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 |
|---|---|---|---|
| MercyOne Centerville Medical Center | Centerville, IA | $140.00 | $31.56 – $115.00 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $140.24 | $5.52 – $26.25 |
| Arroyo Grande Hospital | Santa Maria, CA | $141.57 | $6.18 – $16.00 |
| Washakie Medical Center | Worland, WY | $141.96 | $57.60 – $116.40 |
| Providence Alaska Medical Center | Anchorage, AK | $142.74 | $14.88 – $36.84 |
| St Francis Downtown | Greenville, SC | $143.40 | not published |
| St Francis Eastside | Greenville, SC | $143.40 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $143.52 | not published |
| Berkeley Medical Center | Martinsburg, WV | $144.00 | $5.09 – $35.88 |
| Queen of The Valley Medical Center | Napa, CA | $144.84 | $10.78 – $55.42 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $145.80 | $2.54 – $12.29 |
| Weirton Medical Center | Weirton, WV | $146.00 | $5.09 – $286.58 |
| Mercy Hospital Lincoln | Troy, MO | $147.55 | $5.39 – $77.97 |
| Providence St Joseph Medical Center | Polson, MT | $151.20 | $6.74 – $16.64 |
| UPMC Presbyterian | Pittsburgh, PA | $153.00 | $5.32 – $11.57 |
| Adventhealth Rollins Brook | Lampasas, TX | $153.56 | $4.85 – $128.71 |
| Adventhealth Central Texas | Killeen, TX | $153.56 | $4.85 – $128.71 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $156.60 | $6.60 – $117.58 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $157.50 | $11.55 – $121.61 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $158.50 | $59.26 – $115.56 |
| Houston Methodist West Hospital | Houston, TX | $158.50 | $59.26 – $237.04 |
| Houston Methodist Baytown Hospital | Baytown, TX | $158.50 | $59.26 – $115.56 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $158.50 | $59.26 – $115.56 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $158.50 | $54.83 – $115.56 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $158.50 | $59.26 – $118.52 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $158.50 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $158.50 | $59.26 – $115.56 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Hospital Frisco | Frisco, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Hospital Rockwall | Rockwall, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $160.35 | $4.53 – $22.19 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $160.35 | $5.39 – $22.19 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $160.35 | $4.53 – $22.19 |
| Providence Valdez Medical Center | Valdez, AK | $163.02 | not published |
| St Anne Hospital | Toledo, OH | $163.80 | not published |
| OSF St Francis Hospital | Escanaba, MI | $165.60 | not published |
| Dominican Hospital | Santa Cruz, CA | $166.95 | $6.47 – $86.27 |