Lab tests CPT 86304 Outpatient

CA-125 test cost in Rochester, NY

In Rochester, NY, 8 hospitals list a cash price for CA-125 blood test (ovarian cancer marker): from $62.00 to $98.60, with a median of $75.34. The lowest listed price is at Nicholas H. Noyes Memorial Hospital — $13.34 less than the median here. Across New York, the median is $88.64 at 63 hospitals.

Cash prices at 8 facilities across 5 cities for code 86304, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$62.00Nicholas H. Noyes Memorial Hospital
Median$75.34half pay less
Highest$98.60in this market
Difference1.6×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 Rochester, NY.

median
Lowest $62.00Highest $98.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nicholas H. Noyes Memorial Hospital lowest Dansville, NY · (585) 335-6001 HB Immunoassay Tumor Antigen Quantitative Ca 125 $62.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Immunoassay Tumor Antigen Quantitative Ca 125 $64.00 — — — —
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Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC IMMUNOASSAY FOR TUMOR ANTIGEN_ QUANTITATIVE_ CA 125 $75.34 $115.91 — 35% Apr 1, 2026
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC IMMUNOASSAY FOR TUMOR ANTIGEN_ QUANTITATIVE_ CA 125 $75.34 $115.91 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC IMMUNOASSAY FOR TUMOR ANTIGEN_ QUANTITATIVE_ CA 125 $75.34 $115.91 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC IMMUNOASSAY FOR TUMOR ANTIGEN_ QUANTITATIVE_ CA 125 $92.73 $115.91 — 20% Apr 1, 2026
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Highland Hospital Rochester, NY · (585) 341-6711 HB Immunoassay Tumor Antigen Quantitative Ca 125 $98.60 — $18.52–$46.82 — —
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Immunoassay Tumor Antigen Quantitative Ca 125 $98.60 — $18.52–$46.82 — —
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Outpatient: lowest $62.00, median $75.34, highest $98.60 — a 1.6× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $75.34. 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 0 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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-125 is a protein that can be high in ovarian cancer. The test is used to evaluate some pelvic masses and to follow treatment.

What the price covers

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