Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS
Low
$33
Average
$96
Median
$63
High
$386
Each hospital's average Premera rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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78 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $194 | $194 | — | — | 977 | $194 – $194 |
| 2 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $61 | $62 | $22 | 35% | 213–222 | $36 – $89 |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $201 | $201 | — | — | 154 | $201 – $201 |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $168 | $164 | $28 | 17% | 40–58 | $134 – $206 |
| 5 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $38 | $38 | $6 | 17% | 40–58 | $31 – $47 |
| 6 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 3 | $37 | $42 | $8 | 18% | 34–43 | $36 – $53 |
| 7 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $58 | $59 | $44 | 76% | 6–60 | $10 – $116 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $17 | $18 | $6 | 35% | 4–40 | $11 – $26 |
| 9 | St Josephs Hospital Health Center Syracuse, NY facility · other · outpatient | 1 | $363 | $363 | — | — | 2–20 | $363 – $363 |
| 10 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 3 | $55 | $51 | $11 | 21% | 1–10 | $36 – $61 |
| 11 | ST FRANCIS COMMUNITY HOSPITAL Federal Way, WA fee schedule · outpatient | 3 | $37 | $42 | $8 | 18% | 1–10 | $36 – $53 |
| 12 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $186 | $186 | $48 | 26% | — | $138 – $233 |
| 13 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $198 | $198 | $51 | 26% | — | $147 – $248 |
| 14 | Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient | 4 | $119 | $110 | $22 | 20% | — | $56 – $119 |
| 15 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $113 | $119 | $10 | 8% | — | $113 – $136 |
| 16 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 17 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $167 | $199 | $64 | 32% | — | $167 – $328 |
| 18 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | $9 | 5% | — | $170 – $198 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 20 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 21 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $44 | $44 | $8 | 19% | — | $36 – $53 |
| 22 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 3 | $37 | $42 | $8 | 18% | — | $36 – $53 |
| 23 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $35 | $37 | $4 | 10% | — | $35 – $44 |
| 24 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $92 | $91 | $3 | 3% | — | $78 – $92 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
← Payers reporting CPT 87491 · Snapshot 20261111T120946Z-9134e7f7