Syphilis test (treponemal) cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 22 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $15.66 to $1,521.00, with a median of $140.76. The lowest listed price is at Vanderbilt Wilson County Hospital — $125.10 less than the median here. Across Tennessee, the median is $30.99 at 88 hospitals.
Cash prices at 22 facilities across 17 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 Oct 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 Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HC TRANSPLANT VIRAL STUDIES TREPONEMA PALLIDUM-MBC File of Oct 1, 2025 · source file | $15.66 | $54.00 | $12.55–$47.40 | 71% |
| Saint Thomas Hospital for Specialty Surgery Nashville, TN TREPONEMA PALLIDUM File of Apr 14, 2026 · source file | $17.21 | — | $11.92–$584.01 | — |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC TRANSPLANT VIRAL STUDIES TREPONEMA PALLIDUM-MBC File of Oct 1, 2025 · source file | $29.16 | $54.00 | $12.55–$47.40 | 46% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 SYPHILIS ANTIBODIES+3 more lines at this price source file | $32.81 | $109.35 | $11.92–$50.81 | 70% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 SYPHILIS SEROLOGY+1 more line at this price source file | $32.81 | $109.35 | $11.92–$50.81 | 70% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 SYPHILIS SEROLOGY+1 more line at this price source file | $32.81 | $109.35 | $9.29–$50.81 | 70% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC TREPONEMA PALLIDUM ANTIBODY File of Oct 1, 2025 · source file | $44.66 | $154.00 | $12.55–$123.20 | 71% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC .TREPONEMA PALLIDUM ANTIBODY BY TP-PA File of Oct 1, 2025 · source file | $47.56 | $164.00 | $12.55–$131.20 | 71% |
| Macon Community Hospital Lafayette, TN · (615) 666-2147 T PALLIDUM AB FTAAB LC source file | $47.64 | $79.40 | $8.19–$71.46 | 40% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 86780 FTA CHARGE+2 more lines at this price File of Sep 1, 2026 · source file | $52.20 | $87.00 | — | 40% |
| Metro Nashville General Hospital Nashville, TN · (615) 341-4000 Treponema pallidum Ab by TP-PA ARUP+3 more lines at this price File of Sep 1, 2026 · source file | $52.80 | $88.00 | — | 40% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 FTA-ABS+1 more line at this price source file | $71.87 | $239.55 | $9.29–$50.81 | 70% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 FTA-ABS+1 more line at this price source file | $71.87 | $239.55 | $11.92–$50.81 | 70% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 FTA-ABS+1 more line at this price source file | $71.87 | $239.55 | $11.92–$50.81 | 70% |
| Williamson Medical Center Franklin, TN · (615) 435-5000 TP-PA source file | $80.35 | $142.50 | $57.43–$135.38 | 44% |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC TREPONEMA PALLIDUM ANTIBODY File of Oct 1, 2025 · source file | $83.16 | $154.00 | $12.55–$123.20 | 46% |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC .TREPONEMA PALLIDUM ANTIBODY BY TP-PA File of Oct 1, 2025 · source file | $88.56 | $164.00 | $12.55–$131.20 | 46% |
| Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 Antibody; Treponema pallidum source file | $94.49 | $405.54 | $39.85 | 77% |
| Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Antibody; Treponema pallidum source file | $110.12 | $337.79 | $57.70 | 67% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 TREPONEMA PAALIDUM AB+1 more line at this price source file | $119.52 | $398.40 | $9.29–$50.81 | 70% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 TREPONEMA PALLIDUM AB+1 more line at this price source file | $119.52 | $398.40 | $11.92–$50.81 | 70% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 TREPONEMA PAALIDUM AB+1 more line at this price source file | $119.52 | $398.40 | $11.92–$50.81 | 70% |
| Trousdale Medical Center Hartsville, TN · (615) 374-2221 Antibody; Treponema pallidum source file | $171.39 | $338.05 | $38.74 | 49% |
| Tristar Ashland City Medical Center Ashland City, TN · (615) 792-3030 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $204.71 | $204.71 | $13.24–$2,000.00 | — |
| Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $207.00 | $207.00 | $13.24–$190.44 | — |
| Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $219.00 | $219.00 | $13.24–$219.00 | — |
| Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $283.58 | $283.58 | $13.24–$232.54 | — |
| Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 Antibody; Treponema pallidum +1 more line at this price File of Sep 1, 2026 · source file | $396.00 | $396.00 | $13.24–$348.48 | — |
| Pinewood Springs Columbia, TN · (931) 777-6000 Antibody; Treponema pallidum +1 more line at this price File of Sep 1, 2026 · source file | $545.30 | $545.30 | $10.53–$447.15 | — |
| Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $665.00 | $665.00 | $13.24–$651.70 | — |
| Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 Antibody; Treponema pallidum +1 more line at this price File of Sep 1, 2026 · source file | $678.02 | $678.02 | $13.24–$623.78 | — |
| Tristar Southern Hills Medical Center Nashville, TN · (615) 781-4000 Antibody; Treponema pallidum +1 more line at this price File of Sep 1, 2026 · source file | $695.39 | $695.39 | $13.24–$611.94 | — |
| Tristar Hendersonville Medical Center Portland, TN · (615) 338-1000 TREPONEMA PALLIDUM AB+1 more line at this price File of Sep 1, 2026 · source file | $1,521.00 | $1,521.00 | $13.24–$1,399.32 | — |
Outpatient: lowest $15.66, median $140.76, highest $1,521.00 — a 97.1× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $32.81. 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 9 of 21 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.