Lyme disease test cost in Urban Honolulu, HI
In Urban Honolulu, HI, 4 hospitals list a cash price for Lyme disease antibody test: from $43.20 to $140.60, with a median of $43.20. The lowest listed price is at Straub Clinic & Hospital and 2 other hospitals. Across Hawaii, the median is $43.20 at 5 hospitals.
Cash prices at 4 facilities across 2 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 Feb 12, 2026 and Feb 12, 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 Urban Honolulu, HI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 LYME DISEASE/BORRELIA ANTIBODY TOT RFX IGG,IGM | $43.20 | $72.00 | $16.69–$18.73 | 40% | Feb 12, 2026 source file |
| Pali Momi Medical Center lowest Aiea, HI · (808) 486-6000 LYME DISEASE/BORRELIA ANTIBODY TOT RFX IGG,IGM | $43.20 | $72.00 | $16.69–$43.22 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children lowest Honolulu, HI · (808) 983-6000 LYME DISEASE/BORRELIA ANTIBODY TOT RFX IGG,IGM | $43.20 | $72.00 | $16.69–$18.73 | 40% | Feb 12, 2026 source file |
| Pali Momi Medical Center Aiea, HI · (808) 486-6000 LYME DISEASE ANTIBODY TOTAL, CSF | $43.80 | $73.00 | $16.69–$18.73 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children Honolulu, HI · (808) 983-6000 LYME DISEASE ANTIBODY TOTAL, CSF | $43.80 | $73.00 | $16.69–$43.22 | 40% | Feb 12, 2026 source file |
| Straub Clinic & Hospital Honolulu, HI · (808) 522-4000 LYME DISEASE ANTIBODY TOTAL, CSF | $43.80 | $73.00 | $16.69–$43.22 | 40% | Feb 12, 2026 source file |
| Shriners Childrens - Honolulu Honolulu, HI · (808) 941-4466 LYME DISEASE ANTIBODY | $140.60 | $140.60 | $11.92–$25.54 | — | — source file |
Outpatient: lowest $43.20, median $43.20, highest $140.60 — a 3.3× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $43.20. 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 1 of 4 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.