Lab tests CPT 86618 Outpatient

Lyme disease test cost in Denver, CO

In Denver-Aurora-Centennial, CO, 20 hospitals list a cash price for Lyme disease antibody test: from $14.98 to $1,496.00, with a median of $460.09. The lowest listed price is at Denver Health and Hospital Authority — $445.11 less than the median here. Across Colorado, the median is $146.36 at 46 hospitals.

  • The median here, $460.09, is 554% above the US median of $70.40.
  • That is 27.0× Medicare's 2026 national rate for the same service ($17.03).
  • 17 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 20 facilities across 9 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 1, 2026.

Lowest$14.98Denver Health and Hospital Authority
Median$460.09half of hospitals charge less
Highest$1,496.00in this market
Difference99.9×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 Denver-Aurora-Centennial, CO.

median
Lowest $14.98Highest $1,685.84

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Denver Health and Hospital Authority lowest Denver, CO · (303) 436-4927 HC BORRELIA BURGDORFERI(LYME DISEASE) REFLEXIVE PANEL(CSF)-ARUP 2007335+1 more line at this price File of Apr 30, 2026 · source file $14.98 $42.80 $14.68–$59.56 65%
Craig Hospital Englewood, CO HC LYME DISEASE ANTIBODY EACH File of Jun 25, 2026 · source file $15.82 $41.50 $14.48–$37.35 62%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC B BURGDORFERI QUAL IGG, CSF+1 more line at this price File of Apr 30, 2026 · source file $31.23 $89.22 $17.03–$59.56 65%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE ARUP 3006188+1 more line at this price File of Apr 30, 2026 · source file $38.81 $110.88 $17.03–$62.09 65%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE ARUP 3006367 File of Apr 30, 2026 · source file $39.69 $113.39 $17.03–$63.50 65%
Spalding at Psl Denver, CO · (303) 839-6000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $66.00 $66.00 $10.03–$59.40 —
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=LYME DISEASE EUROPEAN AB SCREEN File of Apr 17, 2026 · source file $68.25 $105.00 $10.50–$96.60 35%
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=LYME DISEASE SERIOLOGY, S+1 more line at this price File of Apr 17, 2026 · source file $68.90 $106.00 $10.60–$97.52 35%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC BORRELIA BURGDORFERI VLSE1/PEPC10 AB CSF TOTAL BY ELISA W REF TO IGM&IGG BY IMMUNOBLOT ARUP 3016760 File of Apr 30, 2026 · source file $72.08 $205.92 $17.03–$115.32 65%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC BORRELIA BURGDORFERI VLSE1/PEPC10 AB, TOTAL BY ELISA WITH REF TO IGM AND IGG BY ELISA ARUP 3006053 File of Apr 30, 2026 · source file $75.68 $216.22 $17.03–$121.08 65%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC BORRELIA BURG C6 PEPTDE AB-TO File of Apr 30, 2026 · source file $95.09 $271.66 $17.03–$152.13 65%
HCA Healthone Presbyterian St Lukes Denver, CO · (303) 839-6000 LYME DISEASE AB QL File of Sep 1, 2026 · source file $109.00 $109.00 $16.57–$98.10 —
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=LYME CNS IGG WITH AI REFLEX File of Apr 17, 2026 · source file $111.80 $172.00 $17.20–$158.24 35%
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=CSHB BORELLIA BURGDORFERI AB File of Apr 17, 2026 · source file $137.80 $212.00 $21.20–$195.04 35%
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=LYME STANDARD 2-TIER 1ST TIER-ARUP File of Apr 17, 2026 · source file $139.10 $214.00 $21.40–$196.88 35%
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=LYME SEROLOGY (ELISA) File of Apr 17, 2026 · source file $319.15 $491.00 $49.10–$451.72 35%
AdventHealth Littleton Littleton, CO · (303) 730-8900 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT+1 more line at this price File of Apr 1, 2026 · source file $366.15 $366.15 — —
AdventHealth Porter Denver, CO · (303) 778-1955 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT+1 more line at this price File of Apr 1, 2026 · source file $366.15 $366.15 — —
AdventHealth Parker Parker, CO · (303) 269-4000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT+1 more line at this price File of Apr 1, 2026 · source file $366.15 $366.15 — —
AdventHealth Castle Rock Castle Rock, CO · (720) 455-5000 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT+1 more line at this price File of Apr 1, 2026 · source file $366.15 $366.15 — —
HCA Healthone Aurora Aurora, CO · (303) 873-5511 LYME DISEASE AB IGM QL+1 more line at this price File of Sep 1, 2026 · source file $460.09 $460.09 $69.93–$414.08 —
Centennial Hospital A Campus of Tmca Englewood, CO · (303) 873-5511 LYME DISEASE AB IGG QL+1 more line at this price File of Sep 1, 2026 · source file $460.09 $460.09 $69.93–$414.08 —
HCA Healthone Mountain Ridge Thornton, CO · (303) 451-7800 LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file $537.89 $537.89 $81.76–$484.10 —
HCA Healthone Northeast ER Thornton, CO · (303) 451-7800 LYME DISEASE AB IGG QL File of Sep 1, 2026 · source file $537.89 $537.89 $81.76–$484.10 —
HCA Healthone Northeast ER Thornton, CO · (303) 451-7800 LYME DISEASE AB IGM QL+1 more line at this price File of Sep 1, 2026 · source file $716.03 $716.03 $108.84–$644.43 —
HCA Healthone Mountain Ridge Thornton, CO · (303) 451-7800 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file $716.03 $716.03 $108.84–$644.43 —
HCA Healthone Belmar ER Lakewood, CO · (303) 788-5000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $1,096.18 $1,096.18 $17.03–$986.56 —
HCA Healthone Swedish Englewood, CO · (303) 788-5000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $1,096.18 $1,096.18 $17.03–$986.56 —
HCA Healthone Southwest ER Littleton, CO · (303) 788-5000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $1,096.18 $1,096.18 $17.03–$986.56 —
HCA Healthone Sky Ridge Lone Tree, CO · (720) 225-1000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $1,360.05 $1,360.05 $17.03–$1,224.05 —
HCA Healthone South Parker ER Parker, CO LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file $1,360.05 $1,360.05 $17.03–$1,224.05 —
HCA Healthone Presbyterian St Lukes Denver, CO · (303) 839-6000 LYME DISEASE AB IGG QL+1 more line at this price File of Sep 1, 2026 · source file $1,424.00 $1,424.00 $216.45–$1,281.60 —
HCA Healthone Central Park ER Denver, CO · (303) 320-2121 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file $1,496.00 $1,496.00 $17.03–$1,346.40 —
HCA Healthone Rose Denver, CO · (303) 320-2121 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file $1,496.00 $1,496.00 $17.03–$1,346.40 —
Centennial Hospital A Campus of Tmca Englewood, CO · (303) 873-5511 LYME DISEASE AB QL File of Sep 1, 2026 · source file $1,685.84 $1,685.84 $256.25–$1,517.26 —
HCA Healthone Aurora Aurora, CO · (303) 873-5511 LYME DISEASE AB QL File of Sep 1, 2026 · source file $1,685.84 $1,685.84 $256.25–$1,517.26 —
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $14.98, median $460.09, highest $1,496.00 — a 99.9× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $366.15. 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 3 of 16 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.