Lab tests CPT 86618 Outpatient

Lyme disease test cost in Rock Rapids, IA

In Rock Rapids, IA, 1 hospital lists a cash price for Lyme disease antibody test: from $207.58 to $207.58, with a median of $207.58. Across Iowa, the median is $110.07 at 36 hospitals.

Cash prices at 1 facility for code 86618, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 21, 2026; the hospital files themselves were last updated between — and —.

Lowest$207.58Avera Merrill Pioneer
Median$207.58half pay less
Highest$207.58in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Avera Merrill Pioneer Rock Rapids, IA · (712) 472-5400 $207.58 $214.00 $142.31–$203.30 3% —
source file

Outpatient: lowest $207.58, median $207.58, highest $207.58.

As an inpatient, the same code is billed by 1 facility here, median $207.58. 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 not 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.