Lab tests CPT 86618 Outpatient

Lyme disease test cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 79 hospitals list a cash price for Lyme disease antibody test: from $17.00 to $1,023.00, with a median of $19.58. The lowest listed price is at Saint Marys Hospital — $2.58 less than the median here. Across New York, the median is $48.47 at 108 hospitals.

  • The median here, $19.58, is 72% below the US median of $70.40.
  • That is 1.1× Medicare's 2026 national rate for the same service ($17.03).
  • New York, NY has the lowest median of 2 metro areas in New York with at least 10 hospitals pricing this code.
  • 14 of 79 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 79 facilities across 58 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 12, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Sep 28, 2026.

Lowest$17.00Saint Marys Hospital
Median$19.58half of hospitals charge less
Highest$1,023.00in this market
Difference60.2×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $17.00Highest $1,265.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Saint Marys Hospital lowest Passaic, NJ · (973) 365-4300 Hc Lyme Disease Antibody File of Sep 1, 2026 · source file $17.00 $218.00 $10.22–$185.30 92%
Palisades Medical Center North Bergen, NJ · (201) 854-5000 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $17.03–$78.04 90%
Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $17.03–$162.29 90%
Old Bridge Medical Center Old Bridge, NJ LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $21.95–$160.53 90%
Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $21.95–$160.53 90%
Ocean Medical Center Brick, NJ · (732) 840-2200 LYME DISEASE SEROLOGY+27 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $23.43–$160.58 90%
Riverview Medical Center Red Bank, NJ · (732) 741-2700 BORRELIA BURGDORFERI TOTAL ANTIBODIES IGG AND OR IGM+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $23.27–$161.62 90%
South Brooklyn Health Brooklyn, NY · (718) 616-4834 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $1.00–$65.37 76%
Bellevue Hospital Center New York, NY · (212) 561-4132 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$108.88 76%
Queens Hospital Center Jamaica, NY · (718) 883-3000 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $1.00–$99.63 76%
Metropolitan Hospital Center New York, NY · (212) 423-6262 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$62.69 76%
Harlem Hospital Center New York, NY · (212) 939-1000 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$99.86 76%
Woodhull Medical & Mental Health Center Brooklyn, NY · (718) 963-8100 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $1.00–$65.37 76%
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 Lyme disease antibody+2 more lines at this price File of Jul 13, 2026 · source file $17.03 — $14.79–$291.42 —
Jacobi Medical Center Bronx, NY · (718) 918-5000 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$123.84 76%
Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $41.42–$165.00 90%
Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $1.00–$109.13 76%
Elmhurst Hospital Center Broadway Elmhurst, NY · (718) 334-1141 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $1.00–$64.95 76%
North Central Bronx Hospital Bronx, NY HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$60.50 76%
Lincoln Medical & Mental Health Center Bronx, NY · (718) 579-5000 HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE)+1 more line at this price File of Sep 5, 2026 · source file $17.03 $71.40 $16.69–$71.84 76%
Bayshore Medical Center Holmdel, NJ · (732) 739-5900 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $17.03–$160.58 90%
Jersey Shore University Medical Center Neptune City, NJ · (732) 775-5500 LYME DISEASE SEROLOGY+13 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $27.39–$165.00 90%
JFK University Medical Center Edison, NJ · (732) 321-7000 LYME DISEASE SEROLOGY+27 more lines at this price File of Dec 31, 2025 · source file $17.03 $165.00 $26.57–$156.09 90%
Jersey City Medical Center Jersey City, NJ · (201) 915-2000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$147.04 88%
Community Medical Center Toms River, NJ · (732) 557-8000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$148.21 88%
Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ · (732) 828-3000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$134.78 88%
