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Procedure price report · Microscopic examination (bacterial smear, culture, toxicology)

Gonorrhea test, direct probe method

CPT 87590the billing code this page is about

A laboratory test that looks for genetic material of the gonorrhea bacterium in a sample using a direct probe, without an amplification step.

Hospitals typically charge $72 cash for this outpatient procedure — the median across 793 hospitals that filed a usable cash price; the average of the middle 60% is $74. Most fall between $32 and $134 (20th–80th percentile).

Hospitals
793
States
48
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 793 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$26$36$72$115$231

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($26 vs $231).

How the prices are spread

$19 – $25: 25 hospitals$19$25 – $33: 103 hospitals$33 – $44: 93 hospitals$33$44 – $58: 72 hospitals$58 – $78: 86 hospitals$58$78 – $103: 141 hospitals$103 – $137: 81 hospitals$103$137 – $182: 41 hospitals$182 – $242: 44 hospitals$182$242 – $322: 29 hospitals$242median $72price bands are equal on a log scale
Hospitals per price band (715 of 793 — the bands cover the 5th to 95th percentile)
FromToHospitals
$19$2525
$25$33103
$33$4493
$44$5872
$58$7886
$78$103141
$103$13781
$137$18241
$182$24244
$242$32229

By state

The median cash price in each state, against the national median of $72.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $96 across 15 hospitalsWA$96Idaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $56 across 27 hospitalsIL$56Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $37 across 18 hospitalsMI$37New York: median $41 across 46 hospitalsNY$41Massachusetts: median $100 across 13 hospitalsMA$100Oregon: median $93 across 11 hospitalsOR$93Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $39 across 23 hospitalsIA$39Indiana: median $54 across 40 hospitalsIN$54Ohio: median $122 across 31 hospitalsOH$122Pennsylvania: median $70 across 43 hospitalsPA$70New Jersey: median $30 across 33 hospitalsNJ$30Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $72 across 38 hospitalsCA$72Utah: 5 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $115 across 14 hospitalsCO$115Nebraska: median $68 across 16 hospitalsNE$68Missouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $89 across 23 hospitalsKY$89West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $207 across 10 hospitalsVA$207Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $71 across 10 hospitalsAZ$71New Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $65 across 14 hospitalsKS$65Arkansas: median $72 across 14 hospitalsAR$72Tennessee: median $35 across 23 hospitalsTN$35North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $53 across 15 hospitalsSC$53Oklahoma: median $80 across 29 hospitalsOK$80Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $45 across 12 hospitalsMS$45Alabama: median $66 across 15 hospitalsAL$66Georgia: median $87 across 36 hospitalsGA$87Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $89 across 110 hospitalsTX$89Florida: median $24 across 23 hospitalsFL$24
Cash price by state, most expensive first. National median $72. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA10$207+188%$46 – $207
Ohio OH31$122+71%$120 – $187
Colorado CO14$115+60%$55 – $159
Massachusetts MA13$100+40%$80 – $145
Washington WA15$96+34%$43 – $118
Oregon OR11$93+29%$72 – $109
Kentucky KY23$89+24%$38 – $231
Texas TX110$89+24%$35 – $381
Georgia GA36$87+21%$46 – $124
Oklahoma OK29$80+12%$44 – $106
Arkansas AR14$720%$54 – $112
California CA38$720%$12 – $72
Arizona AZ10$71−1%$31 – $76
Pennsylvania PA43$70−2%$22 – $152
Nebraska NE16$68−6%$52 – $106
Alabama AL15$66−8%$25 – $79
Kansas KS14$65−9%$50 – $135
Illinois IL27$56−21%$35 – $104
Indiana IN40$54−24%$34 – $91
South Carolina SC15$53−27%$30 – $183
Mississippi MS12$45−38%$25 – $57
New York NY46$41−43%$27 – $97
Iowa IA23$39−46%$39 – $71
Michigan MI18$37−48%$27 – $65
Tennessee TN23$35−51%$32 – $127
New Jersey NJ33$30−59%$27 – $106
Florida FL23$24−66%$9 – $125
North Carolina NC9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Utah UT5not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wisconsin WI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $72.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care612$72$30 – $138
Children’s8fewer than 20 hospitals
Critical access170$74$36 – $130
Ownership
For-profit156$89$35 – $283
Government120$62$27 – $101
Non-profit514$72$31 – $124
System affiliation
Part of a system658$73$31 – $140
Independent135$68$34 – $115

Cash price vs list price

Median list price (chargemaster)$138
Median cash price$72
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

465 hospitals filed a usable inpatient cash price for this code. The median is $79 and the average of the middle 60% is $78; most fall between $39 and $123.

Cash price percentiles, inpatient, across 465 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$31$47$79$115$187

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($31 vs $187).

Of the 525 hospitals that filed this code inpatient, 465 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

793 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 871 hospitals that filed this code at all gave us
Usable cash price — counted793
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded50
Hospitals that filed this code871

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Microscopic examination (bacterial smear, culture, toxicology) family.

Hospitals file this code under descriptions such as N.GONORRHOEAE DNA DIR PROB.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Gonorrhea test, direct probe method (CPT 87590) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-87590-gonorrhea-test-direct-probe-method