Ca 125 (CPT 86304)

86304 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.

Name shown as it appears in hospital billing files.

107 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.

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HospitalLocationCash priceGross chargeMedicare pays× Medicare
Banner Fort Collins Medical Center Fort Collins, CO $11.65 $63 $20.81 0.6×
Banner North Colorado Medical Center Greeley, CO $16.82 $63 $20.81 0.8×
Sterling Regional MedCenter Sterling, CO $25.64 $63 $20.81 1.2×
Banner Wyoming Medical Center Casper, WY $26.46 $63 $20.81 1.3×
Arkansas Valley Regional Medical Center La Junta, CO $29 $48 $20.81 1.4×
Denver Health Medical Center Denver, CO $34.89 $99.67 $20.81 1.7×
Community Hospital, Torrington (Banner Health) Torrington, WY $43.85 $63 $20.81 2.1×
East Morgan County Hospital Brush, CO $46.56 $63 $20.81 2.2×
Platte County Hospital Wheatland, WY $47.63 $63 $20.81 2.3×
Memorial Hospital of Sweetwater County Rock Springs, WY $48 $48 $20.81 2.3×
Memorial Hospital of Converse County Douglas, WY $55.29 $97 $20.81 2.7×
Delta County Memorial Hospital Delta, CO $59.40 $99 $20.81 2.9×
Rio Grande Hospital Del Norte, CO $64.16 $85.54 $20.81 3.1×
Evanston Regional Hospital Evanston, WY $66.65 $111.09 $20.81 3.2×
Washakie Medical Center Worland, WY $74.53 $63 $20.81 3.6×
Southwest Memorial Hospital Cortez, CO $77 $154 $20.81 3.7×
San Luis Valley Health Regional Medical Center Alamosa, CO $77.55 $141 $20.81 3.7×
San Luis Valley Health Conejos County Hospital La Jara, CO $77.55 $141 $20.81 3.7×
Yuma District Hospital Yuma, CO $80.25 $107 $20.81 3.9×
Sheridan Memorial Hospital Sheridan, WY $86.80 $108.50 $20.81 4.2×
Campbell County Health Gillette, WY $90 $100 $20.81 4.3×
Vail Health Hospital Vail, CO $93 $124 $20.81 4.5×
UCHealth Highlands Ranch Hospital Highlands Ranch, CO $93.07 $310.23 $20.81 4.5×
Memorial Hospital of Carbon County Rawlins, WY $96.75 $129 $20.81 4.6×
Parkland Memorial Hospital Dallas, TX $96.80 $242 $20.81 4.7×
Wray Community District Hospital Wray, CO $99.26 $132.34 $20.81 4.8×
Longs Peak Hospital Longmont, CO $108.58 $310.23 $20.81 5.2×
UCHealth Broomfield Hospital Broomfield, CO $108.58 $310.23 $20.81 5.2×
UCHealth Grandview Hospital Colorado Springs, CO $108.58 $310.23 $20.81 5.2×
UCHealth University of Colorado Hospital Aurora, CO $113.58 $324.52 $20.81 5.5×
St. Thomas More Hospital Canon City, CO $114.46 $286.13 $20.81 5.5×
Foothills Hospital Boulder, CO $114.50 $229 $20.81 5.5×
St. Mary-Corwin Hospital Pueblo, CO $116.61 $291.51 $20.81 5.6×
Parkview Medical Center Pueblo, CO $118 $295 $20.81 5.7×
Longmont United Hospital Longmont, CO $120.02 $300.03 $20.81 5.8×
St. Anthony Hospital Lakewood, CO $120.02 $300.03 $20.81 5.8×
Penrose Hospital Colorado Springs, CO $120.02 $300.03 $20.81 5.8×
St. Anthony North Health Campus Westminster, CO $120.02 $300.03 $20.81 5.8×
OrthoColorado Hospital Lakewood, CO $120.02 $300.03 $20.81 5.8×
St. Francis Hospital Interquest Colorado Springs, CO $120.02 $300.03 $20.81 5.8×
St. Elizabeth Hospital Fort Morgan, CO $124.91 $312.26 $20.81 6.0×
Prowers Medical Center Lamar, CO $125.40 $209 $20.81 6.0×
Crook County Medical Services District Sundance, WY $126.82 $169.10 $20.81 6.1×
Cody Regional Health Cody, WY $127.89 $150.46 $20.81 6.1×
Family Health West Hospital Fruita, CO $133 $190 $20.81 6.4×
William P. Clements Jr. University Hospital (UT Southwestern) Dallas, TX $133.50 $267 $20.81 6.4×
Star Valley Medical Center Afton, WY $133.70 $191 $20.81 6.4×
Sublette County Health Pinedale, WY $135.90 $151 $20.81 6.5×
Melissa Memorial Hospital Holyoke, CO $136 $170 $20.81 6.5×
Rangely District Hospital Rangely, CO $136.79 $210.44 $20.81 6.6×
Niobrara County Hospital District Lusk, WY $137.60 $172 $20.81 6.6×
St. Anthony Summit Medical Center Frisco, CO $138.86 $347.14 $20.81 6.7×
Ivinson Memorial Hospital Laramie, WY $141 $141 $20.81 6.8×
