Lyme disease test cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for Lyme disease antibody test: from $27.55 to $57.81, with a median of $54.56. The lowest listed price is at Vanderbilt Wilson County Hospital — $27.01 less than the median here. Across Tennessee, the median is $28.65 at 44 hospitals.
Cash prices at 4 facilities across 4 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 Oct 1, 2025 and Oct 1, 2025.
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 | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HC LYME DISEASE ANTIBODY IGG | $27.55 | $95.00 | $16.14–$76.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP | $27.55 | $95.00 | $16.14–$76.00 | 71% | Oct 1, 2025 source file |
| 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 | $45.53 | $157.00 | $16.14–$125.60 | 71% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC BORRELIA BURGDORFERI VISE1-PEPC10 ABS LYME DISEASE ANTIBODY-ARUP | $45.53 | $157.00 | $16.14–$125.60 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC LYME DISEASE ANTIBODY IGG | $51.30 | $95.00 | $16.14–$76.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP | $51.30 | $95.00 | $16.14–$76.00 | 46% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 70% | — source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC LYME DISEASE MODIFIED TWO-TIER TESTING | $75.69 | $261.00 | $16.14–$208.80 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC BORRELIA BURGDORFERI VISE1-PEPC10 ABS LYME DISEASE ANTIBODY-ARUP | $84.78 | $157.00 | $16.14–$125.60 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC BORRELIA BURGDORFERI VLSE1-PEPC10 AB, TOTAL BY ELISA W RFX TO IGM AND IGG BY ELISA (MODIFIED TWO TIER TESTING)-ARUP | $84.78 | $157.00 | $16.14–$125.60 | 46% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC LYME DISEASE MODIFIED TWO-TIER TESTING | $140.94 | $261.00 | $16.14–$208.80 | 46% | Oct 1, 2025 source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W/REFLEX TO WB | $210.80 | $702.65 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 B BURGDORFERI IGG | $210.80 | $702.65 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN · (615) 222-2111 B BURGDORFERI IGG | $210.80 | $702.65 | $15.33–$65.46 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN · (615) 396-4100 LYME AB SCREEN W/REFLEX TO WB | $210.80 | $702.65 | $15.33–$65.46 | 70% | — source file |
Outpatient: lowest $27.55, median $54.56, highest $57.81 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $54.56. 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 4 of 4 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.