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 |
|---|---|---|---|
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $31.27 | $4.74 – $122.22 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $31.50 | $9.00 – $59.28 |
| Sentara RMH Medical Center | Harrisonburg, VA | $31.50 | $10.08 – $60.44 |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $31.80 | $5.66 – $80.75 |
| 62-1138045 BMH Union City | Union City, TN | $31.80 | $11.46 – $108.48 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $31.80 | $5.66 – $80.75 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $31.80 | $5.66 – $80.75 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $32.04 | $5.23 – $114.00 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $32.04 | $1.77 – $59.88 |
| Sanford Luverne Medical Center | Luverne, MN | $32.80 | $9.93 – $36.90 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $32.93 | $5.00 – $25.00 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $33.00 | $3.77 – $93.02 |
| NewYork-Presbyterian Queens | Flushing, NY | $33.00 | $3.77 – $93.46 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $33.00 | $3.77 – $147.64 |
| Banner Desert Medical Center | Mesa, AZ | $33.15 | $5.39 – $95.25 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $33.60 | $10.17 – $37.80 |
| Sanford Medical Center Mayville | Mayville, ND | $33.60 | $10.17 – $37.80 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $33.75 | $4.57 – $63.70 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $33.95 | $4.57 – $72.80 |
| Barnesville Hospital | Barnesville, OH | $34.00 | $2.66 – $2.66 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $34.09 | $1.87 – $59.07 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $35.20 | $5.39 – $60.30 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $35.34 | $5.66 – $119.91 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $35.34 | $5.66 – $20.81 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $35.34 | $5.66 – $119.91 |
| Massena Hospital | Massena, NY | $35.37 | $5.39 – $41.60 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $35.40 | $4.57 – $34.34 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $35.45 | $4.53 – $176.40 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $35.45 | $4.53 – $176.40 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $35.45 | $4.53 – $176.40 |
| Jackson General Hospital | Ripley, WV | $35.50 | not published |
| Whitesburg ARH Hospital | Whitesburg, KY | $36.00 | $4.57 – $31.54 |
| UPMC Northwest | Seneca, PA | $37.20 | $4.89 – $8.54 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $37.26 | $7.39 – $151.31 |
| MultiCare Auburn Medical Center | Auburn, WA | $37.60 | $2.98 – $283.18 |
| MultiCare Covington Medical Center | Covington, WA | $37.60 | $2.98 – $283.18 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $37.60 | $3.05 – $283.18 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $37.60 | $3.03 – $359.30 |
| MultiCare Allenmore Hospital | Tacoma, WA | $37.60 | $3.05 – $283.18 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $37.80 | $4.85 – $183.60 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $37.80 | $4.85 – $194.40 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $37.80 | $4.85 – $194.40 |
| St. Joseph Health College Station Hospital | College Station, TX | $37.80 | $4.53 – $183.60 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $38.23 | $5.39 – $95.25 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $38.50 | $5.39 – $10.81 |
| CHI Health Nebraska Heart | Lincoln, NE | $39.56 | $8.37 – $55.76 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $39.60 | $7.34 – $119.05 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $39.78 | $5.39 – $62.15 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $39.79 | $8.58 – $108.48 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $40.00 | $5.62 – $102.41 |