Syphilis test (RPR) cost in St. Louis, MO
In St. Louis, MO-IL, 11 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $8.45 to $122.40, with a median of $33.50. The lowest listed price is at Mercy Hospital St Louis — $25.05 less than the median here. Across Missouri, the median is $26.98 at 28 hospitals.
Cash prices at 11 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 — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO Rpr Qualitative | $8.45 | $13.00 | $3.84–$9.61 | 35% | — source file |
| Mercy Hospital Washington Washington, MO Rpr Qualitative | $14.95 | $23.00 | $3.84–$7.22 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Vdrl Qualitative | $14.95 | $23.00 | $3.84–$9.61 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Vdrl Qualitative CSF | $14.95 | $23.00 | $3.84–$9.61 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Vdrl Qualitative | $14.95 | $23.00 | $3.84–$9.61 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Vdrl Qualitative CSF | $14.95 | $23.00 | $3.84–$9.61 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Rpr Qualitative | $23.40 | $36.00 | $2.34–$36.00 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 SYPHILIS TEST, QUAL | $25.26 | $42.10 | $42.10 | 40% | — source file |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 SYPHILIS TEST NON-TREP QUAL | $33.50 | $33.50 | $2.38–$7.34 | — | — source file |
| Mercy Hospital Washington Washington, MO Vdrl Qualitative CSF | $38.35 | $59.00 | $3.84–$53.10 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Vdrl Qualitative | $42.90 | $66.00 | $4.29–$66.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Vdrl Qualitative CSF | $43.55 | $67.00 | $4.36–$67.00 | 35% | — source file |
| Mercy Hospital Jefferson Festus, MO Rpr Qualitative | $43.55 | $67.00 | $4.36–$67.00 | 35% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC SYPHILIS VDRL RPR QL | $46.80 | $65.00 | $8.54–$65.00 | 28% | — source file |
| Mercy Hospital Washington Washington, MO Vdrl Qualitative | $55.90 | $86.00 | $3.84–$7.22 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Vdrl Qualitative | $56.55 | $87.00 | $4.27–$6.05 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Vdrl Qualitative CSF | $58.50 | $90.00 | $5.85–$90.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Rpr Qualitative | $58.50 | $90.00 | $4.27–$6.05 | 35% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC SYPHILIS VDRL RPR QL | $99.36 | $138.00 | $4.27–$138.00 | 28% | — source file |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 SYPHILIS TEST NON-TREP QUAL | $109.44 | $152.00 | $4.27–$152.00 | 28% | — source file |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC SYPHILIS VDRL RPR QL | $122.40 | $170.00 | $4.27–$170.00 | 28% | — source file |
Outpatient: lowest $8.45, median $33.50, highest $122.40 — a 14.5× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $93.36. 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 6 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.