Syphilis test (RPR) cost in Buffalo, NY
In Buffalo-Cheektowaga, NY, 6 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $7.28 to $56.55, with a median of $8.00. The lowest listed price is at Niagara Falls Memorial Medical Center — $0.72 less than the median here. Across New York, the median is $15.39 at 64 hospitals.
Cash prices at 6 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 Aug 25, 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 Buffalo-Cheektowaga, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Niagara Falls Memorial Medical Center lowest Niagara Falls, NY · (716) 278-4000 SYPHILIS TEST NON-TREP QUAL | $7.28 | $10.40 | $4.06–$5.81 | 30% | — source file |
| Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF | $8.00 | $8.00 | $3.20–$10.00 | — | — source file |
| Niagara Falls Memorial Medical Center Niagara Falls, NY · (716) 278-4000 SYPHILIS DETECTION TEST | $8.24 | $11.77 | $4.06–$5.81 | 30% | — source file |
| Erie County Medical Center Buffalo, NY · (716) 898-3936 RPR SCREEN | $12.27 | $66.83 | $3.20–$60.14 | 82% | Aug 25, 2026 source file |
| Erie County Medical Center Buffalo, NY · (716) 898-3936 SYPHILIS TEST VDRL CSF | $12.27 | $66.83 | $3.20–$60.14 | 82% | Aug 25, 2026 source file |
| Erie County Medical Center Buffalo, NY · (716) 898-3936 T.PALLIDUM HEMAGGLUTINATION | $12.27 | $66.83 | $3.20–$60.14 | 82% | Aug 25, 2026 source file |
| Roswell Park Cancer Institute Buffalo, NY Vdrl Csf Qual | $56.55 | $56.55 | — | — | Apr 1, 2026 source file |
| Roswell Park Cancer Institute Buffalo, NY Rpr,Qualitative | $56.55 | $56.55 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $7.28, median $8.00, highest $56.55 — a 7.8× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $8.00. 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 4 of 5 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.