Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Lexington, KY

In Lexington-Fayette, KY, 2 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $16.80 to $53.64, with a median of $35.22. The lowest listed price is at University of Kentucky Hospital — $18.42 less than the median here. Across Kentucky, the median is $53.64 at 15 hospitals.

Cash prices at 2 facilities 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 Apr 1, 2026 and Sep 17, 2026.

Lowest$16.80University of Kentucky Hospital
Median$35.22half pay less
Highest$53.64in this market
Difference3.2×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 Lexington-Fayette, KY.

median
Lowest $16.80Highest $53.64

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Kentucky Hospital lowest Lexington, KY · (859) 257-2278 Hc 309 Syphilis Test Non Treponemal Antibody Qual - Vdrl Csf-So+ $16.80 $42.00 — 60% Apr 1, 2026
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University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc (Reflex) Rpr (Labcorp 082345-Reflex) $24.84 $62.10 — 60% Apr 1, 2026
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University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Rapid Plasma Reagin (Rpr) W Reflex To Titer $24.84 $62.10 — 60% Apr 1, 2026
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University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Reflex-Rpr Titer $31.74 $79.35 — 60% Apr 1, 2026
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University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Syphilis Test Non Treponemal Antibody Qual - Vdrl Csf $39.56 $98.90 — 60% Apr 1, 2026
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University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp $39.56 $98.90 — 60% Apr 1, 2026
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Baptist Health Lexington Lexington, KY · (859) 260-6100 Syphilis detection test $53.64 $71.52 $3.63–$145.40 25% Sep 17, 2026
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Outpatient: lowest $16.80, median $35.22, highest $53.64 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $16.80. 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 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.