Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Knoxville, TN — inpatient

In Knoxville, TN, 6 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $14.19 to $66.15, with a median of $34.65. The lowest listed price is at Methodist Medical Center of Oak Ridge — $20.46 less than the median here. Across Tennessee, the median is $28.65 at 44 hospitals.

Cash prices at 6 facilities across 5 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Aug 5, 2026 and Aug 27, 2026.

Lowest$14.19Methodist Medical Center of Oak Ridge
Median$34.65half pay less
Highest$66.15in this market
Difference4.7×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 Knoxville, TN.

median
Lowest $14.19Highest $66.15

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Methodist Medical Center of Oak Ridge lowest Oak Ridge, TN · (865) 835-1000 ANTIBODY BORRELIA B(LYME DS) $14.19 $43.00 $7.66–$38.70 67% Aug 5, 2026
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Parkwest Medical Center Knoxville, TN · (865) 970-1001 ANTIBODY BORRELIA B(LYME DS) $31.50 $105.00 $7.66–$94.50 70% Aug 5, 2026
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Fort Loudoun Medical Center Lenoir City, TN · (865) 271-6000 ANTIBODY BORRELIA B(LYME DS) $34.65 $105.00 $7.66–$94.50 67% Aug 27, 2026
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Fort Sanders Regional Medical Center Knoxville, TN · (865) 541-1101 ANTIBODY BORRELIA B(LYME DS) $34.65 $105.00 $7.66–$94.50 67% Aug 5, 2026
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Roane County Medical Center Harriman, TN · (865) 316-1000 ANTIBODY BORRELIA B(LYME DS) $34.65 $105.00 $7.66–$94.50 67% Aug 5, 2026
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Parkwest Medical Center Louisville, TN ANTIBODY BORRELIA B(LYME DS) $66.15 $105.00 $15.27–$84.00 37% Aug 5, 2026
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Inpatient: lowest $14.19, median $34.65, highest $66.15 — a 4.7× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $34.65 — that is the price to compare if you are not being admitted.

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 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.