CA-125 ovarian marker test Cost by Hospital

CA-125 ovarian marker test is a laboratory test. Prices are from 2232 US hospitals across 52 states, from their machine-readable files.

$115median cash price · 2232 hospitals, 52 statestypically $30–$287 depending on the hospital
≈ 5.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$198
Cash / self-pay
$115
Insurer-negotiated
$38
Medicare pays
$21
$30$287
Median cash $115  ·  Medicare $21  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $115 — about 5.5× the Medicare rate ($21). High vs Medicare. A fair cash price is usually within ~2× Medicare ($42).

💡 Asking for the cash price instead of the $198 list price could save about $83 (42%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Methodist Hospital for Surgery Addison, TX $17 $22 ★ 4/5 120 min 14.4%
University Hospital and Medical Center Tamarac, FL $18 $21 ★ 2/5 124 min 16.3%
HCA Florida Brandon Hospital Brandon, FL $18 $21 ★ 3/5 103 min 16.7%
Banner Goldfield Medical Center Apache Junction, AZ $19 $23 ★ 5/5 150 min 15.3%
University of Kansas Hospital Kansas City, KS $19 $70 ★ 5/5 307 min 14.1%
El Paso Children's Hospital El Paso, TX $19 $38
Grady Memorial Hospital Delaware, OH $20 $21 ★ 4/5 157 min 15.2%
El Camino Health Mountain View, CA $20 ★ 4/5 159 min 14.5%
Mount Desert Island Hospital Bar Harbor, ME $20 $14 130 min 14.6%
Riverside Medical Center Kankakee, IL $20 $22 ★ 4/5 168 min 15.0%
Riverview Regional Medical Center Gadsden, AL $20 $21 ★ 3/5 160 min 15.7%
Paradise Valley Hospital National City, CA $20 $21 ★ 3/5 202 min 16.0%
Saint Francis Medical Center Lynwood, CA $20 $21 ★ 3/5 250 min 14.9%
Garden Grove Hospital & Medical Center Garden Grove, CA $20 $21 ★ 2/5 138 min 16.6%
West Anaheim Medical Center Anaheim, CA $20 $21 ★ 2/5 196 min 16.6%
Huntington Beach Hospital Huntington Beach, CA $20 $21 ★ 1/5 173 min 14.8%
La Palma Intercommunity Hospital La Palma, CA $20 $21 ★ 3/5 214 min 16.5%
Chino Valley Medical Center Chino, CA $20 $21 ★ 4/5 173 min 16.1%
San Dimas Community Hospital San Dimas, CA $20 $21 ★ 2/5 155 min 15.5%
Desert Valley Hospital Victorville, CA $20 $21 ★ 3/5 173 min 15.8%
Centinela Hospital Medical Center Inglewood, CA $20 $21 ★ 2/5 202 min 17.3%
Sherman Oaks Hospital Sherman Oaks, CA $20 $17 ★ 2/5 153 min 15.8%
Montclair Hospital Medical Center Montclair, CA $20 $21 ★ 3/5 151 min 15.3%
Southern Regional Medical Center Riverdale, GA $20 $21 ★ 1/5 260 min 15.5%
Southeastern Regional Medical Center, Inc Newnan, GA $20 $21 ★ 5/5 15.7%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for CA-125 ovarian marker test

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $115; Medicare pays $21.

InsurerHospitalsNegotiated median
Amerigroup 176
$21
$9 – $72
UnitedHealthcare 1497
$21
$17 – $150
Tricare / VA 447
$21
$19 – $105
Medicare 552
$21
$20 – $74
Medicaid 340
$21
$9 – $75
Devoted Health 239
$21
$21 – $25
Independent Health 50
$21
$18 – $31
Univera 16
$22
$18 – $31
MVP Health Care 80
$22
$18 – $119
Highmark 124
$22
$14 – $95
Molina Healthcare 547
$23
$15 – $71
AmeriHealth 239
$23
$19 – $90
Bright Health 65
$23
$21 – $42
Humana 1041
$24
$21 – $231
Centene / Ambetter 810
$25
$19 – $103
EmblemHealth 60
$25
$21 – $89
Kaiser Permanente 225
$27
$11 – $172
Health Net 304
$29
$8 – $274
UPMC Health Plan 87
$29
$21 – $100
Geisinger 68
$32
$21 – $101
Oscar Health 204
$33
$21 – $71
Anthem 574
$34
$14 – $131
AvMed 59
$36
$11 – $221
SelectHealth 47
$40
$21 – $146
Workers' Comp / No-Fault 144
$41
$27 – $224
Blue Cross Blue Shield 1295
$41
$19 – $183
UCare 60
$42
$14 – $112
Aetna 1380
$43
$19 – $221
Medica 234
$51
$21 – $200
Harvard Pilgrim 54
$52
$21 – $171
Priority Health 53
$58
$12 – $149
Cigna 1160
$63
$17 – $216
HealthPartners 250
$69
$21 – $192
Coventry 163
$78
$20 – $287
Sanford Health Plan 70
$80
$40 – $190
Security Health Plan 49
$86
$21 – $147
MultiPlan / PHCS network 849
$132
$27 – $401
Healthcare Highways 49
$165
$53 – $387

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
New Jersey$24
Arizona$43
Arkansas$56
Mississippi$57
Oklahoma$62
Rhode Island$63

Prices by city

Prices by state

About these prices

Based on prices published by 2232 US hospitals across 52 states, the typical (median) cash price is $115, versus a chargemaster (list) price around $198, a median insurer-negotiated rate of $38, a Medicare rate of about $21. Most cash prices fall between $30 and $287 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does CA-125 ovarian marker test cost without insurance?
The median cash (self-pay) price across 2232 US hospitals is $115. Most hospitals fall between $30 and $287. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for CA-125 ovarian marker test?
Medicare pays about $21. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do CA-125 ovarian marker test prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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