Lyme disease test cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 16 hospitals list a cash price for Lyme disease antibody test: from $24.50 to $163.00, with a median of $147.20. The lowest listed price is at MUSC Chester Regional Medical Center — $122.70 less than the median here. Across North Carolina, the median is $86.40 at 37 hospitals.
Cash prices at 16 facilities across 13 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 1, 2025 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| MUSC Chester Regional Medical Center lowest Chester, SC · (803) 581-3151 HB LYME CSF LNBAI MA (SEND OUT) | $24.50 | $49.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB LYME DISEASE AB TOTAL | $53.00 | $106.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB LYME DISEASE AB TOTAL | $54.00 | $108.00 | — | 50% | Apr 1, 2026 source file |
| Piedmont Medical Center Rock Hill, SC LYME DISEASE AB/3 | $60.75 | $81.00 | $1.00–$243.79 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC LYME DISEASE AB/3 | $60.75 | $81.00 | $1.00–$243.79 | 25% | Apr 15, 2026 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB LYME'S DISEASE AB DETECTION (SEND OUT) | $61.50 | $123.00 | — | 50% | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Lyme Disease Ab | $94.77 | $351.00 | $35.53–$121.10 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC LYME DISEASE AB | $94.77 | $351.00 | $30.82–$228.15 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Lyme Disease Ab | $94.77 | $351.00 | $102.14–$121.10 | 73% | — source file |
| Piedmont Medical Center Rock Hill, SC LYME DISEASE AB | $110.25 | $147.00 | $1.00–$243.79 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC LYME DISEASE AB | $110.25 | $147.00 | $1.00–$243.79 | 25% | Apr 15, 2026 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$264.96 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation Charlotte, NC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$270.85 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$279.68 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$279.68 | 50% | Dec 1, 2025 source file |
| Atrium Health Union Monroe, NC · (704) 283-3100 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$279.68 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$270.85 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$285.57 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$279.68 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$264.96 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$270.85 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $55.94–$294.40 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation Belmont, NC HC LYME DISEASE ANTIBODY | $147.20 | $294.40 | $17.37–$270.85 | 50% | Dec 5, 2025 source file |
| Gaston Memorial Hospital Mount Holly, NC CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | $10.22–$154.85 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Gastonia, NC · (704) 834-4891 CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | $10.22–$154.85 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC CHG LYME DISEASE ANTIBODIES | $163.00 | $163.00 | $10.22–$154.85 | — | May 11, 2026 source file |
| Piedmont Medical Center Rock Hill, SC LYME DISEASE AB/5 | $426.75 | $569.00 | $1.00–$569.00 | 25% | Sep 1, 2026 source file |
| Piedmont Medical Center Fort Mill, SC LYME DISEASE AB/5 | $426.75 | $569.00 | $1.00–$569.00 | 25% | Apr 15, 2026 source file |
| Piedmont Medical Center Fort Mill, SC LYME DISEASE AB/2 | $426.75 | $569.00 | $1.00–$569.00 | 25% | Apr 15, 2026 source file |
| Piedmont Medical Center Rock Hill, SC LYME DISEASE AB/2 | $426.75 | $569.00 | $1.00–$569.00 | 25% | Sep 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB LYME CSF LNBAI MA (SEND OUT) | $608.00 | $1,216.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB LYME'S DISEASE AB DETECTION (SEND OUT) | $608.00 | $1,216.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $24.50, median $147.20, highest $163.00 — a 6.7× difference within the same market.
As an inpatient, the same code is billed by 16 facilities here, median $147.20. 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 11 of 14 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.