Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Omaha, NE — inpatient

In Omaha, NE-IA, 8 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $33.60 to $120.96, with a median of $120.96. The lowest listed price is at Jennie Edmundson Memorial Hospital — $87.36 less than the median here. Across Nebraska, the median is $120.96 at 17 hospitals.

Cash prices at 8 facilities across 4 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Feb 28, 2026.

Lowest$33.60Jennie Edmundson Memorial Hospital
Median$120.96half pay less
Highest$120.96in this market
Difference3.6×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 Omaha, NE-IA.

median
Lowest $33.60Highest $120.96

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Jennie Edmundson Memorial Hospital lowest Council Bluffs, IA · (712) 396-6000 Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG $33.60 $112.00 — 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG $40.32 $112.00 $56.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG $40.32 $112.00 $56.00 64% Feb 14, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC LYME DISEASE $79.38 $162.00 $92.34–$158.76 51% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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Alegent Creighton Health Papillion, NE · (402) 593-3000 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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Alegent Creighton Health Omaha, NE · (402) 717-8000 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC LYME DISEASE $120.96 $288.00 $172.80–$244.80 58% Feb 28, 2026
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Inpatient: lowest $33.60, median $120.96, highest $120.96 — a 3.6× difference within the same market.

As an outpatient, the same code is billed by 10 facilities here, median $120.96 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 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 7 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.