Lyme disease test cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 19 hospitals list a cash price for Lyme disease antibody test: from $22.14 to $1,773.14, with a median of $142.16. The lowest listed price is at Saint Thomas Hospital for Specialty Surgery — $120.02 less than the median here. Across Tennessee, the median is $41.40 at 85 hospitals.
- The median here, $142.16, is 102% above the US median of $70.40.
- That is 8.3× Medicare's 2026 national rate for the same service ($17.03).
- Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
- 9 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 19 facilities across 17 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 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 Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Saint Thomas Hospital for Specialty Surgery lowest Nashville, TN LYME DISEASE ANTIBODY File of Apr 14, 2026 · source file | $22.14 | — | $15.33–$584.01 | — |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP+1 more line at this price File of Oct 1, 2026 · source file | $27.55 | $95.00 | — | 71% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC BORRELIA BURGDORFERI VLSE1-PEPC10 AB, TOTAL BY ELISA W RFX TO IGM AND IGG BY ELISA (MODIFIED TWO TIER TESTING)-ARUP+1 more line at this price File of Oct 1, 2026 · source file | $45.53 | $157.00 | — | 71% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W REFLEX WB+1 more line at this price File of Jan 1, 2026 · source file | $57.81 | $192.70 | $15.33–$65.46 | 70% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 LYME AB SCREEN W REFLEX WB+1 more line at this price File of Jan 1, 2026 · source file | $57.81 | $192.70 | $15.33–$65.46 | 70% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 LYME AB SCREEN W REFLEX WB+1 more line at this price File of Jul 1, 2026 · source file | $57.81 | $192.70 | $11.94–$65.46 | 70% |
| Macon Community Hospital Lafayette, TN · (615) 666-2147 C6 B. BURGDORFERI LYME LC+1 more line at this price File of Mar 21, 2026 · source file | $61.32 | $102.20 | $10.53–$91.98 | 40% |
| Williamson Medical Center Franklin, TN · (615) 435-5000 LYMES IgM IN PROFILE+1 more line at this price File of Aug 1, 2026 · source file | $62.02 | $110.00 | $44.33–$104.50 | 44% |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC LYME DISEASE MODIFIED TWO-TIER TESTING File of Oct 1, 2026 · source file | $75.69 | $261.00 | — | 71% |
| Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 Antibody; Borrelia burgdorferi (Lyme disease) File of Jul 10, 2026 · source file | $78.37 | $336.34 | $34.31 | 77% |
| Riverview Regional Medical Center Carthage, TN · (615) 735-9815 Antibody; Borrelia burgdorferi (Lyme disease) File of Jul 10, 2026 · source file | $91.33 | $280.16 | $65.15 | 67% |
| Williamson Medical Center Franklin, TN · (615) 435-5000 LYMES TOTAL AB File of Aug 1, 2026 · source file | $97.26 | $172.50 | $69.52–$163.88 | 44% |
| Trousdale Medical Center Hartsville, TN · (615) 374-2221 Antibody; Borrelia burgdorferi (Lyme disease) File of Jul 10, 2026 · source file | $142.16 | $280.40 | $43.73 | 49% |
| Stones River Hospital Woodbury, TN · (615) 563-4001 LYME AB SCREEN W/REFLEX TO WB+1 more line at this price File of Jul 1, 2026 · source file | $210.80 | $702.65 | $11.94–$65.46 | 70% |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W/REFLEX TO WB+1 more line at this price File of Jan 1, 2026 · source file | $210.80 | $702.65 | $15.33–$65.46 | 70% |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 B BURGDORFERI IGG+1 more line at this price File of Jan 1, 2026 · source file | $210.80 | $702.65 | $15.33–$65.46 | 70% |
| Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $602.00 | $602.00 | $17.03–$529.76 | — |
| Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $805.13 | $805.13 | $17.03–$660.21 | — |
| Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,042.00 | $1,042.00 | $17.03–$1,021.16 | — |
| Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $1,069.09 | $1,069.09 | $17.03–$983.56 | — |
| Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,151.62 | $1,151.62 | $17.03–$1,059.49 | — |
| Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $1,156.00 | $1,156.00 | $17.03–$1,017.28 | — |
| Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,631.26 | $1,631.26 | $17.03–$1,500.76 | — |
| Tristar Ashland City Medical Center Ashland City, TN · (615) 792-3030 LYME DISEASE AB QL+1 more line at this price File of Sep 1, 2026 · source file | $1,647.87 | $1,647.87 | $17.03–$2,000.00 | — |
| Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 Antibody; Borrelia burgdorferi (Lyme disease) +1 more line at this price File of Sep 1, 2026 · source file | $1,773.14 | $1,773.14 | $17.03–$1,773.14 | — |
Outpatient: lowest $22.14, median $142.16, highest $1,773.14 — a 80.1× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $57.81. 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 7 of 18 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 Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.