Clara Maass Medical Center Belleville, NJ · (973) 450-2000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $176.00 $8.00–$168.00 89%
Robert Wood Johnson University Hospital Somerset Somerville, NJ · (908) 685-2200 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $334.00 $8.00–$305.54 94%
Newark Beth Israel Medical Center Newark, NJ · (973) 926-7000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$151.19 88%
Monmouth Medical Center Southern Campus Lakewood, NJ · (732) 363-1900 HC Lyme Disease Antibody File of Mar 3, 2026 · source file $18.73 $162.00 $8.00–$157.31 88%
Robert Wood Johnson University Hospital Rahway Rahway, NJ · (732) 381-4200 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $334.00 $8.00–$224.44 94%
Monmouth Medical Center Long Branch, NJ · (732) 222-5200 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$156.67 88%
Trinitas Regional Medical Center Elizabeth, NJ · (908) 994-5000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$103.88 88%
Cooperman Barnabas Medical Center Livingston, NJ · (973) 322-5000 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $18.73 $162.00 $8.00–$137.70 88%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Ia Qual Borrelia Burgdorferi Ab CSF+1 more line at this price File of Apr 1, 2026 · source file $19.58 $347.00 — 94%
Newton Medical Center Newton, NJ · (973) 383-2121 Ia Qual Borrelia Burgdorferi Ab CSF+1 more line at this price File of Apr 1, 2026 · source file $19.58 $509.00 — 96%
Overlook Medical Center Summit, NJ · (908) 522-2000 Ia Qual Borrelia Burgdorferi Ab CSF+1 more line at this price File of Apr 1, 2026 · source file $19.58 $509.00 — 96%
Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) File of Feb 12, 2026 · source file $19.58 $432.60 $17.03–$432.60 95%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Ia Qual Borrelia Burgdorferi Ab CSF+1 more line at this price File of Apr 1, 2026 · source file $19.58 $509.00 — 96%
Morristown Medical Center Morristown, NJ · (973) 971-5450 Ia Qual Borrelia Burgdorferi Ab+1 more line at this price File of Apr 1, 2026 · source file $19.58 $534.00 — 96%
University Hospital Newark, NJ · (973) 972-4300 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Aug 13, 2026 · source file $19.58 $491.07 $10.78–$466.52 96%
NYU Langone Mineola, NY HC ANTB BORRELIA BURGDORFERI LYME DISEASE File of Jan 1, 2026 · source file $20.44 $228.22 $15.33–$285.50 91%
NYU Langone – Orthopedic Hospital New York, NY HC ANTB BORRELIA BURGDORFERI LYME DISEASE File of Jan 1, 2026 · source file $20.44 $228.22 $15.33–$285.50 91%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 HC ANTB BORRELIA BURGDORFERI LYME DISEASE File of Jan 1, 2026 · source file $20.44 $228.22 $15.33–$285.50 91%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC ANTB BORRELIA BURGDORFERI LYME DISEASE File of Jan 1, 2026 · source file $20.44 $285.50 $15.33–$285.50 93%
NYU Langone Brooklyn, NY HC ANTB BORRELIA BURGDORFERI LYME DISEASE File of Jan 1, 2026 · source file $20.44 $228.22 $15.33–$285.50 91%
Mount Sinai Queens Long Island, NY HC Lyme Ab/Western Blot Reflex File of Apr 1, 2026 · source file $31.50 $35.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Lyme Ab/Western Blot Reflex File of Apr 1, 2026 · source file $31.50 $35.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Lyme Ab/Western Blot Reflex File of Apr 1, 2026 · source file $31.50 $35.00 — 10%
Mount Sinai Morningside New York, NY HC Lyme Ab/Western Blot Reflex File of Apr 1, 2026 · source file $31.50 $35.00 — 10%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Dis. Ab W/Rflx Blot File of Oct 28, 2025 · source file $39.20 $56.00 $6.97–$625.00 30%
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) File of Mar 25, 2026 · source file $42.00 $42.00 $8.60–$1,912.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) File of Mar 25, 2026 · source file $42.00 $42.00 $8.60–$1,912.00 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 LYME DISEASE ANTIBODY File of Mar 25, 2026 · source file $44.00 $44.00 $8.60–$1,912.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 LYME DISEASE ANTIBODY File of Mar 25, 2026 · source file $44.00 $44.00 $8.60–$1,912.00 —
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 LYME DISEASE ANTIBODY File of Apr 7, 2026 · source file $45.41 $53.42 $16.18–$39.75 15%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 LYME DIS SERUM ABS+1 more line at this price File of Apr 1, 2026 · source file $54.00 $54.00 — —
