Lyme disease test cost in Los Angeles, CA
In Los Angeles-Long Beach-Anaheim, CA, 36 hospitals list a cash price for Lyme disease antibody test: from $6.25 to $124.60, with a median of $22.50. The lowest listed price is at UCI Health - Lakewood — $16.25 less than the median here. Across California, the median is $21.13 at 152 hospitals.
- The median here, $22.50, is 68% below the US median of $70.40.
- That is 1.3× Medicare's 2026 national rate for the same service ($17.03).
- Los Angeles, CA ranks 3rd of 5 metro areas in California by median, cheapest first.
- 13 of 36 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 36 facilities across 27 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Nov 26, 2025 and Oct 5, 2026.
Lowest$6.25UCI Health - Lakewood
Median$22.50half of hospitals charge less
Highest$124.60in this market
Difference19.9×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 Los Angeles-Long Beach-Anaheim, CA.
median
Lowest $6.25Highest $124.60
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| UCI Health - Lakewood lowest Orange, CA · (562) 602-6751 LYME DISEASE AB/2 File of Apr 1, 2026 · source file | $6.25 | $15.63 | — | 60% |
| Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC LYME DISEASE ANTIBODY File of Mar 18, 2026 · source file | $7.00 | $7.00 | $3.15–$203.45 | — |
| Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+3 more lines at this price File of Nov 26, 2025 · source file | $7.30 | $11.23 | $41.61–$224.07 | 35% |
| Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE # 30 File of Mar 18, 2026 · source file | $11.00 | $11.00 | $4.95–$203.45 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 BorreliaBurgdorferiAbs,Total by ELISA LC File of Feb 4, 2026 · source file | $13.50 | $13.50 | $6.33–$40.50 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 BorreliaBurgdorferiAbs,Total by ELISA LC File of Feb 4, 2026 · source file | $13.50 | $13.50 | $6.33–$34.06 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 BorreliaBurgdorferiAbs,Total by ELISA LC File of Feb 4, 2026 · source file | $13.50 | $13.50 | $6.33–$34.06 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 BorreliaBurgdorferiAbs,Total by ELISA LC File of Feb 4, 2026 · source file | $13.50 | $13.50 | $6.33–$34.06 | — |
| Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $15.27 | $48.51 | $9.71–$108.60 | 69% |
| Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $15.74 | $50.00 | $10.00–$108.60 | 69% |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 LYME DIS ACUTE REFLEX PANEL - LABCORP File of Feb 4, 2026 · source file | $16.29 | $16.29 | $7.15–$40.50 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 LYME DIS ACUTE REFLEX PANEL - LABCORP File of Feb 4, 2026 · source file | $16.29 | $16.29 | $7.15–$34.06 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 LYME DIS ACUTE REFLEX PANEL - LABCORP File of Feb 4, 2026 · source file | $16.29 | $16.29 | $7.15–$34.06 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 LYME DIS ACUTE REFLEX PANEL - LABCORP File of Feb 4, 2026 · source file | $16.29 | $16.29 | $7.15–$34.06 | — |
| Encino Hospital Medical Center Encino, CA · (818) 995-5000 LC 905050C6 PEPTIDE B. BURGDOR+5 more lines at this price File of Sep 1, 2026 · source file | $17.00 | $30.00 | $2.63–$33.67 | 43% |
| St Francis Medical Center Lynwood, CA · (310) 900-8900 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file | $17.00 | $16.54 | $4.96–$16.54 | -3% |
| West Anaheim Medical Center Anaheim, CA · (714) 827-3000 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file | $17.00 | $204.36 | $17.03–$204.36 | 92% |
| Garden Grove Hospital Medical Center Garden Grove, CA · (714) 537-5160 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file | $17.00 | $204.36 | $17.03–$204.36 | 92% |
| Sherman Oaks Hospital Sherman Oaks, CA · (818) 981-7111 LC 160325 LYME,TOT AB TEST/RFX+10 more lines at this price File of Sep 1, 2026 · source file | $17.00 | $8.76 | $2.34–$33.67 | -94% |
| Centinela Hospital Medical Center Inglewood, CA · (310) 673-4660 LYME DISEASE TOTAL ABS+3 more lines at this price File of Sep 1, 2026 · source file | $17.00 | $8.76 | $1.09–$36.00 | -94% |
| La Palma Intercommunity Hospital La Palma, CA · (714) 670-7400 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file | $17.00 | $204.36 | $17.03–$204.36 | 92% |
| San Dimas Community Hospital San Dimas, CA · (909) 599-6811 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file | $17.00 | $196.38 | $16.18–$196.38 | 91% |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 Borrelia burgdorferi Antibodies, To ARUP File of Feb 4, 2026 · source file | $19.20 | $19.20 | $7.15–$34.06 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 Borrelia burgdorferi Antibodies, To ARUP File of Feb 4, 2026 · source file | $19.20 | $19.20 | $7.15–$40.50 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 Borrelia burgdorferi Antibodies, To ARUP File of Feb 4, 2026 · source file | $19.20 | $19.20 | $7.15–$34.06 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 Borrelia burgdorferi Antibodies, To ARUP File of Feb 4, 2026 · source file | $19.20 | $19.20 | $7.15–$34.06 | — |
