Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 26 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $3.76 to $84.00, with a median of $22.40. The lowest listed price is at Henry Ford Health — $18.64 less than the median here. Across Michigan, the median is $16.24 at 61 hospitals.

Cash prices at 26 facilities across 19 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 Dec 31, 2025 and Sep 2, 2026.

Lowest$3.76Henry Ford Health
Median$22.40half pay less
Highest$84.00in this market
Difference22.3×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 Detroit-Warren-Dearborn, MI.

median
Lowest $3.76Highest $142.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Henry Ford Health lowest Rochester, MI · (248) 652-5000 SYPHILIS G SEROLOGY (RPR) $3.76 $8.00 $5.08–$5.52 53% —
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Henry Ford Health East China Township, MI · (810) 329-7111 SYPHILLIS TEST;QUAL $4.05 $7.24 $5.83–$6.86 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 SYPHILLIS TEST;QUAL $4.05 $7.24 $5.83–$6.86 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 SYPHILLIS TEST;QUAL $4.05 $7.24 $5.83–$6.86 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 SYPHILLIS TEST;QUAL $4.05 $7.24 $5.83–$6.86 44% —
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB SYPHILIS TEST NON-TREP QL $5.89 $29.00 $2.23–$15.02 80% Jun 28, 2026
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB SYPHILIS TEST NON-TREP QL $5.89 $29.00 $2.23–$15.02 80% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB SYPHILIS TEST NON-TREP QL $5.89 $29.00 $2.23–$15.02 80% Jun 28, 2026
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Henry Ford Wyandotte Hospital Wyandotte, MI HB LAB SYPHILIS TEST NON-TREP QL $5.89 $29.00 $3.49–$5.89 80% Jun 28, 2026
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Henry Ford Health Rochester, MI · (248) 652-5000 ROUTINE RPR (VDRL) $10.81 $23.00 $5.08–$5.52 53% —
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McLaren Oakland Pontiac, MI · (248) 338-5000 RPR $11.00 $22.00 $2.34–$15.87 50% Dec 31, 2025
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Henry Ford Health Rochester, MI · (248) 652-5000 VDRL CSF $14.57 $31.00 $5.08–$5.52 53% —
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL CSF $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL CSF $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL (RPR) $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL CSF $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL (RPR) $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL CSF $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL (RPR) $16.24 $29.00 $3.12–$7.68 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL (RPR) $16.24 $29.00 $3.12–$7.68 44% —
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 RPR $16.25 $32.50 $2.34–$20.07 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 SYPHILIS TEST NON-TREP QUAL $17.20 $34.40 $2.34–$17.48 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 RPR $17.80 $35.60 $2.34–$26.70 50% Dec 31, 2025
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Henry Ford Health East China Township, MI · (810) 329-7111 SYPHILIS TEST; QUAL $20.67 $36.91 $5.83–$6.86 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 SYPHILIS TEST; QUAL $20.67 $36.91 $5.83–$6.86 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 STS (RPR/VDRL) QUAL $21.84 $39.00 $3.48–$6.86 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 STS (RPR/VDRL) QUAL $21.84 $39.00 $3.48–$6.86 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 SYPHILIS TEST; QUAL $22.40 $40.00 $5.83–$6.86 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 SYPHILIS TEST; QUAL $22.40 $40.00 $5.83–$6.86 44% —
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 RPR $22.95 $45.90 $2.34–$24.05 50% Dec 31, 2025
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 RAPID PLASMA REAGIN $23.25 $46.50 $2.34–$34.88 50% Dec 31, 2025
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 TRANSPLANT RPR $23.25 $46.50 $2.34–$34.88 50% Dec 31, 2025
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL (RPR) QUAL $24.08 $43.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL (RPR) QUAL $24.08 $43.00 $2.89–$7.68 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 VDRL (RPR) QUAL $24.08 $43.00 $3.12–$7.68 44% —
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Henry Ford Health Novi, MI VDRL (RPR) QUAL $24.08 $43.00 $2.89–$7.68 44% —
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VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 VDRL-CSF $32.25 $43.00 — 25% Apr 7, 2026
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 VDRL, CSF QUAL $33.75 $67.50 $2.34–$50.63 50% Dec 31, 2025
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VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 VDRL-CSF $42.00 $56.00 — 25% Apr 8, 2026
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Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Vdrl/Rpr Qualitative Csf $43.00 $43.00 — — —
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William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Rpr $43.00 $43.00 — — —
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William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Vdrl/Rpr Qualitative Csf $43.00 $43.00 — — —
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Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Rpr $43.00 $43.00 — — —
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Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Vdrl/Rpr Qualitative Csf $43.00 $43.00 — — —
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Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Rpr $43.00 $43.00 — — —
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William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Vdrl/Rpr Qualitative Csf $43.00 $43.00 — — —
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William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Rpr $43.00 $43.00 — — —
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Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Vdrl/Rpr Qualitative Csf $43.00 $43.00 — — —
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Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Rpr $43.00 $43.00 — — —
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VHS Rehabilitation Institute of Michigan Detroit, MI VDRL-CSF $71.25 $95.00 — 25% Apr 8, 2026
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 VDRL-CSF $73.50 $98.00 — 25% Apr 6, 2026
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 VDRL-CSF $74.25 $99.00 $1.00–$5.82 25% May 20, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 TRANSPLANT RPR $84.00 $112.00 $1.00–$5.82 25% Aug 20, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 TRANSPLANT RPR $84.00 $112.00 $1.00–$5.82 25% Sep 2, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 VDRL-CSF $90.00 $120.00 $1.00–$5.82 25% Aug 20, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 VDRL-CSF $90.00 $120.00 $1.00–$5.82 25% Sep 2, 2026
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 VDRL/RPR QUAL $106.50 $142.00 $1.00–$5.82 25% May 20, 2026
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 VDRL/RPR QUAL $108.00 $144.00 — 25% Apr 6, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 VDRL/RPR QUAL $115.50 $154.00 $1.00–$5.82 25% Sep 2, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 VDRL/RPR QUAL $115.50 $154.00 $1.00–$5.82 25% Aug 20, 2026
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VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 VDRL/RPR QUAL $118.50 $158.00 — 25% Apr 8, 2026
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VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 VDRL/RPR QUAL $142.50 $190.00 — 25% Apr 7, 2026
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Outpatient: lowest $3.76, median $22.40, highest $84.00 — a 22.3× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $43.00. 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 11 of 17 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 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.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86592 ($33.44). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Henry Ford Health Rochester, MIVDRL (CSF) $2.82 file
Henry Ford Health Rochester, MIRL SYPHILIS TEST NON-TREP QUAL $2.82 file
Henry Ford Health Rochester, MIRL RAPID PLASMA REAGIN $2.91 file