Lab tests CPT 86592 Inpatient — admitted to hospital

Syphilis test (RPR) cost in Columbia, MO — inpatient

In Columbia, MO, 2 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $17.91 to $20.73, with a median of $19.32. The lowest listed price is at Boone Hospital Center — $1.41 less than the median here. Across Missouri, the median is $26.98 at 28 hospitals.

Cash prices at 2 facilities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Apr 1, 2026.

Lowest$17.91Boone Hospital Center
Median$19.32half pay less
Highest$20.73in this market
Difference1.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Columbia, MO.

median
Lowest $17.91Highest $97.23

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boone Hospital Center lowest Columbia, MO · (573) 815-8000 SYPHILIS NON TREP AB QL $17.91 $29.85 — 40% Apr 1, 2026
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 RPR QUAITATIVE P86520313 $20.73 $34.55 $9.40–$30.40 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 RPR QUALITATIVE P31020313 $20.73 $34.55 $9.40–$30.40 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 SYPHILIS TEST NON-TREPONEMAL AB; QUALITATIVE P16530230 $26.58 $44.30 $12.05–$38.98 40% Dec 15, 2025
source file
Curators of the University of Missouri Columbia, MO · (573) 882-4141 VDRL SPINAL FLUID (VDSF) P28632367 $26.58 $44.30 $12.05–$38.98 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 SYPHILIS TEST NON-TREPONEMAL AB; QUALITATIVE P28630230 $26.58 $44.30 $12.05–$38.98 40% Dec 15, 2025
source file
Curators of the University of Missouri Columbia, MO · (573) 882-4141 VDRL SPINAL FLUID (VDSF) P31032367 $26.58 $44.30 $12.05–$38.98 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 SYPHILIS TEST NON-TREP QUAL (MTN) P16535042 $38.13 $63.55 $17.29–$55.92 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 RPR SCREEN W/ REFLEX TO TITER,S (RPRT1) P28637161 $97.23 $162.05 $44.08–$142.60 40% Dec 15, 2025
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Curators of the University of Missouri Columbia, MO · (573) 882-4141 RPR SCREEN W/ REFLEX TO TITER,S (RPRT1) P31037161 $97.23 $162.05 $44.08–$142.60 40% Dec 15, 2025
source file

Inpatient: lowest $17.91, median $19.32, highest $20.73 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $19.32 — that is the price to compare if you are not being admitted.

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. 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.