Lyme disease test cost in Iowa
In Iowa, 81 hospitals publish a cash price for Lyme disease antibody test: from $23.20 to $305.25, with a median of $87.75. The lowest price is at Boone County Hospital (Boone). The highest price is 13.2× the lowest.
- The median here, $87.75, is 25% above the US median of $70.40.
- That is 5.2× Medicare's 2026 national rate for the same service ($17.03).
- Iowa ranks 30th of 51 states by median, cheapest first.
- 8 of 81 hospitals list a cash price equal to their full list price, with no self-pay discount.
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 7, 2026. See them on a map
Lowest$23.20Boone County Hospital
Median$87.75half of hospitals charge less
Highest$305.25in Iowa
Lowest saves$64.55vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Boone County Hospital lowest Boone · Ames, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $23.20 | $29.00 | Jul 27, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $25.00 | $25.00 | Nov 3, 2026 source file |
| Story County Hospital Nevada · Ames, IA LYME DISEASE AB A/D/F/G/S/N/F1/PL | $26.40 | $33.00 | Mar 30, 2026 source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG | $33.60 | $112.00 | Feb 15, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $35.70 | $51.00 | Jul 20, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA LYME AB IGG J/L/M/P/W/L1/PL/O/C1/E/G1/M2 | $39.20 | $70.00 | Mar 26, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $39.60 | $66.00 | Jan 24, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA LYME DISEASE ANTIBODY | $45.60 | $57.00 | Feb 20, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC AB; LYME'S DISEASE | $48.57 | $60.71 | Jan 28, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC AB; LYME'S DISEASE | $48.57 | $60.71 | Jan 28, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS B. BURDORFERI (LYNE) ABS (ELISA), CSF | $51.00 | $85.00 | Mar 31, 2026 source file |
| Keokuk County Health Center Sigourney · Sigourney, IA LYME DISEASE (BORRELIA BURGDORFERI) IgM | $51.45 | $73.50 | Mar 16, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | Mar 11, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC AB; LYME'S DISEASE | $54.74 | $68.42 | Nov 4, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL #LYME AB-LYME DISEASE IGG | $57.00 | $95.00 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA #LYME AB-LYME DISEASE IGG | $58.80 | $98.00 | Mar 31, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $59.85 | $63.00 | Apr 1, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA LYME DISEASE AB A/D/F/G/S/N/F1/PL | $64.06 | $80.08 | Jun 29, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $70.20 | $78.00 | Nov 3, 2026 source file |
| Hancock County Health System Britt · Britt, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $71.25 | $95.00 | Oct 20, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA _LYME IGM | $78.00 | $78.00 | Aug 11, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $78.00 | $130.00 | Aug 20, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $78.73 | $196.83 | Sep 30, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $78.75 | $105.00 | Sep 2, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $79.04 | $152.00 | Oct 19, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $79.31 | $79.31 | Jul 10, 2026 source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Lyme Disease Antibody | $81.00 | $81.00 | Sep 1, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Antibody; Borrelia burgdorferi (Lyme disease) | $82.50 | $110.00 | Mar 31, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $84.70 | $121.00 | Jun 1, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $84.76 | $126.50 | Oct 16, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $87.00 | $87.00 | Jun 10, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC LYME DISEASE | $87.75 | $195.00 | Sep 30, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $90.40 | $113.00 | Oct 21, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC AB; LYME'S DISEASE | $91.20 | $114.00 | Aug 25, 2026 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA PANORA-LYMES AB IGG | $93.00 | $143.00 | May 29, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC LYME DISEASE | $97.50 | $195.00 | Sep 30, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $98.40 | $123.00 | Mar 4, 2026 source file |
| Monroe County Hospital Albia · Albia, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $102.60 | $171.00 | Sep 9, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $103.24 | $178.00 | Apr 21, 2026 source file |
| WinnMed Decorah · Decorah, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $107.10 | $153.00 | Oct 13, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $110.01 | $193.00 | Oct 8, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA Lyme Antibody Screen DMCL | $111.20 | $139.00 | Feb 5, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA LYME DX AB SCREEN | $113.65 | $133.70 | Apr 24, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Lyme Disease Antibody | $114.00 | $152.00 | Jan 1, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $115.20 | $144.00 | Jul 16, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA ANTIBODY; BORRELIA BURGDORFERI (LYME) MCLAB | $115.83 | $195.00 | Jun 27, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $117.00 | $180.00 | Mar 31, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $117.65 | $181.00 | Sep 21, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $123.00 | $164.00 | Oct 23, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC LYME DISEASE | $123.84 | $288.00 | Sep 30, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $126.10 | $194.