Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 15 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $10.20 to $84.30, with a median of $22.56. The lowest listed price is at Overlake Medical Center & Clinics — $12.36 less than the median here. Across Washington, the median is $24.96 at 33 hospitals.

Cash prices at 15 facilities across 12 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 Feb 28, 2026 and Apr 1, 2026.

Lowest$10.20Overlake Medical Center & Clinics
Median$22.56half pay less
Highest$84.30in this market
Difference8.3×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 Seattle-Tacoma-Bellevue, WA.

median
Lowest $10.20Highest $84.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Overlake Medical Center & Clinics lowest Bellevue, WA · (425) 688-5000 Hc Rpr, Rfx Qn Rpr/Confirm Tp $10.20 $20.40 — 50% Apr 1, 2026
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Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC RPR $19.62 $68.04 $4.27–$51.03 71% Feb 28, 2026
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St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC RPR $20.70 $68.04 $4.27–$51.03 70% Feb 28, 2026
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Highline Medical Center Burien, WA · (206) 431-5237 HC RPR $20.78 $68.04 $4.27–$61.24 69% Feb 28, 2026
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St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC RPR $21.36 $68.04 $4.27–$51.03 69% Feb 28, 2026
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St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC RPR $22.54 $68.04 $4.27–$51.03 67% Feb 28, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC SYPHILIS TEST NON-TREP QUAL $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC SYPHILIS TEST NON-TREP QUAL $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC SYPHILIS TEST NON-TREP QUAL - CSF $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREP QUAL $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREP QUAL - CSF $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY LAB $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREP QUAL $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREP QUAL - CSF $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM $22.56 $47.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB $22.56 $47.00 — 52% Apr 1, 2026
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Enumclaw Regional Hospital Association Enumclaw, WA HC RPR $24.05 $68.04 $4.27–$61.24 65% Feb 28, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB $24.44 $47.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC SYPHILIS TEST NON-TREP QUAL $24.44 $47.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC SYPHILIS TEST NON-TREP QUAL - CSF $24.44 $47.00 — 48% Apr 1, 2026
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 SYPHILIS TEST, NON-TREP, QUALITATIVE $27.03 $53.00 $31.80–$42.40 49% —
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Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC RPR (LABSNW) $31.77 $110.22 $4.27–$82.67 71% Feb 28, 2026
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St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC RPR (LABSNW) $33.53 $110.22 $4.27–$82.67 70% Feb 28, 2026
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Highline Medical Center Burien, WA · (206) 431-5237 HC RPR (LABSNW) $33.66 $110.22 $4.27–$99.20 69% Feb 28, 2026
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Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 PSBC ONLY SEROLOGIC TEST FOR SYPHILIS (STS) $34.40 $43.00 $3.00–$12.00 20% Apr 1, 2026
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St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC RPR (LABSNW) $34.59 $110.22 $4.27–$82.67 69% Feb 28, 2026
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Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Vdrl Csf_Uw $35.27 $70.54 — 50% Apr 1, 2026
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St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC RPR (LABSNW) $36.51 $110.22 $4.27–$82.67 67% Feb 28, 2026
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Enumclaw Regional Hospital Association Enumclaw, WA HC RPR (LABSNW) $38.95 $110.22 $4.27–$99.20 65% Feb 28, 2026
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Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC SYPHILIS TEST NON-TREP QUAL $52.00 $65.00 $4.27–$58.50 20% —
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Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 "LAB TEST, 86592" $53.60 $67.00 $3.00–$12.00 20% Apr 1, 2026
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Syphilis Test Qual Donor $84.30 $84.30 $21.24–$80.93 — —
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Syphilis Test Qual $84.30 $84.30 $21.24–$80.93 — —
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Outpatient: lowest $10.20, median $22.56, highest $84.30 — a 8.3× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $22.56. 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 8 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 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.