Lyme disease test cost in Cleveland, OH
In Cleveland, OH, 24 hospitals list a cash price for Lyme disease antibody test: from $17.03 to $111.60, with a median of $76.70. The lowest listed price is at Summa Health System — $59.67 less than the median here. Across Ohio, the median is $76.70 at 95 hospitals.
Cash prices at 24 facilities across 20 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.
Lowest$17.03Summa Health System
Median$76.70half pay less
Highest$111.60in this market
Difference6.6×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 $17.03Highest $193.66
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Summa Health System lowest Akron, OH · (330) 375-3000 Hc Lyme Disease Antibody - B. Burgdorferi Antibodies | $17.03 | $17.03 | — | — | Apr 1, 2026 source file |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 LYME ACUTE AB REFLEX | $28.50 | $38.00 | $7.32–$28.95 | 25% | Jul 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Disease Igg | $40.60 | $116.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Iga,Csf | $41.30 | $118.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Igg,Csf | $41.30 | $118.00 | — | 65% | Apr 1, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH LYME IGG & IGM SERUM | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH LYME REFLEX PNL, CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH LYME IGG CSF | $76.70 | $118.00 | $17.03–$23.31 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $17.03–$23.31 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $8.41–$57.04 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $8.41–$57.04 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $8.41–$57.04 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $76.70 | $118.00 | $29.98–$118.00 | 35% | Jun 16, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 LYME IGG & IGM SERUM | $76.70 | $118.00 | $0.95–$51.75 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $17.03–$49.40 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 LYME IGG CSF | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $0.95–$51.75 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME IGG CSF | $76.70 | $118.00 | $0.95–$51.75 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$51.75 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 LYME IGG & IGM SERUM | $76.70 | $118.00 | $17.03–$39.12 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $0.95–$57.04 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 LYME IGG CSF | $76.70 | $118.00 | $0.95–$57.04 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$57.04 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $17.03–$20.85 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME IGG CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME IGG CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME IGG CSF | $76.70 | $118.00 | $8.41–$57.04 | 35% | Jun 16, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME IGG CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME IGG & IGM SERUM | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME IGG CSF | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYMRFX BORRELIA ANTIBODY | $76.70 | $118.00 | $0.95–$61.42 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 LYME IGG & IGM SERUM | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 BORELIA BURGDORFERI LYME | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 LYME REFLEX PNL, CSF | $76.70 | $118.00 | $33.37–$118.00 | 35% | Jun 15, 2026 source file |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $88.50 | $118.00 | $8.06–$106.20 | 25% | Jul 14, 2026 source file |
| University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $88.50 | $118.00 | $8.06–$111.51 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $8.06–$121.50 | 25% | Jul 14, 2026 source file |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $17.03–$121.50 | 25% | Jul 14, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $8.06–$121.50 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $8.04–$121.50 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $8.06–$121.50 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $8.06–$121.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $101.25 | $135.00 | $9.71–$121.50 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $105.00 | $140.00 | $8.06–$126.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $105.00 | $140.00 | $8.06–$126.00 | 25% | Jul 14, 2026 source file |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Antibody Borrelia Burgdorferi Lyme Disease | $108.00 | $180.00 | — | 40% | — source file |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Antibody Borrelia Burgdorferi Lyme Disease | $111.60 | $186.00 | — | 40% | — source file |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC So Lyme Disease Total Anitbodies | $127.20 | $212.00 | — | 40% | — source file |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC So Lyme Disease Total Anitbodies | $162.60 | $271.00 | — | 40% | — source file |
| Summa Health System Akron, OH · (330) 375-3000 Hc Lyme Disease Ab | $175.75 | $175.75 | — | — | Apr 1, 2026 source file |
| Summa Health System Akron, OH · (330) 375-3000 Noncdm Charge Record | $193.66 | $193.66 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $17.03, median $76.70, highest $111.60 — a 6.6× difference within the same market.
As an inpatient, the same code is billed by 23 facilities here, median $76.70. 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 15 of 20 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.