Lyme disease test cost in Houston, TX
In Houston-Pasadena-The Woodlands, TX, 14 hospitals list a cash price for Lyme disease antibody test: from $16.69 to $112.90, 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 $82.70 at 92 hospitals.
Cash prices at 14 facilities across 9 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 Mar 5, 2026 and Sep 1, 2026.
Lowest$16.69Hsa St. Joseph
Median$55.00half pay less
Highest$112.90in this market
Difference6.8×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 $112.90
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Hsa St. Joseph lowest Houston, TX · (713) 757-1000 AB; LYME'S DISEASE | $16.69 | $470.98 | $8.95–$470.98 | 96% | Sep 1, 2026 source file |
| Hsa St. Joseph lowest Houston, TX · (713) 757-1000 RL LYME DISEASE AB SCREEN | $16.69 | $470.98 | $8.95–$470.98 | 96% | Sep 1, 2026 source file |
| Harris Health Houston, TX B. BURGDORFERI IGM | $17.03 | $163.00 | $14.31–$105.95 | 90% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 B. BURGDORFERI IGG | $17.03 | $163.00 | $14.31–$105.95 | 90% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 B. BURGDORFERI IGM | $17.03 | $163.00 | $14.31–$105.95 | 90% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 LYME DIS AB IGM QT | $17.03 | $18.00 | $9.00–$46.24 | 5% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 LYME AB IMM WB | $17.03 | $96.00 | $14.31–$62.40 | 82% | — source file |
| Harris Health Houston, TX LYME AB IMM WB | $17.03 | $96.00 | $14.31–$62.40 | 82% | — source file |
| Harris Health Houston, TX B. BURGDORFERI IGG | $17.03 | $163.00 | $14.31–$105.95 | 90% | — source file |
| Harris Health Houston, TX LYME IGG/IGM AB | $17.03 | $18.00 | $9.00–$46.24 | 5% | — source file |
| Harris Health Houston, TX LYME DIS AB IGM QT | $17.03 | $18.00 | $9.00–$46.24 | 5% | — source file |
| Harris Health Houston, TX LYME AB IGG WM | $17.03 | $96.00 | $14.31–$62.40 | 82% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 LYME IGG/IGM AB | $17.03 | $18.00 | $9.00–$46.24 | 5% | — source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 LYME AB IGG WM | $17.03 | $96.00 | $14.31–$62.40 | 82% | — source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI AB (LYME DISEASE) | $44.22 | $66.00 | $17.03–$62.70 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI AB (LYME DISEASE) | $44.22 | $66.00 | $17.03–$62.70 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI AB (LYME DISEASE) | $44.22 | $66.00 | $17.03–$62.70 | 33% | Mar 5, 2026 source file |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital Katy, TX HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital Katy, TX HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital Katy, TX HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital Katy, TX HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC BORRELIA BURGDORFERI GM REFLEX TO WESTERN BLOT | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC B. BURGDORFERI AB,TOTAL BY ELI | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC B. BURGDORFERI AB, ELISA(CSF) | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC LYME C6 PEPTIDE ABS | $55.00 | $110.00 | — | 50% | Apr 1, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGG ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGG ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGM ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGM ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGG ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC BORRELIA BURGDORFERI IGM ANTIBODY | $68.34 | $102.00 | $17.03–$96.90 | 33% | Mar 5, 2026 source file |
| Shriners Childrens Texas Galveston, TX · (409) 770-6600 LYME DISEASE ANTIBODY | $112.90 | $112.90 | $14.48–$32.70 | — | — source file |
Outpatient: lowest $16.69, median $55.00, highest $112.90 — a 6.8× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $55.00. 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 4 of 5 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.