Syphilis test (RPR) cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 17 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $3.24 to $134.25, with a median of $71.50. The lowest listed price is at Iredell Memorial Hospital — $68.26 less than the median here. Across North Carolina, the median is $58.80 at 55 hospitals.
- The median here, $71.50, is 120% above the US median of $32.50.
- That is 16.7× Medicare's 2026 national rate for the same service ($4.27).
- 3 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 17 facilities across 14 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Nov 4, 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 RPR with Reflex Titer REF File of Dec 31, 2025 · source file | $3.24 | $12.00 | $4.54–$38.00 | 73% |
| Iredell Memorial Hospital Statesville, NC · (704) 878-5661 Rapid Plasma Reagin Test File of Dec 31, 2025 · source file | $27.81 | $103.00 | $4.54–$38.00 | 73% |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB RPR DONOR (SEND OUT)+2 more lines at this price File of Apr 1, 2026 · source file | $35.50 | $71.00 | — | 50% |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB SYPH AB CSF (VDRL) File of Apr 1, 2026 · source file | $36.00 | $72.00 | — | 50% |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB RPR MANUAL QL File of Apr 1, 2026 · source file | $48.00 | $96.00 | — | 50% |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB RPR MANUAL QL File of Apr 1, 2026 · source file | $48.00 | $96.00 | — | 50% |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Syphilis Test Qual+2 more lines at this price File of Apr 1, 2026 · source file | $68.04 | $252.00 | $22.13–$163.80 | 73% |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Nov 4, 2026 · source file | $71.50 | $143.00 | $4.27–$135.85 | 50% |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$131.56 | 50% |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$135.85 | 50% |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 28, 2026 · source file | $71.50 | $143.00 | $4.27–$135.85 | 50% |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$131.56 | 50% |
| Atrium Health Union Monroe, NC · (704) 283-3100 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$135.85 | 50% |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL+1 more line at this price File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$128.70 | 50% |
| Atrium Health University City Charlotte, NC · (704) 548-6000 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL File of Oct 29, 2026 · source file | $71.50 | $143.00 | $4.27–$138.71 | 50% |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 CHG RPR NON-TREPONEMAL AB QUAL File of May 11, 2026 · source file | $97.00 | $97.00 | $2.56–$92.15 | — |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 CHG RPR NON-TREPONEMAL AB QUAL File of May 11, 2026 · source file | $97.00 | $97.00 | $2.56–$92.15 | — |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 CHG RPR NON-TREPONEMAL AB QUAL File of May 11, 2026 · source file | $97.00 | $97.00 | $2.56–$92.15 | — |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 SYPHILIS NONTREP QUAL File of Apr 15, 2026 · source file | $134.25 | $179.00 | $1.00–$179.00 | 25% |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 SYPHILIS NONTREP QUAL File of Sep 1, 2026 · source file | $134.25 | $179.00 | $1.00–$179.00 | 25% |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB RPR DONOR (SEND OUT)+3 more lines at this price File of Apr 1, 2026 · source file | $165.50 | $331.00 | — | 50% |
Outpatient: lowest $3.24, median $71.50, highest $134.25 — a 41.4× difference within the same market.
As an inpatient, the same code is billed by 16 facilities here, median $71.50. 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 12 of 15 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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 syphilis test (RPR) is, what the price covers and why prices differ: Syphilis test (RPR) explained.