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 |
|---|---|---|---|
| Adventhealth Sebring | Sebring, FL | $168.42 | $63.14 – $140.00 |
| Adventhealth Ocala | Ocala, FL | $171.22 | $61.60 – $136.76 |
| Adventhealth Wauchula | Wauchula, FL | $172.73 | not published |
| OSF St Mary Medical Center | Galesburg, IL | $174.00 | $63.22 – $64.48 |
| Wellstar Cobb Hospital | Austell, GA | $175.89 | $9.41 – $110.85 |
| Wellstar Douglas Hospital | Douglasville, GA | $175.89 | $9.41 – $109.85 |
| Wellstar Kennestone Hospital | Marietta, GA | $175.89 | $9.41 – $110.85 |
| Wellstar MCG Health | Augusta, GA | $175.89 | $6.75 – $101.32 |
| Wellstar North Fulton Hospital | Roswell, GA | $175.89 | $9.41 – $110.85 |
| Wellstar Paulding Hospital | Hiram, GA | $175.89 | $9.41 – $110.85 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $175.89 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $175.89 | $9.41 – $115.97 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $175.89 | $9.41 – $172.66 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $175.89 | $9.41 – $113.78 |
| Wellstar Windy Hill Hospital | Marietta, GA | $175.89 | $9.41 – $113.07 |
| St Mary's Hospital | Richmond, VA | $176.40 | not published |
| St Francis Medical Center | Midlothian, VA | $176.40 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $176.40 | not published |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $179.20 | $5.93 – $190.36 |
| OSF Saint Francis Medical Center | Peoria, IL | $181.80 | $6.02 – $214.91 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $182.00 | $7.65 – $140.37 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $183.12 | $58.52 – $81.92 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $191.44 | $5.52 – $201.45 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $191.76 | $10.78 – $82.09 |
| Adventhealth Durand | Durand, WI | $192.57 | not published |
| Adventhealth Murray | Po Box 1406, GA | $196.26 | $5.39 – $108.86 |
| Adventhealth Gordon | Calhoun, GA | $196.26 | $7.33 – $118.76 |
| Adventhealth Dade City | Dade City, FL | $196.49 | $61.60 – $139.64 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $196.49 | $61.60 – $136.76 |
| St Ritas Medical Center | Lima, OH | $199.20 | not published |
| Princeton Community Hospital | Princeton, WV | $201.00 | $5.09 – $131.23 |
| Texas Health Hospital Mansfield | Mansfield, TX | $205.47 | $5.39 – $118.52 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $205.47 | $5.39 – $118.72 |
| Thomas Hospitals | South Charleston, WV | $205.50 | $5.09 – $284.98 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $206.00 | $9.24 – $63.06 |
| Adventhealth Connerton | Land O Lakes, FL | $211.10 | not published |
| Kadlec Regional Medical Center | Richland, WA | $214.90 | $5.76 – $130.71 |
| Adventhealth Tampa | Tampa, FL | $224.12 | $61.60 – $136.76 |
| Adventhealth Riverview | Riverview, FL | $224.12 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $224.12 | $61.60 – $136.76 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $224.12 | $61.60 – $142.87 |
| Adventhealth Carrollwood | Tampa, FL | $224.12 | $61.60 – $136.76 |
| Adventhealth Lake Wales | Lake Wales, FL | $224.58 | $61.60 – $136.76 |
| Emory Hospital Perry | Perry, GA | $226.00 | $4.04 – $110.39 |
| Emory Hospital Warner Robins | Warner Robins, GA | $226.00 | $4.04 – $112.03 |
| St. Joseph's Hospital | Buckhannon, WV | $227.55 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $235.20 | $63.22 – $64.48 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $238.40 | $7.43 – $106.45 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $238.40 | $7.43 – $273.17 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $238.40 | $7.80 – $215.32 |