Lab tests CPT 87491 Inpatient — admitted to hospital

Chlamydia test cost in St. Louis, MO — inpatient

In St. Louis, MO-IL, 7 hospitals list a cash price for chlamydia test by nucleic acid amplification (NAAT, PCR-type) as an inpatient: from $120.31 to $533.18, with a median of $192.24. The lowest listed price is at Mercy Rehabilitation Hospital St. Louis — $71.93 less than the median here. Across Missouri, the median is $87.75 at 29 hospitals.

Cash prices at 7 facilities across 7 cities for code 87491, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 16, 2026 and Mar 16, 2026.

Lowest$120.31Mercy Rehabilitation Hospital St. Louis
Median$192.24half pay less
Highest$533.18in this market
Difference4.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.

median
Lowest $120.31Highest $581.16

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Rehabilitation Hospital St. Louis lowest Chesterfield, MO CHLAMYDIA TRACHOMATIS(AMP) $120.31 $120.31 $120.31 — Mar 16, 2026
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Mercy Rehabilitation Hospital South Louis, MO CHLAMYDIA TRACHOMATIS(AMP) $121.59 $121.59 $121.59 — Mar 16, 2026
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 CHLMYD TRACH DNA AMP PROBE $153.36 $213.00 $30.13–$213.00 28% —
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC CHLAMYDIA TRACH AMP $192.24 $267.00 $30.13–$267.00 28% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 CHLMYD TRACH DNA AMP PROBE $231.12 $321.00 $31.63–$321.00 28% —
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC CHLAMYDIA TRACH AMP $234.72 $326.00 $65.20–$326.00 28% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 L180021 CTRACH AMPPR $533.18 $888.63 $888.63 40% —
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Gateway Regional Medical Center Granite City, IL · (618) 798-3000 Q70051 CHLMYD TRACH $581.16 $968.60 $968.60 40% —
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Inpatient: lowest $120.31, median $192.24, highest $533.18 — a 4.4× difference within the same market.

As an outpatient, the same code is billed by 11 facilities here, median $153.36 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 5 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This test looks for the genetic material of Chlamydia trachomatis using a nucleic acid amplification test (NAAT), the most accurate type of chlamydia test. It is run on a urine sample or a swab and is used for routine screening and when there are symptoms.

What the price covers

The price usually covers the chlamydia test only. The visit, the sample collection and a gonorrhea test on the same sample (87591) are usually billed separately.