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 |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $40.00 | $6.05 – $102.41 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $40.00 | $5.81 – $102.41 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $40.00 | $5.81 – $102.41 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $40.33 | $4.57 – $102.83 |
| Sanford Canton Inwood Medical Center | Canton, SD | $40.80 | $17.44 – $45.90 |
| CHI Health Good Samaritan | Kearney, NE | $40.87 | $10.08 – $62.31 |
| Parkview Montpelier Hospital | Montpelier, OH | $41.00 | not published |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $41.00 | $56.39 – $57.51 |
| Parkview Bryan Hospital | Bryan, OH | $41.00 | $58.69 – $176.07 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $41.22 | $5.39 – $110.30 |
| UPMC Cole | Coudersport, PA | $41.40 | $3.50 – $55.20 |
| UPMC Bedford | Everett, PA | $41.40 | $1.94 – $62.10 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan, KS | $42.00 | $4.88 – $153.80 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $42.58 | $4.57 – $96.46 |
| Mercy General Hospital | Sacramento, CA | $43.17 | $4.79 – $26.40 |
| Providence St Joseph Hospital | Chewelah, WA | $43.40 | not published |
| Potomac Valley Hospital | Keyser, WV | $43.50 | not published |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $43.52 | $5.39 – $121.40 |
| Banner Ocotillo Medical Center | Chandler, AZ | $44.07 | $5.39 – $95.25 |
| Providence Mount Carmel Hospital | Colville, WA | $44.10 | not published |
| Mercy Hospital Ozark | River Ozark, AR | $44.20 | $4.79 – $81.15 |
| Mercy Hospital Paris | Academy Paris, AR | $44.20 | $4.79 – $81.15 |
| Mercy Hospital Waldron | Waldron, AR | $44.20 | $4.79 – $81.15 |
| Adventhealth Waterman | Tavares, FL | $44.37 | $61.60 – $124.31 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $44.78 | $3.02 – $21.56 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $45.10 | $5.39 – $70.91 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $45.10 | $5.39 – $70.91 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $45.10 | $5.39 – $22.21 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $45.10 | $5.39 – $70.91 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $45.10 | $5.39 – $70.91 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $45.10 | $5.39 – $70.91 |
| Parkview Logansport Hospital | Logansport, IN | $45.88 | $7.34 – $124.83 |
| St. Clare Hospital | Lakewood, WA | $46.01 | $9.76 – $156.40 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | $46.11 | $5.23 – $9.62 |
| Banner Payson Medical Center | Payson, AZ | $46.48 | $5.39 – $114.30 |
| Inova Alexandria Hospital | Alexandria, VA | $46.50 | $5.16 – $58.51 |
| Inova Fairfax Hospital | Falls Church, VA | $46.50 | $5.16 – $58.51 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $46.50 | $5.16 – $58.51 |
| Inova Loudoun Hospital | Leesburg, VA | $46.50 | $5.16 – $58.51 |
| Inova Mount Vernon Hospital | Alexandria, VA | $46.50 | $5.16 – $58.51 |
| CHI Health Mercy Corning | Corning, IA | $46.56 | $5.39 – $89.18 |
| UPMC Altoona | Altoona, PA | $46.80 | $5.32 – $62.40 |
| SSM Health Monroe Hospital | Monroe, WI | $47.30 | $6.42 – $14.82 |
| CHI Health Missouri Valley | Missouri Valley, IA | $47.53 | $5.39 – $89.18 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $47.55 | $7.67 – $108.78 |
| Gouverneur Hospital | Gouverneur, NY | $47.61 | $4.74 – $70.10 |
| UPMC Hanover | Hanover, PA | $48.00 | $5.34 – $10.12 |
| UPMC Lititz | Lititz, PA | $48.00 | $5.34 – $10.12 |
| UPMC Memorial | York, PA | $48.00 | $5.57 – $38.84 |
| UPMC Carlisle | Carlisle, PA | $48.00 | $5.34 – $68.00 |