Lyme disease test cost in Philadelphia, PA
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 22 hospitals list a cash price for Lyme disease antibody test: from $17.00 to $207.35, with a median of $79.80. The lowest listed price is at Roxborough Memorial Hospital and 1 other hospital — $62.80 less than the median here. Across Pennsylvania, the median is $93.00 at 64 hospitals.
Cash prices at 22 facilities across 18 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 Mar 24, 2026 and Sep 1, 2026.
Lowest$17.00Roxborough Memorial Hospital + 1 more
Median$79.80half pay less
Highest$207.35in this market
Difference12.2×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.
median
Lowest $17.00Highest $2,209.55
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Lyme Disease Antibody | $17.00 | $550.00 | $13.62–$533.50 | 97% | Sep 1, 2026 source file |
| Lower Bucks Hospital lowest Bristol, PA · (215) 785-9200 Hc Lyme Disease Antibody | $17.00 | $112.00 | $13.62–$89.60 | 85% | Sep 1, 2026 source file |
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Lyme Disease Antibody | $17.00 | $550.00 | $13.62–$533.50 | 97% | Sep 1, 2026 source file |
| West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Lyme Igg / Igm | $39.00 | $390.00 | $2.62–$197.09 | 90% | — source file |
| Virtua Memorial Hospital Mount Holly, NJ · (609) 267-0700 HC Lyme Igg / Igm | $39.00 | $390.00 | $2.62–$197.09 | 90% | — source file |
| Virtua Our Lady of Lourdes Camden, NJ · (856) 886-5373 HC Lyme Igg / Igm | $39.00 | $390.00 | $2.62–$197.09 | 90% | — source file |
| Virtua Willingboro Hospital Willinboro, NJ · (609) 835-2900 HC Lyme Igg / Igm | $39.00 | $390.00 | $2.62–$197.09 | 90% | — source file |
| West Jersey Hospital Voorhees, NJ · (856) 247-3000 HC Lyme Igg / Igm | $39.00 | $390.00 | $2.62–$197.09 | 90% | — source file |
| Inspira Medical Center Mullica Hill Mullica Hill, NJ LYME AB | $57.71 | $57.71 | $11.67–$88.50 | — | Mar 24, 2026 source file |
| Inspira Health Center Woodbury Woodbury, NJ LYME AB | $57.71 | $57.71 | $11.04–$88.50 | — | Mar 24, 2026 source file |
| Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 LYME AB | $57.71 | $57.71 | $11.67–$88.50 | — | Mar 24, 2026 source file |
| Inspira Medical Center Mannington Salem, NJ LYME AB | $57.71 | $57.71 | $9.72–$88.50 | — | Mar 24, 2026 source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme C6 Antibody | $76.00 | $76.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme C6 Antibody | $76.00 | $76.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Tick Borne Diseases Antibodies Quest Component 1 | $78.00 | $78.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Tick Borne Diseases Antibodies Quest Component 1 | $78.00 | $78.00 | — | — | — source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | — source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | — source file |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | — source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | — source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | — source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | Apr 1, 2026 source file |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | Apr 1, 2026 source file |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | — source file |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | Apr 1, 2026 source file |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody | $102.70 | $158.00 | $17.03–$473.55 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific | $102.70 | $158.00 | $15.80–$212.21 | 35% | Mar 31, 2026 source file |
| Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $133.10 | $133.10 | $15.15–$44.25 | — | — source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody | $150.15 | $231.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Lymes Vlse1/Pepc10 Ab, CSF,Ttl Arup | $155.80 | $155.80 | $25.71–$140.22 | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme Disease Serology Spinal Fluid | $166.00 | $166.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme Disease Serology Spinal Fluid | $166.00 | $166.00 | — | — | — source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest 34194 Borrelia Burgdorferi (Lyme Disease) Antibody Igm CSF | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest 34194 Borrelia Burgdorferi (Lyme Disease) Antibody Igg CSF | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest 34194 Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest 34194 Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $166.40 | $256.00 | $16.69–$259.70 | 35% | Mar 31, 2026 source file |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody | $207.35 | $319.00 | $17.03–$303.05 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific | $207.35 | $319.00 | $16.99–$319.00 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody | $207.35 | $319.00 | $16.99–$319.00 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Warde Borrelia Burgdorferi (Lyme Disease) Antibodies CSF | $207.35 | $319.00 | $16.99–$319.00 | 35% | Mar 31, 2026 source file |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Warde Borrelia Burgdorferi (Lyme Disease) Antibody Igg/Igm | $207.35 | $319.00 | $16.99–$319.00 | 35% | Mar 31, 2026 source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme Testing Igg/Igm | $273.00 | $273.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Lyme Testing Igg/Igm | $273.00 | $273.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Tick-Borne Disease Antibodies Serum Component 1 | $382.00 | $382.00 | — | — | — source file |
| Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Tick-Borne Disease Antibodies Serum Component 1 | $382.00 | $382.00 | — | — | — source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Lyme Disease Titer | $571.90 | $571.90 | $31.78–$514.71 | — | — source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Lyme Igg/Igm Screen-Elisa | $1,294.20 | $1,294.20 | $31.78–$1,164.78 | — | — source file |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Lyme Disease Antibody Ind | $2,209.55 | $2,209.55 | $31.78–$1,988.60 | — | — source file |
Outpatient: lowest $17.00, median $79.80, highest $207.35 — a 12.2× difference within the same market.
As an inpatient, the same code is billed by 14 facilities here, median $83.60. 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 14 of 16 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.