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 HC LYME ANTIBODY SB+3 more lines at this price File of Feb 19, 2026 · source file $62.85 $168.00 $16.69–$168.00 63%
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 HC LYME ANTIBDYS TOT BY ELISA+3 more lines at this price File of Feb 19, 2026 · source file $62.85 $168.00 $16.69–$168.00 63%
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 HC LYME ANTIBDYS TOT BY ELISA+3 more lines at this price File of Feb 19, 2026 · source file $62.85 $168.00 $16.69–$168.00 63%
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 HC LYME ANTIBDYS TOT BY ELISA+3 more lines at this price File of Feb 19, 2026 · source file $62.85 $168.00 $16.69–$168.00 63%
St. Francis Hospital Roslyn, NY HC LYME ANTIBDYS TOT BY ELISA+3 more lines at this price File of Feb 19, 2026 · source file $62.85 $185.00 $16.69–$185.00 66%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Test Csf File of Oct 28, 2025 · source file $64.73 $92.46 $6.97–$625.00 30%
The Valley Hospital Paramus, NJ · (201) 447-8000 Lyme IgM+1 more line at this price File of May 6, 2026 · source file $65.40 $109.00 $13.62–$92.65 40%
The Valley Hospital Paramus, NJ · (201) 447-8000 LYME DISEASE SEROLO, S 6073684 File of May 6, 2026 · source file $67.20 $112.00 $13.62–$95.20 40%
Children's Specialized Hospital Mountainside, NJ · (732) 258-7050 HC Lyme Disease Antibody File of Mar 4, 2026 · source file $68.50 $137.00 $13.62–$134.26 50%
Mount Sinai Morningside New York, NY HC B Burgdorferi Ab CSF File of Apr 1, 2026 · source file $73.80 $82.00 — 10%
Mount Sinai Queens Long Island, NY HC B Burgdorferi Ab CSF File of Apr 1, 2026 · source file $73.80 $82.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC B Burgdorferi Ab CSF File of Apr 1, 2026 · source file $73.80 $82.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC B Burgdorferi Ab CSF File of Apr 1, 2026 · source file $73.80 $82.00 — 10%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Im Se Lyme File of Oct 28, 2025 · source file $80.28 $114.68 $6.97–$625.00 30%
Englewood Health Englewood, NJ · (201) 894-3000 Lyme Abs CSF Eiaigg*X*86618+6 more lines at this price File of Feb 2, 2026 · source file $81.20 $812.00 $63.50–$649.60 90%
Montefiore Medical Center Bronx, NY · (718) 920-4321 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE+1 more line at this price File of Sep 28, 2026 · source file $97.52 $149.12 $10.74–$137.15 35%
Stony Brook Southampton Hospital Southampton, NY LYME DISEASE ANTIBODY File of Jun 17, 2026 · source file $102.18 $102.18 $17.03–$22.14 —
Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) File of Sep 23, 2026 · source file $117.05 $117.05 $17.03–$220.87 —
Morristown Medical Center Morristown, NJ · (973) 971-5450 Ia Qual Borrelia Burgdorferi Ab File of Apr 1, 2026 · source file $126.69 $2,381.00 — 95%
Mount Sinai Queens Long Island, NY HC Lyme Igm Early Test File of Apr 1, 2026 · source file $144.00 $160.00 — 10%
Mount Sinai Morningside New York, NY HC Lyme Igm Early Test File of Apr 1, 2026 · source file $144.00 $160.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Lyme Igm Early Test File of Apr 1, 2026 · source file $144.00 $160.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Lyme Igm Early Test File of Apr 1, 2026 · source file $144.00 $160.00 — 10%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Ia Qual Borrelia Burgdorferi Ab File of Apr 1, 2026 · source file $147.37 $1,763.00 — 92%
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Lyme Serology, Serum File of Dec 1, 2025 · source file $157.00 $157.00 $59.00–$146.60 —
Memorial Hospital for Cancer and Allied Diseases New York, NY HC Lyme Serology, Serum File of Dec 1, 2025 · source file $157.00 $157.00 $14.20–$146.60 —
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Lyme Serology, Serum File of Dec 1, 2025 · source file $157.00 $157.00 $14.20–$146.60 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Lyme Serology, Serum File of Dec 1, 2025 · source file $157.00 $157.00 $59.00–$146.60 —
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Lyme Disease Antibody Igm CSF+1 more line at this price File of Dec 1, 2025 · source file $184.00 $184.00 $68.12–$165.60 —
