Price Checker / CPT 49591
How much does Rpr Aa Hrn 1st < 3 Cm Rdc cost?
CPT 49591 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 40x the fair price — among the most extreme markups. Dispute this.
Fair price
$470–$950
What this should cost
With insurance
~$3,150
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $28,544 is $27,834 over the fair price (about 40x the fair rate).
What hospitals charge for Rpr Aa Hrn 1st < 3 Cm Rdc
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Concord Medical Center , CA | $149,565 | $67,304 | 47285% |
| John Muir Health Behavioral Health Center , CA | $149,465 | $42,598 | 47253% |
| Franciscan Health Olympia Fields , IL | $67,804 | $13,561 | 21381% |
| Chilton Medical Center POMPTON PLAINS, NJ | $52,620 | $6,892 | 16571% |
| Fauquier Health , VA | $43,641 | — | 13726% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $42,949 | — | 13507% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $42,949 | — | 13507% |
| Person Memorial Hospital ROXBORO, NC | $42,005 | — | 13208% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $30,228 | — | 9477% |
| Los Alamos Medical Center LOS ALAMOS, NY | $29,192 | — | 9149% |
| Franciscan Health Orthopedic-Carmel , IN | $25,424 | $6,687 | 7955% |
| "St. Mary's General Hospital" PASSAIC, NJ | $24,883 | $5,201 | 7783% |
| Jackson Park Hospital Chicago, IL | $20,963 | — | 6542% |
| Ashley Regional Medical Center VERNAL, UT | $20,145 | — | 6282% |
| Doylestown Health , PA | $26,213 | — | 6128% |
Were you billed for this procedure?
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About Rpr Aa Hrn 1st < 3 Cm Rdc
CPT code 49591 refers to rpr aa hrn 1st < 3 cm rdc (billing description: "Rpr aa hrn 1st < 3 cm rdc"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $316 in a facility (hospital or surgery center) and $316 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.