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 |
|---|---|---|---|
| Sanford USD Medical Center | Sioux Falls, SD | $20.52 | $8.59 – $62.37 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $21.14 | $1.78 – $65.74 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $21.14 | $1.83 – $68.79 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $21.14 | $1.60 – $54.79 |
| Sunnyside Medical Center | CLACKAMAS, OR | $21.25 | $6.00 – $6.00 |
| Westside Medical Center | HILLSBORO, OR | $21.25 | $6.00 – $6.00 |
| Banner Baywood Medical Center | Mesa, AZ | $21.34 | $5.39 – $95.25 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $21.59 | $5.39 – $95.25 |
| 64-0362400 Anderson Regional Main Campus | Meridian, MS | $21.78 | $7.34 – $122.24 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $22.20 | $5.23 – $114.00 |
| Banner Boswell Medical Center | Sun City, AZ | $23.24 | $5.39 – $101.60 |
| Banner Heart Hospital | Mesa, AZ | $23.50 | $5.39 – $95.25 |
| cleveland clinic main campus | Cleveland, OH | $24.05 | $2.66 – $61.39 |
| akron general | Akron, OH | $24.05 | $0.95 – $61.39 |
| avon hospital | Avon, OH | $24.05 | $0.95 – $61.39 |
| euclid hospital | Euclid, OH | $24.05 | $0.95 – $61.39 |
| fairview hospital | Cleveland, OH | $24.05 | $0.95 – $61.39 |
| lutheran hospital | Cleveland, OH | $24.05 | $0.95 – $61.39 |
| hillcrest hospital | Mayfield Heights, OH | $24.05 | $0.95 – $61.39 |
| lodi hospital | Lodi, OH | $24.05 | $2.77 – $42.94 |
| marymount hospital | Garfield Heights, OH | $24.05 | $0.95 – $61.39 |
| medina hospital | Medina, OH | $24.05 | $0.95 – $61.39 |
| mercy hospital | Canton, OH | $24.05 | $1.11 – $61.39 |
| south pointe hospital | Warrensville Heights, OH | $24.05 | $0.95 – $61.39 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $24.13 | $5.39 – $95.25 |
| Henry Ford St John Hospital | Detroit, MI | $24.64 | $4.39 – $110.58 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $24.75 | $4.04 – $100.31 |
| Providence Hood River Memorial Hospital | Hood River, OR | $24.75 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $24.84 | $1.78 – $31.73 |
| LeConte Medical Center | Sevierville, TN | $26.10 | $2.43 – $60.19 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $26.42 | $5.39 – $95.25 |
| Mid Coast Hospital | Brunswick, ME | $26.90 | $2.90 – $59.75 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $27.00 | $2.43 – $56.20 |
| Banner University Medical Center Tucson | Tucson, AZ | $27.30 | $5.39 – $101.60 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $27.39 | $5.39 – $118.14 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $28.16 | $5.39 – $57.97 |
| Arizona General Hospital Laveen | Phoenix, AZ | $28.63 | $3.23 – $102.13 |
| Cumberland Medical Center, Inc. | Crossville, TN | $28.80 | $2.43 – $60.19 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $29.32 | $4.57 – $72.80 |
| Henry Ford Rochester Hospital | Rochester, MI | $29.61 | $6.40 – $110.58 |
| Roane County Medical Center | Harriman, TN | $29.70 | $2.43 – $56.20 |
| Fort Loudoun Medical Center | Lenoir City, TN | $29.70 | $2.43 – $56.20 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $29.70 | $2.43 – $56.20 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $29.70 | $2.43 – $56.20 |
| ST HELENA HOSPITAL | Vallejo, CA | $30.60 | $1.78 – $62.06 |
| Arizona General Hospital Mesa | Mesa, AZ | $30.88 | $3.23 – $102.13 |
| Banner Estrella Medical Center | Phoenix, AZ | $31.11 | $5.39 – $95.25 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $31.27 | $4.74 – $122.22 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $31.27 | $4.74 – $122.22 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $31.27 | $4.74 – $122.22 |