Lab tests CPT 86618 Illinois Outpatient

Lyme disease test cost in Illinois

In Illinois, 105 hospitals publish a cash price for Lyme disease antibody test: from $11.72 to $490.00, with a median of $74.32. The lowest price is at Roseland Community Hospital (Chicago). The highest price is 41.8× the lowest.

  • The median here, $74.32, is 6% above the US median of $70.40.
  • That is 4.4× Medicare's 2026 national rate for the same service ($17.03).
  • Illinois ranks 21st of 51 states by median, cheapest first.
  • 29 of 105 hospitals list a cash price equal to their full list price, with no self-pay discount.

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 86618. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 9, 2026. See them on a map

Lowest$11.72Roseland Community Hospital
Median$74.32half of hospitals charge less
Highest$490.00in Illinois
Lowest saves$62.60vs the median

Hospitals in Illinois, cheapest first

HospitalCash priceList priceFile date
Roseland Community Hospital lowest Chicago · Chicago-Naperville-Elgin, IL-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $11.72 $57.00 Jul 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook · Chicago-Naperville-Elgin, IL-IN HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights · Chicago-Naperville-Elgin, IL-IN HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale · Chicago-Naperville-Elgin, IL-IN HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $12.50 $50.00 Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange · Chicago-Naperville-Elgin, IL-IN HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $12.50 $50.00 Apr 1, 2026
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Mercy Medical Center Aurora · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY $17.00 $455.00 Sep 1, 2026
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Saint Francis Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HC LYME DISEASE ANTIBODY $17.00 $76.00 Sep 1, 2026
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Saint Joseph Medical Center - Joliet Joliet · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY $17.00 $458.00 Sep 1, 2026
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The Carle Foundation Hospital Urbana · Champaign-Urbana, IL Lyme Disease Serology, CSF Ref $22.00 $22.00 Apr 15, 2026
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Gottlieb Memorial Hospital Melrose Park · Chicago-Naperville-Elgin, IL-IN Lyme Disease Ab (Qlymab) $24.32 $128.00 Mar 31, 2026
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MacNeal Hospital Berwyn · Chicago-Naperville-Elgin, IL-IN Lyme Disease Ab (Qlymab) $24.32 $128.00 Mar 31, 2026
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Presence Saint Joseph Hospital - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN HC LYME ANTIBODY $25.08 $76.00 Jan 1, 2026
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Loyola University Medical Center Maywood · Chicago-Naperville-Elgin, IL-IN Lyme Disease Ab (Qlymab) $29.44 $128.00 Mar 31, 2026
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NorthShore University HealthSystems Glenbrook Hospital Glenview · Chicago-Naperville-Elgin, IL-IN Lyme Disease Antibody Office Performed $29.90 $46.00 Jan 1, 2025
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NorthShore University HealthSystems Skokie Hospital Skokie · Chicago-Naperville-Elgin, IL-IN Lyme Disease Antibody Office Performed $29.90 $46.00 Jan 1, 2025
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John H. Stroger, Jr. Hospital Chicago · Chicago-Naperville-Elgin, IL-IN RL-LYME DISEASE ANTIBODY $30.10 $43.00 Apr 1, 2026
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Ferrell Hospital Community Foundation Eldorado · Eldorado, IL HC LYME DIS ACUT RFLX PANL $30.75 $41.00 Sep 22, 2026
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Gibson Area Hospital Gibson City · Champaign-Urbana, IL LYME ANTIBODY/RFX $35.00 $35.00 Nov 4, 2026
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Riverside Medical Center Kankakee · Kankakee, IL ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $39.93 $150.00 Mar 15, 2026
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Carle BroMenn Medical Center Normal · Bloomington, IL Lyme Ab Screen Total Ref $44.00 $44.00 Apr 15, 2026
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Carle Eureka Hospital Eureka · Peoria, IL Lyme Ab Screen Total Ref $44.00 $44.00 Apr 15, 2026
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Endeavor Health Highland Park Hospital Highland Park · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 Apr 1, 2026
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Swedish Covenant Health Chicago · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY OFFICE PERFORMED $46.00 $46.00 Apr 1, 2026
