Lab tests CPT 86618 Outpatient

Lyme disease test cost in Little Rock, AR

In Little Rock-North Little Rock-Conway, AR, 3 hospitals list a cash price for Lyme disease antibody test: from $27.21 to $143.15, with a median of $77.00. The lowest listed price is at University of Arkansas for Medical Sciences — $49.79 less than the median here. Across Arkansas, the median is $77.00 at 18 hospitals.

Cash prices at 3 facilities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.

Lowest$27.21University of Arkansas for Medical Sciences
Median$77.00half pay less
Highest$143.15in this market
Difference5.3×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 Little Rock-North Little Rock-Conway, AR.

median
Lowest $27.21Highest $143.15

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Arkansas for Medical Sciences lowest Little Rock, AR · (501) 686-5000 LYME DISEASE ANTIBODY $27.21 $45.35 $16.52–$887.00 40% —
source file
University of Arkansas for Medical Sciences Little Rock, AR · (501) 686-5000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $54.08 $90.13 $16.52–$887.00 40% —
source file
Arkansas Heart Hospital Little Rock, AR · (501) 219-7000 .Lyme Ab Screen Quest $77.00 $96.25 $77.62–$159.00 20% Nov 21, 2025
source file
Arkansas Heart Hospital Little Rock, AR · (501) 219-7000 Lyme Disease Ab W/Refl To Blot IgG, IgM Quest $77.00 $96.25 $77.62–$159.00 20% Nov 21, 2025
source file
Arkansas Childrens Hospital Little Rock, AR · (501) 364-1100 LYME DISEASE ANTIBODY $143.15 $159.06 $17.03–$143.73 10% —
source file

Outpatient: lowest $27.21, median $77.00, highest $143.15 — a 5.3× difference within the same market.

Cash or insurance?

At 3 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 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 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.