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Mayo Borrelia Burgdorferi (Lyme Disease) Antibody Igg CSF | $126.10 | $194.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $136.50 | $210.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $136.50 | $210.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $136.50 | $210.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $136.50 | $210.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Mayo Borrelia Burgdorferi (Lyme Disease) Antibody Igg CSF | $136.50 | $210.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA LYMES TOTAL 86618 | $146.40 | $183.00 | Mar 4, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Mayo Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $154.05 | $237.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $154.05 | $237.00 | Mar 31, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA LYME DIS AB SERO A/C1/C2/E/J/L/L1/M/O/P/QC/R/S1/V/W/Y/P1/R1/X/PL/G1/M2 | $155.00 | $194.00 | Oct 8, 2024 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $162.96 | $168.00 | Apr 1, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $180.00 | $180.00 | Sep 14, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Mayo Ticks Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $194.00 | $194.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $198.25 | $305.00 | Mar 31, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $201.60 | $252.00 | Sep 23, 2026 source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $207.58 | $214.00 | — source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $210.00 | $210.00 | Mar 31, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $211.20 | $352.00 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $211.20 | $352.00 | Jun 11, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $215.34 | $222.00 | — source file |
| Washington County Hospital Washington · Iowa City, IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $305.25 | $407.00 | Oct 20, 2026 source file |
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 7 | $54.74 | $93.00 |
| Waterloo-Cedar Falls, IA | 5 | $54.74 | $79.04 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $51.00 | $54.74 |
| Dubuque, IA | 3 | $54.74 | $126.10 |
| Iowa City, IA | 3 | $52.50 | $52.50 |
| Omaha, NE-IA | 3 | $33.60 | $97.50 |
| Ames, IA | 2 | $23.20 | $24.80 |
| Carroll, IA | 2 | $25.00 | $54.88 |
| Clinton, IA | 2 | $58.80 | $128.52 |
| Albia, IA | 1 | $102.60 | $102.60 |
| Algona, IA | 1 | $115.20 | $115.20 |
| Atlantic, IA | 1 | $84.70 | $84.70 |
| Audubon, IA | 1 | $180.00 | $180.00 |
| Belmond, IA | 1 | $211.20 | $211.20 |
| Britt, IA | 1 | $71.25 | $71.25 |
| Cedar Rapids, IA | 1 | $48.57 | $48.57 |
| Centerville, IA | 1 | $210.00 | $210.00 |
| Charles City, IA | 1 | $78.73 | $78.73 |
| Clarinda, IA | 1 | $123.00 | $123.00 |
| Clarion, IA | 1 | $211.20 | $211.20 |
| Corning, IA | 1 | $87.75 | $87.75 |
| Corydon, IA | 1 | $87.00 | $87.00 |
| Cedar Rapids, IA | 1 | $48.57 | $48.57 |
| Decorah, IA | 1 | $107.10 | $107.10 |
| Elkader, IA | 1 | $136.50 | $136.50 |
| Emmetsburg, IA | 1 | $82.50 | $82.50 |
| Estherville, IA | 1 | $215.34 | $215.34 |
| Fairfield, IA | 1 | $78.00 | $78.00 |
| Fort Dodge, IA | 1 | $54.74 | $54.74 |
| Greenfield, IA | 1 | $78.75 | $78.75 |
| Grinnell, IA | 1 | $54.74 | $54.74 |
| Hampton, IA | 1 | $70.20 | $70.20 |
| Harlan, IA | 1 | $103.24 | $103.24 |
| Harwarden, IA | 1 | $113.65 | $113.65 |
| Iowa Falls, IA | 1 | $79.31 | $79.31 |
| Jefferson, IA | 1 | $39.20 | $39.20 |
| Keosauqua, IA | 1 | $35.70 | $35.70 |
| Lake City, IA | 1 | $155.00 | $155.00 |
| Leon, IA | 1 | $98.40 | $98.40 |
| Manchester, IA | 1 | $45.60 | $45.60 |
| Maquoketa, IA | 1 | $78.00 | $78.00 |
| Marshalltown, IA | 1 | $54.74 | $54.74 |
| Mason City, IA | 1 | $126.10 | $126.10 |
| Muscatine, IA | 1 | $54.74 | $54.74 |
| New Hampton, IA | 1 | $136.50 | $136.50 |
| Oelwein, IA | 1 | $136.50 | $136.50 |
| Orange City, IA | 1 | $201.60 | $201.60 |
| Pella, IA | 1 | $39.60 | $39.60 |
| Rock Rapids, IA | 1 | $207.58 | $207.58 |
| Sac City, IA | 1 | $91.20 | $91.20 |
| Sheldon, IA | 1 | $146.40 | $146.40 |
| Shenandoah, IA | 1 | $117.65 | $117.65 |
| Sigourney, IA | 1 | $51.45 | $51.45 |
| Sioux Center, IA | 1 | $162.96 | $162.96 |
| Sioux City, IA-NE-SD | 1 | $54.74 | $54.74 |
| Spencer, IA | 1 | $114.00 | $114.00 |
| Spirit Lake, IA | 1 | $59.85 | $59.85 |
| Waukon, IA | 1 | $110.01 | $110.01 |
| Webster City, IA | 1 | $111.20 | $111.20 |
| West Union, IA | 1 | $115.83 | $115.83 |
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
- Alabama$73.40
- Alaska$117.00
- Arizona$34.98
- Arkansas$56.95
- California$21.13
- Colorado$146.36
- Connecticut$69.41
- Delaware$169.68
- District of Columbia$157.00, 3 hospitals
- Florida$24.96
- Georgia$103.50
- Hawaii$140.60
- Idaho$84.75
- Illinois$74.32
- Indiana$123.08
- Kansas$120.69
- Kentucky$50.84
- Louisiana$50.40
- Maine$81.00
- Maryland$70.24
- Massachusetts$81.00
- Michigan$26.00
- Minnesota$73.80
- Mississippi$52.50
- Missouri$91.65
- Montana$124.20
- Nebraska$147.19
- Nevada$126.86
- New Hampshire$104.75
- New Jersey$19.58
- New Mexico$115.20
- New York$48.47
- North Carolina$71.82
- North Dakota$65.60
- Ohio$76.70
- Oklahoma$81.05
- Oregon$65.45
- Pennsylvania$94.80
- Puerto Rico$120.38
- Rhode Island$66.00
- South Carolina$130.00
- South Dakota$112.00
- Tennessee$41.40
- Texas$75.00
- Utah$192.02
- Vermont$99.77
- Virginia$87.50
- Washington$96.20
- West Virginia$31.50
- Wisconsin$83.11
- Wyoming$93.45
Median cash price across the state's hospitals.