Lyme disease test cost in Philadelphia, PA — inpatient
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 14 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $57.71 to $207.35, with a median of $83.60. The lowest listed price is at Inspira Medical Center Elmer and 3 other hospitals — $25.89 less than the median here. Across Pennsylvania, the median is $93.00 at 64 hospitals.
Cash prices at 14 facilities across 13 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Apr 1, 2026.
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.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Inspira Medical Center Elmer lowest Elmer, NJ · (856) 363-1000 LYME AB | $57.71 | $57.71 | — | — | Mar 24, 2026 source file |
| Inspira Health Center Woodbury lowest Woodbury, NJ LYME AB | $57.71 | $57.71 | — | — | Mar 24, 2026 source file |
| Inspira Medical Center Mullica Hill lowest Mullica Hill, NJ LYME AB | $57.71 | $57.71 | — | — | Mar 24, 2026 source file |
| Inspira Medical Center Mannington lowest Salem, NJ LYME AB | $57.71 | $57.71 | — | — | 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 |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lyme Ab (Capture) | $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 |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Lyme Ab (Igm) | $83.60 | $209.00 | — | 60% | — 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 (Igm) | $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 |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Lyme Ab (Capture) | $83.60 | $209.00 | — | 60% | Apr 1, 2026 source file |
| Paoli Hospital Paoli, PA · (610) 648-1000 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 |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lyme Ab Igg & Igm | $92.00 | $230.00 | — | 60% | Apr 1, 2026 source file |
| Bryn Mawr Rehabilitation Hospital Malvern, PA 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 |
| 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 |
| 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 Quest 34194 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 | $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 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 CSF | $166.40 | $256.00 | $16.69–$259.70 | 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 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 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) Antibody Igg/Igm | $207.35 | $319.00 | $16.99–$319.00 | 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 |
| 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 |
Inpatient: lowest $57.71, median $83.60, highest $207.35 — a 3.6× difference within the same market.
As an outpatient, the same code is billed by 22 facilities here, median $79.80 — that is the price to compare if you are not being admitted.
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.