Price Checker / CPT 49596
How much does Rpr Aa Hrn 1st > 10 Ncr/strn cost?
CPT 49596 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 22x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,400–$2,800
What this should cost
With insurance
~$3,450
Typical out-of-pocket
Overcharged if over
$3,500
Push back above this
The average hospital charge of $46,325 is $44,225 over the fair price (about 22x the fair rate).
What hospitals charge for Rpr Aa Hrn 1st > 10 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 |
|---|---|---|---|
| Bon Secours St. Francis Xavier Hospital Inc Charleston, SC | $97,874 | — | 7608% |
| Jackson Purchase Medical Center MAYFIELD, KY | $61,288 | — | 6444% |
| DEFIANCE HOSPITAL Defiance, OH | $65,970 | — | 5908% |
| Decatur Morgan Hospital SE, AL | $56,196 | — | 5900% |
| Starr Regional Medical Center , TN | $53,882 | — | 5653% |
| Northern Light Maine Coast Hospital Ellsworth, ME | $55,899 | — | 5106% |
| Rutherford Regional Health System , NC | $47,211 | — | 4941% |
| Clinch Valley Health , VA | $40,389 | — | 4212% |
| Sovah Health - Martinsville , VA | $33,826 | — | 3512% |
| Doylestown Health , PA | $39,427 | — | 3057% |
| Wythe County Community Hospital WYTHEVILLE, VA | $25,074 | — | 2577% |
| Baylor Scott & White Medical Center Uptown Dallas, TX | $15,400 | — | 1544% |
| Hamilton County Public Hospital DBA Van Diest Medical Center Webster City, IA | — | — | 945% |
Were you billed for this procedure?
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About Rpr Aa Hrn 1st > 10 Ncr/strn
CPT code 49596 refers to rpr aa hrn 1st > 10 ncr/strn (billing description: "Rpr aa hrn 1st > 10 ncr/strn"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $937 in a facility (hospital or surgery center) and $937 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.