Lyme disease test cost in Nebraska
In Nebraska, 48 hospitals publish a cash price for Lyme disease antibody test: from $21.19 to $525.20, with a median of $147.19. The lowest price is at Saunders Medical Center (Wahoo). The highest price is 24.8× the lowest.
- The median here, $147.19, is 109% above the US median of $70.40.
- That is 8.6× Medicare's 2026 national rate for the same service ($17.03).
- Nebraska ranks 49th of 51 states by median, cheapest first.
- 11 of 48 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 10, 2026. See them on a map
Lowest$21.19Saunders Medical Center
Median$147.19half of hospitals charge less
Highest$525.20in Nebraska
Lowest saves$126.00vs the median
Hospitals in Nebraska, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Saunders Medical Center lowest Wahoo · Omaha, NE-IA Lyme EIA IgM and IgG MHP | $21.19 | $28.25 | Mar 31, 2026 source file |
| Providence Medical Center Wayne · Wayne, NE Lyme Disease Ab, Total w/Refl WB (IgG, IgM) QST | $34.00 | $40.00 | Oct 20, 2026 source file |
| Community Hospital - McCook McCook · McCook, NE LYME DISEASE ANTIBODIES - | $39.38 | $43.75 | Dec 27, 2025 source file |
| Nebraska Methodist Hospital Omaha · Omaha, NE-IA Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG | $40.32 | $112.00 | Feb 14, 2026 source file |
| Methodist Fremont Health Fremont · Fremont, NE Borrelia burgdorferi(Lyme)Abs Rflx IgM-IgG | $42.55 | $115.00 | Feb 16, 2026 source file |
| Phelps Memorial Health Center Holdrege · Holdrege, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $44.10 | $49.00 | Feb 16, 2026 source file |
| Banner Ogallala Community Hospital Ogallala · Ogallala, NE LAB AB LYME DISEASE IGG IGM | $50.69 | $66.00 | Oct 13, 2026 source file |
| Cozad Community Hospital Cozad · Lexington, NE Lyme Disease (Rl) | $58.00 | $64.00 | — source file |
| Nebraska Heart Hospital Lincoln · Lincoln, NE HC LYME DISEASE | $67.16 | $146.00 | Sep 30, 2026 source file |
| Lexington Regional Health Center Lexington · Lexington, NE Lyme (Late Disease) IgG/IgM Rflx IgG MHP | $74.21 | $77.30 | Dec 28, 2025 source file |
| Saint Francis Medical Center Grand Island · Grand Island, NE HC LYME DISEASE | $82.88 | $148.00 | Sep 30, 2026 source file |
| Good Samaritan Hospital Kearney · Kearney, NE HC LYME DISEASE | $84.10 | $145.00 | Sep 30, 2026 source file |
| Regional West Medical Center Scottsbluff · Scottsbluff, NE HB BORELLIA BURGDORFERI AB | $110.88 | $184.80 | Mar 17, 2026 source file |
| Alegent Health Immanuel Medical Center Omaha · Omaha, NE-IA HC LYME DISEASE | $123.84 | $288.00 | Sep 30, 2026 source file |
| CHI Health Bergan Mercy Omaha · Omaha, NE-IA HC LYME DISEASE | $123.84 | $288.00 | Sep 30, 2026 source file |
| CHI Health Lakeside Omaha · Omaha, NE-IA HC LYME DISEASE | $123.84 | $288.00 | Sep 30, 2026 source file |
| CHI Health Midlands Papillion · Omaha, NE-IA HC LYME DISEASE | $123.84 | $288.00 | Sep 30, 2026 source file |
| Pawnee County Memorial Hospital Pawnee City · Pawnee City, NE Lyme Disease Antibody | $126.00 | $157.00 | — source file |
| Saint Elizabeth Regional Medical Center Lincoln · Lincoln, NE HC LYME DISEASE | $126.72 | $264.00 | Sep 30, 2026 source file |
| Harlan County Health System Alma · Alma, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $127.31 | $159.14 | Oct 15, 2026 source file |
| West Holt Memorial Hospital Atkinson · Atkinson, NE Lyme Disease Antireflex To Confirm | $128.00 | $160.00 | — source file |
| Memorial Community Hospital Blair · Omaha, NE-IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $132.00 | $165.00 | Jul 15, 2026 source file |
| Mary Lanning Healthcare Hastings · Hastings, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $132.65 | $147.39 | Oct 14, 2026 source file |
| St. Mary's Community Hospital Nebraska City · Nebraska City, NE HC LYME DISEASE | $134.48 | $164.00 | Sep 30, 2026 source file |
| Alegent Health Memorial Hospital, Schuyler Schuyler · Columbus, NE HC LYME DISEASE | $159.90 | $195.00 | Sep 30, 2026 source file |
| Memorial Health Care Systems Seward · Lincoln, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $165.00 | $165.00 | Jul 15, 2026 source file |
| CHI Health Plainview Hospital Plainview · Norfolk, NE HC LYME DISEASE | $167.70 | $195.00 | Sep 30, 2026 source file |
