HRHospitalRates.comCompare prices

Procedure price report · Other Laboratory

Syphilis screening blood test, positive or negative

CPT 86592the billing code this page is about

Blood screening test for syphilis that reports only whether the reaction is present, commonly done as an RPR or VDRL.

Hospitals typically charge $29 cash for this outpatient procedure — the median across 3,327 hospitals that filed a usable cash price; the average of the middle 60% is $31. Most fall between $10 and $61 (20th–80th percentile).

Hospitals
3,327
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,327 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$6$13$29$53$93

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($6 vs $93).

How the prices are spread

$4 – $6: 181 hospitals$4$6 – $9: 172 hospitals$9 – $12: 238 hospitals$9$12 – $17: 300 hospitals$17 – $24: 386 hospitals$17$24 – $34: 442 hospitals$34 – $48: 470 hospitals$34$48 – $68: 408 hospitals$68 – $97: 260 hospitals$68$97 – $137: 141 hospitals$97median $29price bands are equal on a log scale
Hospitals per price band (2,998 of 3,327 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4$6181
$6$9172
$9$12238
$12$17300
$17$24386
$24$34442
$34$48470
$48$68408
$68$97260
$97$137141

By state

The median cash price in each state, against the national median of $29.

Alaska: median $62 across 19 hospitalsAK$62Maine: median $30 across 28 hospitalsME$30Vermont: median $59 across 14 hospitalsVT$59New Hampshire: median $27 across 25 hospitalsNH$27Washington: median $26 across 75 hospitalsWA$26Idaho: median $24 across 25 hospitalsID$24Montana: median $41 across 31 hospitalsMT$41North Dakota: median $30 across 35 hospitalsND$30Minnesota: median $33 across 104 hospitalsMN$33Illinois: median $51 across 143 hospitalsIL$51Wisconsin: median $38 across 92 hospitalsWI$38Michigan: median $18 across 97 hospitalsMI$18New York: median $15 across 106 hospitalsNY$15Massachusetts: median $27 across 53 hospitalsMA$27Oregon: median $32 across 51 hospitalsOR$32Nevada: median $30 across 20 hospitalsNV$30Wyoming: median $39 across 16 hospitalsWY$39South Dakota: median $68 across 39 hospitalsSD$68Iowa: median $46 across 85 hospitalsIA$46Indiana: median $23 across 97 hospitalsIN$23Ohio: median $23 across 142 hospitalsOH$23Pennsylvania: median $24 across 122 hospitalsPA$24New Jersey: median $5 across 57 hospitalsNJ$5Connecticut: median $18 across 21 hospitalsCT$18Rhode Island: median $35 across 10 hospitalsRI$35California: median $10 across 162 hospitalsCA$10Utah: median $28 across 43 hospitalsUT$28Colorado: median $37 across 69 hospitalsCO$37Nebraska: median $45 across 75 hospitalsNE$45Missouri: median $25 across 73 hospitalsMO$25Kentucky: median $34 across 69 hospitalsKY$34West Virginia: median $25 across 43 hospitalsWV$25Virginia: median $25 across 73 hospitalsVA$25Maryland: median $22 across 41 hospitalsMD$22Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $19 across 42 hospitalsAZ$19New Mexico: median $48 across 26 hospitalsNM$48Kansas: median $31 across 89 hospitalsKS$31Arkansas: median $15 across 39 hospitalsAR$15Tennessee: median $26 across 82 hospitalsTN$26North Carolina: median $33 across 87 hospitalsNC$33South Carolina: median $47 across 53 hospitalsSC$47Oklahoma: median $26 across 71 hospitalsOK$26Louisiana: median $16 across 51 hospitalsLA$16Mississippi: median $15 across 54 hospitalsMS$15Alabama: median $27 across 44 hospitalsAL$27Georgia: median $32 across 110 hospitalsGA$32Hawaii: median $37 across 21 hospitalsHI$37Texas: median $38 across 243 hospitalsTX$38Florida: median $20 across 153 hospitalsFL$20
Cash price by state, most expensive first. National median $29. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Dakota SD39$68+138%$28 – $104
Alaska AK19$62+116%$38 – $95
Vermont VT14$59+107%$39 – $109
Illinois IL143$51+79%$26 – $85
New Mexico NM26$48+67%$22 – $84
South Carolina SC53$47+64%$24 – $59
Iowa IA85$46+63%$26 – $56
Nebraska NE75$45+58%$22 – $65
Montana MT31$41+44%$20 – $55
Wyoming WY16$39+38%$33 – $49
Texas TX243$38+35%$9 – $174
Wisconsin WI92$38+32%$18 – $46
Hawaii HI21$37+30%$13 – $43
Colorado CO69$37+29%$14 – $66
Rhode Island RI10$35+23%$9 – $37
Kentucky KY69$34+20%$13 – $54
Minnesota MN104$33+17%$18 – $52
North Carolina NC87$33+16%$10 – $68
Oregon OR51$32+13%$16 – $46
Georgia GA110$32+12%$11 – $65
Kansas KS89$31+9%$20 – $52
Nevada NV20$30+6%$9 – $67
Maine ME28$30+5%$23 – $55
North Dakota ND35$30+4%$8 – $39
Utah UT43$28−1%$24 – $61
New Hampshire NH25$27−4%$14 – $46
Alabama AL44$27−5%$9 – $113
Massachusetts MA53$27−5%$11 – $53
Washington WA75$26−7%$19 – $54
Oklahoma OK71$26−10%$14 – $53
Tennessee TN82$26−10%$9 – $44
Virginia VA73$25−12%$7 – $48
West Virginia WV43$25−12%$7 – $46
Missouri MO73$25−13%$14 – $54
Pennsylvania PA122$24−15%$5 – $61
Idaho ID25$24−16%$6 – $57
Indiana IN97$23−18%$10 – $60
Ohio OH142$23−19%$10 – $53
Maryland MD41$22−24%$17 – $26
Florida FL153$20−31%$5 – $81
Arizona AZ42$19−33%$12 – $65
Connecticut CT21$18−37%$15 – $34
Michigan MI97$18−38%$7 – $40
Louisiana LA51$16−44%$8 – $45
New York NY106$15−46%$6 – $68
Mississippi MS54$15−47%$7 – $30
Arkansas AR39$15−48%$7 – $33
California CA162$10−63%$3 – $70
New Jersey NJ57$5−83%$5 – $22
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $29.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,298$26$9 – $62
Children’s62$35$13 – $66
Critical access957$35$18 – $59
Ownership
For-profit460$38$9 – $132
Government626$32$12 – $59
Non-profit2,231$27$10 – $54
System affiliation
Part of a system2,694$28$10 – $64
Independent633$29$12 – $56

Cash price vs list price

Median list price (chargemaster)$49
Median cash price$29
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,244 hospitals filed a usable inpatient cash price for this code. The median is $28 and the average of the middle 60% is $31; most fall between $11 and $58.

Cash price percentiles, inpatient, across 2,244 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$7$14$28$51$86

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($7 vs $86).

Of the 2,479 hospitals that filed this code inpatient, 2,244 gave a usable cash price; 123 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 112 a list price only.

How complete is this

3,327 of the 3,956 hospitals with a price file in our corpus (84%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,626 hospitals that filed this code at all gave us
Usable cash price — counted3,327
Cash price carrying a plausibility flag — shown on the compare tool, excluded here166
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded131
Hospitals that filed this code3,626

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other Laboratory family.

Hospitals file this code under descriptions such as HC Rpr Screen, Titer.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Syphilis screening blood test, positive or negative (CPT 86592) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86592-syphilis-screening-blood-test-positive-or-negative