Syphilis test (RPR) cost in Washington
In Washington, 58 hospitals publish a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $2.93 to $400.14, with a median of $32.22. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 136.6× the lowest.
- The median here, $32.22, is about the same as the US median of $32.50.
- That is 7.5× Medicare's 2026 national rate for the same service ($4.27).
- Washington ranks 24th of 51 states by median, cheapest first.
- 5 of 58 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care 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 Nov 11, 2026. See them on a map
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC NATIONAL MARROW DONOR RPR | $2.93 | $4.51 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Rpr, Rfx Qn Rpr/Confirm Tp | $10.20 | $20.40 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB | $14.00 | $20.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC SYPHILIS TEST NON-TREP QUAL - CSF | $16.10 | $23.00 | Apr 1, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Vdrl Screen CSF | $16.20 | $18.00 | Aug 10, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB | $20.30 | $29.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC RPR | $20.41 | $70.76 | Sep 30, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Syphilis detection test | $20.92 | $20.92 | Sep 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA SYPHILIS DETECTION TEST | $21.32 | $30.45 | Feb 24, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC RPR | $21.52 | $70.76 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC RPR | $21.54 | $70.76 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC RPR | $21.76 | $70.76 | Sep 30, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC RPR, RFX QN RPR/CONFIRM TP | $21.87 | $37.71 | Apr 14, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC RPR | $22.54 | $68.04 | Feb 28, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM | $22.56 | $47.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB | $22.56 | $47.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREP QUAL | $22.56 | $47.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM | $22.56 | $47.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREP QUAL - CSF | $24.44 | $47.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB | $24.96 | $48.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB | $24.96 | $48.00 | Apr 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Syphilis Test Non-Treponemal Antibody Qual | $25.20 | $36.00 | Mar 12, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Syphilis detection test | $25.60 | $32.00 | Jun 24, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC RPR | $25.99 | $70.76 | Sep 30, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA SYPHILIS DETECTION TEST | $26.00 | $40.00 | Mar 20, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Syphilis detection test | $26.40 | $33.00 | Jun 29, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA SYPHILIS TEST, NON-TREP, QUALITATIVE | $27.03 | $53.00 | Jan 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Syphilis detection test | $29.75 | $35.00 | Oct 7, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC RPR | $30.03 | $68.04 | Feb 28, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA PSBC ONLY SEROLOGIC TEST FOR SYPHILIS (STS) | $34.40 | $43.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC SYPHILIS TEST NON-TREP QUAL | $35.70 | $51.00 | Apr 1, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA SYPHILIS TEST NON-TREP QUAL | $36.10 | $36.10 | Mar 18, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Rapid Plasma Reagent Qual | $40.00 | $50.00 | Dec 2, 2024 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Syphilis detection test | $42.78 | $69.00 | May 18, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Syphilis detection test | $44.00 | $55.00 | Aug 6, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA SYPHILIS TEST NON-TREP QUAL | $49.03 | $122.57 | Jul 10, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC SYPHILIS TEST NON-TREP QUAL - CSF | $51.15 | $93.00 | Jan 1, 2025 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC SYPHILIS TEST NON-TREP QUAL | $52.00 | $65.00 | Mar 26, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA SYPHILIS DETECTION TEST | $53.95 | $83.00 | Mar 21, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Syphilis detection test | $54.00 | $54.00 | Jan 4, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Syphilis detection test | $57.94 | $77.25 | Jul 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA Rapid Plasma Reagin Qualitative | $59.85 | $105.00 | Apr 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA SYPHILIS TEST NON-TREP AB QUAL | $61.70 | $72.59 | Sep 14, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Syphilis test non-trep qual | $62.40 | $78.00 | May 15, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA SYPHILIS DETECTION TEST | $66.95 | $103.00 | Mar 20, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Syphilis detection test | $67.20 | $84.00 | Oct 27, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC SYPHILIS TEST NON-TREP QUAL | $68.00 | $85.00 | Mar 26, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA SYPHILIS DETECTION TEST | $68.25 | $105.00 | Mar 21, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA .RPR LC | $71.50 | $110.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL CDM | $72.00 | $96.00 | Oct 23, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA .RPR LC | $73.73 | $98.30 | Mar 10, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Syphilis detection test | $73.95 | $87.00 | Jun 9, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Syphilis Test Qual | $84.30 | $84.30 | Mar 31, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA SYPHILIS TEST NON-TREP QUAL | $94.90 | $146.00 | Mar 21, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Syphilis detection test | $96.20 | $96.20 | May 27, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC SYPHILIS TEST NON-TREP QUAL RPR | $96.60 | $138.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC SYPHILIS TEST NON-TREP QUAL - CSF | $100.80 | $144.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Syphilis detection test | $400.14 | $741.00 | Aug 31, 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 18 | $10.20 | $22.56 |
| Spokane-Spokane Valley, WA | 5 | $14.00 | $35.70 |
| Kennewick-Richland, WA | 4 | $49.03 | $55.50 |
| Wenatchee-East Wenatchee, WA | 3 | $16.20 | $20.92 |
| Centralia, WA | 2 | $24.96 | $33.87 |
| Moses Lake, WA | 2 | $54.00 | $75.10 |
| Mount Vernon-Anacortes, WA | 2 | $53.95 | $60.98 |
| Port Townsend, WA | 2 | $44.00 | $55.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $2.93 | $34.94 |
| Pullman, WA | 2 | $26.40 | $50.18 |
| Aberdeen, WA | 1 | $400.14 | $400.14 |
| Bellingham, WA | 1 | $68.25 | $68.25 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $30.03 | $30.03 |
| Ellensburg, WA | 1 | $29.75 | $29.75 |
| Friday Harbor, WA | 1 | $26.00 | $26.00 |
| Goldendale, WA | 1 | $40.00 | $40.00 |
| Ilwaco, WA | 1 | $72.00 | $72.00 |
| Longview-Kelso, WA | 1 | $94.90 | $94.90 |
| Olympia-Lacey-Tumwater, WA | 1 | $24.96 | $24.96 |
| Othello, WA | 1 | $57.94 | $57.94 |
| Port Angeles, WA | 1 | $25.60 | $25.60 |
| Republic, WA | 1 | $61.70 | $61.70 |
| South Bend, WA | 1 | $21.32 | $21.32 |
| Shelton, WA | 1 | $73.73 | $73.73 |
| Walla Walla, WA | 1 | $16.10 | $16.10 |
| Yakima, WA | 1 | $71.50 | $71.50 |
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
- Virginia$25.20
- West Virginia$27.00
- Wisconsin$39.65
- Wyoming$42.75
Median cash price across the state's hospitals.