Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Cleveland, OH — inpatient

In Cleveland, OH, 23 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $17.03 to $127.20, 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 23 facilities across 19 cities for code 86618, as an inpatient (admitted to hospital) . 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$127.20in this market
Difference7.5×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

HospitalCash price List priceInsurers payOff listFile date
Summa Health System lowest Akron, OH · (330) 375-3000 Hc Lyme Disease Antibody - B. Burgdorferi Antibodies $17.03 $17.03 — — Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Disease Igg $40.60 $116.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Igg,Csf $41.30 $118.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Hc Lyme Iga,Csf $41.30 $118.00 — 65% Apr 1, 2026
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Cleveland Clinic Health System - East Region Euclid, OH LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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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
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 16, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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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
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYME IGG CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 LYMRFX BORRELIA ANTIBODY $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 LYME IGG & IGM SERUM $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 BORELIA BURGDORFERI LYME $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 LYME REFLEX PNL, CSF $76.70 $118.00 $33.37–$118.00 35% Jun 15, 2026
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University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $88.50 $118.00 $54.28–$900.00 25% Jul 14, 2026
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Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $88.50 $118.00 $54.28–$900.00 25% Jul 14, 2026
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Parma Community General Hospital Parma, OH · (440) 743-3000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $62.10–$900.00 25% Jul 14, 2026
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UH Regional Hospitals Chardon, OH · (440) 285-6246 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $52.25–$900.00 25% Jul 14, 2026
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University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $62.10–$900.00 25% Jul 14, 2026
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University Hospitals Health System Willoughby, OH HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $62.10–$900.00 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $62.10–$900.00 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $48.87–$900.00 25% Jul 14, 2026
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UH St John Medical Center Westlake, OH · (440) 835-8000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $101.25 $135.00 $57.78–$121.50 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $105.00 $140.00 $54.18–$126.00 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $105.00 $140.00 $70.00–$126.00 25% Jul 14, 2026
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Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Antibody Borrelia Burgdorferi Lyme Disease $108.00 $180.00 — 40% —
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Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC So Lyme Disease Total Anitbodies $127.20 $212.00 — 40% —
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Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Antibody Borrelia Burgdorferi Lyme Disease $140.40 $234.00 — 40% —
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Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC So Lyme Disease Total Anitbodies $162.60 $271.00 — 40% —
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Summa Health System Akron, OH · (330) 375-3000 Hc Lyme Disease Ab $175.75 $175.75 — — Apr 1, 2026
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Summa Health System Akron, OH · (330) 375-3000 Noncdm Charge Record $193.66 $193.66 — — Apr 1, 2026
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Inpatient: lowest $17.03, median $76.70, highest $127.20 — a 7.5× difference within the same market.

As an outpatient, the same code is billed by 24 facilities here, median $76.70 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 19 of 19 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.