Lyme disease test cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 15 hospitals list a cash price for Lyme disease antibody test: from $12.04 to $137.20, with a median of $35.25. The lowest listed price is at Legacy Salmon Creek Medical Center and 4 other hospitals — $23.21 less than the median here. Across Oregon, the median is $43.66 at 38 hospitals.
Cash prices at 15 facilities across 9 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 23, 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 Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $12.04 | $18.52 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM | $34.12 | $52.50 | — | 35% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC B BURGDORFERI AB TOTAL (ARUP) | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC B BURGDORFERI AB TOTAL (ARUP) | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC B BURGDORFERI AB TOTAL (ARUP) | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC B BURGDORFERI AB TOTAL (ARUP) | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC B BURGDORFERI AB TOTAL (ARUP) | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $35.25 | $47.00 | — | 25% | Apr 1, 2026 source file |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $69.70 | $82.00 | $21.00–$67.94 | 15% | — source file |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $69.70 | $82.00 | $21.00–$67.94 | 15% | — source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 Lyme Abs, Total, Elisa | $71.50 | $110.00 | $13.28–$110.00 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Lyme Abs, Total, Elisa | $71.50 | $110.00 | $13.62–$110.00 | 35% | Mar 23, 2026 source file |
| Tuality Healthcare Hillsboro, OR · (503) 681-1111 Borrelia Burgdorferi Abs CSF, Total by Elisa | $87.75 | $135.00 | $13.28–$135.00 | 35% | — source file |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Borrelia Burgdorferi Abs CSF, Total by Elisa | $94.90 | $146.00 | $13.62–$146.00 | 35% | Mar 23, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $106.60 | $164.00 | $6.81–$55.25 | 35% | — source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 LYME DISEASE ANTIBODY | $109.85 | $169.00 | $6.81–$55.25 | 35% | — source file |
| Shriners Childrens - Portland Portland, OR · (541) 241-5090 LYME DISEASE ANTIBODY | $137.20 | $137.20 | $13.62–$59.60 | — | — source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME EIA SCREENING IGG IGM | $252.85 | $389.00 | — | 35% | Apr 1, 2026 source file |
Outpatient: lowest $12.04, median $35.25, highest $137.20 — a 11.4× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $35.25. 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 2 of 6 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.