Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Lancaster, PA

In Lancaster, PA, 3 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $8.12 to $24.00, with a median of $17.60. The lowest listed price is at Penn State Health Lancaster Medical Center — $9.48 less than the median here. Across Pennsylvania, the median is $27.20 at 64 hospitals.

Cash prices at 3 facilities across 3 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 — and —.

Lowest$8.12Penn State Health Lancaster Medical Center
Median$17.60half pay less
Highest$24.00in this market
Difference3.0×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 Lancaster, PA.

median
Lowest $8.12Highest $24.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 VDRL with Reflex to Titer, CSF Tech $8.12 $28.00 $3.63–$22.40 71% —
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Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 86592 VDRL, Serum -Quest Tech $8.12 $28.00 $3.63–$22.40 71% —
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Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 86592 VDRL, CSF -Quest Tech $8.12 $28.00 $3.63–$22.40 71% —
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Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 86592 SYPHILIS TEST NON-TREP QUAL Tech $8.12 $28.00 $3.63–$22.40 71% —
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Ephrata Community Hospital Ephrata, PA · (717) 733-0311 Syphilis Detection Test $17.60 $22.00 $3.87–$19.58 20% —
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UPMC Lititz Lititz, PA · (717) 625-2000 HC TORCH GROUP IGM $24.00 $40.00 $4.00–$34.00 40% —
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UPMC Lititz Lititz, PA · (717) 625-2000 HC RPR/QUALITATIVE $24.00 $40.00 $4.00–$34.00 40% —
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UPMC Lititz Lititz, PA · (717) 625-2000 HC VDRL CSF/QUALITATIVE $24.00 $40.00 $4.00–$34.00 40% —
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UPMC Lititz Lititz, PA · (717) 625-2000 HC VDRL,SERUM $24.00 $40.00 $4.00–$34.00 40% —
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UPMC Lititz Lititz, PA · (717) 625-2000 HC HSV 1 IGM TITER $24.00 $40.00 $4.00–$34.00 40% —
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Outpatient: lowest $8.12, median $17.60, highest $24.00 — a 3.0× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $17.60. 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 3 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.