Syphilis test (treponemal) cost in Little Rock, AR
In Little Rock-North Little Rock-Conway, AR, 10 hospitals list a cash price for syphilis antibody test (Treponema pallidum): from $7.38 to $40.17, with a median of $14.38. The lowest listed price is at St. Vincent Infirmary Medical Center — $7.00 less than the median here. Across Arkansas, the median is $18.80 at 48 hospitals.
Cash prices at 10 facilities across 5 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 Nov 21, 2025 and Jul 2, 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 Little Rock-North Little Rock-Conway, AR.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| St. Vincent Infirmary Medical Center lowest Sherwood, AR · (501) 552-7100 T PALLIDUM AB FTA-AB File of Feb 28, 2026 · source file | $7.38 | $29.00 | $9.99–$44.38 | 75% |
| CHI St. Vincent Infirmary Little Rock, AR · (501) 552-3000 T PALLIDUM AB FTA-AB File of Feb 28, 2026 · source file | $7.45 | $29.00 | $9.99–$44.38 | 74% |
| St. Vincent Infirmary Medical Center Sherwood, AR · (501) 552-7100 T PALLIDUM AB BY TP-PA File of Feb 28, 2026 · source file | $7.63 | $30.00 | $9.99–$44.38 | 75% |
| CHI St. Vincent Infirmary Little Rock, AR · (501) 552-3000 T PALLIDUM AB BY TP-PA File of Feb 28, 2026 · source file | $7.70 | $30.00 | $9.99–$44.38 | 74% |
| Baptist Health Medical Center - Conway Conway, AR · (501) 585-2000 86780 - ANTIBODY TREPONEMA PALLIDUM source file | $12.32 | $49.28 | $13.24–$28.91 | 75% |
| Baptist Health Medical Center - Little Rock Little Rock, AR · (501) 202-2000 86780 - ANTIBODY TREPONEMA PALLIDUM source file | $12.97 | $51.86 | $13.24–$28.91 | 75% |
| Baptist Health Medical Center - North Little Rock North Little Rock, AR · (501) 202-3000 86780 - ANTIBODY TREPONEMA PALLIDUM source file | $13.35 | $53.39 | $13.24–$28.91 | 75% |
| Conway Regional Medical Center Conway, AR · (501) 329-3831 TREPONEMA PALLIDUM File of Jul 2, 2026 · source file | $15.40 | $70.00 | $13.24–$70.00 | 78% |
| Arkansas Heart Hospital Little Rock, AR · (501) 219-7000 Treponema Pallidum Ab, Particle Agglutination Quest File of Nov 21, 2025 · source file | $20.00 | $25.00 | $60.33–$159.00 | 20% |
| Arkansas Heart Hospital-Encore Bryant, AR · (501) 213-4500 Treponema Pallidum Ab, Particle Agglutination Quest File of Nov 21, 2025 · source file | $20.00 | $25.00 | $60.33–$159.00 | 20% |
| Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 TREPONEMA PALLIDUM source file | $33.85 | $37.61 | $13.24–$37.61 | 10% |
| University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 TREPONEMA PALLIDUM source file | $40.17 | $66.95 | $12.84–$887.00 | 40% |
| St. Vincent Infirmary Medical Center Sherwood, AR · (501) 552-7100 TREPONEMAL ANTIBODY File of Feb 28, 2026 · source file | $40.68 | $160.00 | $9.99–$88.00 | 75% |
| CHI St. Vincent Infirmary Little Rock, AR · (501) 552-3000 TREPONEMAL ANTIBODY File of Feb 28, 2026 · source file | $41.06 | $160.00 | $9.99–$88.00 | 74% |
| CHI St. Vincent Infirmary Little Rock, AR · (501) 552-3000 #FTA-ABSIGG File of Feb 28, 2026 · source file | $42.86 | $167.00 | $9.99–$91.85 | 74% |
| University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM source file | $48.00 | $80.00 | $12.84–$887.00 | 40% |
| Conway Regional Medical Center Conway, AR · (501) 329-3831 MHA-TP (FTA-ABS) RPR CONFIRM+8 more lines at this price File of Jul 2, 2026 · source file | $51.04 | $232.02 | $13.24–$232.02 | 78% |
| Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM source file | $75.92 | $84.35 | $13.24–$84.35 | 10% |
Outpatient: lowest $7.38, median $14.38, highest $40.17 — a 5.4× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $7.45. 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 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is 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.