Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Clinton, IA — inpatient

In Clinton, IA, 2 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $43.20 to $198.25, with a median of $120.73. The lowest listed price is at MercyOne Genesis DeWitt Medical Center — $77.53 less than the median here. Across Iowa, the median is $110.07 at 36 hospitals.

Cash prices at 2 facilities across 2 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$43.20MercyOne Genesis DeWitt Medical Center
Median$120.73half pay less
Highest$198.25in this market
Difference4.6×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 Clinton, IA.

median
Lowest $43.20Highest $198.25

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 #_LYME IGG $43.20 $72.00 $24.48–$52.56 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 #_LYME IGM $43.20 $72.00 $24.48–$52.56 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 Lyme Disease Serology w Rfx-Sendout $43.20 $72.00 $24.48–$52.56 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 #LYME AB-LYME DISEASE IGG $58.80 $98.00 $33.32–$71.54 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 #LYME AB-LYMES DISEASE IGM $58.80 $98.00 $33.32–$71.54 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS LYME DISEASE $125.40 $209.00 $71.06–$152.57 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 Lyme Disease antibody $139.80 $233.00 $79.22–$170.09 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 Lyme Disease w/refl IgG, IgM - Quest $139.80 $233.00 $79.22–$170.09 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 Lyme Antibody Screen - Quest $139.80 $233.00 $79.22–$170.09 40% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Mayo Borrelia Burgdorferi (Lyme Disease) Antibody Igg $198.25 $305.00 $16.50–$305.00 35% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg $198.25 $305.00 $16.50–$305.00 35% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Mayo Borrelia Burgdorferi (Lyme Disease) Antibody Igg CSF $198.25 $305.00 $16.50–$305.00 35% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm $198.25 $305.00 $16.50–$305.00 35% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific $198.25 $305.00 $16.50–$305.00 35% Mar 31, 2026
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Inpatient: lowest $43.20, median $120.73, highest $198.25 — a 4.6× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $128.53 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.