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Procedure price report · Other Laboratory

Direct Coombs test for antibodies on red cells

CPT 86880the billing code this page is about

A blood test that detects antibodies or complement already attached to the surface of the patient's red blood cells; billed for each antiserum used.

Hospitals typically charge $57 cash for this outpatient procedure — the median across 3,340 hospitals that filed a usable cash price; the average of the middle 60% is $58. Most fall between $26 and $107 (20th–80th percentile).

Hospitals
3,340
States
50
Filings dated
Aug 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 3,340 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
$17$30$57$91$154

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($17 vs $154).

How the prices are spread

$11 – $15: 108 hospitals$11$15 – $21: 201 hospitals$21 – $28: 264 hospitals$21$28 – $38: 340 hospitals$38 – $52: 430 hospitals$38$52 – $70: 587 hospitals$70 – $95: 464 hospitals$70$95 – $129: 322 hospitals$129 – $176: 198 hospitals$129$176 – $238: 97 hospitals$176median $57price bands are equal on a log scale
Hospitals per price band (3,011 of 3,340 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$15108
$15$21201
$21$28264
$28$38340
$38$52430
$52$70587
$70$95464
$95$129322
$129$176198
$176$23897

Against Medicare

Medicare pays (OPPS 2026, national rate)$60
Median cash price$57
Cash as a multiple of Medicare0.94×

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 $57.

