Lyme disease test cost in New York, NY — inpatient
In New York-Newark-Jersey City, NY-NJ, 22 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $17.03 to $273.24, with a median of $25.97. The lowest listed price is at Hmh Hospitals — $8.94 less than the median here. Across New York, the median is $42.00 at 64 hospitals.
Cash prices at 22 facilities across 16 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Aug 13, 2026.
Lowest$17.03Hmh Hospitals
Median$25.97half pay less
Highest$273.24in this market
Difference16.0×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 $17.03Highest $273.24
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Hmh Hospitals lowest Neptune City, NJ LYME C6 | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ LYME CNS INFECTION IGG W/AI REFLEX | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ TICK BORNE DISEASE ANTIBODY PANEL QST | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERI C6 PEPTIDE ANB TOTAL BY ELISA ARUP | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ LYME C6 ARUP | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERITOTAL ANTIBODIES TOTAL BY ELISA ARUP | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ LYME DISEASE SEROLOGY | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERI AB TOTAL ELISA IGG/IGM BY IMMUNO(EARLY DISE | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERI TOTAL ANTIBODIES IGG AND OR IGM | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERI LYME DISEASE REFLEXIVE PANEL CSF ARUP | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ BORRELIA BURGDORFERI ANTIBODIES TOTAL BY ELISA CSF ARUP | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ LYME DISEASE AB W/ REFL TO BLOT IGG IGM QST | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| Hmh Hospitals lowest Neptune City, NJ LYME DISEASE ANTIBODY WITH REFLEX TO IMMUNOASSAY IGG IGM QST | $17.03 | $165.00 | $27.39–$165.00 | 90% | Dec 31, 2025 source file |
| University Hospital Newark, NJ · (973) 972-4300 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $19.58 | $491.07 | $10.78–$466.52 | 96% | Aug 13, 2026 source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Ia Qual Borrelia Burgdorferi Ab | $19.58 | $534.00 | — | 96% | — source file |
| Morristown Medical Center Morristown, NJ · (973) 971-5450 Ia Qual Borrelia Burgdorferi Ab CSF | $19.58 | $222.00 | — | 91% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Ia Qual Borrelia Burgdorferi Ab | $19.58 | $1,164.00 | — | 98% | — source file |
| Newton Medical Center Newton, NJ · (973) 383-2121 Ia Qual Borrelia Burgdorferi Ab CSF | $19.58 | $509.00 | — | 96% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Ia Qual Borrelia Burgdorferi Ab | $19.58 | $98.00 | — | 80% | — source file |
| Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Ia Qual Borrelia Burgdorferi Ab CSF | $19.58 | $509.00 | — | 96% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Ia Qual Borrelia Burgdorferi Ab | $19.58 | $509.00 | — | 96% | — source file |
| Overlook Medical Center Summit, NJ · (908) 522-2000 Ia Qual Borrelia Burgdorferi Ab CSF | $19.58 | $509.00 | — | 96% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Ia Qual Borrelia Burgdorferi Ab | $19.58 | $347.00 | — | 94% | — source file |
| CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Ia Qual Borrelia Burgdorferi Ab CSF | $19.58 | $347.00 | — | 94% | — source file |
| NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $285.50 | $15.33–$285.50 | 93% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | 91% | Jan 1, 2026 source file |
| NYU Langone New York, NY · (212) 263-7300 HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | 91% | Jan 1, 2026 source file |
| NYU Langone Brooklyn, NY HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | 91% | Jan 1, 2026 source file |
| NYU Langone Mineola, NY HC ANTB BORRELIA BURGDORFERI LYME DISEASE | $20.44 | $228.22 | $15.33–$285.50 | 91% | Jan 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Lyme Ab/Western Blot Reflex | $31.50 | $35.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Lyme Ab/Western Blot Reflex | $31.50 | $35.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Lyme Ab/Western Blot Reflex | $31.50 | $35.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Lyme Ab/Western Blot Reflex | $31.50 | $35.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Lyme Ab/Western Blot Reflex | $31.50 | $35.00 | — | 10% | Apr 1, 2026 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Dis. Ab W/Rflx Blot | $39.20 | $56.00 | — | 30% | Oct 28, 2025 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 LYME DIS SERUM ABS | $54.00 | $54.00 | — | — | Apr 1, 2026 source file |
