Lab tests CPT 86780 Inpatient — admitted to hospital

Syphilis test (treponemal) cost in Fresno, CA — inpatient

In Fresno, CA, 6 hospitals list a cash price for syphilis antibody test (Treponema pallidum) as an inpatient: from $17.40 to $57.68, with a median of $17.40. The lowest listed price is at Fresno Heart and Surgical Hospital and 3 other hospitals. Across California, the median is $22.56 at 191 hospitals.

Cash prices at 6 facilities across 2 cities for code 86780, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Jun 18, 2026.

Lowest$17.40Fresno Heart and Surgical Hospital + 3 more
Median$17.40half pay less
Highest$57.68in this market
Difference3.3×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 Fresno, CA.

median
Lowest $17.40Highest $96.85

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Fresno Heart and Surgical Hospital lowest Fresno, CA · (559) 459-6000 TREPONEMA PALLIDUM ABS;Q $17.40 $21.75 $5.55–$23.93 20% Jun 16, 2026
source file
Community Regional Medical Center lowest Fresno, CA · (559) 459-6000 TREPONEMA PALLIDUM ABS;Q $17.40 $21.75 $5.55–$23.93 20% Jun 18, 2026
source file
Community Behavioral Health Center lowest Fresno, CA · (559) 459-6000 TREPONEMA PALLIDUM ABS;Q $17.40 $21.75 $5.55–$23.93 20% Jun 18, 2026
source file
Clovis Community Medical Center lowest Clovis, CA · (559) 324-4000 TREPONEMA PALLIDUM ABS;Q $17.40 $21.75 $5.55–$23.93 20% Jun 15, 2026
source file
Saint Agnes Medical Center Fresno, CA · (559) 450-3000 HC External Treponema Pallidum Antibody $23.70 $36.46 $11.40–$127.10 35% Mar 31, 2026
source file
Community Regional Medical Center Fresno, CA · (559) 459-6000 AB TREPONEMA PALLIDUM $54.46 $68.07 $17.36–$74.88 20% Jun 18, 2026
source file
Clovis Community Medical Center Clovis, CA · (559) 324-4000 AB TREPONEMA PALLIDUM $54.46 $68.07 $17.36–$74.88 20% Jun 15, 2026
source file
Fresno Heart and Surgical Hospital Fresno, CA · (559) 459-6000 AB TREPONEMA PALLIDUM $54.46 $68.07 $17.36–$74.88 20% Jun 16, 2026
source file
Community Behavioral Health Center Fresno, CA · (559) 459-6000 AB TREPONEMA PALLIDUM $54.46 $68.07 $17.36–$74.88 20% Jun 18, 2026
source file
Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 ANTIBODY TREPONEMA PALLIDUM $57.68 $103.00 $13.00–$40.00 44% —
source file
Saint Agnes Medical Center Fresno, CA · (559) 450-3000 HC Treponema Pallidum Antibody $96.85 $149.00 $11.40–$134.10 35% Mar 31, 2026
source file

Inpatient: lowest $17.40, median $17.40, highest $57.68 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $17.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 5 of 6 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 86780 ($52.20). 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.

Saint Agnes Medical Center Fresno, CAHC Quest Treponema Pallidum Antibody $3.90 file