Alaska: median $87 across 19 hospitalsAK$87Maine: median $48 across 28 hospitalsME$48Vermont: median $59 across 14 hospitalsVT$59New Hampshire: median $51 across 24 hospitalsNH$51Washington: median $68 across 73 hospitalsWA$68Idaho: median $54 across 22 hospitalsID$54Montana: median $62 across 28 hospitalsMT$62North Dakota: median $46 across 32 hospitalsND$46Minnesota: median $50 across 105 hospitalsMN$50Illinois: median $76 across 140 hospitalsIL$76Wisconsin: median $52 across 106 hospitalsWI$52Michigan: median $39 across 96 hospitalsMI$39New York: median $70 across 121 hospitalsNY$70Massachusetts: median $93 across 52 hospitalsMA$93Oregon: median $60 across 51 hospitalsOR$60Nevada: median $69 across 22 hospitalsNV$69Wyoming: median $84 across 16 hospitalsWY$84South Dakota: median $85 across 29 hospitalsSD$85Iowa: median $57 across 89 hospitalsIA$57Indiana: median $43 across 97 hospitalsIN$43Ohio: median $59 across 142 hospitalsOH$59Pennsylvania: median $63 across 122 hospitalsPA$63New Jersey: median $65 across 57 hospitalsNJ$65Connecticut: median $74 across 23 hospitalsCT$74Rhode Island: median $43 across 10 hospitalsRI$43California: median $54 across 163 hospitalsCA$54Utah: median $88 across 40 hospitalsUT$88Colorado: median $53 across 70 hospitalsCO$53Nebraska: median $86 across 78 hospitalsNE$86Missouri: median $50 across 76 hospitalsMO$50Kentucky: median $57 across 67 hospitalsKY$57West Virginia: median $53 across 40 hospitalsWV$53Virginia: median $64 across 73 hospitalsVA$64Maryland: median $22 across 41 hospitalsMD$22Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $67 across 42 hospitalsAZ$67New Mexico: median $100 across 29 hospitalsNM$100Kansas: median $44 across 89 hospitalsKS$44Arkansas: median $37 across 39 hospitalsAR$37Tennessee: median $41 across 81 hospitalsTN$41North Carolina: median $55 across 85 hospitalsNC$55South Carolina: median $64 across 52 hospitalsSC$64Oklahoma: median $59 across 73 hospitalsOK$59Louisiana: median $36 across 53 hospitalsLA$36Mississippi: median $35 across 55 hospitalsMS$35Alabama: median $51 across 43 hospitalsAL$51Georgia: median $54 across 106 hospitalsGA$54Hawaii: median $61 across 19 hospitalsHI$61Texas: median $65 across 244 hospitalsTX$65Florida: median $47 across 157 hospitalsFL$47
Cash price by state, most expensive first. National median $57. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Mexico NM29$100+76%$49 – $162
Massachusetts MA52$93+64%$51 – $162
Utah UT40$88+55%$71 – $102
Alaska AK19$87+54%$16 – $179
Nebraska NE78$86+52%$43 – $114
South Dakota SD29$85+49%$41 – $126
Wyoming WY16$84+47%$59 – $111
Illinois IL140$76+33%$38 – $118
Connecticut CT23$74+31%$54 – $92
New York NY121$70+23%$13 – $143
Nevada NV22$69+22%$44 – $108
Washington WA73$68+19%$46 – $102
Arizona AZ42$67+18%$28 – $167
Texas TX244$65+15%$27 – $154
New Jersey NJ57$65+14%$6 – $79
Virginia VA73$64+13%$28 – $113
South Carolina SC52$64+12%$49 – $116
Pennsylvania PA122$63+11%$33 – $131
Montana MT28$62+10%$30 – $103
Hawaii HI19$61+8%$33 – $94
Oregon OR51$60+5%$27 – $86
Ohio OH142$59+4%$34 – $112
Oklahoma OK73$59+4%$31 – $102
Vermont VT14$59+4%$49 – $121
Iowa IA89$57+1%$38 – $75
Kentucky KY67$570%$34 – $89
North Carolina NC85$55−4%$28 – $68
Idaho ID22$54−4%$24 – $86
California CA163$54−4%$13 – $126
Georgia GA106$54−5%$20 – $87
West Virginia WV40$53−6%$35 – $136
Colorado CO70$53−7%$40 – $110
Wisconsin WI106$52−8%$32 – $68
New Hampshire NH24$51−10%$29 – $152
Alabama AL43$51−10%$26 – $220
Minnesota MN105$50−12%$25 – $69
Missouri MO76$50−12%$32 – $77
Maine ME28$48−15%$29 – $65
Florida FL157$47−17%$19 – $196
North Dakota ND32$46−19%$34 – $63
Kansas KS89$44−22%$28 – $77
Indiana IN97$43−24%$25 – $68
Rhode Island RI10$43−24%$19 – $100
Tennessee TN81$41−27%$17 – $83
Michigan MI96$39−31%$20 – $71
Arkansas AR39$37−35%$26 – $66
Louisiana LA53$36−36%$9 – $66
Mississippi MS55$35−39%$15 – $57
Maryland MD41$22−62%$17 – $26
Delaware DE7not 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 $57.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,329$58$24 – $119
Children’s65$46$27 – $89
Critical access936$55$30 – $88
Ownership
For-profit472$75$29 – $203
Government632$57$27 – $93
Non-profit2,226$54$25 – $98
System affiliation
Part of a system2,707$57$26 – $109
Independent633$57$27 – $106

Cash price vs list price

Median list price (chargemaster)$93
Median cash price$57
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

2,244 hospitals filed a usable inpatient cash price for this code. The median is $56 and the average of the middle 60% is $59; most fall between $27 and $108.

Cash price percentiles, inpatient, across 2,244 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
$17$31$56$92$154

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($17 vs $154).

Of the 2,470 hospitals that filed this code inpatient, 2,244 gave a usable cash price; 118 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 108 a list price only.

How complete is this

3,340 of the 3,956 hospitals with a price file in our corpus (84%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,623 hospitals that filed this code at all gave us
Usable cash price — counted3,340
Cash price carrying a plausibility flag — shown on the compare tool, excluded here162
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded120
Hospitals that filed this code3,623

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 Other Laboratory family.

Hospitals file this code under descriptions such as HC Direct Coombs Igg.

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, “Direct Coombs test for antibodies on red cells (CPT 86880) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86880-direct-coombs-test-for-antibodies-on-red-cells