Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Huntington, WV

In Huntington-Ashland, WV-KY-OH, 3 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $34.84 to $53.48, with a median of $49.08. The lowest listed price is at St. Mary's Medical Center — $14.24 less than the median here. Across West Virginia, the median is $25.75 at 20 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 23, 2026; the hospital files themselves were last updated between Oct 14, 2025 and Oct 14, 2025.

Lowest$34.84St. Mary's Medical Center
Median$49.08half pay less
Highest$53.48in this market
Difference1.5×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 Huntington-Ashland, WV-KY-OH.

median
Lowest $34.84Highest $64.36

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Mary's Medical Center lowest Huntington, WV · (304) 526-1234 RPR Qn - LC $34.84 $34.84 $29.20–$34.84 — —
source file
St. Mary's Medical Center lowest Huntington, WV · (304) 526-1234 CSF VDRL Screen-LC $34.84 $34.84 $29.20–$34.84 — —
source file
Cabell Huntington Hospital Huntington, WV · (304) 526-2000 CSF VDRL Screen-LC $49.08 $49.08 $41.14–$49.08 — —
source file
King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG VDRL,CSF $53.48 $133.68 $3.20–$120.31 60% Oct 14, 2025
source file
King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG RPR (ARUP) $53.48 $133.68 $3.20–$120.31 60% Oct 14, 2025
source file
King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG VDRL, CSF (ARUP) $53.48 $133.68 $3.20–$120.31 60% Oct 14, 2025
source file
King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG SYPHILIS NON-TREP QL $53.48 $133.68 $3.20–$120.31 60% Oct 14, 2025
source file
St. Mary's Medical Center Huntington, WV · (304) 526-1234 Rapid Plasma Reagin Titer $63.13 $63.13 $52.92–$63.13 — —
source file
Cabell Huntington Hospital Huntington, WV · (304) 526-2000 Rapid Plasma Reagin Titer $64.36 $64.36 $53.95–$64.36 — —
source file

Outpatient: lowest $34.84, median $49.08, highest $53.48 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $49.08. 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 1 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.