Syphilis test (treponemal) cost in Orlando, FL
In Orlando-Kissimmee-Sanford, FL, 15 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $5.85 to $193.50, with a median of $10.80. The lowest listed price is at HCA Florida Osceola Hospital — $4.95 less than the median here. Across Florida, the median is $15.40 at 170 hospitals.
Cash prices at 15 facilities across 10 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 Mar 31, 2026 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 Orlando-Kissimmee-Sanford, FL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| HCA Florida Osceola Hospital lowest St. Cloud, FL · (407) 846-2266 FTA AB CONFIRM File of Sep 1, 2026 · source file | $5.85 | $5.85 | $0.42–$5.85 | — |
| HCA Florida Poinciana Hospital Davenport, FL · (407) 530-2000 FTA AB CONFIRM File of Sep 1, 2026 · source file | $6.95 | $6.95 | $0.50–$5.91 | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 FTA AB CONFIRM File of Sep 1, 2026 · source file | $8.00 | $8.00 | $0.58–$7.20 | — |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 FTA AB CONFIRM File of Sep 1, 2026 · source file | $8.24 | $8.24 | $0.59–$4.12 | — |
| HCA Florida Osceola Hospital St. Cloud, FL · (407) 846-2266 MHA TP CONFIRM File of Sep 1, 2026 · source file | $8.75 | $8.75 | $0.63–$8.75 | — |
| HCA Florida Poinciana Hospital Davenport, FL · (407) 530-2000 TREPONEMA PALLIDUM AB File of Sep 1, 2026 · source file | $9.00 | $9.00 | $0.65–$7.65 | — |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Antibody Treponema Pallidum - Fta Antibodies, Igg And Igm+2 more lines at this price File of Apr 1, 2026 · source file | $10.80 | $27.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory+2 more lines at this price File of Apr 1, 2026 · source file | $10.80 | $27.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Total Syphilis+2 more lines at this price File of Apr 1, 2026 · source file | $10.80 | $27.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Antibody Treponema Pallidum - Fta Antibodies, Igg And Igm+2 more lines at this price File of Apr 1, 2026 · source file | $10.80 | $27.00 | — | 60% |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 UF HB REFLEX TREPONEMA PALLIDUM ANTIBODY BY TP-PA+1 more line at this price File of Mar 31, 2026 · source file | $15.40 | $28.00 | $5.51–$14.56 | 45% |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 UF HB T PALLIDUM PARTICLE AGGLUTIN+1 more line at this price File of Mar 31, 2026 · source file | $15.40 | $28.00 | $5.51–$19.40 | 45% |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 MHA TP CONFIRM File of Sep 1, 2026 · source file | $19.39 | $19.39 | $1.40–$9.70 | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 FTA AB CSF File of Sep 1, 2026 · source file | $30.00 | $30.00 | $2.16–$27.00 | — |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 FTA AB CSF File of Sep 1, 2026 · source file | $30.31 | $30.31 | $2.18–$15.15 | — |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Syphilis Igg Ab W/Reflex Rpr-Ref File of Apr 1, 2026 · source file | $31.20 | $78.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Syphilis Igg Ab W/Reflex Rpr-Ref File of Apr 1, 2026 · source file | $31.20 | $78.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Syphilis Igg Ab W/Reflex Rpr-Ref File of Apr 1, 2026 · source file | $31.20 | $78.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Syphilis Igg Ab W/Reflex Rpr-Ref File of Apr 1, 2026 · source file | $31.20 | $78.00 | — | 60% |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 UF HB T.PALLIDUM AB IGG CSF File of Mar 31, 2026 · source file | $33.55 | $61.00 | $5.51–$14.56 | 45% |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 UF HB T.PALLIDUM AB IGG CSF File of Mar 31, 2026 · source file | $33.55 | $61.00 | $27.45–$42.27 | 45% |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Syphilis Igg Ab W/ Reflex S Referred+1 more line at this price source file | $39.00 | $39.00 | — | — |
