Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Portland, OR — inpatient

In Portland-Vancouver-Hillsboro, OR-WA, 11 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $12.04 to $69.70, with a median of $35.25. The lowest listed price is at Legacy Emanuel 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 11 facilities across 9 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$12.04Legacy Emanuel Medical Center + 4 more
Median$35.25half pay less
Highest$69.70in this market
Difference5.8×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $12.04Highest $252.85

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $12.04 $18.52 — 35% Apr 1, 2026
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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
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $12.04 $18.52 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $12.04 $18.52 — 35% Apr 1, 2026
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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
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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
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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
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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
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LYME IGG/IGM $34.12 $52.50 — 35% Apr 1, 2026
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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
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Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $35.25 $47.00 — 25% Apr 1, 2026
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Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC B BURGDORFERI AB TOTAL (ARUP) $35.25 $47.00 — 25% Apr 1, 2026
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Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $35.25 $47.00 — 25% Apr 1, 2026
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Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC B BURGDORFERI AB TOTAL (ARUP) $35.25 $47.00 — 25% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC B BURGDORFERI AB TOTAL (ARUP) $35.25 $47.00 — 25% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $35.25 $47.00 — 25% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC B BURGDORFERI AB TOTAL (ARUP) $35.25 $47.00 — 25% Apr 1, 2026
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Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $35.25 $47.00 — 25% Apr 1, 2026
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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
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Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $69.70 $82.00 $21.00–$67.94 15% —
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Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $69.70 $82.00 $21.00–$67.94 15% —
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Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC LYME EIA SCREENING IGG IGM $252.85 $389.00 — 35% Apr 1, 2026
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Inpatient: lowest $12.04, median $35.25, highest $69.70 — a 5.8× difference within the same market.

As an outpatient, the same code is billed by 15 facilities here, median $35.25 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 0 of 2 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.