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Louis A Weiss Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN 86618 ANTIBODY BORRELIA BURGDORFERI LYME $49.18 $144.66 Mar 17, 2025
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Trinity Rock Island Rock Island · Davenport-Moline-Rock Island, IA-IL HC AB; LYME'S DISEASE $54.74 $68.42 Nov 4, 2026
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Hoopeston Community Memorial Hospital Hoopeston · Danville, IL Lyme disease antibody $55.00 $55.00 Apr 15, 2026
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MercyOne Genesis Silvis Medical Center Silvis · Davenport-Moline-Rock Island, IA-IL #LYME AB-LYME DISEASE IGG $57.00 $95.00 Mar 31, 2026
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MercyOne Genesis Aledo Medical Center Aledo · Davenport-Moline-Rock Island, IA-IL #LYME AB-LYME DISEASE IGG $58.80 $98.00 Mar 31, 2026
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Community First Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $59.75 $119.50 Apr 1, 2026
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Advocate Childrens Hospital Oak Lawn Oak Lawn · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Childrens Hospital Park Ridge Park Ridge · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 6, 2026
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Advocate Christ Medical Center Oak Lawn · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Condell Medical Center Libertyville · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Good Samaritan Hospital Downers Grove · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Good Shepherd Hospital Barrington · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Illinois Masonic Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Lutheran General Hospital Park Ridge · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Sherman Hospital Elgin · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate South Suburban Hospital Hazel Crest · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Advocate Trinity Hospital Chicago · Chicago-Naperville-Elgin, IL-IN AB, LYME DISEASE CSF $60.00 $120.00 Nov 3, 2026
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Carle Health Pekin Hospital Pekin · Peoria, IL Lyme Disease Antibody, Igg $61.00 $61.00 Apr 15, 2026
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Methodist Medical Center of Illinois Peoria · Peoria, IL Lyme Disease Antibody, Igg $61.00 $61.00 Apr 15, 2026
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Proctor Community Hospital Peoria · Peoria, IL Lyme Disease Antibody, Igm $61.00 $61.00 Apr 15, 2026
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Pana Community Hospital Pana · Taylorville, IL .Lyme IgG/IgM LC $61.25 $61.25 Oct 27, 2026
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Morris Hospital Morris · Chicago-Naperville-Elgin, IL-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $66.89 $278.00 Oct 27, 2026
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FHN Memorial Hospital Freeport · Freeport, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $67.20 $84.00 Jan 22, 2026
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Northwestern Lake Forest Hospital Lake Forest · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease European Antibody Screen, Serum (Mayo) $70.70 $101.00 Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease European Antibody Screen, Serum (Mayo) $70.70 $101.00 Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease European Antibody Screen, Serum (Mayo) $70.70 $101.00 Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease European Antibody Screen, Serum (Mayo) $70.70 $101.00 Apr 1, 2026
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Northwestern Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease European Antibody Screen, Serum (Mayo) $70.70 $101.00 Apr 1, 2026
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Deaconess Illinois Union County Hospital Anna · Anna, IL HC LYME DISEASE SEROLOGY W RFLX REF $74.32 $200.85 Feb 3, 2026
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Palos Community Hospital Palos Heights · Chicago-Naperville-Elgin, IL-IN HB Ref Lymes Igg/Igm Antibodies, Each $77.70 $111.00 Apr 1, 2026
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Humboldt Park Health Chicago · Chicago-Naperville-Elgin, IL-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $82.32 $294.00 Sep 29, 2026
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Hopedale Medical Complex Hopedale · Peoria, IL LYME DISEASE AB $82.81 $118.30 Apr 6, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park · Chicago-Naperville-Elgin, IL-IN Lyme, Total Ab Test/Reflex SO $83.87 $246.68 Mar 17, 2025
