Lab tests CPT 86592 Inpatient — admitted to hospital

Syphilis test (RPR) cost in San Jose, CA — inpatient

In San Jose-Sunnyvale-Santa Clara, CA, 3 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $7.54 to $49.28, with a median of $49.28. The lowest listed price is at Stanford Health Care — $41.74 less than the median here. Across California, the median is $46.29 at 98 hospitals.

Cash prices at 3 facilities across 3 cities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$7.54Stanford Health Care
Median$49.28half pay less
Highest$49.28in this market
Difference6.5×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $7.54Highest $59.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Stanford Health Care lowest Stanford, CA · (650) 723-4000 HC 6956 Vdrl, CSF $7.54 $18.84 — 60% Apr 1, 2026
source file
Stanford Health Care Stanford, CA · (650) 723-4000 HC 6949 Drprs Donor Rpr $11.60 $29.00 — 60% Apr 1, 2026
source file
Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL $49.28 $88.00 $3.00–$10.00 44% —
source file
Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL $49.28 $88.00 $3.00–$10.00 44% —
source file
Stanford Health Care Stanford, CA · (650) 723-4000 Rprqlt Rpr Qual $59.60 $149.00 — 60% Apr 1, 2026
source file
Stanford Health Care Stanford, CA · (650) 723-4000 HC 6949 Lab323 Syph Test $59.60 $149.00 — 60% Apr 1, 2026
source file

Inpatient: lowest $7.54, median $49.28, highest $49.28 — a 6.5× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $29.35 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 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.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86592 ($33.44). 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.

El Camino Hospital Mountain View, CAHC 006072 RAPID PLASMA REAGIN (RPR) QUAL TEST $0.41 file
El Camino Hospital Mountain View, CAHC 006445 VDRL CSF* $0.82 file