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

Gonorrhea test by DNA amplification

CPT code CPT 87591the billing code this page is about

A laboratory test that looks for the genetic material of the gonorrhea bacterium in a swab or urine sample using an amplified probe method. Covers one test on one specimen.

Hospitals typically charge $93 cash for this outpatient procedure — the median across 3,314 hospitals that filed a usable cash price; the average of the middle 60% is $97. Most fall between $41 and $173 (20th–80th percentile).

Hospitals
3,314
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 3,314 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
$23$50$93$155$247

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($23 vs $247).

How the prices are spread

$15 – $20: 89 hospitals$15$20 – $28: 152 hospitals$28 – $38: 188 hospitals$28$38 – $52: 263 hospitals$52 – $71: 410 hospitals$52$71 – $97: 462 hospitals$97 – $132: 500 hospitals$97$132 – $180: 476 hospitals$180 – $246: 274 hospitals$180$246 – $335: 173 hospitals$246median $93price bands are equal on a log scale
Hospitals per price band (2,987 of 3,314 — the bands cover the 5th to 95th percentile)
FromToHospitals
$15$2089
$20$28152
$28$38188
$38$52263
$52$71410
$71$97462
$97$132500
$132$180476
$180$246274
$246$335173

By state

The median cash price in each state, against the national median of $93.

