Lyme disease test cost in Louisville, KY
In Louisville/Jefferson County, KY-IN, 7 hospitals list a cash price for Lyme disease antibody test: from $39.00 to $220.80, with a median of $214.45. The lowest listed price is at Norton Hospitals — $175.45 less than the median here. Across Kentucky, the median is $197.05 at 15 hospitals.
Cash prices at 7 facilities across 6 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 Feb 11, 2026 and Sep 18, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Louisville/Jefferson County, KY-IN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$165.75 | 80% | Feb 11, 2026 source file |
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$161.85 | 80% | Feb 11, 2026 source file |
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$161.85 | 80% | Feb 13, 2026 source file |
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$161.85 | 80% | Feb 11, 2026 source file |
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$161.85 | 80% | Feb 11, 2026 source file |
| Norton Hospitals lowest Louisville, KY · (502) 629-8000 HB LYME DISEASE AB | $39.00 | $195.00 | $17.03–$161.85 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$173.47 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$177.65 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$173.47 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$173.47 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$173.47 | 80% | Feb 11, 2026 source file |
| Norton Hospitals Louisville, KY · (502) 629-8000 HB LYME TOTAL ANTIBODY MTTT | $41.80 | $209.00 | $17.03–$173.47 | 80% | Feb 13, 2026 source file |
| Norton Clark Hospital Jeffersonville, IN · (812) 283-2147 HB LYME TOTAL ANTIBODY MTTT | $50.26 | $359.00 | $14.47–$314.13 | 86% | Jun 3, 2026 source file |
| Norton Clark Hospital Jeffersonville, IN · (812) 283-2147 HB LYME DISEASE AB | $50.26 | $359.00 | $14.47–$314.13 | 86% | Jun 3, 2026 source file |
| St. Vincent Salem Hospital Salem, IN · (812) 883-5881 AB BORRELIA BURGDORFE;LYME DIS | $192.00 | $320.00 | $5.29–$38.83 | 40% | — source file |
| St. Vincent Salem Hospital Salem, IN · (812) 883-5881 AB BORRELIA BURGDORFE;LYME DIS | $192.00 | $320.00 | $5.29–$38.83 | 40% | — source file |
| Baptist Health LaGrange La Grange, KY · (502) 222-5388 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $214.45 | $285.93 | $14.47–$571.86 | 25% | Sep 15, 2026 source file |
| Baptist Health Floyd New Albany, IN · (812) 944-7701 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $214.45 | $285.93 | $14.47–$428.90 | 25% | Sep 15, 2026 source file |
| Baptist Health Louisville Louisville, KY · (502) 897-8100 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $214.45 | $285.93 | $10.22–$571.86 | 25% | Sep 18, 2026 source file |
| Harrison County Hospital Corydon, IN · (812) 738-4251 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $220.80 | $368.00 | $5.09–$331.20 | 40% | Jul 16, 2026 source file |
Outpatient: lowest $39.00, median $214.45, highest $220.80 — a 5.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $50.26. 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 6 of 7 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.
6 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 86618 ($75.50). 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.
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |
| Norton Hospitals Louisville, KYHB QUEST TICK LYME AB COMBO | $4.60 | file |