Price Checker / CPT 49592
How much does Rpr Aa Hrn 1st < 3 Ncr/strn cost?
CPT 49592 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 26x the fair price — among the most extreme markups. Dispute this.
Fair price
$660–$1,300
What this should cost
With insurance
~$3,750
Typical out-of-pocket
Overcharged if over
$1,650
Push back above this
The average hospital charge of $25,125 is $24,145 over the fair price (about 26x the fair rate).
What hospitals charge for Rpr Aa Hrn 1st < 3 Ncr/strn
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Highpoint Health - Sumner with Ascension Saint Thomas , TN | $89,694 | — | 20431% |
| Franciscan Health Olympia Fields , IL | $75,773 | $15,155 | 17244% |
| Franciscan Health Munster MUNSTER, IN | $65,077 | $17,376 | 14796% |
| ST CHARLES HOSPITAL PORT JEFFERSON, OH | $74,494 | — | 14503% |
| Franciscan Health Lafayette LAFAYETTE, IN | $62,108 | $15,962 | 14116% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $41,510 | — | 9401% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $41,510 | — | 9401% |
| Fauquier Health , VA | $41,055 | — | 9297% |
| Los Alamos Medical Center LOS ALAMOS, NY | $32,221 | — | 7275% |
| ALLEN HOSPITAL Oberlin, OH | $21,335 | — | 4433% |
| Doylestown Health , PA | $26,063 | — | 4374% |
| Ashley Regional Medical Center VERNAL, UT | $18,619 | — | 4162% |
| Warren General Hospital WARREN, PA | $11,304 | — | 3665% |
| Ward Memorial Hospital Monahans, TX | $15,636 | — | 3443% |
| UPMC Chautauqua , NY | $14,965 | $11,972 | 3325% |
Were you billed for this procedure?
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About Rpr Aa Hrn 1st < 3 Ncr/strn
CPT code 49592 refers to rpr aa hrn 1st < 3 ncr/strn (billing description: "Rpr aa hrn 1st < 3 ncr/strn"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $437 in a facility (hospital or surgery center) and $437 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.