Syphilis test (RPR) cost in Virginia
In Virginia, 66 hospitals publish a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $4.20 to $497.97, with a median of $25.20. The lowest price is at Bon Secours Southampton Memorial Hospital (Franklin). The highest price is 118.6× the lowest.
- The median here, $25.20, is 22% below the US median of $32.50.
- That is 5.9× Medicare's 2026 national rate for the same service ($4.27).
- Virginia ranks 14th of 51 states by median, cheapest first.
- 13 of 66 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 1, 2026. See them on a map
Lowest$4.20Bon Secours Southampton Memorial Hospital
Median$25.20half of hospitals charge less
Highest$497.97in Virginia
Lowest saves$21.00vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Bon Secours Southampton Memorial Hospital lowest Franklin · Roanoke, VA HC So Vdrl / Rpr | $4.20 | $14.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC SYPHILIS TEST QUAL | $6.90 | $30.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC SYPHILIS TEST QUAL | $6.90 | $30.00 | Mar 23, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Aml-Csf-Vdrl | $7.00 | $14.00 | Apr 1, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC SYPHILIS TEST QUAL | $7.20 | $48.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC SYPHILIS TEST QUAL | $7.20 | $48.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC SYPHILIS TEST QUAL | $7.20 | $48.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC SYPHILIS TEST QUAL | $7.20 | $48.00 | Mar 23, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC So Vdrl / Rpr | $12.90 | $43.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So Vdrl / Rpr | $12.90 | $43.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Syphilis Test Non-Treponemal Antibody Qual | $16.20 | $27.00 | Apr 1, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $19.32 | $48.29 | Jul 10, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Syphilis test non-trep qual | $19.50 | $39.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Syphilis test non-trep qual | $19.50 | $39.00 | Dec 30, 2024 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA RPR WITH REFLEX 012005 | $19.71 | $28.15 | Mar 25, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Vdrl / Rpr | $24.00 | $40.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Vdrl / Rpr | $24.00 | $40.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $24.00 | $60.00 | Jul 14, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Vdrl / Rpr | $24.00 | $40.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB RAPID PLASMA REAGIN | $25.20 | $72.00 | Dec 15, 2025 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC RPR | $35.99 | $71.98 | Mar 11, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Syphilis Test Non-Treponemal Antibody Qual | $37.19 | $61.99 | Jul 1, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Syphilis Test Non-Treponemal Antibody Qual | $42.60 | $71.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Syphilis Test Non-Treponemal Antibody Qual | $42.60 | $71.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Syphilis Test Non-Treponemal Antibody Qual | $42.60 | $71.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Syphilis Test Non-Treponemal Antibody Qual | $42.60 | $71.00 | Apr 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $47.31 | $118.27 | Jul 10, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC SYPHILIS TEST QUAL | $48.00 | $96.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC SYPHILIS TEST QUAL | $48.00 | $96.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC SYPHILIS TEST QUAL | $48.00 | $96.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC SYPHILIS TEST QUAL | $48.00 | $96.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC SYPHILIS TEST QUAL | $48.00 | $96.00 | Apr 1, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC VDRL, SERUM | $49.62 | $55.13 | Mar 17, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $73.60 | $184.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $73.60 | $184.00 | Jul 10, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA RPR QUAL | $85.00 | $85.00 | Sep 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA VDRL CSF QUAL | $111.00 | $111.00 | Sep 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) | $135.96 | $339.89 | Jul 14, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA RPR QUAL | $193.00 | $193.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA RPR QUAL | $206.00 | $206.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV VDRL CSF QUAL | $260.28 | $260.28 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA RPR QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA RPR QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA VDRL CSF QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA VDRL CSF QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA RPR QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA VDRL CSF QUAL | $313.00 | $313.00 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV VDRL CSF QUAL | $323.25 | $323.25 | Sep 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV RPR QUAL | $497.97 | $497.97 | Sep 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $6.00 | $15.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $6.00 | $48.00 |
| Richmond, VA | 11 | $12.90 | $313.00 |
| Roanoke, VA | 6 | $4.20 | $25.20 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $25.20 | $193.00 |
| Bluefield, WV-VA | 2 | $25.20 | $80.58 |
| Big Stone Gap, VA | 1 | $7.20 | $7.20 |
| Clintwood, VA | 1 | $6.90 | $6.90 |
| Charlottesville, VA | 1 | $6.00 | $6.00 |
| Danville, VA | 1 | $73.60 | $73.60 |
| Emporia, VA | 1 | $12.90 | $12.90 |
| Galax, VA | 1 | $47.31 | $47.31 |
| Hot Springs, VA | 1 | $19.71 | $19.71 |
| Harrisonburg, VA | 1 | $6.00 | $6.00 |
| Kilmarnock, VA | 1 | $16.20 | $16.20 |
| Kingsport-Bristol, TN-VA | 1 | $7.20 | $7.20 |
| Lebanon, VA | 1 | $7.20 | $7.20 |
| Lexington, VA | 1 | $25.20 | $25.20 |
| Low Moor, VA | 1 | $85.00 | $85.00 |
| Marion, VA | 1 | $7.20 | $7.20 |
| Martinsville, VA | 1 | $73.60 | $73.60 |
| Pennington Gap, VA | 1 | $6.90 | $6.90 |
| South Boston, VA | 1 | $6.00 | $6.00 |
| Suffolk, VA | 1 | $6.00 | $6.00 |
| Staunton-Stuarts Draft, VA | 1 | $7.00 | $7.00 |
| Wytheville, VA | 1 | $19.32 | $19.32 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
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
- Maryland$22.99
- 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
- Washington$32.22
- West Virginia$27.00
- Wisconsin$39.65
- Wyoming$42.75
Median cash price across the state's hospitals.