Lab tests CPT 86618 Inpatient — admitted to hospital

Lyme disease test cost in Virginia Beach, VA — inpatient

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 10 hospitals list a cash price for Lyme disease antibody test as an inpatient: from $10.00 to $163.49, with a median of $50.90. The lowest listed price is at Sentara Leigh Hospital and 4 other hospitals — $40.90 less than the median here. Across Virginia, the median is $63.90 at 37 hospitals.

Cash prices at 10 facilities across 7 cities for code 86618, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 17, 2026 and Apr 1, 2026.

Lowest$10.00Sentara Leigh Hospital + 4 more
Median$50.90half pay less
Highest$163.49in this market
Difference16.3×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 Virginia Beach-Chesapeake-Norfolk, VA-NC.

median
Lowest $10.00Highest $222.51

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sentara Leigh Hospital lowest Norfolk, VA · (757) 261-6700 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% Apr 1, 2026
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Sentara Princess Anne Hospital lowest Virginia Beach, VA · (757) 507-1520 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% Apr 1, 2026
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Sentara Virginia Beach General Hospital lowest Virginia Beach, VA · (757) 395-8000 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% Apr 1, 2026
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Hospital for Extended Recovery lowest Norfolk, VA · (757) 388-3000 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% —
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Sentara Leigh Hospital lowest Norfolk, VA · (757) 261-6700 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% Apr 1, 2026
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Sentara Careplex Hospital lowest Hampton, VA · (757) 827-2545 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O $10.00 $20.00 — 50% Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% Apr 1, 2026
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Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% —
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Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% —
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Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% —
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Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% —
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Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Lyme Igm Antibody $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Lyme Igm/Igg Antibodies $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Borrelia Burgdoferi Igg Antibodies Csf $75.50 $151.00 — 50% Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Borrelia Burgdoferi Igm Antibodies Csf? $75.50 $151.00 — 50% Apr 1, 2026
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Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc Antibody Borrelia Burgdorferi Lyme Disease $91.79 $152.98 — 40% —
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Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC So Lyme Disease Total Anitbodies $127.80 $213.00 — 40% —
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Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC So Lyme Disease Total Anitbodies $127.80 $213.00 — 40% —
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Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC So Lyme Disease Total Anitbodies $127.80 $213.00 — 40% —
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 B. BURGDORFERI AB(CSF) $163.49 $181.65 $120.62–$167.12 10% Mar 17, 2026
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 RICKETSSIA AB(CSF) $163.49 $181.65 $120.62–$167.12 10% Mar 17, 2026
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 LYME ABY,CSF $171.66 $190.73 $126.64–$175.47 10% Mar 17, 2026
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 LYME DISEASE TOTAL $180.24 $200.27 $132.98–$184.25 10% Mar 17, 2026
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 LYME IGM II $222.51 $247.23 $164.16–$227.45 10% Mar 17, 2026
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Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 LYME IGG II $222.51 $247.23 $164.16–$227.45 10% Mar 17, 2026
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Inpatient: lowest $10.00, median $50.90, highest $163.49 — a 16.3× difference within the same market.

As an outpatient, the same code is billed by 10 facilities here, median $50.90 — that is the price to compare if you are not being admitted.

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.