Syphilis test (RPR) cost in Philadelphia, PA
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 22 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $4.00 to $128.70, with a median of $23.35. The lowest listed price is at Lower Bucks Hospital and 1 other hospital — $19.35 less than the median here. Across Pennsylvania, the median is $27.20 at 64 hospitals.
Cash prices at 22 facilities across 18 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 Mar 24, 2026 and Sep 1, 2026.
Lowest$4.00Lower Bucks Hospital + 1 more
Median$23.35half pay less
Highest$128.70in this market
Difference32.2×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.
median
Lowest $4.00Highest $578.48
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Lower Bucks Hospital lowest Bristol, PA · (215) 785-9200 Hc Syphilis Test Non Treponemal Antibody Qual | $4.00 | $129.00 | $3.42–$103.20 | 97% | Sep 1, 2026 source file |
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Syphilis Test Non Treponemal Antibody Qual | $4.00 | $117.69 | $3.42–$114.16 | 97% | Sep 1, 2026 source file |
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Syphilis Test Non Treponemal Antibody Qual | $4.00 | $117.69 | $3.42–$114.16 | 97% | Sep 1, 2026 source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rpr With Reflex to Confirm Quest | $7.00 | $7.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rpr With Reflex to Confirm Quest | $7.00 | $7.00 | — | — | — source file |
| Inspira Medical Center Mannington Salem, NJ CSF VDRL | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Health Center Woodbury Woodbury, NJ RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Health Center Woodbury Woodbury, NJ CSF VDRL | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 CSF VDRL | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mannington Salem, NJ RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mullica Hill Mullica Hill, NJ CSF VDRL | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mullica Hill Mullica Hill, NJ RPR (Monitor) W/Refl Titer-Q | $14.45 | $14.45 | $1.62–$19.61 | — | Mar 24, 2026 source file |
| West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Rpr Rapid Plasma Reagin Test | $20.70 | $207.00 | $4.10–$180.90 | 90% | — source file |
| West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Rpr Rapid Plasma Reagin Test | $20.70 | $207.00 | $4.10–$180.90 | 90% | — source file |
| Virtua Willingboro Hospital Willinboro, NJ · (609) 835-2900 HC Rpr Rapid Plasma Reagin Test | $20.70 | $207.00 | $4.10–$180.90 | 90% | — source file |
| Virtua Our Lady of Lourdes Camden, NJ · (856) 886-5373 HC Rpr Rapid Plasma Reagin Test | $20.70 | $207.00 | $4.10–$180.90 | 90% | — source file |
| Virtua Memorial Hospital Mount Holly, NJ · (609) 267-0700 HC Rpr Rapid Plasma Reagin Test | $20.70 | $207.00 | $4.10–$180.90 | 90% | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Vdrl CSF Mayo Referred | $25.00 | $25.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Vdrl CSF Mayo Referred | $25.00 | $25.00 | — | — | — source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Warde Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $26.00 | $40.00 | $4.00–$58.75 | 35% | Mar 31, 2026 source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Rpr | $27.20 | $68.00 | — | 60% | — source file |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Rpr | $27.20 | $68.00 | — | 60% | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Rpr | $27.20 | $68.00 | — | 60% | — source file |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Rpr | $27.20 | $68.00 | — | 60% | Apr 1, 2026 source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Rpr | $27.20 | $68.00 | — | 60% | Apr 1, 2026 source file |
| Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 SYPHILIS TEST NON-TREP QUAL | $37.70 | $37.70 | $2.25–$9.13 | — | — source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl | $40.30 | $62.00 | $4.26–$67.87 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Warde Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $40.30 | $62.00 | $4.26–$67.87 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $40.30 | $62.00 | $4.26–$67.87 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $40.30 | $62.00 | $4.26–$67.87 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $40.30 | $62.00 | $4.26–$67.87 | 35% | Mar 31, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl | $74.10 | $114.00 | $4.27–$473.55 | 35% | Mar 31, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $74.10 | $114.00 | $4.27–$473.55 | 35% | Mar 31, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $74.10 | $114.00 | $4.27–$473.55 | 35% | Mar 31, 2026 source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphilis Sts Labs Inc | $82.00 | $82.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphilis Sts Labs Inc | $82.00 | $82.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphillis Arc | $82.00 | $82.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphillis Arc | $82.00 | $82.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin Rpr | $98.00 | $98.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin Rpr | $98.00 | $98.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin W/ Relfex S Mayo | $124.00 | $124.00 | — | — | — source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 T. Pallidium Donor Mkbc | $128.46 | $128.46 | $5.40–$115.61 | — | — source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $128.70 | $198.00 | $4.18–$190.08 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $128.70 | $198.00 | $4.18–$190.08 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF | $128.70 | $198.00 | $4.18–$190.08 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $128.70 | $198.00 | $4.18–$190.08 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl | $128.70 | $198.00 | $4.18–$190.08 | 35% | Mar 31, 2026 source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 CSF-Vdrl | $153.68 | $153.68 | $5.40–$138.31 | — | — source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $215.80 | $332.00 | $4.27–$473.55 | 35% | Mar 31, 2026 source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Rpr -Qualitative- | $578.48 | $578.48 | $5.40–$520.63 | — | — source file |
Outpatient: lowest $4.00, median $23.35, highest $128.70 — a 32.2× difference within the same market.
As an inpatient, the same code is billed by 14 facilities here, median $27.20. 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 14 of 16 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.