Lab tests CPT 86592 Inpatient — admitted to hospital

Syphilis test (RPR) cost in Omaha, NE — inpatient

In Omaha, NE-IA, 8 hospitals list a cash price for syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result as an inpatient: from $5.88 to $38.22, with a median of $38.22. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $32.34 less than the median here. Across Nebraska, the median is $27.45 at 17 hospitals.

Cash prices at 8 facilities across 4 cities for code 86592, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Feb 28, 2026.

Lowest$5.88Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$38.22half 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 $6.84–$11.76 51% Feb 28, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Rapid Plasma Reagin $10.80 $36.00 — 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Rapid Plasma Reagin $12.96 $36.00 $18.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Rapid Plasma Reagin $12.96 $36.00 $18.00 64% Feb 14, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 VDRL CSF Reflex to titer $19.20 $64.00 — 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 VDRL CSF Reflex to titer $23.04 $64.00 $32.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 VDRL CSF Reflex to titer $23.04 $64.00 $32.00 64% Feb 14, 2026
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Alegent Creighton Health Omaha, NE · (402) 717-8000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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Alegent Creighton Health Papillion, NE · (402) 593-3000 HC SYPHILIS TEST QUALITATIVE $38.22 $91.00 $54.60–$77.35 58% Feb 28, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC SYPHILIS TEST QUALITATIVE $48.02 $98.00 $55.86–$96.04 51% Feb 28, 2026
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Inpatient: lowest $5.88, median $38.22, highest $38.22 — a 6.5× difference within the same market.

As an outpatient, the same code is billed by 10 facilities here, median $26.26 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 7 it is 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.