain Hospital Lorain, OH $130.20 not published
UPMC Hamot Erie, PA $130.80 $5.32 – $49.63
UPMC McKeesport Mckeesport, PA $131.40 $5.00 – $10.47
Methodist Charlton Medical Center Dallas, TX $135.50 $4.30 – $156.50
Methodist Dallas Medical Center Dallas, TX $135.50 $4.30 – $160.00
Methodist Mansfield Medical Center Mansfield, TX $135.50 $4.30 – $160.27
Methodist Midlothian Medical Center Midlothian, TX $135.50 $4.30 – $160.00
Methodist Richardson Medical Center Richardson, TX $135.50 $4.30 – $160.00
Methodist Celina Medical Center Celina, TX $135.50 $4.98 – $148.15
Methodist Southlake Medical Center Souhtlake, TX $135.50 $3.15 – $160.27
OSF Saint Anthony Medical Center Rockford, IL $135.60 $6.02 – $221.26
Central Medical Center Seattle, WA $139.20 $60.00 – $60.00
Houston Methodist Hospital Houston, TX $139.50 $59.26 – $237.04
Stephens Memorial Hospital Norway, ME $139.70 $5.39 – $131.32

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