Syphilis test (treponemal) cost in North Carolina
In North Carolina, 60 hospitals publish a cash price for syphilis antibody test (Treponema pallidum): from $5.40 to $229.70, with a median of $57.50. The lowest price is at Iredell Memorial Hospital (Statesville). The highest price is 42.5× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 86780. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 29, 2026. See them on a map
Lowest$5.40Iredell Memorial Hospital
Median$57.50half of hospitals charge less
Highest$229.70in North Carolina
Lowest saves$52.10vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Iredell Memorial Hospital lowest Statesville · Charlotte-Concord-Gastonia, NC-SC Syphilis, T. pallidum Antibodies, Qualitative | $5.40 | $20.00 | Dec 31, 2025 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Treponema Palidum-Ref | $10.08 | $18.00 | Apr 1, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Chgl (Qu) Syphilis Antibody Cascading Reflex, S/O | $11.50 | $23.00 | Apr 1, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $13.25 | $25.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $13.25 | $25.00 | Apr 1, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| Iredell Davis Behavioral Health Hospital Statesville · Statesville, NC Syphilis, T. pallidum Antibodies, Qualitative | $14.00 | $20.00 | Dec 31, 2025 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC 90349 Syphilis Total Antibody Wreflex-Ref-Qu | $14.00 | $25.00 | Apr 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Antibody; Treponema pallidum | $16.00 | $40.00 | — source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC TREPONEMA PALLIDUM | $22.07 | $36.78 | — source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC TREPONEMA PALLIDUM | $22.07 | $36.78 | — source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC TREPONEMA PALLIDUM | $22.07 | $36.78 | — source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC TREPONEMA PALLIDUM | $22.07 | $36.78 | — source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC TREPONEMA PALLIDUM | $22.07 | $36.78 | — source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC T Pallidum Screening Cascade | $33.70 | $49.56 | — source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Pbc Treponema Ab | $34.30 | $49.00 | Jan 25, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Treponema Pallidum - Myo | $40.66 | $107.00 | — source file |
| WakeMed Mental Health & Well-Being Hospital - WakeBrook Raleigh · Raleigh-Cary, NC HC Treponema Pallidum - Myo | $40.66 | $107.00 | — source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Treponema Pallidum - Myo | $40.66 | $107.00 | — source file |
| Duke University Hospital Durham · Durham, NC Treponema Pallidum Ab | $47.25 | $175.00 | — source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Treponema Pallidum Ab | $47.25 | $175.00 | — source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Treponema Pallidum Ab | $47.25 | $175.00 | — source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC ANTIBODY TREPONEMA PALLIDUM | $53.00 | $106.00 | Aug 12, 2025 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC ANTIBODY TREPONEMA PALLIDUM | $54.00 | $108.00 | Oct 8, 2025 source file |
| Harris Regional Hospital Sylva · Sylva, NC Antibody; Treponema pallidum | $56.11 | $140.27 | — source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ANTIBODY TREPONEMA PALLIDUM | $57.50 | $115.00 | Jul 16, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC ANTIBODY TREPONEMA PALLIDUM | $57.50 | $115.00 | Oct 21, 2025 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ANTIBODY TREPONEMA PALLIDUM | $57.50 | $115.00 | Oct 8, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Treponema Pallidum Ab | $60.48 | $224.00 | — source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ANTIBODY TREPONEMA PALLIDUM | $61.00 | $122.00 | Oct 8, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC ANTIBODY TREPONEMA PALLIDUM | $62.00 | $124.00 | Oct 8, 2025 source file |