| Columbus Community Hospital Columbus · Columbus, NE ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $173.85 | $183.00 | Mar 30, 2026 source file |
| Chadron Community Hospital Chadron · Chadron, NE Lyme Disease Serology, S Rw | $177.00 | $253.00 | — source file |
| Valley County Hospital Ord · Ord, NE ANTIBODY BORRELIA BURGDOR | $182.70 | $203.00 | Jun 15, 2026 source file |
| Garden County Health Services Oshkosh · Oshkosh, NE Lyme Antibodies W Reflex | $184.00 | $270.00 | — source file |
| Howard County Medical Center St. Paul · Grand Island, NE All Outpatient Services | $188.00 | $188.00 | Oct 14, 2026 source file |
| Kearney County Hospital Minden · Kearney, NE Lyme Antibody Rps | $200.00 | $250.00 | — source file |
| Rock County Hospital Bassett · Bassett, NE Lyme Disease Total Antibody With Reflex To Immunoblot Plab | $207.00 | $218.00 | — source file |
| Nemaha County Hospital Auburn · Auburn, NE LYME DISEASE TOTAL AB W/REFLEX #426 | $211.00 | $211.00 | Jun 1, 2026 source file |
| York General Hospital York · York, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $242.50 | $242.50 | Jul 22, 2026 source file |
| Gordon Memorial Hospital Gordon · Gordon, NE (Don't Order)lyme Antibodies W/ref (Ref) | $244.00 | $244.00 | — source file |
| Tri Valley Health System Cambridge · Cambridge, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $252.90 | $281.00 | Oct 2, 2026 source file |
| Kimball County Hospital Kimball · Kimball, NE Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $253.58 | $253.58 | Oct 12, 2026 source file |
| Beatrice Community Hospital Beatrice · Beatrice, NE Cc Lyme Igg Abs Csf | $261.00 | $261.00 | — source file |
| Callaway District Hospital Callaway · Callaway, NE Lyme Dis Abs W/ref Western Blot Pspc | $276.00 | $307.00 | — source file |
| Butler County Health David City · David City, NE Bâ Burgdorferi Abs, Total Unmc | $287.00 | $287.00 | — source file |
| Chase County Hospital Imperial · Imperial, NE Lyme Disease Ab Pspc | $288.00 | $288.00 | — source file |
| Box Butte General Hospital Alliance · Alliance, NE LYME DISEASE ANTIBODY | $300.00 | $375.00 | Aug 18, 2026 source file |
| St Francis Memorial Hospital West Point · West Point, NE Lyme Disease IgG/IgM Antibodies PLAB | $314.00 | $314.00 | Mar 18, 2026 source file |
| Syracuse Area Health Syracuse · Syracuse, NE Lyme Disease Serology W/reflex Lc | $511.00 | $511.00 | — source file |
| Bellevue Medical Center Bellevue · Omaha, NE-IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $525.20 | $808.00 | Aug 10, 2026 source file |
| Nebraska Medical Center Omaha · Omaha, NE-IA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $525.20 | $808.00 | Aug 10, 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 |
|---|---|---|---|
| Omaha, NE-IA | 9 | $21.19 | $123.84 |
| Lincoln, NE | 3 | $67.16 | $126.72 |
| Columbus, NE | 2 | $159.90 | $166.88 |
| Grand Island, NE | 2 | $82.88 | $135.44 |
| Kearney, NE | 2 | $84.10 | $142.05 |
| Lexington, NE | 2 | $58.00 | $66.10 |
| Alliance, NE | 1 | $300.00 | $300.00 |
| Alma, NE | 1 | $127.31 | $127.31 |
| Atkinson, NE | 1 | $128.00 | $128.00 |
| Auburn, NE | 1 | $211.00 | $211.00 |
| Bassett, NE | 1 | $207.00 | $207.00 |
| Beatrice, NE | 1 | $261.00 | $261.00 |
| Callaway, NE | 1 | $276.00 | $276.00 |
| Cambridge, NE | 1 | $252.90 | $252.90 |
| Chadron, NE | 1 | $177.00 | $177.00 |
| David City, NE | 1 | $287.00 | $287.00 |
| Fremont, NE | 1 | $42.55 | $42.55 |
| Gordon, NE | 1 | $244.00 | $244.00 |
| Holdrege, NE | 1 | $44.10 | $44.10 |
| Hastings, NE | 1 | $132.65 | $132.65 |
| Imperial, NE | 1 | $288.00 | $288.00 |
| Kimball, NE | 1 | $253.58 | $253.58 |
| McCook, NE | 1 | $39.38 | $39.38 |
| Nebraska City, NE | 1 | $134.48 | $134.48 |
| Norfolk, NE | 1 | $167.70 | $167.70 |
| Ogallala, NE | 1 | $50.69 | $50.69 |
| Ord, NE | 1 | $182.70 | $182.70 |
| Oshkosh, NE | 1 | $184.00 | $184.00 |
| Pawnee City, NE | 1 | $126.00 | $126.00 |
| Scottsbluff, NE | 1 | $110.88 | $110.88 |
| Syracuse, NE | 1 | $511.00 | $511.00 |
| Wayne, NE | 1 | $34.00 | $34.00 |
| West Point, NE | 1 | $314.00 | $314.00 |
| York, NE | 1 | $242.50 | $242.50 |
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
- Missouri$91.65
- Montana$124.20
- 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.