Lyme disease test cost in Cleveland, OH
In Cleveland, OH, 25 hospitals list a cash price for Lyme disease antibody test: from $14.70 to $111.60, with a median of $76.70. The lowest listed price is at Ashtabula County Medical Center — $62.00 less than the median here. Across Ohio, the median is $76.70 at 131 hospitals.
- The median here, $76.70, is 9% above the US median of $70.40.
- That is 4.5× Medicare's 2026 national rate for the same service ($17.03).
- Cleveland, OH ranks 3rd of 4 metro areas in Ohio by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Cash prices at 25 facilities across 20 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 8, 2026.
Lowest$14.70Ashtabula County Medical Center
Median$76.70half of hospitals charge less
Highest$111.60in this market
Difference7.6×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 Cleveland, OH.
median
Lowest $14.70Highest $162.60
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ashtabula County Medical Center lowest Ashtabula, OH · (440) 997-2262 LYME IGG & IGM SERUM File of Sep 8, 2026 · source file | $14.70 | $21.00 | $3.00–$42.16 | 30% |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 LYME ACUTE AB REFLEX File of Jul 1, 2026 · source file | $28.50 | $38.00 | $7.32–$28.95 | 25% |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Disease Igg File of Apr 1, 2026 · source file | $40.60 | $116.00 | — | 65% |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Iga,Csf+1 more line at this price File of Apr 1, 2026 · source file | $41.30 | $118.00 | — | 65% |
| Ashtabula County Medical Center Ashtabula, OH · (440) 997-2262 BORELIA BURGDORFERI LYME File of Sep 8, 2026 · source file | $49.00 | $70.00 | $3.00–$65.80 | 30% |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 BORELIA BURGDORFERI LYME+2 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $33.37–$118.00 | 35% |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 LYMRFX BORRELIA ANTIBODY+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| Fairview Hospital Cleveland, OH · (216) 476-7000 BORELIA BURGDORFERI LYME+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| Euclid Hospital Euclid, OH · (216) 531-9000 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$61.42 | 35% |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 16, 2026 · source file | $76.70 | $118.00 | $8.41–$118.00 | 35% |
| Medina Hospital Medina, OH · (330) 725-1000 LYME IGG & IGM SERUM+4 more lines at this price File of Jun 15, 2026 · source file | $76.70 | $118.00 | $0.95–$118.00 | 35% |
| University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.06–$111.51 | 25% |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.06–$106.20 | 25% |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $17.03–$121.50 | 25% |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $8.06–$121.50 | 25% |
| University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $8.04–$121.50 | 25% |
| Lake West Hospital Willoughby, OH · (440) 953-9600 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $9.71–$121.50 | 25% |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $8.06–$121.50 | 25% |
| University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $8.06–$121.50 | 25% |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Jul 14, 2026 · source file | $101.25 | $135.00 | $8.06–$121.50 | 25% |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES+1 more line at this price File of Jul 14, 2026 · source file | $105.00 | $140.00 | $8.06–$126.00 | 25% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Antibody Borrelia Burgdorferi Lyme Disease File of Apr 1, 2026 · source file | $108.00 | $180.00 | — | 40% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Antibody Borrelia Burgdorferi Lyme Disease File of Apr 1, 2026 · source file | $111.60 | $186.00 | — | 40% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC So Lyme Disease Total Anitbodies File of Apr 1, 2026 · source file | $127.20 | $212.00 | — | 40% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC So Lyme Disease Total Anitbodies File of Apr 1, 2026 · source file | $162.60 | $271.00 | — | 40% |
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.
Outpatient: lowest $14.70, median $76.70, highest $111.60 — a 7.6× difference within the same market.
As an inpatient, the same code is billed by 24 facilities here, median $82.60. 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 17 of 22 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.