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 |
|---|---|---|---|
| Sanford Clear Lake Medical Center | Clear Lake, SD | $61.60 | $39.50 – $69.30 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa, OK | $61.98 | $5.73 – $226.00 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso, OK | $61.98 | $5.73 – $127.13 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville, OK | $61.98 | $5.73 – $136.15 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata, OK | $61.98 | $5.73 – $62.53 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa, OK | $61.98 | $5.73 – $13.08 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks, OK | $61.98 | $5.73 – $8.39 |
| Franklin Memorial Hospital | Farmington, ME | $62.00 | $5.39 – $58.28 |
| California Hospital Medical Center | Los Angeles, CA | $62.08 | $6.18 – $59.05 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $62.22 | $10.78 – $75.87 |
| UPMC Horizon-Greenville | Greenville, PA | $62.40 | $4.83 – $10.33 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $62.70 | $5.39 – $70.91 |
| Van Wert Hospital | Van Wert, OH | $63.05 | $60.58 – $61.79 |
| Mercy Hospital Boonville | Booneville, AR | $63.05 | $4.79 – $81.15 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $63.20 | $27.14 – $71.10 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $63.20 | $27.14 – $71.10 |
| AdventHealth Polk | Columbus, NC | $63.32 | not published |
| 64-0682111 BMH DeSoto | Southaven, MS | $63.40 | $7.39 – $152.29 |
| Marcum Wallace Hospital | Irvine, KY | $64.20 | not published |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $64.80 | $3.27 – $142.24 |
| Ocean University Medical Center | Brick, NJ | $64.92 | $5.39 – $64.92 |
| Southern Ocean Medical Center | Manahawkin, NJ | $64.92 | $5.39 – $70.76 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $64.98 | $4.53 – $157.46 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $64.98 | $4.53 – $157.46 |
| Providence Newberg Medical Center | Newberg, OR | $65.25 | $7.49 – $120.00 |
| Providence Portland Medical Center | Portland, OR | $65.25 | $7.14 – $229.07 |
| Providence St Vincent Medical Center | Portland, OR | $65.25 | $7.14 – $229.07 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $65.25 | $7.14 – $229.07 |
| Providence Milwaukie Hospital | Milwaukie, OR | $65.25 | $7.14 – $229.07 |
| Trinity Medical Center East | Steubenville, OH | $65.47 | $2.66 – $101.64 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $65.64 | $5.39 – $435.97 |
| Mercy Hospital Aurora | Aurora, MO | $65.65 | $5.39 – $77.97 |
| Berger Hospital | Circleville, OH | $65.65 | $11.21 – $11.21 |
| Bayshore Medical Center | Holmdel, NJ | $65.75 | $5.39 – $71.66 |
| Jersey Shore University Medical Center | Neptune City, NJ | $65.75 | $5.39 – $71.66 |
| Riverview Medical Center | Red Bank, NJ | $65.75 | $5.39 – $71.66 |
| St Jude Medical Center | Fullerton, CA | $65.76 | $8.61 – $140.37 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $65.80 | $5.39 – $71.73 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $65.80 | $5.39 – $65.80 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $66.00 | $5.39 – $112.62 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $66.00 | $5.39 – $9.43 |
| SSM Health Ripon Community Hospital | Ripon, WI | $66.00 | $5.39 – $9.43 |
| Mercy Hospital Berryville | Berryville, AR | $66.30 | $4.79 – $81.15 |
| Redwood Memorial Hospital | Fortuna, CA | $66.30 | $63.00 – $63.00 |
| 62-0123940 BMH Collierville | Collierville, TN | $66.57 | $8.58 – $108.78 |
| Allen Hospital | Oberlin, OH | $66.60 | not published |
| Urbana Hospital | Urbana, OH | $66.60 | not published |
| CHI Health St. Francis | Grand Island, NE | $66.67 | $10.08 – $53.00 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $66.95 | $4.79 – $105.47 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $66.96 | $5.39 – $110.30 |