Lab tests CPT 86618 Outpatient

Lyme disease test cost in Lebanon, NH

In Lebanon-Claremont, NH-VT, 2 hospitals list a cash price for Lyme disease antibody test: from $15.40 to $29.07, with a median of $22.24. The lowest listed price is at Valley Regional Hospital — $6.84 less than the median here. Across New Hampshire, the median is $87.44 at 6 hospitals.

Cash prices at 2 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 Jun 6, 2026 and Jun 6, 2026.

Lowest$15.40Valley Regional Hospital
Median$22.24half pay less
Highest$29.07in this market
Difference1.9×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 Lebanon-Claremont, NH-VT.

median
Lowest $15.40Highest $917.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 LYME IGM $15.40 $28.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital lowest Claremont, NH · (603) 542-7771 LYME IGG $15.40 $28.00 $8.69–$3,258.00 45% Jun 6, 2026
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 PCH LYME CSF IGG WITH REFLEX $29.07 $95.00 $10.76–$90.25 69% —
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Valley Regional Hospital Claremont, NH · (603) 542-7771 RFX LYME ANTIBODY IGG&IGM, ELISA DH $30.25 $55.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME DISEASE ANTIBODY $31.90 $58.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYMES TITRE CPT1 $31.90 $58.00 $8.69–$3,258.00 45% Jun 6, 2026
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 LYME TOTAL (SCREEN) $40.70 $133.00 $15.07–$126.35 69% —
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 LYME DISEASE, ELISA $42.53 $139.00 $15.75–$132.05 69% —
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Mary Hitchcock Memorial Hospital Lebanon, NH · (603) 650-5000 PCH LYME CSF INDEX; LYME AB $79.25 $259.00 $29.34–$246.05 69% —
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME, C6 AG, REFLEX TO WESTERN BLOT $103.40 $188.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME CSF IGG W/ ANTIBODY INDEX REFLEX DH $123.75 $225.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME IGM EIA $184.80 $336.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME DISEASE TOTAL AB W/ RFX IMMUNOASSAY $184.80 $336.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 LYME IGG EIA $184.80 $336.00 $8.69–$3,258.00 45% Jun 6, 2026
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Valley Regional Hospital Claremont, NH · (603) 542-7771 RFX LYME CSF INDEX; LYME AB DH $917.40 $1,668.00 $8.69–$3,258.00 45% Jun 6, 2026
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Outpatient: lowest $15.40, median $22.24, highest $29.07 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $22.24. 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 2 of 2 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.