Syphilis test (RPR) cost in Brownsville, TX
In Brownsville-Harlingen, TX, 2 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $4.00 to $463.74, with a median of $233.87. The lowest listed price is at Harlingen Medical Center — $229.87 less than the median here. Across Texas, the median is $56.24 at 234 hospitals.
Cash prices at 2 facilities across 2 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 1, 2026 and Sep 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 Brownsville-Harlingen, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Harlingen Medical Center lowest Harlingen, TX · (956) 365-1000 RPR | $4.00 | $83.22 | $3.59–$66.58 | 95% | Sep 1, 2026 source file |
| Harlingen Medical Center lowest Harlingen, TX · (956) 365-1000 SYPHILIS TEST,QUAL | $4.00 | $80.99 | $3.59–$66.58 | 95% | Sep 1, 2026 source file |
| Harlingen Medical Center lowest Harlingen, TX · (956) 365-1000 VDRL(CSF) | $4.00 | $33.50 | $3.59–$66.58 | 88% | Sep 1, 2026 source file |
| Valley Regional Medical Center Brownsville, TX · (956) 350-7000 VDRL CSF QUAL | $463.74 | $463.74 | $32.46–$394.18 | — | Sep 1, 2026 source file |
| Valley Regional Medical Center Brownsville, TX · (956) 350-7000 RPR QUAL | $654.06 | $654.06 | $45.78–$555.95 | — | Sep 1, 2026 source file |
Outpatient: lowest $4.00, median $233.87, highest $463.74 — a 115.9× difference within the same market.
Cash or insurance?
At 1 of 2 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 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.