Syphilis test (treponemal) cost in Birmingham, AL
In Birmingham, AL, 8 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $10.32 to $246.00, with a median of $122.18. The lowest listed price is at The Children's Hospital of Alabama and 1 other hospital — $111.86 less than the median here. Across Alabama, the median is $47.13 at 44 hospitals.
Cash prices at 8 facilities across 4 cities for code 86780, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jun 22, 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 Birmingham, AL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| The Children's Hospital of Alabama lowest Birmingham, AL HC Quest Fta Abs � Adj 86780 | $10.32 | $24.00 | $16.32–$21.60 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital lowest Birmingham, AL · (205) 939-9100 HC Quest Fta Abs � Adj 86780 | $10.32 | $24.00 | $16.32–$21.60 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital lowest Birmingham, AL · (205) 939-9100 HC Quest Fta Abs � Adj 86780 | $10.32 | $24.00 | $14.40 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Quest (Reflex T. Pallidum Pa) Syphilis Antibody Cascading Reflex � Adj 86780 | $20.89 | $48.57 | $29.14 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL HC Quest (Reflex T. Pallidum Pa) Syphilis Antibody Cascading Reflex � Adj 86780 | $20.89 | $48.57 | $33.03–$43.71 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Quest (Reflex T. Pallidum Pa) Syphilis Antibody Cascading Reflex � Adj 86780 | $20.89 | $48.57 | $33.03–$43.71 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Treponema Pallidum (Igm) Ab - Tpall | $44.01 | $102.36 | $69.60–$92.12 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL HC Treponema Pallidum (Igm) Ab - Tpall | $44.01 | $102.36 | $69.60–$92.12 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Treponema Pallidum (Igm) Ab - Tpall | $44.01 | $102.36 | $61.42 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Treponema Pallidum Ab,Part Agg - Tppag | $44.01 | $102.36 | $69.60–$92.12 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Treponema Pallidum Ab,Part Agg - Tppag | $44.01 | $102.36 | $61.42 | 57% | — source file |
| The Children's Hospital of Alabama Birmingham, AL HC Treponema Pallidum Ab,Part Agg - Tppag | $44.01 | $102.36 | $69.60–$92.12 | 57% | — source file |
| UAB Medical West Bessemer, AL · (205) 481-7000 Treponema Pallidum (Mha-Tp) | $50.25 | $67.00 | $13.11–$60.30 | 25% | Jun 22, 2026 source file |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 L82345 T PALLID SCN | $58.35 | $389.00 | $10.78–$350.10 | 85% | Apr 1, 2026 source file |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 LRX82348 TREPAB TPPA | $58.35 | $389.00 | $10.78–$350.10 | 85% | Apr 1, 2026 source file |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 L82339 T PALLID ABS | $58.35 | $389.00 | $10.78–$350.10 | 85% | Apr 1, 2026 source file |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 TREP. PALLIDUM,CONFI | $58.35 | $389.00 | $10.78–$350.10 | 85% | Apr 1, 2026 source file |
| Grandview Medical Center Birmingham, AL · (205) 971-1000 L82370T.PALLI AB EIA | $58.35 | $389.00 | $10.78–$350.10 | 85% | Apr 1, 2026 source file |
| UAB Medical West Bessemer, AL · (205) 481-7000 FTA-Abs | $72.00 | $96.00 | $13.11–$86.40 | 25% | Jun 22, 2026 source file |
| The Children's Hospital of Alabama Birmingham, AL HC Quest (T. Pallidum Ab) Syphilis Antibody Cascading Reflex � Adj 86780 | $74.82 | $174.00 | $118.32–$156.60 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Quest (T. Pallidum Ab) Syphilis Antibody Cascading Reflex � Adj 86780 | $74.82 | $174.00 | $104.40 | 57% | — source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham, AL · (205) 939-9100 HC Quest (T. Pallidum Ab) Syphilis Antibody Cascading Reflex � Adj 86780 | $74.82 | $174.00 | $118.32–$156.60 | 57% | — source file |
| Baptist Health Shelby Hospital Alabaster, AL · (205) 620-8100 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $186.00 | $186.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham, AL · (205) 783-3800 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $186.00 | $186.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper, AL · (205) 387-4000 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $186.00 | $186.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham, AL · (205) 877-1000 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $246.00 | $246.00 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $10.32, median $122.18, highest $246.00 — a 23.8× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $139.68. 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 4 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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
A treponemal antibody test detects antibodies to the bacterium that causes syphilis. Many labs now screen with it first and confirm with an RPR (86592).
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.