Lab tests CPT 86592 Inpatient — admitted to hospital

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

In Pikeville, KY, 2 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $31.80 to $34.20, with a median of $33.00. The lowest listed price is at Tug Valley Arh Regional Medical Center — $1.20 less than the median here. Across Kentucky, the median is $47.87 at 58 hospitals.

Cash prices at 2 facilities across 2 cities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$31.80Tug Valley Arh Regional Medical Center
Median$33.00half pay less
Highest$34.20in this market
Difference1.1×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 Pikeville, KY.

median
Lowest $31.80Highest $34.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Tug Valley Arh Regional Medical Center lowest South Williamson, KY · (606) 237-1700 SYPHILIS TEST QUAl REF $31.80 $53.00 $3.63–$47.70 40% —
source file
Arh Our Lady of the Way Martin, KY · (606) 285-6400 SYPHILIS TEST QUAl REF $34.20 $57.00 $11.40–$50.16 40% —
source file

Inpatient: lowest $31.80, median $33.00, highest $34.20 — a 1.1× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $31.80 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.