Syphilis test
Medicare pricing data for 300 providers across 32 states
This procedure has a 7.3x markup — hospitals charge $31.30 but Medicare allows only $4.30. Uninsured patients may face bills 7.3 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 test (HCPCS code 86593) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.30, but hospitals typically charge $31.30 — a 7.3x 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 $4.30, your out-of-pocket cost would be approximately $0.86. 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 7.3x more than what Medicare allows for this procedure. Medicare actually pays $4.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $4 | $35 | 14 | 1,492 | +0.2% |
| Hawaii | $4 | $20 | 2 | 17 | +0.2% |
| Illinois | $4 | $34 | 11 | 342 | +0.2% |
| Kansas | $4 | $37 | 5 | 245 | +0.2% |
| Kentucky | $4 | $8 | 3 | 62 | +0.2% |
| Louisiana | $4 | $23 | 5 | 40 | +0.2% |
| Maryland | $4 | $32 | 4 | 233 | +0.2% |
| Massachusetts | $4 | $23 | 32 | 287 | +0.2% |
| New Jersey | $4 | $32 | 21 | 1,926 | +0.2% |
| New Mexico | $4 | $92 | 1 | 67 | +0.2% |
| New York | $4 | $32 | 9 | 288 | +0.2% |
| North Carolina | $4 | $32 | 11 | 1,276 | +0.2% |
| Ohio | $4 | $32 | 11 | 308 | +0.2% |
| Oklahoma | $4 | $38 | 1 | 36 | +0.2% |
| Oregon | $4 | $26 | 8 | 33 | +0.2% |
| Tennessee | $4 | $42 | 2 | 45 | +0.2% |
| Virginia | $4 | $16 | 5 | 75 | +0.2% |
| Washington | $4 | $33 | 8 | 171 | +0.2% |
| West Virginia | $4 | $35 | 1 | 15 | +0.2% |
| Wisconsin | $4 | $37 | 3 | 56 | +0.2% |
| Arkansas | $4 | $9 | 3 | 30 | +0.2% |
| California | $4 | $25 | 35 | 1,472 | +0.2% |
| Colorado | $4 | $30 | 4 | 37 | +0.2% |
| Georgia | $4 | $37 | 10 | 352 | 0.0% |
| Texas | $4 | $32 | 19 | 1,155 | 0.0% |
| Alabama | $4 | $32 | 2 | 434 | 0.0% |
| Pennsylvania | $4 | $22 | 9 | 79 | -0.5% |
| Arizona | $4 | $30 | 5 | 174 | -0.9% |
| Michigan | $4 | $19 | 4 | 13 | -3.3% |
| Nevada | $4 | $18 | 2 | 75 | -3.3% |
| Indiana | $4 | $68 | 1 | 16 | -4.7% |
| Minnesota | $4 | $19 | 23 | 45 | -6.5% |
⚠️ 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