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 |
|---|---|---|---|
| UnityPoint Health - Marshalltown | Marshalltown, IA | $57.14 | $3.23 – $57.80 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $57.14 | $3.23 – $60.78 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $57.14 | $3.23 – $87.63 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $57.14 | $3.23 – $99.07 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $57.14 | $3.23 – $87.63 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $57.14 | $3.23 – $60.71 |
| St. Bernardine Medical Center | San Bernardino, CA | $57.61 | $6.47 – $48.75 |
| 45-2896080 MBMC Leake | Carthage, MS | $58.05 | $7.50 – $53.02 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $58.27 | $58.52 – $134.57 |
| Covenant Hospital Levelland | Levelland, TX | $58.38 | $57.48 – $62.52 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $58.59 | $4.53 – $157.46 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $58.59 | $4.53 – $157.46 |
| Sanford Wheaton | Wheaton, MN | $59.20 | $17.92 – $66.60 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $59.20 | $2.66 – $156.16 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $59.20 | $2.66 – $157.13 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $59.20 | $2.66 – $156.16 |
| Soin Medical Center | Beaver Creek, OH | $59.20 | $2.66 – $156.16 |
| Kettering Health Greene Memorial | Xenia, OH | $59.20 | $2.66 – $155.32 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $59.20 | $2.66 – $157.13 |
| Kettering Health Troy | Troy, OH | $59.20 | $2.66 – $155.32 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $59.40 | $5.57 – $129.61 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $59.40 | $5.57 – $129.81 |
| HSHS St. Vincent Hospital | Green Bay, WI | $59.40 | $5.57 – $128.93 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $59.40 | $5.57 – $60.27 |
| Community Hospital San Bernardino | San Bernardino, CA | $59.44 | $5.00 – $48.75 |
| Sanford Hospital Webster | Webster, SD | $60.00 | $23.55 – $67.50 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $60.00 | $7.86 – $60.35 |
| MUSC Health Chester Medical Center | Chester, SC | $60.00 | $3.08 – $62.72 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $60.00 | $54.87 – $60.35 |
| Atrium Health Anson | Wadesboro, NC | $60.35 | $6.63 – $114.67 |
| Atrium Health Mercy | Charlotte, NC | $60.35 | $6.63 – $111.04 |
| Atrium Health Pineville | Charlotte, NC | $60.35 | $6.63 – $111.04 |
| Atrium Health Stanly | Albermarle, NC | $60.35 | $6.63 – $115.87 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $60.35 | $6.70 – $106.22 |
| Atrium Health Cleveland | Shelby, NC | $60.35 | $6.63 – $114.67 |
| Atrium Health Cabarrus | Concord, NC | $60.35 | $6.63 – $114.67 |
| Atrium Health Lincoln | Lincolnton, NC | $60.35 | $6.63 – $114.67 |
| Atrium Health Union | Monroe, NC | $60.35 | $6.63 – $114.67 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $60.35 | $6.70 – $111.04 |
| Atrium Health University City | Charlotte, NC | $60.35 | $6.63 – $111.04 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $60.35 | $6.63 – $108.63 |
| Mercy Hospital Carthage | Carthage, MO | $60.45 | $4.79 – $77.97 |
| UPMC Jameson | New Castle, PA | $60.60 | $5.32 – $10.56 |
| Jewish Hospital | Cincinnati, OH | $60.60 | not published |
| Anderson Hospital | Cincinnati, OH | $60.60 | not published |
| Clermont Hospital | Batavia, OH | $60.60 | not published |
| Kings Mills Hospital | Mason, OH | $60.60 | not published |
| Fairfield Hospital | Fairfield, OH | $60.60 | not published |
| Mercy West Hospital | Cincinnati, OH | $60.60 | not published |
| Virginia Mason Medical Center | Seattle, WA | $60.69 | $91.97 – $91.97 |