Lab tests CPT 86618 Outpatient

Lyme disease test cost in Shelbyville, TN

In Shelbyville, TN, 1 hospital lists a cash price for Lyme disease antibody test: from $27.55 to $27.55, with a median of $27.55. Across Tennessee, the median is $28.65 at 44 hospitals.

Cash prices at 1 facility 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 Oct 1, 2025 and Oct 1, 2025.

Lowest$27.55Vanderbilt Bedford Hospital
Median$27.55half pay less
Highest$27.55in this market
Difference1.0×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 Shelbyville, TN.

median
Lowest $27.55Highest $75.69

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Bedford Hospital lowest Shelbyville, TN · (931) 685-5433 HC LYME DISEASE ANTIBODY IGG $27.55 $95.00 $16.14–$76.00 71% Oct 1, 2025
source file
Vanderbilt Bedford Hospital lowest Shelbyville, TN · (931) 685-5433 HC BORRELIA BURGDORFERI CSF (STANDARD TWO TIER TESTING)-ARUP $27.55 $95.00 $16.14–$76.00 71% Oct 1, 2025
source file
Vanderbilt Bedford Hospital Shelbyville, TN · (931) 685-5433 HC BORRELIA BURGDORFERI VLSE1-PEPC10 AB, TOTAL BY ELISA W RFX TO IGM AND IGG BY ELISA (MODIFIED TWO TIER TESTING)-ARUP $45.53 $157.00 $16.14–$125.60 71% Oct 1, 2025
source file
Vanderbilt Bedford Hospital Shelbyville, TN · (931) 685-5433 HC BORRELIA BURGDORFERI VISE1-PEPC10 ABS LYME DISEASE ANTIBODY-ARUP $45.53 $157.00 $16.14–$125.60 71% Oct 1, 2025
source file
Vanderbilt Bedford Hospital Shelbyville, TN · (931) 685-5433 HC LYME DISEASE MODIFIED TWO-TIER TESTING $75.69 $261.00 $16.14–$208.80 71% Oct 1, 2025
source file

Outpatient: lowest $27.55, median $27.55, highest $27.55.

As an inpatient, the same code is billed by 1 facility here, median $27.55. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.