Syphilis test (treponemal) cost in San Antonio, TX
In San Antonio-New Braunfels, TX, 16 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $17.75 to $483.27, with a median of $483.27. The lowest listed price is at University Health System — $465.52 less than the median here. Across Texas, the median is $46.33 at 286 hospitals.
Cash prices at 16 facilities across 5 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 14, 2025 and Sep 1, 2026.
Lowest$17.75University Health System
Median$483.27half pay less
Highest$483.27in this market
Difference27.2×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 San Antonio-New Braunfels, TX.
median
Lowest $17.75Highest $598.36
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| University Health System lowest San Antonio, TX · (210) 358-2000 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM CONFI | $17.75 | $71.00 | $11.12–$177.50 | 75% | Oct 14, 2025 source file |
| University Health System lowest San Antonio, TX · (210) 358-2000 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, I | $17.75 | $71.00 | $11.12–$177.50 | 75% | Oct 14, 2025 source file |
| Santa Rosa Hospital - Westover Hills San Antonio, TX · (210) 703-8211 HC 86780 ANTIBODY; TREPONEMA PALLIDUM | $28.71 | $87.00 | $6.62–$82.65 | 67% | Jan 13, 2026 source file |
| Santa Rosa Hospital - Westover Hills San Antonio, TX · (210) 703-8211 HC 86780 TREPONEMA PALLIDUM IGG CONFIRM | $28.71 | $87.00 | $6.62–$82.65 | 67% | Jan 13, 2026 source file |
| Santa Rosa Hospital - Westover Hills San Antonio, TX · (210) 703-8211 HC 86780 MHA-TP | $28.71 | $87.00 | $6.62–$82.65 | 67% | Jan 13, 2026 source file |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 ANTIBODY;TREPONEMA PALLIDUM | $29.50 | $59.00 | $13.24–$98.04 | 50% | — source file |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 ANTI-BDY;TREPONEMA PALLIDUM,CT | $50.00 | $100.00 | $13.24–$100.00 | 50% | — source file |
| Medina Regional Hospital Hondo, TX · (830) 426-7700 TREPONEMA PALLIDUM | $65.13 | $72.36 | $17.37–$72.36 | 10% | Jul 29, 2026 source file |
| Guadalupe Regional Medical Center Seguin, TX · (830) 379-2411 TREPONEMA PALLIDUM | $72.00 | $144.00 | $13.24–$144.00 | 50% | — source file |
| Santa Rosa Hospital - Westover Hills San Antonio, TX · (210) 703-8211 HC 86780 T PALLIDUM AB IGG BY ELISA | $120.12 | $364.00 | $6.62–$345.80 | 67% | Jan 13, 2026 source file |
| Warm Springs Rehabilitation Hospital of San Antonio San Antonio, TX Treponema Pallidum FTA ABS | $193.50 | $193.50 | $9.27–$174.15 | — | Aug 6, 2026 source file |
| Medina Regional Hospital Hondo, TX · (830) 426-7700 TREPONEMA PALLIDUM ANTIBODIES | $228.23 | $253.58 | $21.18–$253.58 | 10% | Jul 29, 2026 source file |
| Methodist Texsan Hospital Rehab San Antonio, TX T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 T PALLIDUM AB IGG | $483.27 | $483.27 | $323.79 | — | Sep 1, 2026 source file |
| Northeast Methodist San Antonio, TX · (210) 638-2101 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Stone Oak Rehab San Antonio, TX T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Helotes, TX · (210) 575-4000 T PALLIDUM AB IGG | $483.27 | $483.27 | $24.16–$483.27 | — | Sep 1, 2026 source file |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 T PALLIDUM AB IGG | $483.27 | $483.27 | $118.88–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 TREPONEMA PALLIDUM AB | $483.27 | $483.27 | $118.88–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 T PALLIDUM AB IGG | $483.27 | $483.27 | $118.88–$410.78 | — | Sep 1, 2026 source file |
| Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGM IA SQ | $545.04 | $545.04 | $134.08–$463.28 | — | Sep 1, 2026 source file |
| Northeast Methodist San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGM IA SQ | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Helotes, TX · (210) 575-4000 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$588.64 | — | Sep 1, 2026 source file |
| Methodist Hospital Helotes, TX · (210) 575-4000 TREP PALLIDUM IGM IA SQ | $588.64 | $588.64 | $29.43–$588.64 | — | Sep 1, 2026 source file |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 MHA TP CONFIRM | $588.64 | $588.64 | $288.43 | — | Sep 1, 2026 source file |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 FTA AB CONFIRM | $588.64 | $588.64 | $288.43 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 MHA TP CONFIRM | $588.64 | $588.64 | $144.81–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Landmark San Antonio, TX · (210) 638-2101 FTA AB CONFIRM | $588.64 | $588.64 | $144.81–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Westover Hills San Antonio, TX · (210) 638-2101 MHA TP CONFIRM | $588.64 | $588.64 | $144.81–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 TREP PALLIDUM IGM IA SQ | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGM IA SQ | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital Rehab San Antonio, TX FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital Rehab San Antonio, TX MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Stone Oak Rehab San Antonio, TX MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Stone Oak Rehab San Antonio, TX FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Stone Oak Rehab San Antonio, TX TREP PALLIDUM IGM IA SQ | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Methodist Hospital Helotes, TX · (210) 575-4000 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$588.64 | — | Sep 1, 2026 source file |
| Northeast Methodist San Antonio, TX · (210) 638-2101 FTA AB CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Northeast Methodist San Antonio, TX · (210) 638-2101 MHA TP CONFIRM | $588.64 | $588.64 | $29.43–$500.34 | — | Sep 1, 2026 source file |
| Stone Oak Rehab San Antonio, TX TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Specialty and Transplant San Antonio, TX · (210) 575-4000 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$598.36 | — | Sep 1, 2026 source file |
| Metropolitan Methodist San Antonio, TX · (210) 575-4000 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Texsan Hospital Rehab San Antonio, TX TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Hospital Atascosa Jourdanton, TX · (830) 769-3515 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Hospital Stone Oak San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
| Methodist Hospital Helotes, TX · (210) 575-4000 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$598.36 | — | Sep 1, 2026 source file |
| Northeast Methodist San Antonio, TX · (210) 638-2101 TREP PALLIDUM IGG IA SQ | $598.36 | $598.36 | $29.92–$508.61 | — | Sep 1, 2026 source file |
Outpatient: lowest $17.75, median $483.27, highest $483.27 — a 27.2× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $125.44. 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 16 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.