Syphilis test (RPR) cost in Maryland
In Maryland, 15 hospitals publish a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $10.33 to $94.35, with a median of $22.99. The lowest price is at Greater Baltimore Medical Center (Towson). The highest price is 9.1× the lowest.
- The median here, $22.99, is 29% below the US median of $32.50.
- That is 5.4× Medicare's 2026 national rate for the same service ($4.27).
- Maryland ranks 10th of 51 states by median, cheapest first.
- 2 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. 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 Oct 29, 2026. See them on a map
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Greater Baltimore Medical Center lowest Towson · Baltimore-Columbia-Towson, MD HC Syphilis Serology | $10.33 | $10.54 | Jul 1, 2026 source file |
| UPMC Western Maryland Cumberland · Cumberland, MD-WV CSF VDRL | $12.60 | $21.00 | Mar 2, 2026 source file |
| Frederick Health Hospital Frederick · Washington-Arlington-Alexandria, DC-VA-MD-WV RPR | $16.02 | $16.35 | Mar 17, 2025 source file |
| MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD SYPHILIS TEST, QUALITATIVE | $17.10 | $17.45 | Apr 1, 2026 source file |
| MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD SYPHILIS TEST, QUALITATIVE | $17.13 | $17.48 | Apr 1, 2026 source file |
| MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV SYPHILIS TEST, QUALITATIVE | $21.16 | $21.59 | Apr 1, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC SYPHILIS TEST, NON TREPONEMAL ANTIBODY, QUALIT(VDRL,RPR,ART) | $21.96 | $22.41 | Mar 19, 2026 source file |
| MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV SYPHILIS TEST, QUALITATIVE | $22.99 | $23.46 | Apr 1, 2026 source file |
| MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD SYPHILIS TEST, QUALITATIVE | $23.32 | $23.80 | Apr 1, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD SYPHILIS TEST, QUALITATIVE | $23.49 | $23.97 | Apr 1, 2026 source file |
| Atlantic General Hospital Berlin · Ocean Pines, MD Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $25.04 | $25.04 | Apr 10, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL REF | $25.66 | $26.18 | Jan 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD SYPHILIS TEST, QUALITATIVE | $26.01 | $26.54 | Apr 1, 2026 source file |
| Mt. Washington Pediatric Hospital Baltimore · Baltimore-Columbia-Towson, MD VDRL | $29.56 | $30.16 | Nov 5, 2025 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD RPR | $94.35 | $94.35 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 7 | $10.33 | $23.49 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 3 | $16.02 | $21.16 |
| Cumberland, MD-WV | 1 | $12.60 | $12.60 |
| Lexington Park, MD | 1 | $17.10 | $17.10 |
| Ocean Pines, MD | 1 | $25.04 | $25.04 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $94.35 | $94.35 |
| Salisbury, MD | 1 | $21.96 | $21.96 |
What syphilis test (RPR) is, what the price covers and why prices differ: Syphilis test (RPR) explained.
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result in other states
- Alabama$26.00
- Alaska$61.50
- Arizona$13.00
- Arkansas$17.51
- California$13.42
- Colorado$62.05
- Connecticut$26.82
- Delaware$90.72
- District of Columbia$48.46, 3 hospitals
- Florida$19.80
- Georgia$42.46
- Hawaii$37.10
- Idaho$42.99
- Illinois$51.10
- Indiana$40.75
- Iowa$48.57
- Kansas$36.00
- Kentucky$41.20
- Louisiana$13.64
- Maine$30.50
- Massachusetts$24.50
- Michigan$17.19
- Minnesota$33.18
- Mississippi$25.20
- Missouri$27.98
- Montana$50.63
- Nebraska$46.00
- Nevada$35.70
- New Hampshire$37.40
- New Jersey$4.91
- New Mexico$47.90
- New York$15.76
- North Carolina$58.80
- North Dakota$29.25
- Ohio$23.85
- Oklahoma$31.23
- Oregon$32.25
- Pennsylvania$28.08
- Puerto Rico$17.58
- Rhode Island$37.00
- South Carolina$46.80
- South Dakota$60.00
- Tennessee$25.80
- Texas$42.70
- Utah$67.96
- Vermont$72.00
- Virginia$25.20
- Washington$32.22
- West Virginia$27.00
- Wisconsin$39.65
- Wyoming$42.75
Median cash price across the state's hospitals.