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 |
|---|---|---|---|
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $5.39 – $21.78 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $5.39 – $7.82 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $5.39 – $30.45 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $5.39 – $5.77 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | not published | $5.39 – $5.77 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $5.39 – $7.82 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $5.39 – $24.10 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $5.39 – $18.70 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $5.39 – $19.55 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $2.43 – $16.17 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $2.43 – $16.17 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $2.43 – $16.17 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $2.43 – $16.17 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $2.43 – $16.17 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $2.43 – $16.17 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $2.43 – $16.17 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $2.43 – $16.17 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $5.39 – $5.55 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $3.23 – $20.66 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $3.23 – $20.66 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $3.23 – $20.66 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | not published | $5.39 – $14.12 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $3.23 – $20.66 |
| WellSpan Newberry Hospital | Etters, PA | not published | not published |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $4.53 – $14.12 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $3.23 – $21.48 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $3.23 – $20.66 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $6.47 – $90.62 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $38.71 – $44.83 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $56.43 – $62.37 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $11.04 – $62.37 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $11.04 – $62.37 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $41.65 – $61.21 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $40.77 – $61.21 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $4.04 – $100.31 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $3.23 – $20.66 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $4.04 – $100.31 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $3.23 – $20.66 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $4.04 – $15.48 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $4.53 – $20.66 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $5.39 – $59.28 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $4.85 – $20.32 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $7.34 – $29.42 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $4.88 – $153.80 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $4.88 – $153.80 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $5.39 – $27.87 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $4.88 – $153.80 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $3.43 – $98.09 |