Lab tests CPT 86618 New York Outpatient

Lyme disease test cost in New York

In New York, 108 hospitals publish a cash price for Lyme disease antibody test: from $8.14 to $334.00, with a median of $48.47. The lowest price is at Garnet Health Medical Center Catskills (Harris). The highest price is 41.0× the lowest.

  • The median here, $48.47, is 31% below the US median of $70.40.
  • That is 2.8× Medicare's 2026 national rate for the same service ($17.03).
  • New York ranks 8th of 51 states by median, cheapest first.
  • 30 of 108 hospitals list a cash price equal to their full list price, with no self-pay discount.

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. 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 11, 2026. See them on a map

Lowest$8.14Garnet Health Medical Center Catskills
Median$48.47half of hospitals charge less
Highest$334.00in New York
Lowest saves$40.33vs the median

Hospitals in New York, cheapest first

HospitalCash priceList priceFile date
Garnet Health Medical Center Catskills lowest Harris · Monticello, NY HC LYME AB 2 TIER EIA S (MAYO) $8.14 $44.00 Apr 1, 2026
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Garnet Health Medical Center Middletown · Kiryas Joel-Poughkeepsie-Newburgh, NY Hc Lyme Ab 2 Tier Eia S (Mayo) $13.50 $54.00 Apr 1, 2026
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Bellevue Hospital Center New York · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Elmhurst Hospital Center Broadway Elmhurst · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Harlem Hospital Center New York · New York-Newark-Jersey City, NY-NJ HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) $17.03 $71.40 Sep 5, 2026
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Jacobi Medical Center Bronx · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Kings County Hospital Center Brooklyn · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Lincoln Medical & Mental Health Center Bronx · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Metropolitan Hospital Center New York · New York-Newark-Jersey City, NY-NJ HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) $17.03 $71.40 Sep 5, 2026
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North Central Bronx Hospital Bronx · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Queens Hospital Center Jamaica · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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South Brooklyn Health Brooklyn · New York-Newark-Jersey City, NY-NJ HC ANTIBODY; BORRELIA BURGDORFERI (LYME DISEASE) $17.03 $71.40 Sep 5, 2026
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St Joseph's Hospital, Yonkers Yonkers · New York-Newark-Jersey City, NY-NJ ANTIBODY $17.03 — Jul 13, 2026
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Woodhull Medical & Mental Health Center Brooklyn · New York-Newark-Jersey City, NY-NJ HC LYME VISE TOTAL ANTIBODY $17.03 $71.40 Sep 5, 2026
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Geneva General Hospital Geneva · Rochester, NY (RL) AB BORRELIA BURGDORFERI $20.44 $51.09 Aug 27, 2026
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NYU Langone Mineola · New York-Newark-Jersey City, NY-NJ HC ANTB BORRELIA BURGDORFERI LYME DISEASE $20.44 $228.22 Jan 1, 2026
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NYU Langone Brooklyn · New York-Newark-Jersey City, NY-NJ HC ANTB BORRELIA BURGDORFERI LYME DISEASE $20.44 $228.22 Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue · New York-Newark-Jersey City, NY-NJ HC ANTB BORRELIA BURGDORFERI LYME DISEASE $20.44 $285.50 Jan 1, 2026
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NYU Langone – Orthopedic Hospital New York · New York-Newark-Jersey City, NY-NJ HC ANTB BORRELIA BURGDORFERI LYME DISEASE $20.44 $228.22 Jan 1, 2026
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NYU Langone – Tisch Hospital New York · New York-Newark-Jersey City, NY-NJ HC ANTB BORRELIA BURGDORFERI LYME DISEASE $20.44 $228.22 Jan 1, 2026
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Soldiers and Sailors Hospital Penn Yan · Penn Yan, NY (UR) LYME DISEASE C6 AB $20.44 $51.09 Aug 27, 2026
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Bertrand Chaffee Hospital Springville · Buffalo-Cheektowaga, NY LYME DISEASE AB $21.67 $25.50 Nov 1, 2026