| Maimonides Medical Center Brooklyn, NY · (718) 283-6000 LYME CSF ABS (EIA) | $54.00 | $54.00 | — | — | Apr 1, 2026 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Test Csf | $64.73 | $92.46 | — | 30% | Oct 28, 2025 source file |
| The Valley Hospital Paramus, NJ · (201) 447-8000 Lyme IgG | $65.40 | $109.00 | $13.62–$92.65 | 40% | — source file |
| The Valley Hospital Paramus, NJ · (201) 447-8000 Lyme IgM | $65.40 | $109.00 | $13.62–$92.65 | 40% | — source file |
| HMH Carrier Behavioral Health Belle Mead, NJ LYME DISEASE AB W/ REFL TO BLOT IGG IGM QST | $66.00 | $165.00 | — | 60% | — source file |
| HMH Carrier Behavioral Health Belle Mead, NJ LYME DISEASE AB W/ REFL TO BLOT IGG IGM QST | $66.00 | $165.00 | — | 60% | — source file |
| The Valley Hospital Paramus, NJ · (201) 447-8000 LYME DISEASE SEROLO, S 6073684 | $67.20 | $112.00 | $13.62–$95.20 | 40% | — source file |
| Mount Sinai Queens Long Island, NY HC B Burgdorferi Ab CSF | $73.80 | $82.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC B Burgdorferi Ab CSF | $73.80 | $82.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC B Burgdorferi Ab CSF | $73.80 | $82.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC B Burgdorferi Ab CSF | $73.80 | $82.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC B Burgdorferi Ab CSF | $73.80 | $82.00 | — | 10% | Apr 1, 2026 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Im Se Lyme | $80.28 | $114.68 | — | 30% | Oct 28, 2025 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Lyme Abs CSF Eiaigg*X*86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Lyme Screen Eia Igg*X*86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Lyme Cmplte Eia Igg*X*86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Xpld-Lyme Eia Igm 86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Xpld-Lyme Screen Igm 86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Lyme Screen Igg 86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Englewood Health Englewood, NJ · (201) 894-3000 Lyme Screen Igm 86618 | $81.20 | $812.00 | $63.50–$649.60 | 90% | Feb 2, 2026 source file |
| Mount Sinai Morningside New York, NY HC Lyme Igm Early Test | $144.00 | $160.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Lyme Igm Early Test | $144.00 | $160.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Lyme Igm Early Test | $144.00 | $160.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Lyme Igm Early Test | $144.00 | $160.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Lyme Igm Early Test | $144.00 | $160.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Borrelia Burgdorferi Lyme | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Antibody Borrelia Burgdorferi Lyme Disease | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Queens Long Island, NY HC Borrelia Burgdorferi Lyme | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Antibody Borrelia Burgdorferi Lyme Disease | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Morningside New York, NY HC Antibody Borrelia Burgdorferi Lyme Disease | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Borrelia Burgdorferi Lyme | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Antibody Borrelia Burgdorferi Lyme Disease | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Brooklyn Brooklyn, NY HC Borrelia Burgdorferi Lyme | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Antibody Borrelia Burgdorferi Lyme Disease | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Mount Sinai Behavioral Health Center New York, NY HC Borrelia Burgdorferi Lyme | $184.50 | $205.00 | — | 10% | Apr 1, 2026 source file |
| Nassau University Medical Center East Meadow, NY · (516) 572-0123 Lyme Disease W/Rfx Ratio | $272.88 | $389.82 | — | 30% | Oct 28, 2025 source file |
| New York Eye and Ear Infirmary of Mount Sinai New York, NY · (212) 979-4000 LYME DISEASE | $273.24 | $303.60 | — | 10% | Apr 1, 2026 source file |
Inpatient: lowest $17.03, median $25.97, highest $273.24 — a 16.0× difference within the same market.
As an outpatient, the same code is billed by 50 facilities here, median $20.44 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 8 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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 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.