Lab tests CPT 86304 Outpatient

CA-125 test cost in Somerset, PA

In Somerset, PA, 1 hospital lists a cash price for CA-125 blood test (ovarian cancer marker): from $116.40 to $116.40, with a median of $116.40. Across Pennsylvania, the median is $129.80 at 62 hospitals.

Cash prices at 1 facility 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 — and —.

Lowest$116.40UPMC Somerset
Median$116.40half pay less
Highest$116.40in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UPMC Somerset Somerset, PA · (814) 443-5000 HC CA 125 II $116.40 $194.00 $20.57–$145.50 40% —
source file

Outpatient: lowest $116.40, median $116.40, highest $116.40.

As an inpatient, the same code is billed by 1 facility here, median $116.40. 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-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.