Lyme disease test cost in Boston, MA — inpatient
In Boston-Cambridge-Newton, MA-NH, 7 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $28.56 to $86.00, with a median of $44.10. The lowest listed price is at Boston Medical Center South — $15.54 less than the median here. Across Massachusetts, the median is $86.00 at 19 hospitals.
Cash prices at 7 facilities across 5 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boston Medical Center South lowest Brockton, MA · (508) 427-3000 HC Antibody Borrelia Burgdorferi Lyme Disease | $28.56 | $63.46 | $15.02–$394.86 | 55% | — source file |
| Boston Medical Center South lowest Brockton, MA · (508) 427-3000 HC Q;Lyme Ab Index Cns Infec | $28.56 | $63.46 | $15.02–$394.86 | 55% | — source file |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Antibody Borrelia Burgdorferi Lyme Disease | $32.48 | $72.17 | $15.02–$475.07 | 55% | — source file |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Q;Lyme Ab Index Cns Infec | $32.48 | $72.17 | $15.02–$475.07 | 55% | — source file |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Antibody Borrelia Burgdorferi Lyme Disease | $36.90 | $82.00 | $14.73–$512.54 | 55% | — source file |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Lyme Disease Antibody - POCT Lyme Disease Antib | $44.10 | $63.00 | $22.05–$530.75 | 30% | — source file |
| Tufts Medical Center Boston, MA · (617) 636-5000 HC Lyme Disease Antibody - POCT Lyme Disease Antib | $44.10 | $63.00 | $16.54–$73.89 | 30% | — source file |
| Lowell General Hospital Lowell, MA · (978) 937-6000 HC Lyme Disease Antibody - POCT Lyme Disease Antib | $44.10 | $63.00 | $22.05–$63.00 | 30% | — source file |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Lyme Antibody So | $86.00 | $86.00 | $15.02–$117.50 | — | — source file |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Lyme Disease Antibody | $86.00 | $86.00 | $15.02–$117.50 | — | — source file |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Q;Lyme Ab Index Cns Infec | $88.20 | $196.00 | $14.73–$512.54 | 55% | — source file |
Inpatient: lowest $28.56, median $44.10, highest $86.00 — a 3.0× difference within the same market.
As an outpatient, the same code is billed by 8 facilities here, median $44.10 — 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 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 looks for antibodies to the bacteria that cause Lyme disease. A positive first test is confirmed with a second test.
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.