Lab tests CPT 86618 Outpatient

Lyme disease test cost in Riverside, CA

In Riverside-San Bernardino-Ontario, CA, 13 hospitals list a cash price for Lyme disease antibody test: from $11.66 to $185.00, with a median of $17.00. The lowest listed price is at Hospital of Barstow — $5.34 less than the median here. Across California, the median is $30.80 at 79 hospitals.

Cash prices at 13 facilities across 12 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 Apr 1, 2026 and Sep 17, 2026.

Lowest$11.66Hospital of Barstow
Median$17.00half pay less
Highest$185.00in this market
Difference15.9×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 Riverside-San Bernardino-Ontario, CA.

median
Lowest $11.66Highest $185.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Hospital of Barstow lowest Barstow, CA · (760) 256-1761 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $11.66 $19.44 $3.31–$24.92 40% Sep 17, 2026
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Palo Verde Hospital Blythe, CA · (760) 922-4115 Lyme IgG/IgM LC $11.90 $15.87 — 25% Jul 1, 2026
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Loma Linda University Behavioral Medicine Center Redlands, CA HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $8.96–$17.03 — Aug 31, 2026
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Loma Linda University Medical Center - Murrieta Murrieta, CA · (951) 290-4000 HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $2.95–$152.97 — Sep 2, 2026
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Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $3.26–$162.94 — Sep 2, 2026
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Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 HC SOM LYME DISEASE AB SERUM $16.30 $16.30 $3.26–$166.29 — Sep 2, 2026
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Chino Valley Medical Center Chino, CA · (909) 627-6111 Hc Lyme Disease Antibody $17.00 $196.38 $16.18–$196.38 91% Sep 1, 2026
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Montclair Hospital Medical Center Montclair, CA · (909) 625-8300 Hc Lyme Disease Antibody $17.00 $196.38 $16.18–$196.38 91% Sep 1, 2026
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Palo Verde Hospital Blythe, CA · (760) 922-4115 Lyme Disease Total Antibody with reflex LC $29.76 $39.68 — 25% Jul 1, 2026
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St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC LYME DISEASE ANTIBODY $61.08 $127.25 — 52% Apr 1, 2026
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Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $124.28 $239.00 $12.00–$35.00 48% —
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Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $124.28 $239.00 $12.00–$35.00 48% —
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $124.28 $239.00 $12.00–$35.00 48% —
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San Antonio Regional Hospital Upland, CA · (909) 985-2811 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $185.00 $6.22 $1.06–$201.00 -2874% Apr 2, 2026
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Outpatient: lowest $11.66, median $17.00, highest $185.00 — a 15.9× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $16.30. 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 8 of 11 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.

4 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 86618 ($75.50). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Riverside University Medical Center Moreno Valley, CAHC Lab Ref Lyme Disease Ab Igm CSF $6.48 file
Riverside University Medical Center Moreno Valley, CAHC Lab Ref Lyme Disease Ab Igm CSF $6.48 file
Riverside University Medical Center Moreno Valley, CAHC Qu Lyme Disease Ab Igg CSF $7.13 file
Riverside University Medical Center Moreno Valley, CAHC Qu Lyme Disease Ab Igg CSF $7.13 file