Lab tests CPT 87491 Outpatient

Chlamydia test cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 19 hospitals list a cash price for chlamydia test by nucleic acid amplification (NAAT, PCR-type): from $10.00 to $724.38, with a median of $245.50. The lowest listed price is at Sentara Northern Virginia Medical Center — $235.50 less than the median here. Across District of Columbia, the median is $252.53 at 3 hospitals.

  • The median here, $245.50, is 149% above the US median of $98.75.
  • That is 7.0× Medicare's 2026 national rate for the same service ($35.09).
  • 3 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 19 facilities across 16 cities for code 87491, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Sep 1, 2026.

Lowest$10.00Sentara Northern Virginia Medical Center
Median$245.50half of hospitals charge less
Highest$724.38in this market
Difference72.4×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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $10.00Highest $724.38

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O File of Apr 1, 2026 · source file $10.00 $20.00 — 50%
Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O File of Apr 1, 2026 · source file $11.50 $23.00 — 50%
Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl (Qu) 87491 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O+3 more lines at this price File of Apr 1, 2026 · source file $19.00 $38.00 — 50%
Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O File of Apr 1, 2026 · source file $36.00 $72.00 — 50%
Jefferson Medical Center Ranson, WV · (304) 728-1600 CHLMYD TRACH DNA AMP PROBE File of Jul 12, 2026 · source file $76.00 $152.00 — 50%
Fauquier Health Warrenton, VA · (540) 316-5000 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique File of Jul 14, 2026 · source file $84.40 $211.00 $44.14 60%
Frederick Health Hospital Frederick, MD · (240) 566-3300 CHLAMYDIA TRACHOMATIS DNA PRB+1 more line at this price File of Mar 17, 2025 · source file $90.13 $91.97 $90.13–$91.97 2%
Mary Washington Hospital Fredericksburg, VA · (540) 741-1100 Chlmyd trach dna amp probe File of Dec 30, 2024 · source file $105.50 $211.00 $35.00–$270.00 50%
Stafford Hospital Stafford, VA · (540) 741-9000 Chlmyd trach dna amp probe File of Dec 30, 2024 · source file $105.50 $211.00 $35.00–$270.00 50%
MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 CHLAMYDIA TRACHOMATIS+1 more line at this price File of Apr 1, 2026 · source file $119.04 $121.47 $119.04–$121.47 2%
MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 CHLAMYDIA TRACHOMATIS+1 more line at this price File of Apr 1, 2026 · source file $129.35 $131.99 $129.35–$131.99 2%
Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chgl Chamydia Rectal Swab,Naa+5 more lines at this price File of Apr 1, 2026 · source file $168.50 $337.00 — 50%
Children's National Hospital Washington, DC · (202) 476-5000 C. trachomatis/N. gonorrhoeae TMA-Urine (SO)+1 more line at this price File of Apr 2, 2026 · source file $202.00 $404.00 $35.09–$1,583.01 50%
Children's National Hospital Washington, DC · (202) 476-5000 CTNG CHLAMYDIA T AMP NA PROBE VAGINA+11 more lines at this price File of Apr 2, 2026 · source file $212.50 $425.00 $35.09–$1,583.01 50%
Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC INFECT AG NA CHLAMYDIA TRACHOMATIS AMP File of Apr 1, 2026 · source file $245.50 $491.00 $35.09–$382.98 50%
Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC INFECT AG NA CHLAMYDIA TRACHOMATIS AMP File of Apr 1, 2026 · source file $245.50 $491.00 $35.09–$382.98 50%
Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC INFECT AG NA CHLAMYDIA TRACHOMATIS AMP File of Apr 1, 2026 · source file $245.50 $491.00 $35.09–$382.98 50%
Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC INFECT AG NA CHLAMYDIA TRACHOMATIS AMP File of Apr 1, 2026 · source file $245.50 $491.00 $35.09–$382.98 50%
Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC INFECT AG NA CHLAMYDIA TRACHOMATIS AMP File of Apr 1, 2026 · source file $245.50 $491.00 $35.09–$382.98 50%
MedStar Washington Hospital Center Washington, DC · (202) 877-7000 CHLAMYDIA TRACHOMATIS+1 more line at this price File of Apr 1, 2026 · source file $252.53 $388.51 $35.09–$366.95 35%
MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 CHLAMYDIA TRACHOMATIS+1 more line at this price File of Apr 1, 2026 · source file $381.66 $587.17 $35.09–$528.45 35%
Spotsylvania Regional Medical Center Fredericksburg, VA · (540) 498-4000 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique +1 more line at this price File of Sep 1, 2026 · source file $585.36 $585.36 $36.49–$526.82 —
Stonesprings Hospital Center Dulles, VA · (571) 349-4000 CHLAMYDIA T AMP PROBE+1 more line at this price File of Sep 1, 2026 · source file $724.32 $724.32 $35.09–$615.67 —
Reston Hospital Center Reston, VA · (703) 689-9000 CHLAMYDIA T AMP PROBE+1 more line at this price File of Sep 1, 2026 · source file $724.38 $724.38 $35.09–$514.31 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $10.00, median $245.50, highest $724.38 — a 72.4× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $245.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 13 of 17 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 chlamydia test is, what the price covers and why prices differ: Chlamydia test explained.