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Gateway Regional Medical Center Granite City · St. Louis, MO-IL LYME DISEASE AB $100.70 $167.84 Mar 30, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb · Chicago-Naperville-Elgin, IL-IN HB Ref Tick-Borne Disease, Antibody Panel, Lyme Disease Antibody (Q) $102.20 $146.00 Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich · Chicago-Naperville-Elgin, IL-IN HB Ref Lyme Disease C6 Peptide Elisa (Mdl) $102.20 $146.00 Apr 1, 2026
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La Rabida Children's Hospital Chicago · Chicago-Naperville-Elgin, IL-IN B BURGDORFERI IGG EIA $110.27 $110.27 Apr 1, 2026
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Community Hospital of Staunton Staunton · St. Louis, MO-IL LYME DISEASE $111.15 $222.30 Feb 9, 2026
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Morrison Community Hospital Morrison · Sterling, IL LYME ANTIBODY IgG & IgM $120.50 $120.50 Mar 13, 2026
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Carlinville Area Hospital Carlinville · St. Louis, MO-IL LYME DISEASE TOTAL AB TEST WITH REFLEX $121.80 $174.00 Mar 21, 2026
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Sarah Bush Lincoln Health Center Mattoon · Charleston-Mattoon, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $124.00 $124.00 Jun 3, 2026
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Anderson Hospital Maryville · St. Louis, MO-IL LYME DISEASE $129.10 $258.20 Feb 6, 2026
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Shriners Childrens - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN LYME DISEASE ANTIBODY $129.30 $129.30 Mar 19, 2026
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Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake · Chicago-Naperville-Elgin, IL-IN CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $135.38 $180.50 Mar 1, 2026
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County of Clay Flora · Flora, IL LCHG LYME DISEASE AB TOTAL I $138.00 $138.00 May 7, 2026
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Heartland Regional Medical Center Marion · Marion-Herrin, IL HC LYME DISEASE SEROLOGY W RFLX REF $139.67 $735.07 Feb 3, 2026
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Rockford Memorial Hospital Rockford · Rockford, IL CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $142.90 $190.54 Mar 1, 2026
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St Anthonys Memorial Hospital of the Hospital Sisters of the Third Order of St Francis Mattoon · Charleston-Mattoon, IL HC LYME AB $144.00 $200.00 Mar 24, 2026
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Salem Township Hospital Salem · Centralia, IL HC SO MISC LYME DISEASE ANTIBODY $144.86 $362.14 Dec 3, 2025
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Illini Community Hospital Pittsfield · Pittsfield, IL HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $144.89 $241.47 Jun 8, 2026
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Rochelle Community Hospital Rochelle · Rochelle, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $159.00 $159.00 Sep 28, 2026
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Blessing Hospital Quincy · Quincy, IL-MO HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT $159.92 $266.52 Jun 8, 2026
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City of Clinton Clinton · Clinton, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $160.20 $160.20 Oct 21, 2026
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Sparta Community Hospital Sparta · Sparta, IL LYME DISEASE EIA W/REFLEX IGG/IGM WB $162.75 $162.75 Jan 8, 2026
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Thomas H Boyd Memorial Hospital Carrollton · Carrollton, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $164.00 $205.00 Jul 7, 2026
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Northwest Community Hospital Arlington Heights · Chicago-Naperville-Elgin, IL-IN Hb Antibody Borrelia Burgdorferi (Lyme Disease) $169.00 $169.00 Apr 1, 2026
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St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis Decatur · Decatur, IL HC LYME AB $174.24 $242.00 Mar 25, 2026
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Washington County Hospital Nashville · Nashville, IL LCHG LYME DISEASE AB IGM $175.20 $219.00 Jun 1, 2026
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Touchette Regional Hospital Cahokia Heights · St. Louis, MO-IL Antibody; Borrelia burgdorferi (Lyme disease) $177.32 $286.00 Apr 13, 2026
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Crawford Memorial Hospital Robinson · Robinson, IL Lyme Disease Serology w/Reflex LC $184.00 $230.00 Nov 12, 2025
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Deaconess Illinois Crossroads Mount Vernon · Mount Vernon, IL HC LYME DISEASE SEROLOGY W RFLX REF $189.06 $859.33 Feb 3, 2026
