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 |
|---|---|---|---|
| WellSpan Good Samaritan Hospital | Lebanon, PA | $238.40 | $9.29 – $102.69 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $238.40 | $7.43 – $89.07 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $238.40 | $7.43 – $100.63 |
| St Elias Specialty Hospital | Anchorage, AK | $246.12 | $8.87 – $62.22 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $248.30 | $4.79 – $134.13 |
| Adventhealth Palm Coast | Palm Coast, FL | $248.45 | $58.52 – $131.58 |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $248.45 | $58.52 – $131.58 |
| Adventhealth Redmond | Rome, GA | $255.62 | $4.42 – $170.45 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $259.96 | $58.52 – $102.82 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $268.20 | $2.26 – $161.97 |
| Adventhealth South Overland Park | Overland Park, KS | $268.20 | $2.26 – $161.97 |
| Adventhealth Ottawa | Ottawa, KS | $268.20 | $2.26 – $94.31 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $281.45 | $8.54 – $62.92 |
| Emory Decatur Hospital | Decatur, GA | $283.00 | $4.04 – $125.44 |
| Emory Hillandale Hospital | Lithonia, GA | $283.00 | $4.04 – $125.44 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $283.00 | $7.36 – $7.36 |
| Emory Johns Creek Hospital | Johns Creek, GA | $283.00 | $4.04 – $127.03 |
| Emory Rehabilitation Hospital | Atlanta, GA | $283.00 | $4.04 – $57.69 |
| Emory Saint Joseph's Hospital | Atlanta, GA | $283.00 | $4.04 – $127.03 |
| Emory University Hospital | Ne, GA | $283.00 | $4.04 – $125.44 |
| Emory University Hospital Midtown | Atlanta, GA | $283.00 | $4.04 – $127.03 |
| Wetzel County Hospital | New Martinsville, WV | $294.00 | $5.09 – $95.29 |
| Pen Bay Medical Center | Rockport, ME | $295.55 | $5.39 – $59.21 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $298.90 | $5.39 – $63.22 |
| AdventHealth Orlando | Orlando, FL | $299.00 | $61.60 – $163.25 |
| Covenant Specialty Hospital | Lubbock, TX | $327.60 | not published |
| Covenant Medical Center | Lubbock, TX | $327.60 | $8.87 – $145.75 |
| Covenant Children's Hospital | Lubbock, TX | $327.60 | $11.77 – $145.75 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $411.14 | $61.60 – $112.49 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $459.55 | $7.65 – $140.37 |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $498.00 | $4.06 – $398.40 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | $507.11 | $5.39 – $27.87 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $551.22 | $4.53 – $21.48 |
| CASTLE MEDICAL CENTER | Kailua, HI | $609.60 | $4.80 – $155.75 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $719.79 | $3.23 – $20.66 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $2.90 – $11.56 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $2.90 – $51.86 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $2.90 – $53.16 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $2.90 – $53.16 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $2.90 – $51.86 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $2.90 – $51.86 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $5.39 – $51.86 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $5.34 – $43.39 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $5.34 – $48.78 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $5.39 – $26.99 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $5.39 – $27.87 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $5.34 – $48.78 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $5.39 – $27.49 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $5.39 – $28.61 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $5.39 – $27.87 |