Lab tests CPT 86780 Inpatient — admitted to hospital

Syphilis test (treponemal) cost in Lebanon, NH — inpatient

In Lebanon-Claremont, NH-VT, 4 hospitals list a cash price for syphilis antibody test (Treponema pallidum) as an inpatient: from $16.50 to $74.40, with a median of $38.88. The lowest listed price is at Valley Regional Hospital — $22.38 less than the median here. Across New Hampshire, the median is $111.60 at 17 hospitals.

Cash prices at 4 facilities across 4 cities for code 86780, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 12, 2026 and Jul 1, 2026.

Lowest$16.50Valley Regional Hospital
Median$38.88half of hospitals charge less
Highest$74.40in this market
Difference4.5×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 $94.60

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 SYPHILIS CASCADE File of Jun 6, 2026 · source file $16.50 $30.00 $6.75–$342.00 45%
Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 PCH SYPHILIS CONF (TP-PA) source file $19.58 $64.00 $22.08–$60.80 69%
Valley Regional Hospital Claremont, NH · (603) 542-7771 FTA-ABS+1 more line at this price File of Jun 6, 2026 · source file $34.10 $62.00 $6.75–$342.00 45%
Valley Regional Hospital Claremont, NH · (603) 542-7771 TREPONEMA PALLIDUM/SYPHILIS ABS File of Jun 6, 2026 · source file $42.90 $78.00 $6.75–$342.00 45%
Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 SYPHILIS ANTIBODY source file $53.55 $175.00 $60.37–$166.25 69%
Gifford Medical Center Randolph, VT · (802) 728-4441 ANTIBODY TREPONEMA PALLIDUM File of Feb 12, 2026 · source file $58.18 $116.36 $86.12–$110.54 50%
Speare Memorial Hospital Plymouth, NH · (603) 536-1120 Treponema pallidum L012021+4 more lines at this price File of Jul 1, 2026 · source file $74.40 $120.00 — 38%
Valley Regional Hospital Claremont, NH · (603) 542-7771 TREPONEMA PALLIDUM IGG ELISA File of Jun 6, 2026 · source file $94.60 $172.00 $6.75–$342.00 45%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Inpatient: lowest $16.50, median $38.88, highest $74.40 — a 4.5× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $66.29 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 3 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 86780 ($51.92). 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.

HospitalCash priceFile
Mary Hitchcock Memorial Hospital Lebanon, NHPCH NEUROSYPHILIS ANTIBODY INDEX W VDRL, SERUM CSF (NSCSF) $4.24 file
File Link to the hospital's own price file.