| HCA Florida Osceola Hospital St. Cloud, FL · (407) 846-2266 TREP PALLIDUM IGG IA SQ+1 more line at this price File of Sep 1, 2026 · source file | $39.72 | $39.72 | $2.86–$39.72 | — |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 HB T PALLIDUM PARTICLE AGGLUTIN File of Mar 31, 2026 · source file | $41.80 | $76.00 | $5.51–$14.56 | 45% |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 HB T PALLIDUM PARTICLE AGGLUTIN File of Mar 31, 2026 · source file | $41.80 | $76.00 | $34.20–$52.67 | 45% |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP+1 more line at this price File of Apr 1, 2026 · source file | $45.00 | $45.00 | — | — |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 HB TREPONEMA PALLIDUM IGG W/REFLEX CONF File of Mar 31, 2026 · source file | $47.85 | $87.00 | $39.15–$60.29 | 45% |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 HB TREPONEMA PALLIDUM IGG W/REFLEX CONF File of Mar 31, 2026 · source file | $47.85 | $87.00 | $39.15–$72.21 | 45% |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP File of Apr 1, 2026 · source file | $55.00 | $55.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP File of Apr 1, 2026 · source file | $59.00 | $59.00 | — | — |
| Ucf Lake Nona Hospital Orlando, FL · (850) 523-2115 TREPONEMA PALLIDUM AB File of Sep 1, 2026 · source file | $62.92 | $62.92 | $4.53–$56.63 | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 TREPONEMA PALLIDUM AB File of Sep 1, 2026 · source file | $64.00 | $64.00 | $4.61–$57.60 | — |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Treponema Pallidium - Ref File of Apr 1, 2026 · source file | $67.60 | $169.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Treponema Pallidium - Ref File of Apr 1, 2026 · source file | $67.60 | $169.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Treponema Pallidium - Ref File of Apr 1, 2026 · source file | $67.60 | $169.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Treponema Pallidium - Ref File of Apr 1, 2026 · source file | $67.60 | $169.00 | — | 60% |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM+1 more line at this price File of Apr 1, 2026 · source file | $89.00 | $89.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP File of Apr 1, 2026 · source file | $93.00 | $93.00 | — | — |
| HCA Florida Poinciana Hospital Davenport, FL · (407) 530-2000 TREP PALLIDUM IGM IA SQ File of Sep 1, 2026 · source file | $93.13 | $93.13 | $6.71–$79.16 | — |
| HCA Florida Osceola Hospital St. Cloud, FL · (407) 846-2266 TREPONEMA PALLIDUM AB File of Sep 1, 2026 · source file | $102.95 | $102.95 | $7.41–$102.95 | — |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 TREP PALLIDUM IGG IA SQ+2 more lines at this price File of Sep 1, 2026 · source file | $103.00 | $103.00 | $7.42–$51.50 | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM DONOR File of Apr 1, 2026 · source file | $103.00 | $103.00 | — | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Treponemal Ab Referred+1 more line at this price source file | $116.00 | $116.00 | — | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 TREP PALLIDUM IGM IA SQ File of Sep 1, 2026 · source file | $132.75 | $132.75 | $9.56–$119.47 | — |
| HCA Florida Lake Monroe Hospital Casselberry, FL · (407) 321-4500 TREP PALLIDUM IGG IA SQ File of Sep 1, 2026 · source file | $139.75 | $139.75 | $10.06–$125.78 | — |
| AdventHealth Waterman Tavares, FL · (352) 253-3368 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM+2 more lines at this price File of Apr 1, 2026 · source file | $153.44 | $153.44 | — | — |
| HCA Florida Poinciana Hospital Davenport, FL · (407) 530-2000 TREP PALLIDUM IGG IA SQ File of Sep 1, 2026 · source file | $159.00 | $159.00 | $11.45–$135.15 | — |
| PAM Rehabilitation Hospital of Tavares Tavares, FL Treponema Pallidum FTA ABS File of Aug 6, 2026 · source file | $193.50 | $193.50 | $9.93–$164.48 | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Syphilis Antibody Tp-Pa S+1 more line at this price source file | $195.00 | $195.00 | — | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Fta-Abs+1 more line at this price source file | $327.00 | $327.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM ANTIBODY File of Apr 1, 2026 · source file | $338.00 | $338.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC TREPONEMA PALLIDUM CONFIRMATION File of Apr 1, 2026 · source file | $366.00 | $366.00 | — | — |
Outpatient: lowest $5.85, median $10.80, highest $193.50 — a 33.1× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $24.90. 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 0 of 8 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.