Syphilis test (RPR) cost in California

In California, 211 hospitals publish a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $2.57 to $266.00, with a median of $13.42. The lowest price is at Bakersfield Memorial Hospital (Bakersfield). The highest price is 103.5× the lowest.

• The median here, $13.42, is 59% below the US median of $32.50.
• That is 3.1× Medicare's 2026 national rate for the same service ($4.27).
• California ranks 3rd of 51 states by median, cheapest first.
• 64 of 211 hospitals list a cash price equal to their full list price, with no self-pay discount.

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 86592. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map