Price Checker / CPT 49618
How much does Rpr Aa Hrn Rcr > 10 Ncr/strn cost?
CPT 49618 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 17x the fair price — among the most extreme markups. Dispute this.
Fair price
$5,250–$6,150
What this should cost
With insurance
~$3,500
Typical out-of-pocket
Overcharged if over
$7,700
Push back above this
The average hospital charge of $94,599 is $88,899 over the fair price (about 17x the fair rate).
What hospitals charge for Rpr Aa Hrn Rcr > 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 |
|---|---|---|---|
| Santa Rosa Medical Center Milton, FL | $175,759 | — | 339422% |
| North Okaloosa Medical Center Crestview, FL | $150,507 | — | 290641% |
| Northeast Regional Medical Center Kirksville, MO | $157,822 | — | 11755% |
| University of Texas Medical Branch Galveston, TX | $123,223 | — | 10789% |
| UTMB Health Angleton Danbury Hospital Galveston, TX | $123,223 | — | 10789% |
| UTMB Health Clear Lake Hospital Galveston, TX | $123,223 | — | 10789% |
| UTMB Health League City Hospital Galveston, TX | $123,223 | — | 10789% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $70,519 | — | 6132% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $70,519 | — | 6132% |
| Cookeville Regional Medical Center COOKEVILLE, CO | $37,446 | — | 3209% |
| Sovah Health - Danville DANVILLE, VA | $32,096 | — | 2736% |
| Fauquier Health , VA | $26,594 | — | 2250% |
| Ward Memorial Hospital Monahans, TX | $15,636 | — | 1268% |
Were you billed for this procedure?
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About Rpr Aa Hrn Rcr > 10 Ncr/strn
CPT code 49618 refers to rpr aa hrn rcr > 10 ncr/strn (billing description: "Rpr aa hrn rcr > 10 ncr/strn"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,132 in a facility (hospital or surgery center) and $1,132 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.