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Procedure price report · Pathology

Blood bank doctor investigation of a transfusion reaction

CPT 86078the billing code this page is about

Professional service in which a blood bank physician reviews and investigates a reaction that occurred after a blood transfusion.

Hospitals typically charge $197 cash for this outpatient procedure — the median across 1,333 hospitals that filed a usable cash price; the average of the middle 60% is $196. Most fall between $98 and $337 (20th–80th percentile).

Hospitals
1,333
States
50
Filings dated
Dec 2022 – 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 1,333 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
$71$116$197$292$474

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($71 vs $474).

How the prices are spread

$52 – $68: 47 hospitals$52$68 – $89: 106 hospitals$89 – $116: 117 hospitals$89$116 – $152: 158 hospitals$152 – $199: 184 hospitals$152$199 – $260: 249 hospitals$260 – $340: 158 hospitals$260$340 – $444: 99 hospitals$444 – $581: 47 hospitals$444$581 – $760: 37 hospitals$581median $197price bands are equal on a log scale
Hospitals per price band (1,202 of 1,333 — the bands cover the 5th to 95th percentile)
FromToHospitals
$52$6847
$68$89106
$89$116117
$116$152158
$152$199184
$199$260249
$260$340158
$340$44499
$444$58147
$581$76037

Against Medicare

Medicare pays (OPPS 2026, national rate)$174
Median cash price$197
Cash as a multiple of Medicare1.13×

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 $197.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $135 across 10 hospitalsNH$135Washington: median $181 across 29 hospitalsWA$181Idaho: median $760 across 10 hospitalsID$760Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $208 across 47 hospitalsMN$208Illinois: median $192 across 58 hospitalsIL$192Wisconsin: median $208 across 48 hospitalsWI$208Michigan: median $116 across 31 hospitalsMI$116New York: median $203 across 74 hospitalsNY$203Massachusetts: median $297 across 20 hospitalsMA$297Oregon: median $177 across 18 hospitalsOR$177Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $98 across 23 hospitalsIA$98Indiana: median $206 across 55 hospitalsIN$206Ohio: median $136 across 52 hospitalsOH$136Pennsylvania: median $198 across 69 hospitalsPA$198New Jersey: median $202 across 25 hospitalsNJ$202Connecticut: median $159 across 10 hospitalsCT$159Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $333 across 88 hospitalsCA$333Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $208 across 22 hospitalsCO$208Nebraska: median $97 across 13 hospitalsNE$97Missouri: median $145 across 41 hospitalsMO$145Kentucky: median $183 across 21 hospitalsKY$183West Virginia: median $130 across 19 hospitalsWV$130Virginia: median $137 across 27 hospitalsVA$137Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $314 across 23 hospitalsAZ$314New Mexico: median $203 across 12 hospitalsNM$203Kansas: median $82 across 19 hospitalsKS$82Arkansas: median $118 across 23 hospitalsAR$118Tennessee: median $73 across 38 hospitalsTN$73North Carolina: median $143 across 54 hospitalsNC$143South Carolina: median $247 across 15 hospitalsSC$247Oklahoma: median $101 across 22 hospitalsOK$101Louisiana: median $99 across 14 hospitalsLA$99Mississippi: median $77 across 26 hospitalsMS$77Alabama: median $172 across 19 hospitalsAL$172Georgia: median $339 across 29 hospitalsGA$339Hawaii: median $298 across 10 hospitalsHI$298Texas: median $235 across 94 hospitalsTX$235Florida: median $215 across 77 hospitalsFL$215
Cash price by state, most expensive first. National median $197. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$760+286%$173 – $1,315
Georgia GA29$339+72%$134 – $494
California CA88$333+69%$223 – $431
Arizona AZ23$314+60%$173 – $359
Hawaii HI10$298+52%$233 – $701
Massachusetts MA20$297+51%$167 – $431
South Carolina SC15$247+26%$59 – $247
Texas TX94$235+19%$156 – $262
Florida FL77$215+9%$127 – $659
Colorado CO22$208+6%$152 – $423
Minnesota MN47$208+6%$87 – $337
Wisconsin WI48$208+5%$176 – $278
Indiana IN55$206+5%$131 – $326
New Mexico NM12$203+3%$67 – $308
New York NY74$203+3%$153 – $355
New Jersey NJ25$202+3%$187 – $252
Pennsylvania PA69$1980%$86 – $398
Illinois IL58$192−2%$88 – $285
Kentucky KY21$183−7%$102 – $348
Washington WA29$181−8%$79 – $273
Oregon OR18$177−10%$138 – $235
Alabama AL19$172−13%$88 – $654
Connecticut CT10$159−19%$116 – $395
Missouri MO41$145−26%$92 – $197
North Carolina NC54$143−28%$113 – $533
Virginia VA27$137−30%$73 – $236
Ohio OH52$136−31%$112 – $300
New Hampshire NH10$135−32%$59 – $196
West Virginia WV19$130−34%$45 – $282
Arkansas AR23$118−40%$79 – $119
Michigan MI31$116−41%$51 – $176
Oklahoma OK22$101−49%$81 – $249
Louisiana LA14$99−50%$72 – $200
Iowa IA23$98−50%$98 – $149
Nebraska NE13$97−51%$77 – $130
Kansas KS19$82−59%$61 – $148
Mississippi MS26$77−61%$41 – $249
Tennessee TN38$73−63%$61 – $192
Rhode Island RI8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
North Dakota ND2not 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 $197.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,077$197$100 – $338
Children’s37$220$112 – $305
Critical access216$176$80 – $309
Ownership
For-profit194$221$123 – $386
Government165$159$93 – $290
Non-profit971$196$98 – $333
System affiliation
Part of a system1,142$197$98 – $338
Independent191$181$99 – $308

Cash price vs list price

Median list price (chargemaster)$348
Median cash price$197
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

910 hospitals filed a usable inpatient cash price for this code. The median is $208 and the average of the middle 60% is $212; most fall between $103 and $359.

Cash price percentiles, inpatient, across 910 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
$73$121$208$333$504

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($73 vs $504).

Of the 1,020 hospitals that filed this code inpatient, 910 gave a usable cash price; 57 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 52 a list price only.

How complete is this

1,333 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,451 hospitals that filed this code at all gave us
Usable cash price — counted1,333
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded49
Hospitals that filed this code1,451

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 July 20, 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 Invstgj Tfuj Rxn Reprt.

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 investigation of a transfusion reaction (CPT 86078) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86078-blood-bank-doctor-investigation-of-a-transfusion-reaction