Alaska: median $98 across 19 hospitalsAK$98Maine: median $70 across 27 hospitalsME$70Vermont: median $107 across 14 hospitalsVT$107New Hampshire: median $172 across 25 hospitalsNH$172Washington: median $124 across 77 hospitalsWA$124Idaho: median $85 across 25 hospitalsID$85Montana: median $98 across 30 hospitalsMT$98North Dakota: median $184 across 31 hospitalsND$184Minnesota: median $70 across 106 hospitalsMN$70Illinois: median $117 across 139 hospitalsIL$117Wisconsin: median $143 across 109 hospitalsWI$143Michigan: median $58 across 98 hospitalsMI$58New York: median $86 across 115 hospitalsNY$86Massachusetts: median $150 across 52 hospitalsMA$150Oregon: median $94 across 50 hospitalsOR$94Nevada: median $160 across 20 hospitalsNV$160Wyoming: median $95 across 16 hospitalsWY$95South Dakota: median $133 across 40 hospitalsSD$133Iowa: median $96 across 87 hospitalsIA$96Indiana: median $89 across 95 hospitalsIN$89Ohio: median $93 across 141 hospitalsOH$93Pennsylvania: median $121 across 122 hospitalsPA$121New Jersey: median $40 across 56 hospitalsNJ$40Connecticut: median $130 across 23 hospitalsCT$130Rhode Island: median $88 across 10 hospitalsRI$88California: median $53 across 150 hospitalsCA$53Utah: median $75 across 43 hospitalsUT$75Colorado: median $110 across 69 hospitalsCO$110Nebraska: median $121 across 76 hospitalsNE$121Missouri: median $80 across 75 hospitalsMO$80Kentucky: median $93 across 63 hospitalsKY$93West Virginia: median $57 across 41 hospitalsWV$57Virginia: median $109 across 73 hospitalsVA$109Maryland: median $122 across 41 hospitalsMD$122Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $81 across 39 hospitalsAZ$81New Mexico: median $116 across 28 hospitalsNM$116Kansas: median $88 across 87 hospitalsKS$88Arkansas: median $49 across 40 hospitalsAR$49Tennessee: median $62 across 80 hospitalsTN$62North Carolina: median $103 across 89 hospitalsNC$103South Carolina: median $147 across 53 hospitalsSC$147Oklahoma: median $83 across 73 hospitalsOK$83Louisiana: median $78 across 49 hospitalsLA$78Mississippi: median $45 across 56 hospitalsMS$45Alabama: median $71 across 43 hospitalsAL$71Georgia: median $81 across 107 hospitalsGA$81Hawaii: median $111 across 21 hospitalsHI$111Texas: median $117 across 242 hospitalsTX$117Florida: median $42 across 142 hospitalsFL$42
Cash price by state, most expensive first. National median $93. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Dakota ND31$184+98%$63 – $238
New Hampshire NH25$172+86%$13 – $238
Nevada NV20$160+72%$35 – $252
Massachusetts MA52$150+62%$93 – $246
South Carolina SC53$147+58%$58 – $219
Wisconsin WI109$143+54%$78 – $217
South Dakota SD40$133+43%$86 – $177
Connecticut CT23$130+40%$88 – $292
Washington WA77$124+33%$55 – $193
Maryland MD41$122+32%$94 – $146
Nebraska NE76$121+30%$83 – $164
Pennsylvania PA122$121+30%$40 – $318
Illinois IL139$117+26%$58 – $183
Texas TX242$117+26%$45 – $234
New Mexico NM28$116+25%$65 – $157
Hawaii HI21$111+19%$63 – $198
Colorado CO69$110+18%$52 – $197
Virginia VA73$109+17%$62 – $246
Vermont VT14$107+16%$54 – $187
North Carolina NC89$103+11%$48 – $136
Montana MT30$98+6%$41 – $148
Alaska AK19$98+6%$40 – $190
Iowa IA87$96+3%$67 – $155
Wyoming WY16$95+2%$67 – $186
Oregon OR50$94+1%$71 – $142
Kentucky KY63$930%$57 – $150
Ohio OH141$930%$52 – $157
Indiana IN95$89−4%$41 – $131
Kansas KS87$88−5%$68 – $130
Rhode Island RI10$88−6%$82 – $202
New York NY115$86−7%$35 – $158
Idaho ID25$85−8%$18 – $125
Oklahoma OK73$83−10%$31 – $146
Arizona AZ39$81−13%$40 – $141
Georgia GA107$81−13%$38 – $175
Missouri MO75$80−13%$55 – $129
Louisiana LA49$78−16%$50 – $128
Utah UT43$75−20%$63 – $138
Alabama AL43$71−24%$35 – $145
Maine ME27$70−24%$37 – $131
Minnesota MN106$70−25%$35 – $153
Tennessee TN80$62−34%$33 – $126
Michigan MI98$58−37%$17 – $131
West Virginia WV41$57−39%$30 – $164
California CA150$53−43%$10 – $158
Arkansas AR40$49−47%$23 – $77
Mississippi MS56$45−52%$19 – $68
Florida FL142$42−55%$15 – $260
New Jersey NJ56$40−56%$39 – $72
Delaware DE7not 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 $93.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,291$88$39 – $175
Children’s65$89$33 – $181
Critical access949$99$54 – $169
Ownership
For-profit459$107$40 – $296
Government612$89$40 – $150
Non-profit2,234$92$42 – $171
System affiliation
Part of a system2,690$94$40 – $181
Independent624$84$43 – $150

Cash price vs list price

Median list price (chargemaster)$150
Median cash price$93
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

2,242 hospitals filed a usable inpatient cash price for this code. The median is $93 and the average of the middle 60% is $99; most fall between $45 and $174.

Cash price percentiles, inpatient, across 2,242 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
$25$53$93$157$233

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($25 vs $233).

Of the 2,474 hospitals that filed this code inpatient, 2,242 gave a usable cash price; 122 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 110 a list price only.

How complete is this

3,314 of the 3,956 hospitals with a price file in our corpus (84%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,609 hospitals that filed this code at all gave us
Usable cash price — counted3,314
Cash price carrying a plausibility flag — shown on the compare tool, excluded here164
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded130
Hospitals that filed this code3,609

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 July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as HC Neisseria Gonorroeae Pcr.

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 by DNA amplification (CPT 87591) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-87591-gonorrhea-test-by-dna-amplification