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Harrisburg Medical Center Harrisburg · Harrisburg, IL HC Antibody Lyme Disease $189.60 $237.00 Mar 4, 2026
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Herrin Hospital Herrin · Marion-Herrin, IL HC Antibody Lyme Disease $189.60 $237.00 Mar 4, 2026
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Memorial Hospital of Carbondale Carbondale · Carbondale, IL HC Antibody Lyme Disease $189.60 $237.00 Mar 4, 2026
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St Joseph Memorial Hospital Murphysboro · Carbondale, IL HC Antibody Lyme Disease $189.60 $237.00 Mar 4, 2026
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Pinckneyville Community Hospital Pinckneyville · Pinckneyville, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $195.00 $195.00 Jun 8, 2026
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Mercyhealth Hospital & Medical Center - Harvard Harvard · Chicago-Naperville-Elgin, IL-IN CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $197.74 $263.66 Mar 1, 2026
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Kirby Medical Center Monticello · Champaign-Urbana, IL LYME DISEASE ANTIBODY $200.40 $334.00 Jun 11, 2026
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Fairfield Memorial Hospital Fairfield · Fairfield, IL LYMES TOTAL AB SCR $201.60 $252.00 Mar 24, 2026
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Hammond Henry Dist Hospital Geneseo · Davenport-Moline-Rock Island, IA-IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $202.50 $225.00 Jan 22, 2026
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Hshs Holy Family Hospital Greenville · St. Louis, MO-IL HC LYME AB-90 $203.76 $283.00 Mar 24, 2026
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Sarah D Culbertson Memorial Hospital Rushville · Rushville, IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $216.90 $241.00 May 26, 2026
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Jersey Community Hospital Jerseyville · St. Louis, MO-IL Lyme Antibody Screen QST $217.00 $217.00 Mar 10, 2026
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Hamilton Memorial Hospital McLeansboror · McLeansboror, IL LCHG LYME DISEASE AB TOTAL I $242.87 $269.85 Jun 11, 2026
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Hardin County General Hospital Rosiclare · Rosiclare, IL LYMES DISEASE-BORELLIA VIRUS $245.70 $273.00 Aug 31, 2026
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Ingalls Memorial Hospital Harvey · Chicago-Naperville-Elgin, IL-IN Hc Lyme Disease $252.00 $252.00 Apr 1, 2026
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The University of Chicago Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Hc Lyme Disease $280.00 $280.00 Apr 1, 2026
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Vista Medical Center East Waukegan · Chicago-Naperville-Elgin, IL-IN LYME DISEASE AB $296.93 $296.93 Mar 31, 2025
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Edward Hospital Naperville · Chicago-Naperville-Elgin, IL-IN HC ANTIBODY LYME DISEASE $324.00 $324.00 Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst · Chicago-Naperville-Elgin, IL-IN HC ANTIBODY LYME DISEASE $324.00 $324.00 Apr 1, 2026
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Richland Memorial Hospital Olney · Olney, IL Lyme Ab-Wb Confirm $490.00 $490.00 Apr 15, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Chicago-Naperville-Elgin, IL-IN 52 $11.72 $60.00
St. Louis, MO-IL 7 $100.70 $129.10
Peoria, IL 5 $44.00 $61.00
Davenport-Moline-Rock Island, IA-IL 4 $54.74 $57.90
Champaign-Urbana, IL 3 $22.00 $35.00
Carbondale, IL 2 $189.60 $189.60
Charleston-Mattoon, IL 2 $124.00 $134.00
Marion-Herrin, IL 2 $139.67 $164.64
Anna, IL 1 $74.32 $74.32
Bloomington, IL 1 $44.00 $44.00
Carrollton, IL 1 $164.00 $164.00
Clinton, IL 1 $160.20 $160.20
Centralia, IL 1 $144.86 $144.86
Danville, IL 1 $55.00 $55.00
Decatur, IL 1 $174.24 $174.24
Eldorado, IL 1 $30.75 $30.75
Fairfield, IL 1 $201.60 $201.60
Flora, IL 1 $138.00 $138.00
Freeport, IL 1 $67.20 $67.20
Harrisburg, IL 1 $189.60 $189.60
Kankakee, IL 1 $39.93 $39.93
McLeansboror, IL 1 $242.87 $242.87
Mount Vernon, IL 1 $189.06 $189.06
Nashville, IL 1 $175.20 $175.20
Olney, IL 1 $490.00 $490.00
Pinckneyville, IL 1 $195.00 $195.00
Pittsfield, IL 1 $144.89 $144.89
Quincy, IL-MO 1 $159.92 $159.92
Robinson, IL 1 $184.00 $184.00
Rosiclare, IL 1 $245.70 $245.70
Rushville, IL 1 $216.90 $216.90
Rochelle, IL 1 $159.00 $159.00
Rockford, IL 1 $142.90 $142.90
Sparta, IL 1 $162.75 $162.75
Sterling, IL 1 $120.50 $120.50
Taylorville, IL 1 $61.25 $61.25
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.

Lyme disease antibody test in other states

Median cash price across the state's hospitals.