Syphilis detection test
Medicare pricing data for 1,341 providers across 47 states
This procedure has a 9.8x markup — hospitals charge $41.02 but Medicare allows only $4.18. Uninsured patients may face bills 9.8 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Syphilis detection test (HCPCS code 86592) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.18, but hospitals typically charge $41.02 — a 9.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.18, your out-of-pocket cost would be approximately $0.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 9.8x more than what Medicare allows for this procedure. Medicare actually pays $4.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $4 | $8 | 2 | 45 | 0.0% |
| Florida | $4 | $42 | 51 | 20,535 | 0.0% |
| Georgia | $4 | $43 | 30 | 5,563 | 0.0% |
| Hawaii | $4 | $17 | 2 | 437 | 0.0% |
| Kansas | $4 | $43 | 9 | 3,825 | 0.0% |
| Maine | $4 | $23 | 9 | 33 | 0.0% |
| Maryland | $4 | $42 | 11 | 3,106 | 0.0% |
| Massachusetts | $4 | $43 | 33 | 3,989 | 0.0% |
| Minnesota | $4 | $35 | 55 | 395 | 0.0% |
| Missouri | $4 | $20 | 14 | 56 | 0.0% |
| Nebraska | $4 | $21 | 4 | 19 | 0.0% |
| New Hampshire | $4 | $17 | 10 | 79 | 0.0% |
| New Jersey | $4 | $43 | 24 | 33,287 | 0.0% |
| North Carolina | $4 | $38 | 22 | 17,719 | 0.0% |
| Ohio | $4 | $31 | 14 | 5,051 | 0.0% |
| Oklahoma | $4 | $37 | 30 | 1,047 | 0.0% |
| Oregon | $4 | $17 | 31 | 177 | 0.0% |
| Pennsylvania | $4 | $39 | 15 | 1,526 | 0.0% |
| Rhode Island | $4 | $18 | 3 | 85 | 0.0% |
| South Carolina | $4 | $24 | 14 | 342 | 0.0% |
| South Dakota | $4 | $25 | 18 | 32 | 0.0% |
| Tennessee | $4 | $36 | 14 | 1,363 | 0.0% |
| Texas | $4 | $40 | 148 | 17,079 | 0.0% |
| Utah | $4 | $12 | 5 | 12 | 0.0% |
| Virginia | $4 | $14 | 44 | 451 | 0.0% |
| West Virginia | $4 | $34 | 4 | 129 | 0.0% |
| Wyoming | $4 | $23 | 7 | 25 | 0.0% |
| Puerto Rico | $4 | $5 | 219 | 702 | 0.0% |
| Arizona | $4 | $30 | 29 | 2,834 | 0.0% |
| California | $4 | $29 | 115 | 25,198 | 0.0% |
| Colorado | $4 | $42 | 12 | 804 | 0.0% |
| Louisiana | $4 | $31 | 29 | 548 | -0.2% |
| Michigan | $4 | $29 | 16 | 788 | -0.2% |
| Nevada | $4 | $43 | 5 | 1,027 | -0.2% |
| New York | $4 | $49 | 23 | 6,305 | -0.2% |
| Washington | $4 | $36 | 16 | 1,017 | -0.2% |
| Alabama | $4 | $38 | 19 | 5,081 | -0.2% |
| Illinois | $4 | $39 | 48 | 3,701 | -0.5% |
| Indiana | $4 | $19 | 41 | 268 | -0.5% |
| Kentucky | $4 | $13 | 15 | 151 | -0.5% |
| Wisconsin | $4 | $39 | 25 | 1,041 | -0.5% |
| Arkansas | $4 | $10 | 33 | 199 | -0.5% |
| Connecticut | $4 | $25 | 4 | 153 | -0.5% |
| Mississippi | $4 | $2,176 | 12 | 201 | -1.9% |
| Iowa | $4 | $26 | 32 | 74 | -2.4% |
| North Dakota | $4 | $17 | 5 | 17 | -4.5% |
| New Mexico | $4 | $28 | 12 | 16 | -8.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber