Lyme disease test cost in Houston, TX
In Houston-Pasadena-The Woodlands, TX, 54 hospitals list a cash price for Lyme disease antibody test: from $16.69 to $1,453.63, with a median of $55.00. The lowest listed price is at Hsa St. Joseph — $38.31 less than the median here. Across Texas, the median is $75.00 at 275 hospitals.
- The median here, $55.00, is 22% below the US median of $70.40.
- That is 3.2× Medicare's 2026 national rate for the same service ($17.03).
- Houston, TX has the lowest median of 4 metro areas in Texas with at least 10 hospitals pricing this code.
- 13 of 54 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 54 facilities across 21 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 17, 2026.
Lowest$16.69Hsa St. Joseph
Median$55.00half of hospitals charge less
Highest$1,453.63in this market
Difference87.1×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 Houston-Pasadena-The Woodlands, TX.
median
Lowest $16.69Highest $1,453.63
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Hsa St. Joseph lowest Houston, TX · (713) 757-1000 AB; LYME'S DISEASE+1 more line at this price File of Sep 1, 2026 · source file | $16.69 | $470.98 | $8.95–$470.98 | 96% |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 B. BURGDORFERI IGG+5 more lines at this price File of Mar 24, 2026 · source file | $17.03 | $163.00 | $9.00–$105.95 | 90% |
| Harris Health Houston, TX · (713) 873-2000 LYME IGG/IGM AB+5 more lines at this price File of Mar 24, 2026 · source file | $17.03 | $18.00 | $9.00–$105.95 | 5% |
| St Luke's Patients Medical Center Pasadena, TX · (281) 487-0700 LYME DISEASE AB+1 more line at this price File of Feb 28, 2026 · source file | $34.65 | $99.00 | $13.59–$87.36 | 65% |
| St Luke's Lakeside Hospital The Woodlands, TX · (936) 266-4055 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| St. Lukes Hospital at the Vintage Houston, TX · (832) 534-5000 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| CHI St. Luke's Health Baylor College of Medicine Medical Center Houston, TX · (832) 355-1000 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| St Luke's Sugar Land Hospital Sugar Land, TX · (281) 637-7000 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| CHI St. Luke's Health Springwood Village Spring, TX · (936) 266-4050 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| St Luke's the Woodlands Hospital The Woodlands, TX · (936) 266-4050 HC LAB LYME DISEASE AB TOTAL File of Feb 28, 2026 · source file | $40.95 | $117.00 | $12.26–$117.00 | 65% |
| The Community Hospital of Brazosport Lake Jackson, TX · (979) 297-4411 LYME DISEASE File of Feb 28, 2026 · source file | $42.13 | $120.36 | $14.31–$96.77 | 65% |
| Memorial Hermann Sugar Land Hospital Sugar Land, TX · (281) 725-5000 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Tirr Memorial Hermann Houston, TX HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann The Woodlands Medical Center The Woodlands, TX · (713) 448-6796 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Memorial City Medical Center Houston, TX · (713) 242-3000 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Katy Hospital Katy, TX · (281) 392-1111 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Greater Heights Hospital Houston, TX · (713) 448-6796 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Pearland Hospital Pearland, TX · (713) 448-6796 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Southwest Hospital Houston, TX · (713) 448-6796 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Northeast Hospital Humble, TX · (281) 540-7700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Memorial Hermann Southeast Hospital Houston, TX · (713) 448-6796 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $43.68 | $136.50 | — | 68% |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI AB (LYME DISEASE)+2 more lines at this price File of Mar 5, 2026 · source file | $44.22 | $66.00 | $17.03–$62.70 | 33% |
| Houston Methodist Continuing Care Hospital Katy, TX HC LYME C6 PEPTIDE ABS+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT+3 more lines at this price File of Apr 1, 2026 · source file | $55.00 | $110.00 | — | 50% |
| Memorial Hermann Imaging Center (Cypress) Cypress, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann-Texas Medical Center Houston, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Children's Memorial Hermann Hospital Houston, TX HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann Imaging Center (Upper Kirby) Houston, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann Imaging Center (Bellaire) Bellaire, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Memorial Hermann Cypress Hospital Cypress, TX · (713) 704-3700 HC RL LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES File of Apr 1, 2026 · source file | $60.24 | $188.25 | — | 68% |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGM ANTIBODY+5 more lines at this price File of Mar 5, 2026 · source file | $68.34 | $102.00 | $17.03–$96.90 | 33% |
| Elite Hospital Kingwood Kingwood, TX · (832) 777-6165 Antibody; Borrelia burgdorferi (Lyme disease) File of Sep 17, 2026 · source file | $98.00 | $195.99 | $147.00 | 50% |
| Shriners Childrens Texas Galveston, TX · (409) 770-6600 LYME DISEASE ANTIBODY File of Mar 18, 2026 · source file | $112.90 | $112.90 | $14.48–$32.70 | — |
| Voyages of Sugar Land South Sugar Land, TX Lyme Disease Antibody File of Aug 6, 2026 · source file | $170.30 | $170.30 | $42.58–$127.73 | — |
| Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 Lyme Ab Screen Qst+1 more line at this price source file | $284.00 | $405.00 | $243.00–$385.00 | 30% |
| HCA Houston Healthcare Conroe Conroe, TX · (936) 539-1111 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $320.23 | $320.23 | $14.60–$288.21 | — |
| HCA Houston Healthcare Medical Center Houston, TX · (713) 527-5019 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $495.86 | $495.86 | $14.60–$421.48 | — |
| HCA Houston Healthcare Tomball Houston, TX · (281) 351-7500 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $749.00 | $749.00 | $44.94–$636.65 | — |
| HCA Houston Healthcare Pearland Houston, TX · (713) 770-7000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $879.66 | $879.66 | $14.31–$747.71 | — |
| HCA Houston Healthcare Northwest Houston, TX · (281) 440-1000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $983.69 | $983.69 | $14.60–$836.14 | — |
| HCA Houston Healthcare Clear Lake Alvin, TX · (281) 332-2511 LYME DISEASE AB QL File of Sep 1, 2026 · source file | $1,109.81 | $1,109.81 | $66.59–$998.83 | — |
| HCA Houston Mainland Texas City, TX · (281) 332-2511 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $1,109.81 | $1,109.81 | $14.60–$998.83 | — |
| Cornerstone Hospital Conroe Conroe, TX LYME DISEASE ANTIBODY File of Apr 1, 2026 · source file | $1,143.00 | $1,143.00 | — | — |
| HCA Houston Healthcare Kingwood Humble, TX · (281) 359-7500 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $1,184.94 | $1,184.94 | $14.60–$1,066.45 | — |
| HCA Houston Healthcare North Cypress Houston, TX · (281) 359-7500 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,184.94 | $1,184.94 | $69.71–$1,007.20 | — |
| HCA Houston Healthcare Southeast Pasadena, TX · (713) 359-1000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,453.63 | $1,453.63 | $69.71–$1,308.27 | — |
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 $16.69, median $55.00, highest $1,453.63 — a 87.1× difference within the same market.
As an inpatient, the same code is billed by 41 facilities here, median $44.22. 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 14 of 26 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 Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.