Lyme disease test cost in Austin, TX
In Austin-Round Rock-San Marcos, TX, 26 hospitals list a cash price for Lyme disease antibody test: from $18.73 to $856.00, with a median of $82.70. The lowest listed price is at The Hospital at Westlake Medical Center — $63.97 less than the median here. Across Texas, the median is $75.00 at 275 hospitals.
- The median here, $82.70, is 17% above the US median of $70.40.
- That is 4.9× Medicare's 2026 national rate for the same service ($17.03).
- Austin, TX ranks 3rd of 4 metro areas in Texas by median, cheapest first.
- 8 of 26 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 26 facilities across 14 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Sep 2, 2024 and Oct 30, 2026.
Lowest$18.73The Hospital at Westlake Medical Center
Median$82.70half of hospitals charge less
Highest$856.00in this market
Difference45.7×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 Austin-Round Rock-San Marcos, TX.
median
Lowest $18.73Highest $856.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| The Hospital at Westlake Medical Center lowest Austin, TX · (512) 327-0000 LYME DISEASE AB+1 more line at this price File of Sep 2, 2024 · source file | $18.73 | $166.60 | $14.31–$116.62 | 89% |
| Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 TC BORRELIA BURGDORFERI AB (LYME DISEASE) File of Mar 5, 2026 · source file | $44.22 | $66.00 | $17.03–$62.70 | 33% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 LYME IGG AND IGM+3 more lines at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $11.08–$126.66 | 64% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 LYME IGG/IGM+3 more lines at this price File of Jan 1, 2026 · source file | $52.11 | $144.75 | $11.08–$126.66 | 64% |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC REF LABCORP 164226 LYME ANTIBODIES, MODIFIED 2-TIER TESTING PROFILE File of Oct 30, 2026 · source file | $52.50 | $87.50 | $13.00–$112.23 | 40% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 LYME IGG/IGM+3 more lines at this price File of Jan 1, 2026 · source file | $53.55 | $148.75 | $11.08–$126.66 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 LYME IGG AND IGM+1 more line at this price File of Jan 1, 2026 · source file | $53.55 | $148.75 | $11.08–$126.66 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 LYME IGG AND IGM+1 more line at this price File of Jan 1, 2026 · source file | $53.55 | $148.75 | $11.08–$126.66 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 LYME IGG AND IGM+1 more line at this price File of Jan 1, 2026 · source file | $53.55 | $148.75 | $11.08–$126.66 | 64% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 LYME IGG AND IGM+3 more lines at this price File of Jan 1, 2026 · source file | $53.55 | $148.75 | $11.08–$126.66 | 64% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 LYME IGG AND IGM CSF+5 more lines at this price File of Jan 1, 2026 · source file | $61.20 | $170.00 | $11.08–$126.66 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 LYME IGG AND IGM CSF+5 more lines at this price File of Jan 1, 2026 · source file | $63.63 | $176.75 | $11.08–$126.66 | 64% |
| Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 TC BORRELIA BURGDORFERI IGG ANTIBODY+1 more line at this price File of Mar 5, 2026 · source file | $68.34 | $102.00 | $17.03–$96.90 | 33% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 LYME DISEASE ANTIBODY+1 more line at this price File of Jan 1, 2026 · source file | $80.46 | $223.50 | $11.08–$126.66 | 64% |
| Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF+2 more lines at this price File of Jun 13, 2026 · source file | $82.70 | $137.83 | $12.00–$124.05 | 40% |
| Baylor Scott & White Medical Center - Lakeway Lakeway, TX · (512) 509-0401 HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF+2 more lines at this price File of Jun 13, 2026 · source file | $82.70 | $137.83 | $12.00–$124.05 | 40% |
| Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF+2 more lines at this price File of Jun 13, 2026 · source file | $82.70 | $137.83 | $12.00–$107.46 | 40% |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC REF ARUP COMP 3017059, CPT 86618+2 more lines at this price File of Oct 30, 2026 · source file | $82.70 | $137.83 | $13.00–$112.23 | 40% |
| Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC REF ARUP 3006053 LYME MODIFIED 2-TIER TESTING, 1ST TIER+2 more lines at this price File of Jun 13, 2026 · source file | $82.70 | $137.83 | $12.00–$124.05 | 40% |
| Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX · (512) 509-0401 HC REF ARUP COMP 3017059, CPT 86618+2 more lines at this price File of Jun 3, 2026 · source file | $82.70 | $137.83 | $17.88–$89.59 | 40% |
| Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC REF ARUP COMP 3017059, CPT 86618+2 more lines at this price File of Jun 13, 2026 · source file | $82.70 | $137.83 | $12.00–$107.46 | 40% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 LYME AB DECTESCTION+9 more lines at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 LYME IGG AND IGM CSF+7 more lines at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 LYME IGG AND IGM CSF+7 more lines at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 LYME IGG/IGM, CSF+3 more lines at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 LYME IGG/IGM, CSF+7 more lines at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 LYME DISEASE ANTIBODY+1 more line at this price File of Jan 1, 2026 · source file | $83.79 | $232.75 | $11.08–$126.66 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 LYME AB DECTESCTION+5 more lines at this price File of Jan 1, 2026 · source file | $92.88 | $258.00 | $11.08–$126.66 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 LYME AB-TOTAL+5 more lines at this price File of Jan 1, 2026 · source file | $92.88 | $258.00 | $11.08–$126.66 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 LYME AB-TOTAL+5 more lines at this price File of Jan 1, 2026 · source file | $92.88 | $258.00 | $11.08–$126.66 | 64% |
| Ascension Seton Austin, TX LYME IGG AND IGM+3 more lines at this price File of Jan 1, 2026 · source file | $104.13 | $148.75 | $11.08–$126.66 | 30% |
| Ascension Seton Austin, TX LYME IGG/IGM CSF+5 more lines at this price File of Jan 1, 2026 · source file | $123.73 | $176.75 | $11.08–$126.66 | 30% |
| Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC LYME CNS INFECTION IGG W/AB+1 more line at this price File of Jun 13, 2026 · source file | $125.20 | $208.66 | $12.00–$187.79 | 40% |
| Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX · (512) 509-0401 HC ANTIBODY - BORELLIA BUFGDORFERI+1 more line at this price File of Jun 3, 2026 · source file | $125.20 | $208.66 | $17.88–$135.63 | 40% |
| Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC ANTIBODY - BORELLIA BUFGDORFERI+1 more line at this price File of Jun 13, 2026 · source file | $125.20 | $208.66 | $12.00–$156.50 | 40% |
| Baylor Scott & White Medical Center - Lakeway Lakeway, TX · (512) 509-0401 HC ANTIBODY - BORELLIA BUFGDORFERI+1 more line at this price File of Jun 13, 2026 · source file | $125.20 | $208.66 | $12.00–$187.79 | 40% |
| Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC LYME CNS INFECTION IGG W/AB+1 more line at this price File of Jun 13, 2026 · source file | $125.20 | $208.66 | $12.00–$156.50 | 40% |
| Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC LYME CNS INFECTION IGG W/AB+1 more line at this price File of Jun 13, 2026 · source file | $125.20 | $208.66 | $12.00–$187.79 | 40% |
| St. David's South Austin Medical Center Bastrop, TX · (512) 448-7107 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $129.00 | $129.00 | $6.45–$129.00 | — |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC LYME CNS INFECTION IGG W/AB+1 more line at this price File of Oct 30, 2026 · source file | $130.21 | $217.01 | $13.00–$173.61 | 40% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 LYME IGG AND IGM CSF+7 more lines at this price File of Jan 1, 2026 · source file | $147.87 | $410.75 | $11.08–$184.84 | 64% |
