Lab tests CPT 86618 Outpatient

Lyme disease test cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 26 hospitals list a cash price for Lyme disease antibody test: from $10.58 to $78.10, with a median of $23.50. The lowest listed price is at William Beaumont Hospital and 4 other hospitals — $12.92 less than the median here. Across Michigan, the median is $31.50 at 60 hospitals.

Cash prices at 26 facilities across 19 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 2, 2026.

Lowest$10.58William Beaumont Hospital + 4 more
Median$23.50half pay less
Highest$78.10in this market
Difference7.4×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 Detroit-Warren-Dearborn, MI.

median
Lowest $10.58Highest $157.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
William Beaumont Hospital lowest Grosse Pointe, MI · (313) 473-1000 Hc 3016760 Lyme Disease Antibody Csf Arup $10.58 $10.58 — — —
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Corewell Health Trenton Hospital lowest Trenton, MI · (734) 671-3800 Hc 3016760 Lyme Disease Antibody Csf Arup $10.58 $10.58 — — —
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Beaumont Hospital - Taylor lowest Taylor, MI · (313) 295-5000 Hc 3016760 Lyme Disease Antibody Csf Arup $10.58 $10.58 — — —
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Corewell Health Wayne Hospital lowest Wayne, MI · (734) 467-4175 Hc 3016760 Lyme Disease Antibody Csf Arup $10.58 $10.58 — — —
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William Beaumont Hospital lowest Troy, MI · (248) 964-8800 Hc 3016760 Lyme Disease Antibody Csf Arup $10.58 $10.58 — — —
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 LYME DISEASE AB TOTAL $14.60 $29.20 $9.32–$28.52 50% Dec 31, 2025
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 BORRELIA BURGDORFERI $14.60 $29.20 $9.32–$28.52 50% Dec 31, 2025
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Henry Ford Health Rochester, MI · (248) 652-5000 LYME DISEASE AB -IGG -SJH $17.86 $38.00 $17.17–$20.23 53% —
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Henry Ford Health Rochester, MI · (248) 652-5000 LYME ANTIBODY SCREEN $17.86 $38.00 $17.17–$20.23 53% —
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Henry Ford Health Southfield, MI · (248) 849-3000 REF-LYME DISEASE ANTIBODY $19.60 $35.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI REF-LYME DISEASE ANTIBODY $19.60 $35.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI REF-LYME DISEASE ANTIBODY $19.60 $35.00 $12.41–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 REF-LYME DISEASE ANTIBODY $19.60 $35.00 $12.41–$23.89 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB -IGG $21.84 $39.00 $13.87–$21.33 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 B. BURGDORFERI IGG,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health Novi, MI B. BURGDORFERI IGG,CSF -LC $21.84 $39.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI B. BURGDORFERI IGM,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB -IGM $21.84 $39.00 $13.87–$21.33 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB -IGG $21.84 $39.00 $13.87–$21.33 44% —
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Henry Ford Health Novi, MI B. BURGDORFERI IGG,CSF -LC $21.84 $39.00 $12.41–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 B. BURGDORFERI IGM,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 B. BURGDORFERI IGG,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health Novi, MI B. BURGDORFERI IGM,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB -IGM $21.84 $39.00 $13.87–$21.33 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 B. BURGDORFERI IGM,CSF -LC $21.84 $39.00 $11.49–$23.89 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB -IGM $21.85 $39.02 $18.13–$21.33 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB -IGG $21.85 $39.02 $18.13–$21.33 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB -IGM $21.85 $39.02 $18.13–$21.33 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB -IGG $21.85 $39.02 $18.13–$21.33 44% —
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB LYME DISEASE CSF, SO $23.50 $12.55 $8.91–$31.26 -87% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB B. BURGDORFERI VISE1/PEPC10 ABS, CSF WREFLEX, SO $23.50 $40.00 $8.91–$40.00 41% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB LYME DISEASE CSF, SO $23.50 $12.55 $8.91–$39.60 -87% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB LYME DISEASE AB, SO $23.50 $37.00 $8.91–$39.60 36% Jun 28, 2026
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Henry Ford Wyandotte Hospital Wyandotte, MI HB LAB B. BURGDORFERI VISE1/PEPC10 ABS, CSF WREFLEX, SO $23.50 $40.00 $8.91–$40.00 41% Jun 28, 2026
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Henry Ford Wyandotte Hospital Wyandotte, MI HB LAB LYME DISEASE CSF, SO $23.50 $12.55 $8.79–$18.73 -87% Jun 28, 2026
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB LYME DISEASE AB, SO $23.50 $37.00 $8.91–$37.00 36% Jun 28, 2026
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB B. BURGDORFERI VISE1/PEPC10 ABS, CSF WREFLEX, SO $23.50 $40.00 $8.91–$40.00 41% Jun 28, 2026
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB LYME DISEASE CSF, SO $23.50 $12.55 $8.79–$17.03 -87% Jun 28, 2026
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB B. BURGDORFERI VISE1/PEPC10 ABS, CSF WREFLEX, SO $23.50 $40.00 $13.89–$23.50 41% Jun 28, 2026
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB LYME DISEASE AB, SO $23.50 $37.00 $13.89–$23.50 36% Jun 28, 2026
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB -IGM $24.08 $43.00 $18.13–$21.33 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME IGM $24.08 $43.00 $11.49–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME IGG $24.08 $43.00 $12.41–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME IGG $24.08 $43.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI LYME IGM $24.08 $43.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI LYME IGG $24.08 $43.00 $11.49–$23.89 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB -IGG $24.08 $43.00 $18.13–$21.33 44% —
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Henry Ford Health Novi, MI LYME IGM $24.08 $43.00 $12.41–$23.89 44% —
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Henry Ford Health Novi, MI LYME IGG $24.08 $43.00 $11.49–$23.89 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB -IGM $24.08 $43.00 $18.13–$21.33 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB -IGG $24.08 $43.00 $18.13–$21.33 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME IGM $24.08 $43.00 $11.49–$23.89 44% —
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 LYME DISEASE AB (SOLC) $26.00 $52.00 $9.32–$39.00 50% Dec 31, 2025
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VHS Rehabilitation Institute of Michigan Detroit, MI LYME DISEASE AB $31.50 $42.00 — 25% Apr 8, 2026
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VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 LYME DISEASE AB $31.50 $42.00 — 25% Apr 7, 2026
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 LYME DISEASE AB $31.50 $42.00 $1.00–$23.24 25% May 20, 2026
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VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 LYME DISEASE AB $31.50 $42.00 — 25% Apr 8, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 LYME DISEASE AB $31.50 $42.00 $1.00–$23.24 25% Sep 2, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 LYME DISEASE AB $31.50 $42.00 $1.00–$23.24 25% Aug 20, 2026
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 LYME DISEASE AB $31.50 $42.00 — 25% Apr 6, 2026
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 LYME ANTIBODY, CSF $34.75 $69.50 $9.32–$52.13 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 Lyme Ab Total $37.25 $74.50 $9.32–$53.73 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 LYME DISEASE ANTIBODY $39.60 $79.20 $9.32–$40.23 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 Lyme Ab Total $41.00 $82.00 $9.32–$46.99 50% Dec 31, 2025
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Lyme Ab Total $45.20 $90.40 $9.32–$47.37 50% Dec 31, 2025
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VHS Rehabilitation Institute of Michigan Detroit, MI LYME DISEASE $49.50 $66.00 — 25% Apr 8, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 LYME DISEASE $52.50 $70.00 $1.00–$23.24 25% Sep 2, 2026
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Harper University Hospital Detroit, MI · (313) 745-6211 LYME DISEASE $52.50 $70.00 $1.00–$23.24 25% Aug 20, 2026
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VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 LYME DISEASE $56.25 $75.00 — 25% Apr 8, 2026
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VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 LYME DISEASE $59.25 $79.00 $1.00–$23.24 25% May 20, 2026
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB $60.48 $108.00 $13.87–$21.33 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LYME DISEASE AB $60.48 $108.00 $13.87–$21.33 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB $60.82 $108.61 $18.13–$21.33 44% —
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Henry Ford Health East China Township, MI · (810) 329-7111 LYME DISEASE AB $60.82 $108.61 $18.13–$21.33 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB $66.08 $118.00 $18.13–$21.33 44% —
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Henry Ford Health Novi, MI LYME DISEASE AB $66.08 $118.00 $12.41–$23.89 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME DISEASE AB $66.08 $118.00 $11.49–$23.89 44% —
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Henry Ford Health Novi, MI LYME DISEASE AB $66.08 $118.00 $12.41–$23.89 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LYME DISEASE AB $66.08 $118.00 $18.13–$21.33 44% —
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Henry Ford Health Southfield, MI · (248) 849-3000 LYME DISEASE AB $66.08 $118.00 $11.49–$23.89 44% —
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Karmanos Cancer Center Detroit, MI · (800) 576-6266 LYME DISEASE PANEL $66.10 $132.20 $9.32–$99.15 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 Lyme Ab Total $78.10 $156.20 $9.32–$96.45 50% Dec 31, 2025
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 LYME DISEASE $79.50 $106.00 — 25% Apr 6, 2026
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VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 LYME ANTIBODY, CSF $99.00 $132.00 — 25% Apr 6, 2026
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Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Lyme Disease Antibody $157.00 $157.00 — — —
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Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Lyme Disease Antibody $157.00 $157.00 — — —
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Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Lyme Disease Antibody $157.00 $157.00 — — —
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William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Lyme Disease Antibody $157.00 $157.00 — — —
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William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Lyme Disease Antibody $157.00 $157.00 — — —
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Outpatient: lowest $10.58, median $23.50, highest $78.10 — a 7.4× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $20.72. 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 11 of 17 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.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86618 ($75.50). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Karmanos Cancer Center Detroit, MILYME DISEASE AB $5.80 file
VHS Childrens Hospital of Michigan Detroit, MILYME DISEASE PANEL $6.75 file
VHS Detroit Receiving Hospital Detroit, MILYME DISEASE $7.50 file