Oklahoma · 86592

Syphilis Detection Test in Oklahoma

Syphilis Detection Test in Oklahoma · the short answer

Medicare pays $4.18 on average for syphilis detection test in Oklahoma, 0% below the $4.18 national average across all states.

$4.18
OK Medicare avg
$4.18
National Medicare avg
0% below
vs. national average

State and national averages are computed directly from CMS Medicare Physician & Other Practitioners claims data, 2023.

Oklahoma Medicare Avg
$4.18
0% below national avg
National Medicare Avg
$4.18
All states combined
Billed Charge (OK)
$37.11
What providers submit
Est. Commercial (OK)
$8.98
National avg: $7.73
Est. Cash / Self-Pay (OK)
$13.34
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.0K
Services in OK
30
Providers
$37.11
Avg Billed
$4.18
Medicare Avg

Top Providers in Oklahoma

Provider Medicare Services
Diagnostic Laboratory Of Oklahoma Llc $4.18 832
Saint Francis Outreach Services Llc $4.12 62
Labcorp Oklahoma, Inc. $4.18 41
Alpha Medical Laboratory Llc $4.18 24

Oklahoma Pricing in Context

In Oklahoma, CPT code 86592 (Syphilis Detection Test) carries an average Medicare payment of $4.18 - 0% below the national benchmark of $4.18. 30 providers across the state submitted claims for this procedure in 2023, performing 1.0K total services. Payment ranges by individual claim are not published in this CMS extract; the state average above is the figure to compare against the national benchmark.

The average billed charge in Oklahoma is $37.11, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Oklahoma sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in Oklahoma lands near $8.98, with self-pay cash prices typically around $13.34. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Syphilis Detection Test cost in Oklahoma?

The average Medicare payment for Syphilis Detection Test in Oklahoma is $4.18, which is 0% below the national average of $4.18. Providers in OK typically bill $37.11 for this procedure.

What does Syphilis Detection Test cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, Syphilis Detection Test costs an estimated $8.98. Without insurance, the estimated cash price is $13.34. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Syphilis Detection Test in Oklahoma?

30 providers in Oklahoma billed Medicare for Syphilis Detection Test in 2023, performing 1.0K total services. The state Medicare average for this code is $4.18.

Is Syphilis Detection Test cheaper in Oklahoma than the national average?

Yes - Syphilis Detection Test costs 0% below the national average in Oklahoma. The state average Medicare payment is $4.18 compared to $4.18 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.