Lab tests CPT 86618 Outpatient

Lyme disease test cost in Harrisburg, PA

In Harrisburg-Carlisle, PA, 6 hospitals list a cash price for Lyme disease antibody test: from $19.05 to $94.80, with a median of $35.85. The lowest listed price is at Pennsylvania Psychiatric Institute — $16.80 less than the median here. Across Pennsylvania, the median is $93.00 at 64 hospitals.

Cash prices at 6 facilities across 5 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 — and —.

Lowest$19.05Pennsylvania Psychiatric Institute
Median$35.85half pay less
Highest$94.80in this market
Difference5.0×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 Harrisburg-Carlisle, PA.

median
Lowest $19.05Highest $94.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 86618 LYME DISEASE ANTIBODY Tech $19.05 $111.00 $41.82–$88.80 83% —
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Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 86618 .Lyme Ab Screen -Quest Tech $19.05 $111.00 $41.82–$88.80 83% —
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Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 86618 .Lyme Ab Scr w/Rflx to Blot -Quest Tech $19.05 $111.00 $41.82–$88.80 83% —
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Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 Lyme Abs IgG IgM rflx Western Blot. Tech $19.05 $111.00 $41.82–$88.80 83% —
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Pennsylvania Psychiatric Institute lowest Harrisburg, PA · (717) 782-4742 86618 Lyme Antibodies w/ Reflex. Tech $19.05 $111.00 $41.82–$88.80 83% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 86618 LYME DISEASE ANTIBODY Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 86618 Lyme Antibodies w/ Reflex. Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 86618 .Lyme Ab Screen -Quest Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 86618 .Lyme Ab Scr w/Rflx to Blot -Quest Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 Lyme Abs IgG IgM rflx Western Blot. Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Holy Spirit Medical Center Camp Hill, PA · (717) 763-2100 Lyme Ab Screen (QST) Tech $26.52 $111.00 $14.48–$88.80 76% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 Lyme Abs IgG IgM rflx Western Blot. Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 86618 Lyme Antibodies w/ Reflex. Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 86618 LYME DISEASE ANTIBODY Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 86618 .Lyme Ab Scr w/Rflx to Blot -Quest Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 86618 .Lyme Ab Screen -Quest Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 Lyme Ab Screen (QST) Tech $34.93 $111.00 $14.48–$88.80 69% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 Lyme CSF Antibody Screen. $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 LYME CNS IGG AB INDEX 86618 $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 Lyme Ab Screen (QST) 4929379 $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 TICK B. BURGDORFERI $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 Lyme Abs IgG IgM rflx Western Blot. $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 LYME ANTIBODY $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 LYME TEST INDEX (SQ) $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 LYME AB IGG & IGM (SQ) $36.77 $111.00 $14.48–$88.80 67% —
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Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 Lyme Disease Antibody $36.77 $111.00 $14.48–$88.80 67% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC B. BURGDORFERI AB INDEX G $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC B. BURGDORFERI AB INDEX H $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC TICK-BORNE DISEASE, ANTIBODY PANEL W/ RFLX F $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC LYME IGG/IGM SCRN-PROGRESSIVE $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC LYME DIS AB PANEL,CSF C $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC LYME DIS AB PANEL,CSF D $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC B. BURGDORFERI AB INDEX E $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC B. BURGDORFERI AB INDEX F $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC B. BURGDORFERI AB INDEX G $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Carlisle Carlisle, PA · (717) 249-1212 HC B. BURGDORFERI AB INDEX H $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC B. BURGDORFERI AB INDEX F $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC B. BURGDORFERI AB INDEX E $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC LYME DIS AB PANEL,CSF D $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC LYME DIS AB PANEL,CSF C $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC LYME IGG/IGM SCRN-PROGRESSIVE $94.80 $158.00 $16.86–$134.30 40% —
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UPMC Pinnacle Hospitals Harrisburg, PA · (717) 782-3131 HC TICK-BORNE DISEASE, ANTIBODY PANEL W/ RFLX F $94.80 $158.00 $16.86–$134.30 40% —
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Outpatient: lowest $19.05, median $35.85, highest $94.80 — a 5.0× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $35.85. 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 6 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.