Procedure price report · Other Laboratory

CA 125 tumor marker blood test

CPT code CPT 86304the billing code this page is about

Blood test measuring the amount of the CA 125 cancer antigen, a marker associated with ovarian cancer.

Hospitals typically charge $112 cash for this outpatient procedure — the median across 3,294 hospitals that filed a usable cash price; the average of the middle 60% is $115. Most fall between $50 and $198 (20th–80th percentile).

Hospitals
3,294
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 3,294 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$61$112$175$277

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($30 vs $277).

How the prices are spread

$21 – $28: 119 hospitals$21$28 – $38: 176 hospitals$38 – $51: 221 hospitals$38$51 – $69: 284 hospitals$69 – $92: 363 hospitals$69$92 – $124: 534 hospitals$124 – $167: 509 hospitals$124$167 – $224: 404 hospitals$224 – $301: 238 hospitals$224$301 – $404: 119 hospitals$301median $112price bands are equal on a log scale
Hospitals per price band (2,967 of 3,294 — the bands cover the 5th to 95th percentile)
FromToHospitals
$21$28119
$28$38176
$38$51221
$51$69284
$69$92363
$92$124534
$124$167509
$167$224404
$224$301238
$301$404119

By state

The median cash price in each state, against the national median of $112.

Alaska: median $186 across 19 hospitalsAK$186Maine: median $86 across 28 hospitalsME$86Vermont: median $128 across 14 hospitalsVT$128New Hampshire: median $122 across 24 hospitalsNH$122Washington: median $119 across 74 hospitalsWA$119Idaho: median $93 across 24 hospitalsID$93Montana: median $112 across 32 hospitalsMT$112North Dakota: median $143 across 33 hospitalsND$143Minnesota: median $102 across 107 hospitalsMN$102Illinois: median $161 across 137 hospitalsIL$161Wisconsin: median $133 across 105 hospitalsWI$133Michigan: median $77 across 94 hospitalsMI$77New York: median $69 across 116 hospitalsNY$69Massachusetts: median $115 across 52 hospitalsMA$115Oregon: median $111 across 49 hospitalsOR$111Nevada: median $119 across 21 hospitalsNV$119Wyoming: median $128 across 16 hospitalsWY$128South Dakota: median $209 across 37 hospitalsSD$209Iowa: median $117 across 89 hospitalsIA$117Indiana: median $133 across 96 hospitalsIN$133Ohio: median $94 across 139 hospitalsOH$94Pennsylvania: median $111 across 119 hospitalsPA$111New Jersey: median $24 across 56 hospitalsNJ$24Connecticut: median $111 across 23 hospitalsCT$111Rhode Island: median $156 across 10 hospitalsRI$156California: median $138 across 151 hospitalsCA$138Utah: median $103 across 40 hospitalsUT$103Colorado: median $125 across 69 hospitalsCO$125Nebraska: median $152 across 80 hospitalsNE$152Missouri: median $94 across 73 hospitalsMO$94Kentucky: median $130 across 69 hospitalsKY$130West Virginia: median $118 across 41 hospitalsWV$118Virginia: median $123 across 73 hospitalsVA$123Maryland: median $87 across 40 hospitalsMD$87Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $98 across 37 hospitalsAZ$98New Mexico: median $140 across 28 hospitalsNM$140Kansas: median $95 across 91 hospitalsKS$95Arkansas: median $31 across 39 hospitalsAR$31Tennessee: median $68 across 81 hospitalsTN$68North Carolina: median $123 across 83 hospitalsNC$123South Carolina: median $167 across 50 hospitalsSC$167Oklahoma: median $81 across 73 hospitalsOK$81Louisiana: median $55 across 51 hospitalsLA$55Mississippi: median $76 across 56 hospitalsMS$76Alabama: median $76 across 44 hospitalsAL$76Georgia: median $129 across 106 hospitalsGA$129Hawaii: median $105 across 19 hospitalsHI$105Texas: median $143 across 240 hospitalsTX$143Florida: median $86 across 139 hospitalsFL$86
Cash price by state, most expensive first. National median $112. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD37$209+86%$129 – $308
Alaska AK19$186+66%$100 – $257
South Carolina SC50$167+49%$125 – $194
Illinois IL137$161+44%$79 – $268
Rhode Island RI10$156+39%$48 – $166
Nebraska NE80$152+36%$79 – $210
North Dakota ND33$143+28%$39 – $172
Texas TX240$143+28%$75 – $330
New Mexico NM28$140+25%$80 – $234
California CA151$138+23%$12 – $217
Indiana IN96$133+19%$40 – $224
Wisconsin WI105$133+19%$98 – $207
Kentucky KY69$130+16%$62 – $602
Georgia GA106$129+15%$54 – $228
Vermont VT14$128+15%$74 – $318
Wyoming WY16$128+14%$44 – $202
Colorado CO69$125+12%$77 – $201
North Carolina NC83$123+10%$40 – $183
Virginia VA73$123+10%$68 – $231
New Hampshire NH24$122+8%$100 – $262
Nevada NV21$119+6%$36 – $190
Washington WA74$119+6%$90 – $163
West Virginia WV41$118+5%$70 – $209
Iowa IA89$117+4%$49 – $179
Massachusetts MA52$115+2%$71 – $201
Montana MT32$1120%$91 – $179
Connecticut CT23$111−1%$85 – $173
Pennsylvania PA119$111−1%$30 – $245
Oregon OR49$111−1%$68 – $130
Hawaii HI19$105−6%$91 – $149
Utah UT40$103−8%$83 – $124
Minnesota MN107$102−9%$46 – $168
Arizona AZ37$98−12%$24 – $215
Kansas KS91$95−15%$68 – $147
Missouri MO73$94−16%$62 – $164
Ohio OH139$94−16%$43 – $126
Idaho ID24$93−17%$61 – $150
Maryland MD40$87−22%$69 – $107
Maine ME28$86−23%$43 – $227
Florida FL139$86−24%$23 – $298
Oklahoma OK73$81−27%$39 – $152
Michigan MI94$77−31%$36 – $159
Alabama AL44$76−32%$31 – $229
Mississippi MS56$76−33%$45 – $126
New York NY116$69−39%$39 – $227
Tennessee TN81$68−39%$40 – $169
Louisiana LA51$55−51%$37 – $125
Arkansas AR39$31−72%$27 – $123
New Jersey NJ56$24−79%$23 – $71
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 $112.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,279$107$45 – $203
Children’s47$76$30 – $172
Critical access959$122$65 – $194
Ownership
For-profit448$146$49 – $396
Government627$115$56 – $183
Non-profit2,210$108$49 – $190
System affiliation
Part of a system2,671$115$49 – $207
Independent623$103$51 – $175

Cash price vs list price

Median list price (chargemaster)$187
Median cash price$112
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

2,222 hospitals filed a usable inpatient cash price for this code. The median is $116 and the average of the middle 60% is $118; most fall between $53 and $196.

Cash price percentiles, inpatient, across 2,222 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
$33$64$116$176$266

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($33 vs $266).

Of the 2,450 hospitals that filed this code inpatient, 2,222 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 110 a list price only.

How complete is this

3,294 of the 3,956 hospitals with a price file in our corpus (83%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,599 hospitals that filed this code at all gave us
Usable cash price — counted3,294
Cash price carrying a plausibility flag — shown on the compare tool, excluded here173
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded129
Hospitals that filed this code3,599

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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.

Hospitals file this code under descriptions such as HC Ca 125.

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, “CA 125 tumor marker blood test (CPT 86304) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86304-ca-125-tumor-marker-blood-test