| Randolph Health Asheboro · Asheboro, NC FTA/ABS (006379) | $75.00 | $375.00 | — source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Antibody; Treponema pallidum | $78.59 | $196.47 | — source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 1, 2025 source file |
| Atrium Health Behavioral Health Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 4, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 1, 2025 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 4, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 4, 2025 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC ANTIBODY TREPONEMA PALLIDUM | $89.43 | $178.85 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC ANTIBODY TREPONEMA PALLIDUM | $93.50 | $187.00 | Sep 15, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP | $98.00 | $98.00 | Apr 1, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG TREPONEMA PALLIDUM AB | $101.00 | $101.00 | May 11, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC Treponema pallidum Antibodies LC | $102.35 | $146.21 | Sep 1, 2025 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Analysis for antibody, Treponema pallidum | $109.90 | $157.00 | May 7, 2026 source file |
| Scotland Memorial Hospital Laurinburg · Laurinburg, NC HC ANTIBODY TREPONEMA PALLIDUM | $136.50 | $273.00 | — source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Antibody; Treponema pallidum | $177.60 | $444.00 | — source file |
| AdventHealth Polk Columbus · Columbus, NC HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP | $229.70 | $229.70 | Apr 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 16 | $5.40 | $89.43 |
| Raleigh-Cary, NC | 4 | $40.66 | $40.66 |
| Fayetteville, NC | 3 | $22.07 | $22.07 |
| Winston-Salem, NC | 3 | $57.50 | $61.00 |
| Durham-Chapel Hill, NC | 2 | $47.25 | $112.42 |
| Mount Airy, NC | 2 | $33.70 | $45.60 |
| Ahoskie, NC | 1 | $14.00 | $14.00 |
| Asheboro, NC | 1 | $75.00 | $75.00 |
| Albemarle, NC | 1 | $93.50 | $93.50 |
| Anderson Creek, NC | 1 | $22.07 | $22.07 |
| Asheville, NC | 1 | $98.00 | $98.00 |
| Clinton, NC | 1 | $109.90 | $109.90 |
| Columbus, NC | 1 | $229.70 | $229.70 |
| Concord, NC | 1 | $89.43 | $89.43 |
| Durham, NC | 1 | $47.25 | $47.25 |
| Edenton, NC | 1 | $14.00 | $14.00 |
| Elizabethtown, NC | 1 | $22.07 | $22.07 |
| Elizabeth City, NC | 1 | $11.50 | $11.50 |
| Forest City, NC | 1 | $78.59 | $78.59 |
| Greensboro-High Point, NC | 1 | $54.00 | $54.00 |
| Greenville, NC | 1 | $13.25 | $13.25 |
| Kenansville, NC | 1 | $14.00 | $14.00 |
| Kill Devil Hills, NC | 1 | $14.00 | $14.00 |
| Laurinburg, NC | 1 | $136.50 | $136.50 |
| Murphy, NC | 1 | $34.30 | $34.30 |
| North Wilkesboro, NC | 1 | $57.50 | $57.50 |
| Roanoke Rapids, NC | 1 | $14.00 | $14.00 |
| Rocky Mount, NC | 1 | $10.08 | $10.08 |
| Sparta, NC | 1 | $53.00 | $53.00 |
| Statesville, NC | 1 | $14.00 | $14.00 |
| Sylva, NC | 1 | $56.11 | $56.11 |
| Shelby-Kings Mountain, NC | 1 | $89.43 | $89.43 |
| Whiteville, NC | 1 | $102.35 | $102.35 |
| Windsor, NC | 1 | $14.00 | $14.00 |
| Washington, NC | 1 | $13.25 | $13.25 |
| Wilson, NC | 1 | $16.00 | $16.00 |
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 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.
Syphilis antibody test (Treponema pallidum) in other states
- Alabama$47.13
- Alaska$43.62
- Arizona$30.01
- Arkansas$18.80
- California$22.56
- Colorado$82.88
- Connecticut$61.00
- Delaware$89.74
- District of Columbia$132.88
- Florida$15.40
- Georgia$66.69
- Hawaii$107.40
- Idaho$70.46
- Illinois$67.53
- Indiana$72.96
- Iowa$54.19
- Kansas$71.81
- Kentucky$41.54
- Louisiana$26.60
- Maine$54.63
- Maryland$48.86
- Massachusetts$61.52
- Michigan$46.15
- Minnesota$53.45
- Mississippi$37.12
- Missouri$51.00
- Montana$67.00
- Nebraska$51.17
- Nevada$52.68
- New Hampshire$111.60
- New Jersey$21.55
- New Mexico$74.25
- New York$42.13
- North Dakota$42.70
- Ohio$57.88
- Oklahoma$39.72
- Oregon$33.15
- Pennsylvania$74.40
- Puerto Rico$58.24
- Rhode Island$106.00
- South Carolina$76.50
- South Dakota$68.80
- Tennessee$30.99
- Texas$46.87
- Utah$108.06
- Vermont$58.00
- Virginia$70.80
- Washington$68.30
- West Virginia$30.00
- Wisconsin$52.50
- Wyoming$63.00
Median cash price across the state's hospitals.