Lab tests CPT 86780 Outpatient

Syphilis test (treponemal) cost in Paducah, KY

In Paducah, KY-IL, 3 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $10.20 to $74.60, with a median of $64.20. The lowest listed price is at Livingston Hospital and Healthcare Services — $54.00 less than the median here. Across Kentucky, the median is $41.54 at 78 hospitals.

Cash prices at 3 facilities across 2 cities for code 86780, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Sep 18, 2026 and Sep 18, 2026.

Lowest$10.20Livingston Hospital and Healthcare Services
Median$64.20half of hospitals charge less
Highest$74.60in this market
Difference7.3×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 Paducah, KY-IL.

median
Lowest $10.20Highest $74.60

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Livingston Hospital and Healthcare Services lowest Salem, KY · (270) 988-2299 Treponema pallidum Antibodies LC+1 more line at this price source file $10.20 $17.00 $5.42–$14.45 40%
Mercy Health Lourdes Hospital Paducah, KY · (270) 444-2444 HC Antibody Treponema Pallidum source file $64.20 $107.00 — 40%
Mercy Health Lourdes Hospital Paducah, KY · (270) 444-2444 HC So Fta-Abs source file $71.40 $119.00 — 40%
Baptist Health Paducah Paducah, KY · (270) 575-2100 Analysis for antibody, Treponema pallidum File of Sep 18, 2026 · source file $74.60 $99.47 $5.42–$198.94 25%
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.

Outpatient: lowest $10.20, median $64.20, highest $74.60 — a 7.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $40.80. 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 2 of 2 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.