Lyme disease test cost in Huntington, WV
In Huntington-Ashland, WV-KY-OH, 3 hospitals list a cash price for Lyme disease antibody test: from $14.67 to $197.05, with a median of $57.02. The lowest listed price is at Cabell Huntington Hospital — $42.35 less than the median here. Across West Virginia, the median is $27.50 at 20 hospitals.
Cash prices at 3 facilities across 2 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 Oct 14, 2025 and Oct 14, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Huntington-Ashland, WV-KY-OH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Cabell Huntington Hospital lowest Huntington, WV · (304) 526-2000 Lyme Disease Serology w/Reflex - LC | $14.67 | $14.67 | $12.30–$14.67 | — | — source file |
| St. Mary's Medical Center Huntington, WV · (304) 526-1234 Lyme Antibody Total w/ Western Blot Reflex-LC | $57.02 | $57.02 | $47.79–$57.02 | — | — source file |
| St. Mary's Medical Center Huntington, WV · (304) 526-1234 Lyme Disease Serology w/Reflex - LC | $57.02 | $57.02 | $47.79–$57.02 | — | — source file |
| St. Mary's Medical Center Huntington, WV · (304) 526-1234 .Lyme IgG/IgM 164089 - LC | $57.02 | $57.02 | $47.79–$57.02 | — | — source file |
| St. Mary's Medical Center Huntington, WV · (304) 526-1234 Lyme IgG | $129.42 | $129.42 | $108.48–$129.42 | — | — source file |
| St. Mary's Medical Center Huntington, WV · (304) 526-1234 Lyme IgM | $129.42 | $129.42 | $108.48–$129.42 | — | — source file |
| Cabell Huntington Hospital Huntington, WV · (304) 526-2000 Lyme IgG | $131.94 | $131.94 | $110.59–$131.94 | — | — source file |
| King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG BORRELIA BURGDORFERI AB (ARUP) | $197.05 | $492.62 | $12.77–$443.36 | 60% | Oct 14, 2025 source file |
| King's Daughters' Medical Center Ashland, KY · (606) 408-4401 HCHG LYME | $197.05 | $492.62 | $12.77–$443.36 | 60% | Oct 14, 2025 source file |
| Cabell Huntington Hospital Huntington, WV · (304) 526-2000 Lyme Antibody Total w/ Western Blot Reflex-LC | $262.99 | $262.99 | $220.44–$262.99 | — | — source file |
Outpatient: lowest $14.67, median $57.02, highest $197.05 — a 13.4× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $57.02. 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 1 of 3 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.