Syphilis test (treponemal) cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 20 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $5.40 to $101.00, with a median of $89.43. The lowest listed price is at Iredell Memorial Hospital — $84.03 less than the median here. Across North Carolina, the median is $57.50 at 60 hospitals.
Cash prices at 20 facilities across 14 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 Dec 1, 2025 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 Syphilis, T. pallidum Antibodies, Qualitative | $5.40 | $20.00 | $14.09–$38.00 | 73% | Dec 31, 2025 source file |
| Iredell Memorial Hospital Statesville, NC · (704) 878-5661 TREPONEMAL ANTIBODIES, TPPA | $22.60 | $83.72 | $14.09–$38.00 | 73% | Dec 31, 2025 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB TREPONEMA PALLIDUM/SYPHILIS AB IGG | $59.50 | $119.00 | — | 50% | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Treponema Pallidum Ab | $60.48 | $224.00 | $27.63–$77.28 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC TREPONEMA PALLIDUM AB | $60.48 | $224.00 | $13.24–$145.60 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Treponema Pallidum Ab | $60.48 | $224.00 | $27.63–$78.40 | 73% | — source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB FTA-ABS IFA (SEND OUT) | $68.50 | $137.00 | — | 50% | Apr 1, 2026 source file |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB/2 | $76.50 | $102.00 | $1.00–$102.00 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB/2 | $76.50 | $102.00 | $1.00–$102.00 | 25% | Apr 15, 2026 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB SYPH AB CONFIRM (TPAA) | $78.50 | $157.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB SYPH AB CONFIRM (TPAA) | $78.50 | $157.00 | — | 50% | Apr 1, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$164.54 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation Belmont, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$164.54 | 50% | Dec 5, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$169.91 | 50% | Dec 1, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$169.91 | 50% | Dec 1, 2025 source file |
| Atrium Health Behavioral Health Charlotte, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $24.05–$160.97 | 50% | Dec 4, 2025 source file |
| Atrium Health University City Charlotte, NC · (704) 548-6000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$173.48 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$164.54 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$164.54 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$169.91 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$160.97 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$160.97 | 50% | Dec 5, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | $13.50–$169.91 | 50% | Dec 4, 2025 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | $7.94–$95.95 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | $7.94–$95.95 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC · (704) 834-4891 CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | $7.94–$95.95 | — | May 11, 2026 source file |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB/4 | $128.25 | $171.00 | $1.00–$171.00 | 25% | Apr 15, 2026 source file |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB/4 | $128.25 | $171.00 | $1.00–$171.00 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB | $198.00 | $264.00 | $1.00–$264.00 | 25% | Apr 15, 2026 source file |
| Piedmont Medical Center Rock Hill, SC · (803) 329-1234 TREPONEMA PALLIDUM AB | $198.00 | $264.00 | $1.00–$264.00 | 25% | Sep 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB FTA-ABS IFA (SEND OUT) | $350.50 | $701.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB TREPONEMA PALLIDUM/SYPHILIS AB IGG | $350.50 | $701.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $5.40, median $89.43, highest $101.00 — a 18.7× difference within the same market.
As an inpatient, the same code is billed by 19 facilities here, median $89.43. 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 15 of 18 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
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.