Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Spokane, WA — inpatient

In Spokane-Spokane Valley, WA, 3 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $58.80 to $159.60, with a median of $138.60. The lowest listed price is at Providence Holy Family Hospital — $79.80 less than the median here. Across Washington, the median is $85.30 at 32 hospitals.

Cash prices at 3 facilities across 3 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$58.80Providence Holy Family Hospital
Median$138.60half pay less
Highest$159.60in this market
Difference2.7×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 Spokane-Spokane Valley, WA.

median
Lowest $58.80Highest $222.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Holy Family Hospital lowest Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY - CSF $58.80 $84.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital lowest Spokane, WA · (509) 482-0111 HC LYME (B.BURGDORFERI) AB CSF $58.80 $84.00 — 30% Apr 1, 2026
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Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $138.60 $198.00 — 30% Apr 1, 2026
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Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC LYME DISEASE ANTIBODY - IGG-IGM $152.60 $218.00 — 30% Apr 1, 2026
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Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC LYME DISEASE ANTIBODY - CSF $152.60 $218.00 — 30% Apr 1, 2026
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Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC LYME DISEASE ANTIBODY $152.60 $218.00 — 30% Apr 1, 2026
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Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $159.60 $228.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $172.90 $247.00 — 30% Apr 1, 2026
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Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC LYME DISEASE ANTIBODY - CSF $184.10 $263.00 — 30% Apr 1, 2026
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Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC LYME DISEASE ANTIBODY - IGG-IGM $184.10 $263.00 — 30% Apr 1, 2026
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Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC LYME DISEASE ANTIBODY $184.10 $263.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY $189.70 $271.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY - IGG-IGM $189.70 $271.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY -BORELLIA $222.60 $318.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB $222.60 $318.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY - IGG-IGM $222.60 $318.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY - CSF $222.60 $318.00 — 30% Apr 1, 2026
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Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC LYME DISEASE ANTIBODY $222.60 $318.00 — 30% Apr 1, 2026
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Inpatient: lowest $58.80, median $138.60, highest $159.60 — a 2.7× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $134.65 — that is the price to compare if you are not being admitted.

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.