Syphilis test (RPR) cost in Birmingham, AL
In Birmingham, AL, 5 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $7.11 to $364.00, with a median of $198.00. The lowest listed price is at The Children's Hospital of Alabama — $190.89 less than the median here. Across Alabama, the median is $155.50 at 12 hospitals.
Cash prices at 5 facilities across 3 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Birmingham, AL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest (Reflex Rpr Scr) Syphilis Antibody Cascading Reflex � Adj 86592 | $7.11 | $16.53 | $9.92 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest Rpr � Adj 86592 | $7.11 | $16.53 | $11.24–$14.88 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest (Reflex Rpr Scr) Syphilis Antibody Cascading Reflex � Adj 86592 | $7.11 | $16.53 | $11.24–$14.88 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest Rpr � Adj 86592 | $7.11 | $16.53 | $9.92 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest Rpr � Adj 86592 | $7.11 | $16.53 | $11.24–$14.88 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL · (205) 939-9100 HC Quest (Reflex Rpr Scr) Syphilis Antibody Cascading Reflex � Adj 86592 | $7.11 | $16.53 | $11.24–$14.88 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL · (205) 939-9100 HC Quest Vdrl, CSF � Adj 86592 | $20.20 | $46.98 | $31.95–$42.28 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL · (205) 939-9100 HC Quest Vdrl, CSF � Adj 86592 | $20.20 | $46.98 | $31.95–$42.28 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL · (205) 939-9100 HC Quest Vdrl, CSF � Adj 86592 | $20.20 | $46.98 | $28.19 | 57% | — source file |
| Baptist Health Princeton Hospital Birmingham, AL · (205) 783-3800 Hb Syphilis Test Non Treponemal Antibody Qual | $198.00 | $198.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Shelby Hospital Alabaster, AL · (205) 620-8100 Hb Syphilis Test Non Treponemal Antibody Qual | $198.00 | $198.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper, AL · (205) 387-4000 Hb Syphilis Test Non Treponemal Antibody Qual | $198.00 | $198.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Syphilis Tst Nt Ql/2 | $364.00 | $364.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Hb Syphilis Test Non Treponemal Antibody Qual | $440.00 | $440.00 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $7.11, median $198.00, highest $364.00 — a 51.2× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $198.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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 blood test, usually called RPR or VDRL, looks for antibodies the body makes in response to syphilis infection. It is used for screening, including during pregnancy, and gives a reactive or non-reactive result.
What the price covers
The price usually covers the screening test only. The blood draw is often billed separately, and a reactive result leads to a titer (86593) and a confirmation test (86780) with their own charges.