Syphilis test (RPR) cost in Sacramento, CA
In Sacramento-Roseville-Folsom, CA, 14 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $6.98 to $101.00, with a median of $46.29. The lowest listed price is at Mercy General Hospital — $39.31 less than the median here. Across California, the median is $13.42 at 211 hospitals.
- The median here, $46.29, is 42% above the US median of $32.50.
- That is 10.8× Medicare's 2026 national rate for the same service ($4.27).
- Sacramento, CA ranks 4th of 5 metro areas in California by median, cheapest first.
- 5 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 14 facilities across 8 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Feb 19, 2026 and Sep 30, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Sacramento-Roseville-Folsom, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy General Hospital lowest Sacramento, CA · (916) 453-4453 RL-DV-SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $6.98 | $37.80 | $3.18–$37.80 | 82% |
| Mercy San Juan Medical Center Carmichael, CA · (916) 537-5000 RL-DV-SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $8.52 | $37.80 | $3.18–$37.80 | 77% |
| Methodist Hospital of Sacramento Sacramento, CA · (916) 423-6010 RL-DV-SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $9.15 | $37.80 | $3.18–$37.80 | 76% |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 RL-DV-SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $9.57 | $37.80 | $3.18–$37.80 | 75% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 RL-DV-SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $14.11 | $37.80 | $3.18–$37.80 | 63% |
| Marshall Medical Center Placerville, CA · (530) 622-1441 HC SYPHILIS TST; QUAL File of Feb 19, 2026 · source file | $37.45 | $65.73 | $4.27–$59.16 | 43% |
| Shriners Childrens - Northern California Sacramento, CA · (916) 453-2000 SYPHILIS TEST NON-TREP QUAL File of Mar 19, 2026 · source file | $43.30 | $43.30 | $2.62–$536.00 | — |
| Kaiser Foundation Hospital - South Sacramento Sacramento, CA · (916) 688-2000 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL File of Apr 1, 2026 · source file | $49.28 | $88.00 | $3.00–$10.00 | 44% |
| Kaiser Foundation Hospital - Roseville Roseville, CA · (916) 784-4000 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL File of Apr 1, 2026 · source file | $49.28 | $88.00 | $3.00–$10.00 | 44% |
| Kaiser Foundation Hospital - Sacramento Sacramento, CA · (916) 973-5000 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL File of Apr 1, 2026 · source file | $49.28 | $88.00 | $3.00–$10.00 | 44% |
| Mercy General Hospital Sacramento, CA · (916) 453-4453 SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $74.03 | $401.00 | $3.18–$360.90 | 82% |
| Mercy San Juan Medical Center Carmichael, CA · (916) 537-5000 SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $90.33 | $401.00 | $3.18–$360.90 | 77% |
| Methodist Hospital of Sacramento Sacramento, CA · (916) 423-6010 SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $97.06 | $401.00 | $3.18–$344.86 | 76% |
| Sutter Medical Center, Sacramento Sacramento, CA · (916) 454-2222 HCHG RPR QUALITATIVE+3 more lines at this price File of Apr 1, 2026 · source file | $101.00 | $101.00 | — | — |
| Sutter Auburn Faith Hospital Auburn, CA · (530) 888-4500 HCHG CORE RPR NON-TREPNML AB QL+2 more lines at this price File of Apr 1, 2026 · source file | $101.00 | $101.00 | — | — |
| Sutter Roseville Medical Center Roseville, CA · (916) 781-1000 HCHG CORE RPR NON-TREPNML AB QL+3 more lines at this price File of Apr 1, 2026 · source file | $101.00 | $101.00 | — | — |
| Sutter Davis Hospital Davis, CA · (530) 757-5108 HCHG CORE RPR NON-TREPNML AB QL+3 more lines at this price File of Apr 1, 2026 · source file | $101.00 | $101.00 | — | — |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $101.46 | $401.00 | $3.18–$401.00 | 75% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 SYPHIL VDRL/RPR QL File of Sep 30, 2026 · source file | $149.62 | $401.00 | $3.18–$360.90 | 63% |
Outpatient: lowest $6.98, median $46.29, highest $101.00 — a 14.5× difference within the same market.
As an inpatient, the same code is billed by 13 facilities here, median $49.28. 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 7 of 10 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.
15 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 |
|---|---|---|
| Mercy General Hospital Sacramento, CARL-A-SYPHIL VDRL/RPR QL | $0.71 | file |
| Mercy General Hospital Sacramento, CARL-A-RPRT 50471 | $0.84 | file |
| Mercy San Juan Medical Center Carmichael, CARL-A-SYPHIL VDRL/RPR QL | $0.87 | file |
| Methodist Hospital of Sacramento Sacramento, CARL-A-SYPHIL VDRL/RPR QL | $0.93 | file |
| Woodland Memorial Hospital Woodland, CARL-A-SYPHIL VDRL/RPR QL | $0.98 | file |
| Mercy San Juan Medical Center Carmichael, CARL-A-RPRT 50471 | $1.02 | file |
| Methodist Hospital of Sacramento Sacramento, CARL-A-RPRT 50471 | $1.09 | file |
| Mercy General Hospital Sacramento, CARL-A-VDRL CSF 50206 | $1.11 | file |
| Woodland Memorial Hospital Woodland, CARL-A-RPRT 50471 | $1.14 | file |
| Mercy San Juan Medical Center Carmichael, CARL-A-VDRL CSF 50206 | $1.36 | file |
| Mercy Hospital of Folsom Folsom, CARL-A-SYPHIL VDRL/RPR QL | $1.44 | file |
| Methodist Hospital of Sacramento Sacramento, CARL-A-VDRL CSF 50206 | $1.46 | file |
| Woodland Memorial Hospital Woodland, CARL-A-VDRL CSF 50206 | $1.52 | file |
| Mercy Hospital of Folsom Folsom, CARL-A-RPRT 50471 | $1.68 | file |
| Mercy Hospital of Folsom Folsom, CARL-A-VDRL CSF 50206 | $2.24 | file |