Lab tests CPT 86592 Inpatient — admitted to hospital

Syphilis test (RPR) cost in Louisville, KY — inpatient

In Louisville/Jefferson County, KY-IN, 3 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $19.60 to $108.60, with a median of $41.20. The lowest listed price is at Norton Clark Hospital — $21.60 less than the median here. Across Kentucky, the median is $53.64 at 15 hospitals.

Cash prices at 3 facilities across 3 cities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 11, 2026 and Jun 3, 2026.

Lowest$19.60Norton Clark Hospital
Median$41.20half pay less
Highest$108.60in this market
Difference5.5×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 Louisville/Jefferson County, KY-IN.

median
Lowest $19.60Highest $108.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Norton Clark Hospital lowest Jeffersonville, IN · (812) 283-2147 HB SYPHILIS QUAL (SO) $19.60 $140.00 $60.23–$122.50 86% Jun 3, 2026
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Norton Clark Hospital lowest Jeffersonville, IN · (812) 283-2147 HB RPR QUAL $19.60 $140.00 $60.23–$122.50 86% Jun 3, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$175.10 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$175.10 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$189.93 80% Feb 13, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$189.93 80% Feb 13, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$189.93 80% Feb 13, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS TEST QUALITATIVE $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB RPR QUAL $41.20 $206.00 $33.99–$189.93 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB SYPHILIS QUAL (SO) $41.20 $206.00 $33.99–$175.10 80% Feb 11, 2026
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St. Vincent Salem Hospital Salem, IN · (812) 883-5881 SYPHILIS TEST QUALITATIVE $108.60 $181.00 $1.32–$9.74 40% —
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Inpatient: lowest $19.60, median $41.20, highest $108.60 — a 5.5× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $53.64 — that is the price to compare if you are not being admitted.

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 1 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.