Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
C COOMBS ANTI-COMPLEMENT
Puyallup, WA
See all hospitals reporting CPT 86880 →Price type
Good Samaritan Hospital’s median price of $91 is 62% above the median hospital's median price ($56), higher than 88% of the 2,574 hospitals reporting CPT 86880. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina apple health fee schedule · outpatient | $3.05 | $3.05 | $3.05 – $3.05 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $3.29 | $3.29 | $3.29 – $3.29 |
| 3 | Kaiser ppo fee schedule · outpatient | $5.93 | $5.93 | $5.93 – $5.93 |
| 4 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $54.75 | $54.75 | $54.75 – $54.75 |
| 5 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $54.75 | $54.75 | $54.75 – $54.75 |
| 6 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $68.62 | $68.62 | $68.62 – $68.62 |
| 7 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $68.62 | $68.62 | $68.62 – $68.62 |
| 8 | Aetna medadvantage fee schedule · outpatient | $69.49 | $69.49 | $69.49 – $69.49 |
| 9 | Regence medadvantage fee schedule · outpatient | $69.49 | $69.49 | $69.49 – $69.49 |
| 10 | UnitedHealthcare medadvantage fee schedule · outpatient | $70.17 | $70.17 | $70.17 – $70.17 |
| 11 | Molina medadvantage fee schedule · outpatient | $70.84 | $70.84 | $70.84 – $70.84 |
| 12 | WellCare medadvantage fee schedule · outpatient | $70.84 | $70.84 | $70.84 – $70.84 |
| 13 | Premera hmo fee schedule · outpatient | $107.68 | $107.68 | $107.68 – $107.68 |
| 14 | Ambetter coordinated care exchange fee schedule · outpatient | $134.94 | $134.94 | $134.94 – $134.94 |
| 15 | Regence blue high performance fee schedule · outpatient | $200.82 | $200.82 | $200.82 – $200.82 |
| 16 | Regence mcc/ahn fee schedule · outpatient | $200.82 | $200.82 | $200.82 – $200.82 |
| 17 | Regence realvalue fee schedule · outpatient | $206.56 | $206.56 | $206.56 – $206.56 |
| 18 | Premera signature fee schedule · outpatient | $223.47 | $223.47 | $223.47 – $223.47 |
| 19 | Premera prime fee schedule · outpatient | $228.50 | $228.50 | $228.50 – $228.50 |
| 20 | Regence commercial fee schedule · outpatient | $229.51 | $229.51 | $229.51 – $229.51 |
| 21 | Aetna all commercial plans fee schedule · outpatient | $277.10 | $277.10 | $277.10 – $277.10 |
| 22 | Premera other commercial plans fee schedule · outpatient | $280.83 | $280.83 | $280.83 – $280.83 |
| 23 | Cigna all commercial plans fee schedule · outpatient | $283.18 | $283.18 | $283.18 – $283.18 |
| 24 | UnitedHealthcare all commercial plans fee schedule · outpatient | $301.04 | $301.04 | $301.04 – $301.04 |
Last updated: Aug 27, 2026
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