Lab tests CPT 86592 Inpatient — admitted to hospital

Syphilis test (RPR) cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 14 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $7.00 to $128.70, with a median of $27.20. The lowest listed price is at Nemours Children's Hospital — $20.20 less than the median here. Across Pennsylvania, the median is $27.20 at 64 hospitals.

Cash prices at 14 facilities across 13 cities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Apr 1, 2026.

Lowest$7.00Nemours Children's Hospital
Median$27.20half pay less
Highest$128.70in this market
Difference18.4×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 $7.00Highest $215.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nemours Children's Hospital lowest Wilmington, DE · (302) 651-4000 Rpr With Reflex to Confirm Quest $7.00 $7.00 — — —
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Nemours Children's Hospital lowest Wilmington, DE · (302) 651-4000 Rpr With Reflex to Confirm Quest $7.00 $7.00 — — —
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Inspira Health Center Woodbury Woodbury, NJ CSF VDRL $14.45 $14.45 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ RPR (Monitor) W/Refl Titer-Q $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 CSF VDRL $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 RPR (Monitor) W/Refl Titer-Q $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ CSF VDRL $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ RPR (Monitor) W/Refl Titer-Q $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ CSF VDRL $14.45 $14.45 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ RPR (Monitor) W/Refl Titer-Q $14.45 $14.45 — — Mar 24, 2026
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Vdrl CSF Mayo Referred $25.00 $25.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Vdrl CSF Mayo Referred $25.00 $25.00 — — —
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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
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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
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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
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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
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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
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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
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Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Rpr $27.20 $68.00 — 60% Apr 1, 2026
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Paoli Hospital Paoli, PA · (610) 648-1000 Hc Rpr $27.20 $68.00 — 60% Apr 1, 2026
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Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Rpr $27.20 $68.00 — 60% —
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Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Rpr $27.20 $68.00 — 60% Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Rpr $27.20 $68.00 — 60% —
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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
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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
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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
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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
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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
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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
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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
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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
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphilis Sts Labs Inc $82.00 $82.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphilis Sts Labs Inc $82.00 $82.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphillis Arc $82.00 $82.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Syphillis Arc $82.00 $82.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin Rpr $98.00 $98.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin Rpr $98.00 $98.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin W/ Relfex S Mayo $124.00 $124.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Rapid Plasma Reagin W/ Relfex S Mayo $124.00 $124.00 — — —
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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
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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
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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
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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
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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
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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
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Inpatient: lowest $7.00, median $27.20, highest $128.70 — a 18.4× difference within the same market.

As an outpatient, the same code is billed by 22 facilities here, median $23.35 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 4 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.