CPT 86978 · 1,282 hospitals reporting

Pretreatment of serum for use in red blood cell antibody analysis and measurement; by differential r

The same procedure costs $50 at one hospital and $1,551 at another — a 31× spread for what's billed under the same code. Median: $108.

Cheapest published

$50

82 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,282 hospitals

$108

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$1,551

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

500 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CHI HEALTH MERCY COUNCIL BLUFFS	IA	$256	$108	$154	$218	3 insurers
CHI HEALTH MERCY COUNCIL BLUFFS	IA	$256	$108	$38.4	$218	5 insurers
CHI HEALTH BERGAN MERCY	NE	$256	$108	$154	$218	3 insurers
CHI HEALTH BERGAN MERCY	NE	$256	$108	$43.52	$218	5 insurers
CHI HEALTH IMMANUEL	NE	$256	$108	$154	$218	3 insurers
CHI HEALTH IMMANUEL	NE	$256	$108	$35.84	$218	5 insurers
CHI HEALTH MIDLANDS	NE	$256	$108	$154	$218	3 insurers
CHI HEALTH MIDLANDS	NE	$256	$108	$46.08	$218	5 insurers
CHI HEALTH LAKESIDE	NE	$256	$108	$154	$218	3 insurers
CHI HEALTH LAKESIDE	NE	$256	$108	$40.96	$218	5 insurers
ST LUKE'S REGIONAL MEDICAL CENTER	ID	$309	$108	$139	$309	5 insurers
ST LUKE'S REGIONAL MEDICAL CENTER	ID	$309	$108	$40.12	$309	5 insurers
ST LUKE'S THE WOODLANDS HOSPITAL	TX	$309	$108	$133	$309	5 insurers
ST LUKE'S THE WOODLANDS HOSPITAL	TX	$309	$108	$42.84	$309	5 insurers
ST LUKE'S SUGAR LAND HOSPITAL	TX	$309	$108	$133	$309	5 insurers
ST LUKE'S SUGAR LAND HOSPITAL	TX	$309	$108	$31.27	$309	5 insurers
ST LUKE'S HOSPITAL AT THE VINTAGE	TX	$309	$108	$133	$309	5 insurers
ST LUKE'S HOSPITAL AT THE VINTAGE	TX	$309	$108	$42.84	$309	5 insurers
JOHN H STROGER JR HOSPITAL	IL	$155	$109	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$155	$109	—	—	5 insurers
ST MARY'S REGIONAL MEDICAL CENTER	OK	$266	$106	—	—	4 insurers
MISSOURI DELTA MEDICAL CENTER	MO	$425	$106	—	—	5 insurers
ST TAMMANY PARISH HOSPITAL	LA	$182	$109	—	—	0 insurers
MARY BRIDGE CHILDREN'S HOSPITAL	WA	$273	$109	—	—	1 insurers
BARAGA COUNTY MEMORIAL HOSPITAL	MI	$110	$110	—	—	0 insurers
Baylor St Lukes Medical Center	TX	$300	$105	$24.38	$255	5 insurers
CHI ST LUKES LAKESIDE HOSPITAL	TX	$300	$105	$24.39	$255	5 insurers
CHI ST JOSEPH HEALTH REGIONAL HOSPITAL	TX	$299	$105	$33.65	$254	5 insurers
CARILION TAZEWELL COMMUNITY HOSPITAL	VA	$316	$111	—	—	5 insurers
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL	TX	$104	$104	—	—	5 insurers
FIELD HEALTH SYSTEM	MS	$138	$104	—	—	1 insurers
SAUK PRAIRIE HOSPITAL	WI	$189	$103	—	—	5 insurers
THOMAS HOSPITAL	AL	$206	$103	—	—	5 insurers
ADVENTHEALTH SEBRING	FL	$171	$103	$16.62	$154	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$134	$113	$121	$131	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$134	$113	$81.74	$181	5 insurers
WILSON MEDICAL CENTER	KS	$295	$113	—	—	0 insurers
WILSON MEDICAL CENTER	NC	$295	$113	—	—	0 insurers
ADVENTHEALTH DADE CITY	FL	$170	$102	$16.62	$153	5 insurers
HUNT REGIONAL MEDICAL CENTER	TX	$157	$102	—	—	0 insurers