Syphilis test (RPR) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 16 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $2.60 to $66.95, with a median of $32.25. The lowest listed price is at Legacy Emanuel Medical Center and 3 other hospitals — $29.65 less than the median here. Across Oregon, the median is $32.25 at 49 hospitals.
- The median here, $32.25, is about the same as the US median of $32.50.
- That is 7.6× Medicare's 2026 national rate for the same service ($4.27).
- 1 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 16 facilities across 9 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 18, 2026 and Apr 1, 2026.
Lowest$2.60Legacy Emanuel Medical Center + 3 more
Median$32.25half of hospitals charge less
Highest$66.95in this market
Difference25.8×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 Portland-Vancouver-Hillsboro, OR-WA.
median
Lowest $2.60Highest $78.65
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 HC CSF SYPHILIS: VDRL+1 more line at this price File of Apr 1, 2026 · source file | $2.60 | $4.00 | — | 35% |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 HC CSF SYPHILIS: VDRL File of Apr 1, 2026 · source file | $2.60 | $4.00 | — | 35% |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 HC CSF SYPHILIS: VDRL File of Apr 1, 2026 · source file | $2.60 | $4.00 | — | 35% |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 HC CSF SYPHILIS: VDRL File of Apr 1, 2026 · source file | $2.60 | $4.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $2.93 | $4.51 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $2.93 | $4.51 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $2.93 | $4.51 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $2.93 | $4.51 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $2.93 | $4.51 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC RPR NEO File of Apr 1, 2026 · source file | $3.25 | $5.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC RPR NEO+1 more line at this price File of Apr 1, 2026 · source file | $3.25 | $5.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC RPR NEO File of Apr 1, 2026 · source file | $3.25 | $5.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC RPR NEO File of Apr 1, 2026 · source file | $3.25 | $5.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC RPR NEO File of Apr 1, 2026 · source file | $3.25 | $5.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $3.85 | $5.93 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $3.85 | $5.93 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $3.85 | $5.93 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $3.85 | $5.93 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC NATIONAL MARROW DONOR RPR File of Apr 1, 2026 · source file | $4.55 | $7.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $5.20 | $8.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC TREPONEMA PALLIDUM (VDRL) CSF File of Apr 1, 2026 · source file | $5.20 | $8.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC RPR+1 more line at this price File of Apr 1, 2026 · source file | $5.26 | $8.10 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC RPR File of Apr 1, 2026 · source file | $5.26 | $8.10 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC RPR File of Apr 1, 2026 · source file | $5.26 | $8.10 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC RPR File of Apr 1, 2026 · source file | $5.26 | $8.10 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC RPR File of Apr 1, 2026 · source file | $5.26 | $8.10 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC RPR-RAPID PLASMA REAGIN File of Apr 1, 2026 · source file | $7.64 | $11.75 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC RAPID PLASMA REAGIN TITER+1 more line at this price File of Apr 1, 2026 · source file | $8.03 | $12.36 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC RAPID PLASMA REAGIN TITER File of Apr 1, 2026 · source file | $8.03 | $12.36 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC RAPID PLASMA REAGIN TITER File of Apr 1, 2026 · source file | $8.03 | $12.36 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC RAPID PLASMA REAGIN TITER File of Apr 1, 2026 · source file | $8.03 | $12.36 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC RAPID PLASMA REAGIN TITER File of Apr 1, 2026 · source file | $8.03 | $12.36 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC VDRL CSF File of Apr 1, 2026 · source file | $8.32 | $12.80 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC VDRL CSF File of Apr 1, 2026 · source file | $8.32 | $12.80 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC VDRL CSF File of Apr 1, 2026 · source file | $8.32 | $12.80 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC VDRL CSF File of Apr 1, 2026 · source file | $8.32 | $12.80 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC VDRL CSF File of Apr 1, 2026 · source file | $8.32 | $12.80 | — | 35% |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL File of Apr 1, 2026 · source file | $17.85 | $21.00 | $5.00–$17.38 | 15% |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL File of Apr 1, 2026 · source file | $17.85 | $21.00 | $5.00–$17.38 | 15% |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC SYPHILIS TEST NON-TREP QUAL - CSF+2 more lines at this price File of Apr 1, 2026 · source file | $32.25 | $43.00 | — | 25% |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL+2 more lines at this price File of Apr 1, 2026 · source file | $32.25 | $43.00 | — | 25% |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL+2 more lines at this price File of Apr 1, 2026 · source file | $32.25 | $43.00 | — | 25% |
| Providence St Vincent Medical Center Portland, OR · (503) 216-1234 HC SYPHILIS TEST NON-TREP QUAL - CSF+2 more lines at this price File of Apr 1, 2026 · source file | $32.25 | $43.00 | — | 25% |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL+2 more lines at this price File of Apr 1, 2026 · source file | $32.25 | $43.00 | — | 25% |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Vdrl, CSF File of Mar 23, 2026 · source file | $35.75 | $55.00 | $3.42–$55.00 | 35% |
| Hillsboro Medical Center Hillsboro, OR · (503) 681-1111 Vdrl, CSF File of Mar 23, 2026 · source file | $35.75 | $55.00 | $3.33–$55.00 | 35% |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Syphilis Qual Non-Trep File of Mar 23, 2026 · source file | $37.70 | $58.00 | $3.42–$58.00 | 35% |
| Hillsboro Medical Center Hillsboro, OR · (503) 681-1111 Syphilis Qual Non-Trep File of Mar 23, 2026 · source file | $37.70 | $58.00 | $3.33–$58.00 | 35% |
| Shriners Childrens - Portland Portland, OR · (541) 241-5090 SYPHILIS TEST NON-TREP QUAL File of Mar 18, 2026 · source file | $37.90 | $37.90 | $3.42–$14.94 | — |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 SYPHILIS DETECTION TEST File of Mar 20, 2026 · source file | $66.95 | $103.00 | $1.71–$13.85 | 35% |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 SYPHILIS TEST NON-TREP QUAL File of Mar 20, 2026 · source file | $68.90 | $106.00 | $1.71–$13.85 | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC RPR-RAPID PLASMA REAGIN File of Apr 1, 2026 · source file | $70.20 | $108.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC RPR-RAPID PLASMA REAGIN File of Apr 1, 2026 · source file | $70.20 | $108.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC RPR-RAPID PLASMA REAGIN File of Apr 1, 2026 · source file | $70.20 | $108.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC RPR-RAPID PLASMA REAGIN+1 more line at this price File of Apr 1, 2026 · source file | $70.20 | $108.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC VDRL CSF File of Apr 1, 2026 · source file | $78.65 | $121.00 | — | 35% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $2.60, median $32.25, highest $66.95 — a 25.8× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $17.85. 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 2 of 6 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 syphilis test (RPR) is, what the price covers and why prices differ: Syphilis test (RPR) explained.
7 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 86592 ($25.66). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| Legacy Emanuel Medical Center Portland, ORHC RPR, RFX QN RPR/CONFIRM TP | $1.62 | file |
| Legacy Mount Hood Medical Center Gresham, ORHC RPR, RFX QN RPR/CONFIRM TP | $1.62 | file |
| Legacy Meridian Park Medical Center Tualatin, ORHC RPR, RFX QN RPR/CONFIRM TP | $1.62 | file |
| Legacy Good Samaritan Medical Center Portland, ORHC RPR, RFX QN RPR/CONFIRM TP | $1.62 | file |
| Legacy Salmon Creek Medical Center Vancouver, WAHC RPR, RFX QN RPR/CONFIRM TP | $1.95 | file |
| Legacy Emanuel Medical Center Portland, ORHC RPR, RFX QN RPR/CONFIRM TP | $1.95 | file |
| Legacy Salmon Creek Medical Center Vancouver, WAHC CSF SYPHILIS: VDRL | $2.52 | file |
File Link to the hospital's own price file.