Syphilis test (RPR) cost in Fresno, CA
In Fresno, CA, 3 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $10.48 to $49.28, with a median of $10.48. The lowest listed price is at Fresno Community Hospital and Medical Center and 1 other hospital. Across California, the median is $46.29 at 98 hospitals.
Cash prices at 3 facilities across 2 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jun 18, 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 Fresno, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 RPR REFLEX TO TP-PA;Q | $10.48 | $13.10 | $3.18–$21.71 | 20% | Jun 18, 2026 source file |
| Fresno Community Hospital and Medical Center lowest Clovis, CA · (559) 324-4000 RPR REFLEX TO TP-PA;Q | $10.48 | $13.10 | $3.18–$21.71 | 20% | Jun 15, 2026 source file |
| Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 RPR REFLEX TO TP-PA;Q | $10.48 | $13.10 | $3.18–$21.71 | 20% | Jun 16, 2026 source file |
| Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 RPR REFLEX TO TP-PA;Q | $10.48 | $13.10 | $3.18–$21.71 | 20% | Jun 18, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 VDRL, CSF;Q | $20.53 | $25.66 | $3.18–$28.23 | 20% | Jun 18, 2026 source file |
| Fresno Community Hospital and Medical Center Clovis, CA · (559) 324-4000 VDRL, CSF;Q | $20.53 | $25.66 | $3.18–$28.23 | 20% | Jun 15, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 VDRL, CSF;Q | $20.53 | $25.66 | $3.18–$28.23 | 20% | Jun 16, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 VDRL, CSF;Q | $20.53 | $25.66 | $3.18–$28.23 | 20% | Jun 18, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $49.28 | $88.00 | $3.00–$10.00 | 44% | — source file |
Outpatient: lowest $10.48, median $10.48, highest $49.28 — a 4.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $10.48. 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 2 of 3 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.
1 row held back from this comparison
It is 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.
| Madera Community Hospital Madera, CASyphilis detection test | $2.74 | file |