Syphilis test (treponemal) cost in Roanoke, VA
In Roanoke, VA, 6 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $35.40 to $74.90, with a median of $74.90. The lowest listed price is at Bon Secours Southampton Memorial Hospital — $39.50 less than the median here. Across Virginia, the median is $70.80 at 64 hospitals.
Cash prices at 6 facilities across 3 cities for code 86780, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Dec 15, 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 Roanoke, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Bon Secours Southampton Memorial Hospital lowest Franklin, VA · (757) 569-6100 HC Antibody Treponema Pallidum File of Apr 1, 2026 · source file | $35.40 | $118.00 | — | 70% |
| Bon Secours Southampton Memorial Hospital Franklin, VA · (757) 569-6100 HC So Fta-Abs File of Apr 1, 2026 · source file | $39.30 | $131.00 | — | 70% |
| Lewisgale Medical Center Roanoke, VA · (540) 776-4100 Antibody; Treponema pallidum +1 more line at this price File of Sep 1, 2026 · source file | $42.00 | $42.00 | $7.31–$37.80 | — |
| Carilion Roanoke Memorial Hospital Roanoke, VA · (540) 981-7000 HB TREPONEMA PALLIDUM AB File of Apr 17, 2026 · source file | $74.90 | $214.00 | $13.90–$203.30 | 65% |
| Carilion Franklin Memorial Hospital Rocky Mt, VA · (540) 483-5277 HB TREPONEMA PALLIDUM AB File of Dec 15, 2025 · source file | $74.90 | $214.00 | $13.90–$203.30 | 65% |
| Carilion Giles Community Hospital Roanoke, VA · (540) 981-7000 HB TREPONEMA PALLIDUM AB File of Dec 15, 2025 · source file | $74.90 | $214.00 | $13.90–$203.30 | 65% |
| Carilion Roanoke Community Hospital Roanoke, VA HB TREPONEMA PALLIDUM AB File of Dec 15, 2025 · source file | $74.90 | $214.00 | $13.90–$203.30 | 65% |
| Bon Secours Southampton Memorial Hospital Franklin, VA · (757) 569-6100 HC So1 Fta-Abs File of Apr 1, 2026 · source file | $108.60 | $362.00 | — | 70% |
Outpatient: lowest $35.40, median $74.90, highest $74.90 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $35.40. 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 4 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 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.