Lyme disease test cost in Missouri
In Missouri, 61 hospitals publish a cash price for Lyme disease antibody test: from $16.50 to $835.69, with a median of $91.65. The lowest price is at Missouri Delta Medical Center (Sikeston). The highest price is 50.6× the lowest.
- The median here, $91.65, is 30% above the US median of $70.40.
- That is 5.4× Medicare's 2026 national rate for the same service ($17.03).
- Missouri ranks 31st of 51 states by median, cheapest first.
- 9 of 61 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 8, 2026. See them on a map
Lowest$16.50Missouri Delta Medical Center
Median$91.65half of hospitals charge less
Highest$835.69in Missouri
Lowest saves$75.15vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Missouri Delta Medical Center lowest Sikeston · Sikeston, MO Lyme Disease Serology w/Reflex LC | $16.50 | $66.00 | Aug 7, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Lyme Disease Antibody | $17.00 | $271.93 | Mar 17, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO LYME IgG | $17.50 | $25.00 | Aug 21, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS Reflex Lyme Modified 2 Tier Testing | $21.17 | $73.00 | Mar 6, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO LYME DISEASE ANTIBODY | $30.65 | $51.09 | Jul 1, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Lyme Disease Antibody | $31.20 | $48.00 | Jun 10, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $34.38 | $57.30 | Oct 28, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $40.42 | $178.04 | Apr 24, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO Borrelia burgdorferi Antibody Total EIA (CQ) | $42.86 | $204.08 | Apr 1, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS LYMES DIS AB | $44.00 | $160.00 | Jul 9, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS LYME DISEASE SEROLOGY | $44.64 | $93.00 | Apr 1, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $44.87 | $178.04 | Apr 24, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $54.30 | $178.04 | Apr 24, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO LYME, TOTAL AB TEST/REFLEX | $56.55 | $87.00 | Oct 8, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $56.79 | $178.04 | Apr 24, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Lyme Disease Antibody CSF | $61.10 | $94.00 | Jun 10, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Lyme Disease Antibody CSF | $61.10 | $94.00 | Jun 4, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO Lyme Disease Serology w/Reflex LC | $61.10 | $61.10 | Apr 1, 2026 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $64.50 | $86.00 | Mar 26, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO LYME DISEASE AB | $65.89 | $109.81 | Apr 1, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO Tick Panel AB QST 36942 | $67.95 | $151.00 | Jan 14, 2025 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO LYME DISEASE Ab W REFLEX TO BLOT IgG,IgM | $72.00 | $72.00 | Jul 1, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Lyme Disease Antibody | $74.10 | $114.00 | Jun 10, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO LYME DISEASE AB/RFX | $77.40 | $86.00 | Oct 13, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO LYME DISEASE AB | $83.72 | $310.07 | Apr 1, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO LYME DISEASE EIA | $83.75 | $167.50 | May 19, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $85.00 | $100.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $85.00 | $100.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $85.00 | $100.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES | $85.00 | $100.00 | Sep 26, 2025 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Lyme Disease Antibody | $91.65 | $141.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Lyme Disease Antibody | $91.65 | $141.00 | Jun 4, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Lyme Disease Antibody | $93.60 | $144.00 | Jun 9, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO LYME IGG AB INDEX; LYME DISEASE (LNBAI) 3/4 P31032974 | $98.10 | $163.50 | Dec 15, 2025 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Lyme Disease Antibody CSF | $100.10 | $154.00 | Jun 11, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS LYME DISEASE ANTIBODY | $104.58 | $261.45 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS LYME DISEASE ANTIBODY | $104.58 | $261.45 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS LYME DISEASE ANTIBODY | $104.58 | $261.45 | Sep 1, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Lyme Disease Antibody | $110.50 | $170.00 | Jun 10, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Lyme Disease Antibody | $111.15 | $171.00 | Mar 12, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO Lyme Disease Ab w/Rfx Blot (IgG,IgM) QST | $113.60 | $142.00 | May 5, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO LYME DISEASE ANTIBODY | $114.80 | $164.00 | Oct 24, 2026 source file |
| Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL LYME DISEASE ANTIBODY | $118.40 | $118.40 | Mar 18, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Lyme Disease Antibody | $125.45 | $193.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Lyme Disease Antibody CSF | $125.45 | $193.00 | Jun 10, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO Lyme Disease Antibody | $125.45 | $193.00 | Jun 10, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO LYME DISEASE ANTIBODY | $139.00 | $173.75 | Mar 25, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS LYME DISEASE TOTAL AB | $149.16 | $213.08 | Apr 20, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Lyme Disease Antibody CSF | $150.80 | $232.00 | Jun 10, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $151.54 | $189.42 | Feb 2, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS LYME DISEASE ANTIBODY | $156.80 | $224.00 | Apr 7, 2026 source file |
| Phelps Health Rolla · Rolla, MO ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $161.17 | $230.24 | Feb 26, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Lyme Disease Antibody Igg | $164.45 | $253.00 | Jun 9, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Lyme Disease Ab/Eia Serum | $170.00 | $170.00 | Apr 1, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO LYME DISEASE AB | $192.60 | $802.48 | Apr 1, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Lyme Disease Antibody | $199.55 | $307.00 | Jun 11, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS Antibody; Borrelia burgdorferi (Lyme disease) | $330.63 | $330.63 | Sep 1, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS LYME DISEASE AB QL | $519.93 | $519.93 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS Antibody; Borrelia burgdorferi (Lyme disease) | $531.69 | $531.69 | Sep 1, 2026 source file |
| Lee's Summit Medical Center Lee's Summit · Kansas City, MO-KS Antibody; Borrelia burgdorferi (Lyme disease) | $591.02 | $591.02 | Sep 1, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS Antibody; Borrelia burgdorferi (Lyme disease) | $835.69 | $835.69 | Sep 1, 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 |
|---|---|---|---|
| Kansas City, MO-KS | 11 | $17.00 | $156.80 |
| St. Louis, MO-IL | 6 | $31.20 | $85.80 |
| Joplin, MO-KS | 5 | $93.60 | $104.58 |
| Springfield, MO | 4 | $44.87 | $91.65 |
| Cape Girardeau, MO-IL | 2 | $100.10 | $135.05 |
| Columbia, MO | 2 | $65.89 | $82.00 |
| St. Joseph, MO-KS | 2 | $85.00 | $85.00 |
| Albany, MO | 1 | $85.00 | $85.00 |
| Aurora, MO | 1 | $125.45 | $125.45 |
| Bethany, MO | 1 | $56.55 | $56.55 |
| Branson, MO | 1 | $40.42 | $40.42 |
| Cassville, MO | 1 | $125.45 | $125.45 |
| Clinton, MO | 1 | $30.65 | $30.65 |
| Dexter, MO | 1 | $199.55 | $199.55 |
| Fairfax, MO | 1 | $17.50 | $17.50 |
| Fredericktown, MO | 1 | $77.40 | $77.40 |
| Hermann, MO | 1 | $34.38 | $34.38 |
| Kirksville, MO | 1 | $192.60 | $192.60 |
| Lamar, MO | 1 | $56.79 | $56.79 |
| Lousiana, MO | 1 | $113.60 | $113.60 |
| Lebanon, MO | 1 | $74.10 | $74.10 |
| Memphis, MO | 1 | $114.80 | $114.80 |
| Milan, MO | 1 | $72.00 | $72.00 |
| Monett, MO | 1 | $54.30 | $54.30 |
| Marshall, MO | 1 | $151.54 | $151.54 |
| Maryville, MO | 1 | $85.00 | $85.00 |
| Moberly, MO | 1 | $83.72 | $83.72 |
| Nevada, MO | 1 | $67.95 | $67.95 |
| Perryville, MO | 1 | $111.15 | $111.15 |
| Poplar Bluff, MO | 1 | $42.86 | $42.86 |
| Rolla, MO | 1 | $161.17 | $161.17 |
| Ste. Genevieve, MO | 1 | $83.75 | $83.75 |
| Sedalia, MO | 1 | $64.50 | $64.50 |
| Sikeston, MO | 1 | $16.50 | $16.50 |
| Warrensburg, MO | 1 | $61.10 | $61.10 |
| West Plains, MO | 1 | $125.45 | $125.45 |
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
- Iowa$87.75
- 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
- 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.