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 |
|---|---|---|---|
| Reynolds Memorial Hospital | Glen Dale, WV | $48.50 | $5.09 – $88.97 |
| St. Anthony Hospital | Gig Harbor, WA | $48.55 | $9.76 – $156.40 |
| St. Anne Hospital | Burien, WA | $48.74 | $9.76 – $143.64 |
| Chandler Regional Medical Center | Chandler, AZ | $48.78 | $3.02 – $21.56 |
| Sterling Regional Medical Center | Sterling, CO | $48.84 | $5.39 – $116.40 |
| Tiffin Hospital | Tiffin, OH | $49.80 | not published |
| Banner Wyoming Medical Center | Casper, WY | $49.98 | $5.39 – $114.24 |
| St. Francis Hospital | Federal Way, WA | $50.09 | $9.76 – $156.40 |
| Morrow County Hospital | Mount Gilead, OH | $50.12 | $2.66 – $56.47 |
| Jefferson Medical Center | Ranson, WV | $50.50 | not published |
| Sanford Vermillion Hospital | Vermillion, SD | $51.20 | $18.88 – $57.60 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $51.68 | $3.10 – $109.46 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $51.75 | $7.39 – $152.12 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $52.00 | $59.42 – $89.12 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $52.00 | $23.08 – $88.17 |
| Sanford Sheldon Medical Center | Sheldon, IA | $52.80 | $18.81 – $59.40 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $52.80 | $4.85 – $128.71 |
| Defiance Hospital | Defiance, OH | $52.80 | not published |
| St. Joseph Medical Center | Tacoma, WA | $52.86 | $9.76 – $156.40 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $52.89 | $7.50 – $53.02 |
| St. Mary Medical Center | Long Beach, CA | $53.32 | $6.18 – $40.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $53.39 | $4.57 – $96.46 |
| OSF Healthcare Divine Mercy Continuing Care Hospital | Peoria, IL | $53.40 | not published |
| Ascension Saint Thomas Midtown | Nashville, TN | $53.81 | $4.85 – $79.65 |
| Lourdes Hospital | Paducah, KY | $54.00 | not published |
| MUSC Health Black River Medical Center | Cades, SC | $54.00 | $3.08 – $60.35 |
| Woodland Memorial Hospital | Woodland, CA | $54.26 | $2.64 – $24.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $54.26 | $2.64 – $30.00 |
| Childrens Specialized Hospital | Mountainside, NJ | $54.50 | $4.31 – $4.44 |
| Southeastern Medical Center | Cambridge, OH | $54.60 | $55.81 – $58.04 |
| Canton-Potsdam Hospital | Potsdam, NY | $54.75 | $4.74 – $51.05 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $56.00 | $4.53 – $96.00 |
| Sanford Westbrook Hospital | Westbrook, MN | $56.00 | $16.95 – $63.00 |
| Sanford Tracy Hospital | Tracy, MN | $56.00 | $16.95 – $63.00 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $56.00 | $4.58 – $297.00 |
| St. Elizabeth Hospital | Enumclaw, WA | $56.40 | $5.39 – $143.64 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $56.43 | $5.03 – $111.56 |
| Ascension Saint Thomas Highlands | Sparta, TN | $56.69 | $3.81 – $78.50 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $56.69 | $3.81 – $78.50 |
| Ascension Saint Thomas River Park | McMinnville, TN | $56.69 | $3.81 – $78.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $56.69 | $4.85 – $79.65 |
| Parkwest Medical Center | Knoxville, TN | $56.70 | $2.43 – $56.20 |
| Methodist Hospital of Sacramento | Sacramento, CA | $57.03 | $4.79 – $24.00 |
| Healdsburg Hospital | Healdsburg, CA | $57.12 | $21.51 – $79.48 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $57.14 | $3.23 – $57.82 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $57.14 | $3.23 – $57.51 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $57.14 | $3.23 – $65.96 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $57.14 | $3.23 – $59.10 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $57.14 | $3.23 – $58.21 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $57.14 | $3.23 – $63.35 |