| St Mary Medical Center Long Beach, CA · (562) 491-9000 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $20.99 | $48.51 | $12.13–$108.60 | 57% |
| St Mary Medical Center Long Beach, CA · (562) 491-9000 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $21.64 | $50.00 | $12.50–$108.60 | 57% |
| Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Lyme Disease Antibody Igm,ref+1 more line at this price source file | $22.00 | $22.00 | $11.00–$22.00 | — |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 ANTIBODY BORRELIA BURG File of Jun 15, 2026 · source file | $23.00 | $23.00 | $6.90–$64.88 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 ANTIBODY BORRELIA BURG File of May 6, 2026 · source file | $23.00 | $23.00 | $6.90–$64.88 | — |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 ANTIBODY BORRELIA BURG File of Jun 15, 2026 · source file | $23.00 | $23.00 | $6.90–$64.88 | — |
| California Hospital Medical Center LA Los Angeles, CA · (213) 748-2411 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $23.20 | $48.51 | $11.65–$108.60 | 52% |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 LYME DISEASE ANTIBODY File of Feb 4, 2026 · source file | $33.29 | $33.29 | $7.15–$34.06 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 LYME DISEASE ANTIBODY File of Feb 4, 2026 · source file | $33.29 | $33.29 | $7.15–$40.50 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 LYME DISEASE ANTIBODY File of Feb 4, 2026 · source file | $33.29 | $33.29 | $7.15–$34.06 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 LYME DISEASE ANTIBODY File of Feb 4, 2026 · source file | $33.29 | $33.29 | $7.15–$34.06 | — |
| Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC LYME DISEASE ANTIBODY File of Apr 1, 2026 · source file | $61.08 | $127.25 | — | 52% |
| Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC LYME DISEASE ANTIBODY File of Apr 1, 2026 · source file | $61.08 | $127.25 | — | 52% |
| St Jude Hospital Fullerton, CA · (714) 992-3000 HC LYME DISEASE ANTIBODY File of Apr 1, 2026 · source file | $61.08 | $127.25 | — | 52% |
| Casa Colina Hospital and Centers for Healthcare Pomona, CA · (909) 596-7733 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) File of Oct 5, 2026 · source file | $66.42 | $51.09 | $15.33–$74.73 | -30% |
| Anaheim Global Medical Center Anaheim, CA · (714) 533-6220 LYME DISEASE AB WREFLEX - LC File of Jun 15, 2026 · source file | $79.00 | $79.00 | $15.14–$79.00 | — |
| Chapman Global Medical Center Orange, CA · (714) 633-0011 LYME DISEASE AB WREFLEX - LC File of May 6, 2026 · source file | $79.00 | $79.00 | $15.16–$79.00 | — |
| Orange County Global Medical Center Santa Ana, CA · (714) 953-3500 LYME DISEASE AB WREFLEX - LC File of Jun 15, 2026 · source file | $79.00 | $79.00 | $13.62–$79.00 | — |
| Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP File of Feb 4, 2026 · source file | $102.21 | $102.21 | $7.15–$81.77 | — |
| Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP File of Feb 4, 2026 · source file | $102.21 | $102.21 | $7.15–$81.77 | — |
| Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP File of Feb 4, 2026 · source file | $102.21 | $102.21 | $7.15–$81.77 | — |
| East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 B.BURGDORFERI IgG/IgM Abs,CSF - LABCORP File of Feb 4, 2026 · source file | $102.21 | $102.21 | $7.15–$81.77 | — |
| Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $124.28 | $239.00 | $12.00–$35.00 | 48% |
| Catalina Island Medical Center Avalon, CA · (310) 510-0700 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) File of Jul 20, 2026 · source file | $124.60 | $178.00 | $16.18–$178.00 | 30% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $6.25, median $22.50, highest $124.60 — a 19.9× difference within the same market.
As an inpatient, the same code is billed by 26 facilities here, median $23.10. 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 21 of 32 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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 Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.
5 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 86618 ($57.60). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| UCI Health - Los Alamitos Orange, CALYME DISEASE AB/6 | $2.00 | file |
| UCI Health - Los Alamitos Orange, CALYME DISEASE AB | $4.00 | file |
| Hoag Memorial Hospital Presbyterian Newport Beach, CAHC Lyme Disease Antibody | $4.22 | file |
| Hoag Memorial Hospital Presbyterian Newport Beach, CAHC Antibody Borrelia Burgdorferi Lyme Disease | $4.86 | file |
| UCI Health - Fountain Valley Orange, CALYME DISEASE AB | $5.02 | file |
File Link to the hospital's own price file.