Lyme disease test cost in Sacramento, CA
In Sacramento-Roseville-Folsom, CA, 10 hospitals list a cash price for Lyme disease antibody test: from $6.06 to $156.70, with a median of $20.87. The lowest listed price is at Methodist Hospital of Sacramento — $14.81 less than the median here. Across California, the median is $21.13 at 152 hospitals.
- The median here, $20.87, is 70% below the US median of $70.40.
- That is 1.2× Medicare's 2026 national rate for the same service ($17.03).
- Sacramento, CA ranks 2nd of 5 metro areas in California by median, cheapest first.
- 1 of 10 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 10 facilities across 6 cities for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Feb 19, 2026 and Sep 30, 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 Sacramento-Roseville-Folsom, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Methodist Hospital of Sacramento lowest Sacramento, CA · (916) 423-6010 RL-A-RFLX LYME MGR3006188 File of Sep 30, 2026 · source file | $6.06 | $25.00 | $8.75–$52.00 | 76% |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 RL-A-RFLX LYME MGR3006188 File of Sep 30, 2026 · source file | $6.33 | $25.00 | $2.75–$25.00 | 75% |
| Mercy General Hospital Sacramento, CA · (916) 453-4453 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $8.96 | $48.51 | $15.14–$52.00 | 82% |
| Mercy General Hospital Sacramento, CA · (916) 453-4453 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $9.24 | $50.00 | $15.14–$52.00 | 82% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 RL-A-RFLX LYME MGR3006188 File of Sep 30, 2026 · source file | $9.33 | $25.00 | $2.75–$52.00 | 63% |
| Mercy San Juan Medical Center Carmichael, CA · (916) 537-5000 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $10.93 | $48.51 | $5.34–$52.00 | 77% |
| Mercy San Juan Medical Center Carmichael, CA · (916) 537-5000 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $11.27 | $50.00 | $5.50–$52.00 | 77% |
| Methodist Hospital of Sacramento Sacramento, CA · (916) 423-6010 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $11.75 | $48.51 | $15.14–$52.00 | 76% |
| Methodist Hospital of Sacramento Sacramento, CA · (916) 423-6010 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $12.11 | $50.00 | $15.14–$52.00 | 76% |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $12.28 | $48.51 | $5.34–$48.51 | 75% |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $12.66 | $50.00 | $5.50–$50.00 | 75% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 RL-A-LYME MTTT 3006053 File of Sep 30, 2026 · source file | $18.10 | $48.51 | $5.34–$52.00 | 63% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 RL-A-LYME STTTC 3016760 File of Sep 30, 2026 · source file | $18.66 | $50.00 | $5.50–$52.00 | 63% |
| Kaiser Foundation Hospital - Sacramento Sacramento, CA · (916) 973-5000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $30.80 | $55.00 | $16.00–$50.00 | 44% |
| Kaiser Foundation Hospital - Roseville Roseville, CA · (916) 784-4000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $30.80 | $55.00 | $16.00–$50.00 | 44% |
| Kaiser Foundation Hospital - South Sacramento Sacramento, CA · (916) 688-2000 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE File of Apr 1, 2026 · source file | $30.80 | $55.00 | $16.00–$50.00 | 44% |
| Marshall Medical Center Placerville, CA · (530) 622-1441 RF BORRELIA BURGODFFERI VISE1/PEPC10 W/RFLX IGG IMMUNOBLOT File of Feb 19, 2026 · source file | $31.41 | $55.13 | $17.03–$49.62 | 43% |
| Marshall Medical Center Placerville, CA · (530) 622-1441 HC LAB LYMES TEST File of Feb 19, 2026 · source file | $80.57 | $141.43 | $17.03–$127.29 | 43% |
| Shriners Childrens - Northern California Sacramento, CA · (916) 453-2000 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) File of Mar 19, 2026 · source file | $156.70 | $156.70 | $10.46–$536.00 | — |
Outpatient: lowest $6.06, median $20.87, highest $156.70 — a 25.9× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $10.93. 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 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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 Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.
2 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 86618 ($57.60). 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.
| Hospital | Cash price | File |
|---|---|---|
| Mercy General Hospital Sacramento, CARL-A-RFLX LYME MGR3006188 | $4.62 | file |
| Mercy San Juan Medical Center Carmichael, CARL-A-RFLX LYME MGR3006188 | $5.64 | file |