Lyme disease test cost in Texarkana, TX — inpatient
In Texarkana, TX-AR, 2 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $184.25 to $357.50, with a median of $270.88. The lowest listed price is at CHRISTUS Health - Pine Street — $86.63 less than the median here. Across Texas, the median is $82.70 at 275 hospitals.
Cash prices at 2 facilities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Jan 14, 2026 and Aug 6, 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 Texarkana, TX-AR.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| CHRISTUS Health - Pine Street lowest Texarkana, TX · (903) 798-8000 Lyme Disease Total Ab Test w/Reflex (LC) | $184.25 | $335.00 | $106.53–$301.50 | 45% | Jan 14, 2026 source file |
| CHRISTUS Health - Pine Street lowest Texarkana, TX · (903) 798-8000 86618 LYME DISEASE AB | $184.25 | $335.00 | $106.53–$301.50 | 45% | Jan 14, 2026 source file |
| CHRISTUS Health - Pine Street Texarkana, TX · (903) 798-8000 Lyme Disease Total Ab Rfx Immunoassay LC | $189.20 | $344.00 | $109.39–$309.60 | 45% | Jan 14, 2026 source file |
| Pam Specialty Hospital of Texarkana North Texarkana, TX Lyme Disease Antibody | $357.50 | $357.50 | $250.25–$321.75 | — | Aug 6, 2026 source file |
Inpatient: lowest $184.25, median $270.88, highest $357.50 — a 1.9× difference within the same market.
As an outpatient, the same code is billed by 1 facility here, median $167.50 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 1 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.