Syphilis test (treponemal) cost in Boston, MA
In Boston-Cambridge-Newton, MA-NH, 25 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $23.52 to $237.00, with a median of $83.00. The lowest listed price is at Boston Medical Center South — $59.48 less than the median here. Across Massachusetts, the median is $61.52 at 32 hospitals.
Cash prices at 25 facilities across 19 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 Jan 28, 2026 and Sep 1, 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 Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boston Medical Center South lowest Brockton, MA · (508) 427-3000 HC Syphillis Igg/Igm Eia | $23.52 | $52.27 | $11.68–$394.86 | 55% | — source file |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Syphillis Igg/Igm Eia | $25.24 | $56.08 | $11.68–$475.07 | 55% | — source file |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Antibody Treponema Pallidum - T. Pallidum Confi | $34.30 | $49.00 | $12.87–$57.47 | 30% | — source file |
| Lowell General Hospital Lowell, MA · (978) 937-6000 HC Antibody Treponema Pallidum - T. Pallidum Confi | $34.30 | $49.00 | $17.15–$54.36 | 30% | — source file |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Antibody Treponema Pallidum - T. Pallidum Confi | $34.30 | $49.00 | $17.15–$530.75 | 30% | — source file |
| Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 TREPONEMA PALLIDUM | $38.50 | $55.00 | $12.98–$42.45 | 30% | Jan 28, 2026 source file |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Chg Antibody Treponema Pallidum | $46.80 | $104.00 | $11.45–$512.54 | 55% | — source file |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Syphillis Igg/Igm Eia | $46.80 | $104.00 | $11.45–$512.54 | 55% | — source file |
| Emerson Hospital Concord, MA · (978) 369-1400 TREPONEMA PALLIDUM AB | $48.00 | $64.00 | $12.98–$64.00 | 25% | May 18, 2026 source file |
| Emerson Hospital Concord, MA · (978) 369-1400 TREPONEMA PALLIDUM | $48.00 | $64.00 | $12.98–$64.00 | 25% | May 18, 2026 source file |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Treponema Pallidum So | $50.00 | $50.00 | $11.68–$91.33 | — | — source file |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Treponema Pallidum | $50.00 | $50.00 | $11.68–$91.33 | — | — source file |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · (508) 746-2000 CHG ANTIBODY TREPONEMA PALLIDUM | $59.00 | $59.00 | — | — | Apr 1, 2026 source file |
| Southcoast Hospitals Group - Tobey Hospital Campus Wareham, MA · (508) 679-3131 HC Antibody Treponema Pallidum | $65.00 | $130.00 | $13.24–$98.93 | 50% | — source file |
| New England Baptist Hospital Boston, MA · (617) 754-5800 CHG ANTIBODY TREPONEMA PALLIDUM | $71.00 | $71.00 | — | — | Apr 1, 2026 source file |
| Anna Jaques Hospital Newburyport, MA · (978) 463-1000 CHG ANTIBODY TREPONEMA PALLIDUM | $83.00 | $83.00 | — | — | Apr 1, 2026 source file |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 CHG ANTIBODY TREPONEMA PALLIDUM | $99.00 | $99.00 | — | — | Apr 1, 2026 source file |
| Winchester Hospital Winchester, MA · (781) 729-9000 CHG ANTIBODY TREPONEMA PALLIDUM | $102.00 | $102.00 | — | — | Apr 1, 2026 source file |
| Beth Israel Deaconess Hospital - Needham Needham, MA · (781) 453-3002 CHG ANTIBODY TREPONEMA PALLIDUM | $112.00 | $112.00 | — | — | Apr 1, 2026 source file |
| Mount Auburn Hospital Cambridge, MA · (617) 492-3500 CHG ANTIBODY TREPONEMA PALLIDUM | $136.00 | $136.00 | — | — | Apr 1, 2026 source file |
| Portsmouth Regional Hospital Portsmouth, NH · (603) 436-5110 Antibody; Treponema pallidum | $147.00 | $147.00 | $22.83–$53.36 | — | Sep 1, 2026 source file |
| Portsmouth Regional Hospital Portsmouth, NH · (603) 436-5110 TREPONEMA PALLIDUM AB | $147.00 | $147.00 | $37.78–$139.65 | — | Sep 1, 2026 source file |
| Dover Emergency Room Dover, NH · (603) 436-5110 Antibody; Treponema pallidum | $147.00 | $147.00 | $22.83–$53.36 | — | Sep 1, 2026 source file |
| Dover Emergency Room Dover, NH · (603) 436-5110 TREPONEMA PALLIDUM AB | $147.00 | $147.00 | $37.78–$139.65 | — | Sep 1, 2026 source file |
| Seabrook Emergency Seabrook, NH · (603) 436-5110 Antibody; Treponema pallidum | $147.00 | $147.00 | $22.83–$53.36 | — | Sep 1, 2026 source file |
| Seabrook Emergency Seabrook, NH · (603) 436-5110 TREPONEMA PALLIDUM AB | $147.00 | $147.00 | $37.78–$139.65 | — | Sep 1, 2026 source file |
| Beth Israel Deaconess Medical Center Boston, MA · (617) 667-7000 CHG ANTIBODY TREPONEMA PALLIDUM | $167.00 | $167.00 | — | — | Apr 1, 2026 source file |
| Exeter Hospital Exeter, NH · (603) 778-7311 CHG ANTIBODY TREPONEMA PALLIDUM | $171.00 | $171.00 | — | — | Apr 1, 2026 source file |
| Parkland Medical Center Derry, NH · (603) 421-2100 TREPONEMA PALLIDUM AB | $230.75 | $230.75 | $48.46–$219.21 | — | Sep 1, 2026 source file |
| Plaistow Fser Plaistow, NH · (603) 421-2100 TREPONEMA PALLIDUM AB | $230.75 | $230.75 | $48.46–$219.21 | — | Sep 1, 2026 source file |
| Beth Israel Deaconess Hospital-Milton Milton, MA · (617) 696-4600 CHG ANTIBODY TREPONEMA PALLIDUM | $237.00 | $237.00 | — | — | Apr 1, 2026 source file |
| Plaistow Fser Plaistow, NH · (603) 421-2100 FTA AB CONFIRM | $280.50 | $280.50 | $58.91–$266.48 | — | Sep 1, 2026 source file |
| Parkland Medical Center Derry, NH · (603) 421-2100 FTA AB CONFIRM | $280.50 | $280.50 | $58.91–$266.48 | — | Sep 1, 2026 source file |
Outpatient: lowest $23.52, median $83.00, highest $237.00 — a 10.1× difference within the same market.
As an inpatient, the same code is billed by 20 facilities here, median $65.00. 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 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
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.