CA 19-9 test cost in Washington
In Washington, 55 hospitals publish a cash price for CA 19-9 blood test (tumor marker): from $11.05 to $347.90, with a median of $110.40. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 31.5× the lowest.
- The median here, $110.40, is 13% above the US median of $98.00.
- That is 5.3× Medicare's 2026 national rate for the same service ($20.81).
- Washington ranks 31st of 51 states by median, cheapest first.
- 3 of 55 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 86301. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$11.05Legacy Salmon Creek Medical Center
Median$110.40half of hospitals charge less
Highest$347.90in Washington
Lowest saves$99.35vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC CA 19-9 | $11.05 | $17.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Cancer Antigen 19-9 | $15.36 | $30.72 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC IMMUNOASSAY TUMOR CA 19-9 | $32.90 | $47.00 | Apr 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Immunologic analysis tumor antigen, quantitative; CA 19-9 | $42.40 | $53.00 | Jun 24, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $63.75 | $75.00 | Oct 7, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA IMMUNOASSAY,TUMOR CA 19-9 | $69.36 | $136.00 | Jan 1, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $71.20 | $89.00 | Oct 27, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $72.36 | $134.00 | Aug 31, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC IMMUNOASSAY TUMOR CA 19-9 | $76.45 | $139.00 | Jan 1, 2025 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Cancer Antigen 19-9 | $79.20 | $88.00 | Aug 10, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Immunoassay Tumor Antigen Quantitative Ca 19-9 | $84.00 | $120.00 | Mar 12, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $90.30 | $129.00 | Feb 24, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $93.00 | $150.00 | May 18, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $97.50 | $150.00 | Mar 21, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $99.19 | $343.90 | Sep 30, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $99.45 | $153.00 | Mar 20, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $104.58 | $343.90 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $104.69 | $343.90 | Sep 30, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $105.51 | $117.23 | Sep 14, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $105.75 | $343.90 | Sep 30, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC CANCER ANTIGEN 19-9 | $106.57 | $183.74 | Apr 14, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $107.16 | $107.16 | Sep 1, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $108.96 | $227.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $108.96 | $227.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $108.96 | $227.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $108.96 | $227.00 | Apr 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $109.52 | $330.67 | Feb 28, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $110.40 | $138.00 | Aug 6, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $111.74 | $111.74 | May 27, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA ASSAY FOR TUMOR AG CA 19-9 | $112.00 | $140.00 | Dec 2, 2024 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $118.04 | $227.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC CA 19-9 | $126.29 | $343.90 | Sep 30, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC CA 19.9 | $130.90 | $187.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA CA 19-9 LC | $131.67 | $231.00 | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA "IMMUNOASSAY FOR TUMOR ANTIGEN,CA 19-9" | $141.60 | $177.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC IMMUNOASSAY TUMOR CA 19-9 | $144.90 | $207.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC CA 19-9 | $145.95 | $330.67 | Feb 28, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $160.55 | $247.00 | Mar 21, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC IMMUNOASSAY TUMOR CA 19-9 | $165.88 | $319.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC IMMUNOASSAY TUMOR CA 19-9 | $165.88 | $319.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC IMMUNOASSAY TUMOR CA 19-9 | $166.60 | $238.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC IMMUNOASSAY TUMOR CA 19-9 | $168.75 | $225.00 | Oct 23, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC IMMUNOASSAY TUMOR CA 19-9 | $176.00 | $220.00 | Mar 26, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $189.15 | $291.00 | Mar 21, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Immunologic analysis tumor antigen, quantitative; CA 19-9 | $192.00 | $192.00 | Jan 4, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC IMMUNOASSAY TUMOR CA 19-9 | $200.80 | $251.00 | Mar 26, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA IMMUNOASY TMR AG QNT CA 19-9 | $209.10 | $246.00 | Sep 14, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC CA 19.9 | $210.70 | $301.00 | Apr 1, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $230.40 | $288.00 | Jun 29, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $232.31 | $309.75 | Jul 1, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Immunoassay tumor ca 19-9 | $244.80 | $306.00 | May 15, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $247.65 | $381.00 | Mar 20, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA CA 19-9 LC | $276.90 | $426.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $284.75 | $335.00 | Jun 9, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC IMMUNOASSAY TUMOR CA 19-9 | $347.90 | $497.00 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 17 | $15.36 | $108.96 |
| Spokane-Spokane Valley, WA | 4 | $130.90 | $188.65 |
| Kennewick-Richland, WA | 3 | $76.45 | $131.67 |
| Wenatchee-East Wenatchee, WA | 3 | $79.20 | $107.16 |
| Centralia, WA | 2 | $93.00 | $129.44 |
| Moses Lake, WA | 2 | $111.74 | $151.87 |
| Mount Vernon-Anacortes, WA | 2 | $97.50 | $149.15 |
| Port Townsend, WA | 2 | $71.20 | $90.80 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $11.05 | $129.35 |
| Pullman, WA | 2 | $230.40 | $257.58 |
| Aberdeen, WA | 1 | $72.36 | $72.36 |
| Bellingham, WA | 1 | $160.55 | $160.55 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $145.95 | $145.95 |
| Davenport, WA | 1 | $105.51 | $105.51 |
| Ellensburg, WA | 1 | $63.75 | $63.75 |
| Friday Harbor, WA | 1 | $99.45 | $99.45 |
| Goldendale, WA | 1 | $112.00 | $112.00 |
| Ilwaco, WA | 1 | $168.75 | $168.75 |
| Longview-Kelso, WA | 1 | $189.15 | $189.15 |
| Olympia-Lacey-Tumwater, WA | 1 | $165.88 | $165.88 |
| Othello, WA | 1 | $232.31 | $232.31 |
| Port Angeles, WA | 1 | $42.40 | $42.40 |
| Republic, WA | 1 | $209.10 | $209.10 |
| South Bend, WA | 1 | $90.30 | $90.30 |
| Walla Walla, WA | 1 | $32.90 | $32.90 |
| Yakima, WA | 1 | $276.90 | $276.90 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What CA 19-9 test is, what the price covers and why prices differ: CA 19-9 test explained.
CA 19-9 blood test (tumor marker) in other states
- Alabama$102.60
- Alaska$230.00
- Arizona$28.23
- Arkansas$62.27
- California$49.98
- Colorado$178.99
- Connecticut$99.60
- Delaware$293.16
- District of Columbia$117.61, 3 hospitals
- Florida$55.00
- Georgia$96.04
- Hawaii$149.10
- Idaho$94.25
- Illinois$112.37
- Indiana$145.00
- Iowa$97.50
- Kansas$99.92
- Kentucky$121.60
- Louisiana$49.12
- Maine$64.80
- Maryland$94.85
- Massachusetts$92.73
- Michigan$93.50
- Minnesota$101.60
- Mississippi$71.40
- Missouri$105.30
- Montana$132.56
- Nebraska$179.20
- Nevada$125.55
- New Hampshire$143.00
- New Jersey$23.93
- New Mexico$142.39
- New York$75.34
- North Carolina$88.90
- North Dakota$109.50
- Ohio$73.10
- Oklahoma$91.20
- Oregon$94.38
- Pennsylvania$133.00
- Puerto Rico$86.00
- Rhode Island$165.60
- South Carolina$144.84
- South Dakota$115.80
- Tennessee$69.75
- Texas$132.86
- Utah$170.40
- Vermont$220.00
- Virginia$102.51
- West Virginia$83.00
- Wisconsin$112.50
- Wyoming$98.40
Median cash price across the state's hospitals.