Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Chicago, IL — inpatient

In Chicago-Naperville-Elgin, IL-IN, 32 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $12.50 to $324.00, with a median of $57.50. The lowest listed price is at Uchicago Medicine AdventHealth Bolingbrook and 3 other hospitals — $45.00 less than the median here. Across Illinois, the median is $57.50 at 58 hospitals.

Cash prices at 32 facilities across 23 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 17, 2025 and Apr 1, 2026.

Lowest$12.50Uchicago Medicine AdventHealth Bolingbrook + 3 more
Median$57.50half pay less
Highest$324.00in this market
Difference25.9×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $12.50Highest $438.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Uchicago Medicine AdventHealth Bolingbrook lowest Bolingbrook, IL · (630) 312-5000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks lowest Glendale Heights, IL · (630) 545-8000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks lowest Glendale Heights, IL · (630) 545-8000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange lowest La Grange, IL · (708) 352-1200 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange lowest La Grange, IL · (708) 352-1200 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale lowest Hinsdale, IL · (630) 856-9000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale lowest Hinsdale, IL · (630) 856-9000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale lowest Hinsdale, IL · (630) 856-9000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale lowest Hinsdale, IL · (630) 856-9000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange lowest La Grange, IL · (708) 352-1200 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks lowest Glendale Heights, IL · (630) 545-8000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange lowest La Grange, IL · (708) 352-1200 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook lowest Bolingbrook, IL · (630) 312-5000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook lowest Bolingbrook, IL · (630) 312-5000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook lowest Bolingbrook, IL · (630) 312-5000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks lowest Glendale Heights, IL · (630) 545-8000 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 — 75% Apr 1, 2026
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Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC LYME ANITBODY - CSF $25.08 $76.00 $17.03–$70.83 67% —
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Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC LYME ANTIBODY $25.08 $76.00 $17.03–$70.83 67% —
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NorthShore University HealthSystems Skokie Hospital Skokie, IL Lyme Disease Antibody Office Performed $29.90 $46.00 $7.50–$24.61 35% —
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NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Lyme Disease Antibody Office Performed $29.90 $46.00 $7.50–$24.61 35% —
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NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Lyme Disease Antibody Office Performed $29.90 $46.00 $7.50–$24.61 35% —
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NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Lyme Disease Antibody Office Performed $29.90 $46.00 $7.50–$24.61 35% —
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 — — Apr 1, 2026
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Lyme, IgM, Early Test/Reflex SO $49.18 $144.66 $94.03 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Lyme Antibody/Line Blot Reflex SO $49.18 $144.66 $94.03 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 86618 ANTIBODY BORRELIA BURGDORFERI LYME $49.18 $144.66 $94.03 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 Lyme, Total Ab Test/Reflex SO $49.18 $144.66 $94.03 66% Mar 17, 2025
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Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Sherman Hospital Elgin, IL · (847) 742-9800 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$103.50 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Advocate South Suburban Hospital Hazel Crest, IL AB, LYME DISEASE CSF $57.50 $115.00 $50.26–$92.00 50% Nov 4, 2025
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB R LYME DISEASE AB, IGG $71.00 $71.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL HB R LYME DISEASE AB, IGG $71.00 $71.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 HB R LYME DISEASE AB, IGG $71.00 $71.00 — — Apr 1, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Lyme, Total Ab Test/Reflex SO $83.87 $246.68 $160.34 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 .Lyme IgG/IgM 164089 SO $83.87 $246.68 $160.34 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Lyme Disease Serology w/ Reflex SO $83.87 $246.68 $160.34 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 86618 ANTIBODY BORRELIA BURGDORFERI LYME $83.87 $246.68 $160.34 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Lyme, IgM, Early Test/Reflex SO $83.87 $246.68 $160.34 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Lyme Antibody/Line Blot Reflex SO $83.87 $246.68 $160.34 66% Mar 17, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Sherman Hospital Elgin, IL · (847) 742-9800 AB, LYME DISEASE $90.00 $180.00 $78.66–$162.00 50% Nov 4, 2025
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Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate South Suburban Hospital Hazel Crest, IL AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 AB, LYME DISEASE $90.00 $180.00 $78.66–$144.00 50% Nov 4, 2025
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La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 B BURGDORFERI IGG EIA $110.27 $110.27 — — Apr 1, 2026
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La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 LYME DISEASE SEROLOGY $110.27 $110.27 — — Apr 1, 2026
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La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 B BURGDORFERI IGM EIA $110.27 $110.27 — — Apr 1, 2026
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NorthShore University HealthSystems Highland Park Hospital Highland Park, IL R Borrelia B Igg/M Ab Panel (P) $116.35 $179.00 $29.18–$95.77 35% —
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NorthShore University HealthSystems Skokie Hospital Skokie, IL R Borrelia B Igg/M Ab Panel (P) $116.35 $179.00 $29.18–$95.77 35% —
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NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 R Borrelia B Igg/M Ab Panel (P) $116.35 $179.00 $29.18–$95.77 35% —
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NorthShore University HealthSystems Glenbrook Hospital Glenview, IL R Borrelia B Igg/M Ab Panel (P) $116.35 $179.00 $29.18–$95.77 35% —
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Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Antibody Borrelia Burgdorferi (Lyme Disease) $169.00 $169.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL HB R BORRELIA B IGG/M AB PANEL (P) $179.00 $179.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 HB R BORRELIA B IGG/M AB PANEL (P) $179.00 $179.00 — — Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB R BORRELIA B IGG/M AB PANEL (P) $179.00 $179.00 — — Apr 1, 2026
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Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 HC LYME DISEASE $252.00 $252.00 — — Apr 1, 2026
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Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Lyme Disease $252.00 $252.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Lyme Disease $280.00 $280.00 — — Apr 1, 2026
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Edward Hospital Naperville, IL · (630) 527-3000 HC ANTIBODY LYME DISEASE $324.00 $324.00 — — Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC ANTIBODY LYME DISEASE $324.00 $324.00 — — Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB R LYME DISEASE AB $343.00 $343.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL HB R LYME DISEASE AB $343.00 $343.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 HB R LYME DISEASE AB $343.00 $343.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc B. Burg Ab Serum(Lyme)/Confirmatory $438.00 $438.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc B. Burgdoferi Ab, Csf $438.00 $438.00 — — Apr 1, 2026
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Inpatient: lowest $12.50, median $57.50, highest $324.00 — a 25.9× difference within the same market.

As an outpatient, the same code is billed by 50 facilities here, median $57.50 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 14 of 18 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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 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.