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Procedure price report · Pathology

Blood bank doctor review of difficult crossmatch

CPT 86077the billing code this page is about

Professional service in which a blood bank physician evaluates a difficult blood crossmatch or unexpected red cell antibodies before transfusion.

Hospitals typically charge $98 cash for this outpatient procedure — the median across 527 hospitals that filed a usable cash price; the average of the middle 60% is $103. Most fall between $44 and $185 (20th–80th percentile).

Hospitals
527
States
44
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 527 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$30$49$98$162$269

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($30 vs $269).

How the prices are spread

$27 – $35: 49 hospitals$27$35 – $45: 34 hospitals$45 – $57: 39 hospitals$45$57 – $73: 50 hospitals$73 – $94: 58 hospitals$73$94 – $121: 50 hospitals$121 – $155: 72 hospitals$121$155 – $199: 54 hospitals$199 – $255: 33 hospitals$199$255 – $327: 37 hospitals$255median $98price bands are equal on a log scale
Hospitals per price band (476 of 527 — the bands cover the 5th to 95th percentile)
FromToHospitals
$27$3549
$35$4534
$45$5739
$57$7350
$73$9458
$94$12150
$121$15572
$155$19954
$199$25533
$255$32737

Against Medicare

Medicare pays (OPPS 2026, national rate)$30
Median cash price$98
Cash as a multiple of Medicare3.3×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $98.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $156 across 10 hospitalsMN$156Illinois: median $86 across 25 hospitalsIL$86Wisconsin: median $80 across 15 hospitalsWI$80Michigan: median $75 across 21 hospitalsMI$75New York: median $93 across 58 hospitalsNY$93Massachusetts: median $99 across 12 hospitalsMA$99Oregon: median $137 across 12 hospitalsOR$137Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $98 across 13 hospitalsIA$98Indiana: median $176 across 15 hospitalsIN$176Ohio: median $240 across 14 hospitalsOH$240Pennsylvania: median $34 across 26 hospitalsPA$34New Jersey: median $27 across 15 hospitalsNJ$27Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $130 across 40 hospitalsCA$130Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $121 across 17 hospitalsCO$121Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $168 across 12 hospitalsVA$168Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $44 across 17 hospitalsTN$44North Carolina: median $216 across 25 hospitalsNC$216South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $81 across 13 hospitalsOK$81Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $83 across 11 hospitalsAL$83Georgia: median $62 across 17 hospitalsGA$62Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $43 across 33 hospitalsTX$43Florida: median $88 across 26 hospitalsFL$88
Cash price by state, most expensive first. National median $98. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH14$240+146%$105 – $349
North Carolina NC25$216+121%$68 – $302
Indiana IN15$176+80%$70 – $199
Virginia VA12$168+72%$73 – $313
Minnesota MN10$156+60%$119 – $156
Oregon OR12$137+41%$69 – $137
California CA40$130+33%$130 – $162
Colorado CO17$121+24%$120 – $335
Massachusetts MA12$99+1%$77 – $169
Iowa IA13$980%$98 – $98
New York NY58$93−5%$29 – $153
Florida FL26$88−10%$59 – $305
Illinois IL25$86−12%$23 – $135
Alabama AL11$83−15%$42 – $143
Oklahoma OK13$81−18%$81 – $81
Wisconsin WI15$80−18%$45 – $253
Michigan MI21$75−23%$48 – $96
Georgia GA17$62−36%$62 – $62
Tennessee TN17$44−55%$36 – $73
Texas TX33$43−56%$35 – $110
Pennsylvania PA26$34−65%$29 – $198
New Jersey NJ15$27−72%$27 – $37
New Hampshire NH8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $98.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care457$93$42 – $172
Children’s10fewer than 20 hospitals
Critical access57$133$59 – $210
Ownership
For-profit73$81$45 – $256
Government52$78$35 – $147
Non-profit399$102$44 – $176
System affiliation
Part of a system454$98$44 – $182
Independent73$110$48 – $187

Cash price vs list price

Median list price (chargemaster)$181
Median cash price$98
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

365 hospitals filed a usable inpatient cash price for this code. The median is $102 and the average of the middle 60% is $107; most fall between $56 and $168.

Cash price percentiles, inpatient, across 365 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$41$62$102$162$265

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($41 vs $265).

Of the 397 hospitals that filed this code inpatient, 365 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

527 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 563 hospitals that filed this code at all gave us
Usable cash price — counted527
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code563

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Pathology family.

Hospitals file this code under descriptions such as Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Blood bank doctor review of difficult crossmatch (CPT 86077) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86077-blood-bank-doctor-review-of-difficult-crossmatch