Lab tests CPT 86592 Outpatient

Syphilis test (RPR) cost in Omaha, NE

In Omaha, NE-IA, 10 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result: from $5.88 to $38.22, with a median of $26.26. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $20.38 less than the median here. Across Nebraska, the median is $27.45 at 17 hospitals.

Cash prices at 10 facilities across 5 cities for code 86592, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Aug 10, 2026.

Lowest$5.88Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$26.26half pay less
Highest$38.22in this market
Difference6.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Omaha, NE-IA.

median
Lowest $5.88Highest $48.02

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa lowest Missouri Valley, IA · (712) 642-2784 HC RHC SYPHILIS TEST QUAL $5.88 $12.00 $4.27–$11.76 51% Feb 28, 2026
source file
Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Rapid Plasma Reagin $10.80 $36.00 $4.14–$25.20 70% Feb 15, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Rapid Plasma Reagin $12.96 $36.00 $4.14–$25.20 64% Feb 14, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Rapid Plasma Reagin $12.96 $36.00 $4.14–$25.20 64% Feb 14, 2026
source file
Bellevue Medical Center Bellevue, NE · (402) 763-3600 Syphilis detection test $14.30 $22.00 $0.94–$56.82 35% Aug 10, 2026
source file
Nebraska Medical Center Omaha, NE · (402) 559-4000 Syphilis detection test $14.30 $22.00 $0.94–$56.82 35% Aug 10, 2026
source file
Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 VDRL CSF Reflex to titer $19.20 $64.00 $4.14–$44.80 70% Feb 15, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 VDRL CSF Reflex to titer $23.04 $64.00 $4.14–$44.80 64% Feb 14, 2026
source file
Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 VDRL CSF Reflex to titer $23.04 $64.00 $4.14–$44.80 64% Feb 14, 2026
source file
CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
Alegent Creighton Health Papillion, NE · (402) 593-3000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
Alegent Creighton Health Omaha, NE · (402) 717-8000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
Alegent Health Immanuel Medical Center Omaha, NE HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $4.14–$77.35 58% Feb 28, 2026
source file
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC SYPHILIS TEST QUALITATIVE $48.02 $98.00 $4.27–$96.04 51% Feb 28, 2026
source file

Outpatient: lowest $5.88, median $26.26, highest $38.22 — a 6.5× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $38.22. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This blood test, usually called RPR or VDRL, looks for antibodies the body makes in response to syphilis infection. It is used for screening, including during pregnancy, and gives a reactive or non-reactive result.

What the price covers

The price usually covers the screening test only. The blood draw is often billed separately, and a reactive result leads to a titer (86593) and a confirmation test (86780) with their own charges.