Syphilis test (RPR) cost in St. Louis, MO
In St. Louis, MO-IL, 15 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 $46.80. The lowest listed price is at Mercy Hospital St Louis — $38.35 less than the median here. Across Missouri, the median is $26.98 at 60 hospitals.
- The median here, $46.80, is 44% above the US median of $32.50.
- That is 11.0× Medicare's 2026 national rate for the same service ($4.27).
- St. Louis, MO has the lowest median of 2 metro areas in Missouri with at least 10 hospitals pricing this code.
- 1 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 15 facilities across 13 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 6, 2026 and Jun 10, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO · (314) 251-6000 Rpr Qualitative File of Jun 4, 2026 · source file | $8.45 | $13.00 | $3.84–$9.61 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Vdrl Qualitative CSF File of Jun 4, 2026 · source file | $14.95 | $23.00 | $3.84–$9.61 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Vdrl Qualitative File of Jun 10, 2026 · source file | $14.95 | $23.00 | $3.84–$9.61 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Vdrl Qualitative+1 more line at this price File of Jun 10, 2026 · source file | $14.95 | $23.00 | $3.84–$9.61 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Rpr Qualitative File of Jun 10, 2026 · source file | $14.95 | $23.00 | $3.84–$7.22 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Rpr Qualitative File of Jun 10, 2026 · source file | $23.40 | $36.00 | $2.34–$36.00 | 35% |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 SYPHILIS TEST, QUAL File of Mar 30, 2026 · source file | $25.26 | $42.10 | $42.10 | 40% |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 SYPHILIS TEST NON-TREP QUAL File of Mar 18, 2026 · source file | $33.50 | $33.50 | $2.38–$7.34 | — |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) File of Apr 13, 2026 · source file | $36.58 | $59.00 | $2.24–$56.00 | 38% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Vdrl Qualitative CSF File of Jun 10, 2026 · source file | $38.35 | $59.00 | $3.84–$53.10 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Vdrl Qualitative File of Jun 4, 2026 · source file | $42.90 | $66.00 | $4.29–$66.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Rpr Qualitative+1 more line at this price File of Jun 10, 2026 · source file | $43.55 | $67.00 | $4.36–$67.00 | 35% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC SYPHILIS VDRL RPR QL File of Mar 24, 2026 · source file | $46.80 | $65.00 | $8.54–$65.00 | 28% |
| Community Hospital of Staunton Staunton, IL · (618) 635-2200 SYPHILIS TEST NON-TREP QUAL File of Feb 9, 2026 · source file | $52.75 | $105.50 | $30.50–$96.01 | 50% |
| Anderson Hospital Maryville, IL · (618) 288-5711 SYPHILIS TEST NON-TREP QUAL File of Feb 6, 2026 · source file | $53.90 | $107.80 | $4.00–$97.02 | 50% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Vdrl Qualitative File of Jun 10, 2026 · source file | $55.90 | $86.00 | $3.84–$7.22 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Vdrl Qualitative File of Jun 10, 2026 · source file | $56.55 | $87.00 | $4.27–$6.05 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Rpr Qualitative+1 more line at this price File of Jun 10, 2026 · source file | $58.50 | $90.00 | $4.27–$90.00 | 35% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 RPR+1 more line at this price File of Mar 21, 2026 · source file | $74.90 | $107.00 | $38.52–$152.86 | 30% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 VDRL CSF File of Mar 21, 2026 · source file | $77.70 | $111.00 | $39.96–$158.57 | 30% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL · (618) 234-2120 HC SYPHILIS VDRL RPR QL File of Mar 24, 2026 · source file | $99.36 | $138.00 | $4.27–$138.00 | 28% |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 SYPHILIS TEST NON-TREP QUAL File of Mar 24, 2026 · source file | $109.44 | $152.00 | $4.27–$152.00 | 28% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC SYPHILIS VDRL RPR QL File of Mar 24, 2026 · source file | $122.40 | $170.00 | $4.27–$170.00 | 28% |
Outpatient: lowest $8.45, median $46.80, highest $122.40 — a 14.5× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $64.40. 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 10 of 15 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 syphilis test (RPR) is, what the price covers and why prices differ: Syphilis test (RPR) explained.