| Ascension Seton Austin, TX LYME DISEASE ANTIBODY+1 more line at this price File of Jan 1, 2026 · source file | $162.93 | $232.75 | $11.08–$126.66 | 30% |
| Ascension Cedar Park Cedar Park, TX · (512) 528-7000 LYME AB, IGM+1 more line at this price File of Jan 1, 2026 · source file | $170.07 | $472.42 | $11.08–$212.59 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 LYME IGG/IGM, CSF+1 more line at this price File of Jan 1, 2026 · source file | $170.10 | $472.50 | $11.08–$212.63 | 64% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 LYME AB CSF+1 more line at this price File of Jan 1, 2026 · source file | $180.90 | $502.50 | $11.08–$226.13 | 64% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 LYME AB CSF+1 more line at this price File of Jan 1, 2026 · source file | $187.29 | $520.25 | $11.08–$234.11 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 LYME AB CSF+1 more line at this price File of Jan 1, 2026 · source file | $194.85 | $541.25 | $11.08–$243.56 | 64% |
| St. David's Medical Center Manor, TX · (512) 476-7111 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $259.00 | $259.00 | $12.95–$233.10 | — |
| Ascension Cedar Park Cedar Park, TX · (512) 528-7000 LYME DISEASE AB+1 more line at this price File of Jan 1, 2026 · source file | $324.22 | $900.62 | $11.08–$405.28 | 64% |
| Ascension Seton Austin, TX LYME IGG/IGM, CSF+1 more line at this price File of Jan 1, 2026 · source file | $330.75 | $472.50 | $11.08–$212.63 | 30% |
| Ascension Seton Austin, TX LYME AB CSF+1 more line at this price File of Jan 1, 2026 · source file | $378.88 | $541.25 | $11.08–$243.56 | 30% |
| St. David's South Austin Medical Center Bastrop, TX · (512) 448-7107 LYME DISEASE AB IGG QL+1 more line at this price File of Sep 1, 2026 · source file | $582.00 | $582.00 | $285.18–$366.66 | — |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 LYME DISEASE AB IGM QL File of Sep 1, 2026 · source file | $690.00 | $690.00 | $465.06 | — |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file | $762.00 | $762.00 | $38.10–$685.80 | — |
| Heart Hosp of Austin at St. David's Round Rock Round Rock, TX LYME DISEASE AB IGM QL File of Sep 1, 2026 · source file | $772.00 | $772.00 | $520.33 | — |
| Heart Hosp of Austin Austin, TX LYME DISEASE AB IGM QL File of Sep 1, 2026 · source file | $772.00 | $772.00 | $520.33 | — |
| St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 LYME DISEASE AB IGM QL File of Sep 1, 2026 · source file | $772.00 | $772.00 | $38.60–$656.20 | — |
| St. David's Medical Center Manor, TX · (512) 476-7111 LYME DISEASE AB IGM QL File of Sep 1, 2026 · source file | $772.00 | $772.00 | $38.60–$694.80 | — |
| St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file | $834.00 | $834.00 | $562.12 | — |
| Heart Hosp of Austin Austin, TX LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file | $834.00 | $834.00 | $562.12 | — |
| St. David's Medical Center Manor, TX · (512) 476-7111 LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file | $834.00 | $834.00 | $41.70–$750.60 | — |
| Heart Hosp of Austin at St. David's Round Rock Round Rock, TX LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file | $834.00 | $834.00 | $562.12 | — |
| St.davids Surgical Hospital Austin, TX LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $856.00 | $856.00 | $17.03–$569.24 | — |
| St. David's North Austin Medical Center Austin, TX · (512) 901-1000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $856.00 | $856.00 | $14.60–$569.24 | — |
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
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
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
Outpatient: lowest $18.73, median $82.70, highest $856.00 — a 45.7× difference within the same market.
As an inpatient, the same code is billed by 17 facilities here, median $53.55. 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 18 of 26 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 Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.