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Lyme Disease Antibody Igm CSF+1 more line at this price File of Dec 1, 2025 · source file $184.00 $184.00 $14.20–$165.60 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Lyme Disease Antibody Igg CSF+1 more line at this price File of Dec 1, 2025 · source file $184.00 $184.00 $68.12–$165.60 —
Memorial Hospital for Cancer and Allied Diseases New York, NY HC Lyme Disease Antibody Igg CSF+1 more line at this price File of Dec 1, 2025 · source file $184.00 $184.00 $14.20–$165.60 —
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Borrelia Burgdorferi Lyme+1 more line at this price File of Apr 1, 2026 · source file $184.50 $205.00 — 10%
Mount Sinai Queens Long Island, NY HC Antibody Borrelia Burgdorferi Lyme Disease+1 more line at this price File of Apr 1, 2026 · source file $184.50 $205.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Antibody Borrelia Burgdorferi Lyme Disease+1 more line at this price File of Apr 1, 2026 · source file $184.50 $205.00 — 10%
Mount Sinai Morningside New York, NY HC Antibody Borrelia Burgdorferi Lyme Disease+1 more line at this price File of Apr 1, 2026 · source file $184.50 $205.00 — 10%
Westchester Medical Center Valhalla, NY · (914) 493-7000 LYME DISEASE ANTIBODY File of Jul 28, 2026 · source file $204.00 $204.00 $11.92–$204.00 —
Stony Brook Southampton Hospital Southampton, NY ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) File of Jun 17, 2026 · source file $204.36 $204.36 $17.03–$22.14 —
St Johns Riverside Hospital Park Care Pavillion Yonkers, NY · (914) 964-4444 LYME DISEASE ANTIBODY File of Mar 27, 2026 · source file $233.75 $275.00 $16.18–$3,783.00 15%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Ia Qual Borrelia Burgdorferi Ab File of Apr 1, 2026 · source file $233.98 $2,089.00 — 89%
Newton Medical Center Newton, NJ · (973) 383-2121 Ia Qual Borrelia Burgdorferi Ab File of Apr 1, 2026 · source file $242.07 $4,676.00 — 95%
Overlook Medical Center Summit, NJ · (908) 522-2000 Ia Qual Borrelia Burgdorferi Ab File of Apr 1, 2026 · source file $244.88 $3,346.00 — 93%
New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 LYME BORRELIA BURG. AB File of Apr 1, 2026 · source file $263.77 $263.77 — —
Montefiore Mount Vernon Hospital Mount Vernon, NY · (914) 664-8000 HC LYME DISEASE ANTIBODY File of Sep 28, 2026 · source file $265.85 $409.00 $12.77–$327.20 35%
New York Community Hospital of Brooklyn Brooklyn, NY · (718) 692-5302 B.BURGDORFERI AB SCREEN W File of Apr 1, 2026 · source file $268.13 $268.13 — —
Good Samaritan Hospital Suffern, NY · (914) 368-5000 Tick-borne Disease Ab Profile LC+4 more lines at this price File of Jun 29, 2026 · source file $271.00 $271.00 $17.03–$803.59 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Disease W/Rfx Ratio File of Oct 28, 2025 · source file $272.88 $389.82 $6.97–$625.00 30%
New York Eye and Ear Infirmary of Mount Sinai New York, NY · (212) 979-4000 LYME DISEASE File of Apr 1, 2026 · source file $273.24 $303.60 — 10%
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 LYME DISEASE ANTIBODY File of Jul 27, 2026 · source file $326.92 $326.92 $13.62–$34.06 —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) File of Jun 10, 2026 · source file $334.00 $334.00 $17.03–$4,255.00 —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 LYME DISEASE ANTIBODY File of Jun 10, 2026 · source file $357.00 $357.00 $17.03–$4,255.00 —
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 LYME ANTIBODY,BODY FLUID, File of Nov 19, 2025 · source file $1,023.00 $1,045.00 $13.00–$1,045.00 2%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 LYME ANTIBODY TEST File of Nov 19, 2025 · source file $1,265.00 $1,282.00 $13.00–$1,282.00 1%
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 $17.00, median $19.58, highest $1,023.00 — a 60.2× difference within the same market.

As an inpatient, the same code is billed by 28 facilities here, median $31.50. 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 59 of 67 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 9 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.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86618 ($57.81). 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.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NYQ-LYME DISEASE PROGRESSIVE $0.01 file
Interfaith Medical Center Brooklyn, NYQ-LYME DISEASE PROGRESSIVE $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYQ-LYME DISEASE PROGRESSIVE $0.01 file
File Link to the hospital's own price file.