Lab tests CPT 86780 Outpatient

Syphilis test (treponemal) cost in Lebanon, NH

In Lebanon-Claremont, NH-VT, 6 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $16.50 to $186.00, with a median of $66.29. The lowest listed price is at Valley Regional Hospital — $49.79 less than the median here. Across New Hampshire, the median is $111.60 at 17 hospitals.

Cash prices at 6 facilities across 6 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 Feb 12, 2026 and Jul 1, 2026.

Lowest$16.50Valley Regional Hospital
Median$66.29half pay less
Highest$186.00in this market
Difference11.3×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 Lebanon-Claremont, NH-VT.

median
Lowest $16.50Highest $186.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 SYPHILIS CASCADE $16.50 $30.00 $6.75–$342.00 45% Jun 6, 2026
source file
Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 PCH SYPHILIS CONF (TP-PA) $19.58 $64.00 $7.25–$60.80 69% —
source file
Valley Regional Hospital Claremont, NH · (603) 542-7771 TREPONEMA PALLIDUM $34.10 $62.00 $6.75–$342.00 45% Jun 6, 2026
source file
Valley Regional Hospital Claremont, NH · (603) 542-7771 FTA-ABS $34.10 $62.00 $6.75–$342.00 45% Jun 6, 2026
source file
Valley Regional Hospital Claremont, NH · (603) 542-7771 TREPONEMA PALLIDUM/SYPHILIS ABS $42.90 $78.00 $6.75–$342.00 45% Jun 6, 2026
source file
Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 SYPHILIS ANTIBODY $53.55 $175.00 $19.83–$166.25 69% —
source file
Gifford Medical Center Randolph, VT · (802) 728-4441 ANTIBODY TREPONEMA PALLIDUM $58.18 $116.36 $13.24–$110.54 50% Feb 12, 2026
source file
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 Syphilis TrpnmPlldm Ab L082345 $74.40 $120.00 — 38% Jul 1, 2026
source file
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 T pallidum Ab (FTA-Ab) L006379 $74.40 $120.00 — 38% Jul 1, 2026
source file
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 Treponema palldum Anbd L082370 $74.40 $120.00 — 38% Jul 1, 2026
source file
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 Treponema pallidum L012021 $74.40 $120.00 — 38% Jul 1, 2026
source file
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 L082348 Treponemal Antibd TPPA $74.40 $120.00 — 38% Jul 1, 2026
source file
Valley Regional Hospital Claremont, NH · (603) 542-7771 TREPONEMA PALLIDUM IGG ELISA $94.60 $172.00 $6.75–$342.00 45% Jun 6, 2026
source file
Littleton Regional Healthcare Littleton, NH · (603) 444-9000 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM $103.82 $179.00 $107.72 42% —
source file
Littleton Regional Healthcare Littleton, NH · (603) 444-9000 TREPONEMA PALLIDUM $115.42 $199.00 $107.72 42% —
source file
Mt. Ascutney Hospital and Health Center Windsor, VT · (802) 674-6711 Hc Syphilis Antibody $186.00 $232.00 $164.00–$220.00 20% —
source file
Mt. Ascutney Hospital and Health Center Windsor, VT · (802) 674-6711 Hc Pch Syphilis Conf (Tp-pa) $186.00 $232.00 $164.00–$220.00 20% —
source file

Outpatient: lowest $16.50, median $66.29, highest $186.00 — a 11.3× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $38.88. 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 5 of 5 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.

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.

Mary Hitchcock Memorial Hospital Lebanon, NHPCH NEUROSYPHILIS ANTIBODY INDEX W VDRL, SERUM CSF (NSCSF) $4.24 file