Baylor University Medical Center (Baylor Scott & White) Dallas, TX $142.38 $237.30 $20.81 6.8×
South Big Horn County Hospital (Three Rivers Health) Basin, WY $145.73 $194.30 $20.81 7.0×
UCHealth Memorial Hospital Central Colorado Springs, CO $146 $324.43 $20.81 7.0×
Memorial Hospital at Craig Craig, CO $152.63 $234.83 $20.81 7.3×
Mercy Hospital Durango Durango, CO $153.57 $383.91 $20.81 7.4×
Cheyenne Regional Medical Center Cheyenne, WY $153.71 $219.58 $20.81 7.4×
Southeast Colorado Hospital Springfield, CO $155 $194 $20.81 7.4×
Spanish Peaks Regional Health Center Walsenburg, CO $160.20 $178 $20.81 7.7×
Gunnison Valley Hospital Gunnison, CO $164.05 $193 $20.81 7.9×
Community Hospital Grand Junction Grand Junction, CO $166.88 $298 $20.81 8.0×
Sedgwick County Memorial Hospital Julesburg, CO $169 $169 $20.81 8.1×
Weisbrod Memorial County Hospital Eads, CO $169.80 $283 $20.81 8.2×
Kit Carson County Memorial Hospital Burlington, CO $172.89 $203.40 $20.81 8.3×
Grand River Medical Center Rifle, CO $173.25 $346.50 $20.81 8.3×
St. John's Medical Center Jackson, WY $174 $174 $20.81 8.4×
Aspen Valley Hospital Aspen, CO $175 $175 $20.81 8.4×
Regional West Medical Center Scottsbluff, NE $177 $295 $20.81 8.5×
Powell Valley Healthcare Powell, WY $177.74 $209.10 $20.81 8.5×
Middle Park Medical Center Kremmling, CO $178.99 $223.73 $20.81 8.6×
UCHealth Yampa Valley Medical Center Steamboat Springs, CO $185.82 $206.46 $20.81 8.9×
UCHealth Greeley Hospital Greeley, CO $193.22 $322.02 $20.81 9.3×
Johnson County Healthcare Center Buffalo, WY $200 $200 $20.81 9.6×
Keefe Memorial Hospital Cheyenne Wells, CO $200 $200 $20.81 9.6×
Estes Park Medical Center Estes Park, CO $201 $268 $20.81 9.7×
South Lincoln Medical Center Kemmerer, WY $202.02 $269.36 $20.81 9.7×
Haxtun Hospital District Haxtun, CO $204.75 $210 $20.81 9.8×
Valley View Hospital Glenwood Springs, CO $204.85 $241 $20.81 9.8×
Poudre Valley Hospital Fort Collins, CO $225.42 $322.02 $20.81 10.8×
Medical Center of the Rockies Loveland, CO $225.42 $322.02 $20.81 10.8×
Hot Springs County Memorial Hospital Thermopolis, WY $228 $228 $20.81 11.0×
Montrose Regional Health Montrose, CO $228.75 $305 $20.81 11.0×
Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) Fort Worth, TX $245.48 $409.12 $20.81 11.8×
Weston County Health Services Newcastle, WY $259 $259 $20.81 12.4×
Animas Surgical Hospital Durango, CO $305 $305 $20.81 14.7×
AdventHealth Porter Denver, CO $333.24 $333.24 $20.81 16.0×
AdventHealth Avista Louisville, CO $333.24 $333.24 $20.81 16.0×
AdventHealth Littleton Littleton, CO $333.24 $333.24 $20.81 16.0×
AdventHealth Parker Parker, CO $333.24 $333.24 $20.81 16.0×
AdventHealth Castle Rock Castle Rock, CO $333.24 $333.24 $20.81 16.0×
Heart of the Rockies Regional Medical Center Salida, CO $491.30 $578 $20.81 23.6×
Medical City Dallas Dallas, TX $1,013.29 $1,013.29 $20.81 48.7×
HCA HealthOne Swedish Medical Center Englewood, CO $1,091.40 $1,091.40 $20.81 52.4×
HCA HealthOne Presbyterian St. Luke's Medical Center Denver, CO $1,443 $1,443 $20.81 69.3×
HCA HealthOne Sky Ridge Medical Center Lone Tree, CO $1,450.10 $1,450.10 $20.81 69.7×
HCA HealthOne Rose Medical Center Denver, CO $1,646 $1,646 $20.81 79.1×
HCA HealthOne Aurora Medical Center Aurora, CO $1,790.22 $1,790.22 $20.81 86.0×
HCA HealthOne Mountain Ridge Thornton, CO $2,087.21 $2,087.21 $20.81 100.3×
Intermountain Health Platte Valley Hospital Brighton, CO $129.59 $20.81
Aspen Mountain Medical Center Rock Springs, WY $171.90 $20.81
Intermountain Health Lutheran Hospital Golden, CO $212.02 $20.81
North Big Horn Hospital District Lovell, WY $246.50 $20.81
Intermountain Health St. Mary's Regional Hospital Grand Junction, CO $299.70 $20.81
Intermountain Health Good Samaritan Hospital Lafayette, CO $347.76 $20.81
Intermountain Health St. Joseph Hospital Denver, CO $393.72 $20.81

"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.