Lab tests CPT 86301 Outpatient

CA 19-9 test cost in Worcester, MA

In Worcester, MA, 4 hospitals list a cash price for CA 19-9 blood test (tumor marker): from $172.00 to $266.00, with a median of $211.50. The lowest listed price is at HealthAlliance - Clinton Hospital — $39.50 less than the median here. Across Massachusetts, the median is $82.23 at 18 hospitals.

Cash prices at 4 facilities across 4 cities for code 86301, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 26, 2026 and Apr 3, 2026.

Lowest$172.00HealthAlliance - Clinton Hospital
Median$211.50half pay less
Highest$266.00in this market
Difference1.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Worcester, MA.

median
Lowest $172.00Highest $266.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
HealthAlliance - Clinton Hospital lowest Leominster, MA · (978) 466-2000 HC Immunoassay for Tumor Antigen, Quantitative; Ca 19-9 $172.00 $172.00 — — Mar 26, 2026
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Immunoassay tumor ca 19-9 $192.00 $192.00 $20.81–$346.48 — —
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Milford Regional Medical Center Milford, MA · (508) 473-1190 Ca-19-9 $192.00 $192.00 $192.00 — —
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UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HC Immunoassay for Tumor Antigen, Quantitative; Ca 19-9 $231.00 $231.00 — — Apr 3, 2026
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UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Immunoassay for Tumor Antigen, Quantitative; Ca 19-9 $266.00 $266.00 — — Mar 26, 2026
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Outpatient: lowest $172.00, median $211.50, highest $266.00 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $211.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

CA 19-9 is a tumor marker used mainly to follow pancreatic and bile duct cancers during treatment.

What the price covers

The price usually covers running the test. The blood draw (36415) is often billed as a separate line.