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Niagara Falls Memorial Medical Center Niagara Falls · Buffalo-Cheektowaga, NY ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $28.03 $40.04 Jun 17, 2026
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Wyoming County Warsaw · Warsaw, NY LYME DISEASE ANTIBODY $28.51 $40.73 Mar 30, 2026
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F.F. Thompson Hospital Canandaigua · Rochester, NY HB Antibody Borrelia Burgdorferi Lyme Disease $29.00 — Jan 1, 2026
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Auburn Community Hospital Auburn · Auburn, NY LYME DISEASEBORRELIA BURG C6 $29.18 $231.53 Jan 19, 2025
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Kenmore Mercy Hospital Kenmore · Buffalo-Cheektowaga, NY Quantitative Blood Test that measures antibodies from Borrelia burgdorferi that cause Lyme Disease $30.00 $30.00 Apr 1, 2026
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Mercy Hospital of Buffalo Buffalo · Buffalo-Cheektowaga, NY Antibody Test against Borrelia Burgdorferi that causes Lyme Disease $30.00 $30.00 Apr 1, 2026
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Mount St. Mary's Hospital Lewiston · Buffalo-Cheektowaga, NY Antibody Test against Borrelia Burgdorferi that causes Lyme Disease $30.00 $30.00 Apr 1, 2026
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Orleans Community Health Medina · Rochester, NY LYME DISEASE IGG AB W/REFLEX TO BLOT CH $30.00 $75.00 Dec 12, 2024
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Sisters of Charity Hospital Buffalo · Buffalo-Cheektowaga, NY Quantitative Blood Test that measures antibodies from Borrelia burgdorferi that cause Lyme Disease $30.00 $30.00 Apr 1, 2026
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Wynn Hospital Utica · Utica-Rome, NY HC Lyme Igg/Igm Ab $31.20 $52.00 Aug 7, 2026
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Mount Sinai Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ HC Lyme Ab/Western Blot Reflex $31.50 $35.00 Apr 1, 2026
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Mount Sinai Morningside New York · New York-Newark-Jersey City, NY-NJ HC Lyme Ab/Western Blot Reflex $31.50 $35.00 Apr 1, 2026
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Mount Sinai Queens Long Island · New York-Newark-Jersey City, NY-NJ HC Lyme Ab/Western Blot Reflex $31.50 $35.00 Apr 1, 2026
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The Mount Sinai Hospital New York · New York-Newark-Jersey City, NY-NJ HC Lyme Ab/Western Blot Reflex $31.50 $35.00 Apr 1, 2026
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Samaritan Hospital Troy · Albany-Schenectady-Troy, NY HC Quest 16220 Borrelia Burgdorferi (Lyme Disease) Antibody $33.15 $51.00 Mar 31, 2026
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St Peters Hospital Albany · Albany-Schenectady-Troy, NY HC Quest 16220 Borrelia Burgdorferi (Lyme Disease) Antibody $33.15 $51.00 Mar 31, 2026
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Community Memorial Hospital Hamilton · Syracuse, NY 86618 Antibody Borrelia Burgdorferi Lyme Disease_01 $33.45 $41.81 Mar 24, 2026
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Nassau University Medical Center East Meadow · New York-Newark-Jersey City, NY-NJ Lyme Dis. Ab W/Rflx Blot $39.20 $56.00 Oct 28, 2025
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Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville · Wellsville, NY HB Antibody Borrelia Burgdorferi Lyme Disease $40.00 — Jan 1, 2026
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Erie County Medical Center Buffalo · Buffalo-Cheektowaga, NY LYME TOTAL AB TEST/REFLEX $41.60 $91.10 Aug 25, 2026
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Flushing Hospital Medical Center Flushing · New York-Newark-Jersey City, NY-NJ ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $42.00 $42.00 Mar 25, 2026
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Jamaica Hospital Medical Center Jamaica · New York-Newark-Jersey City, NY-NJ ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $42.00 $42.00 Mar 25, 2026
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UPMC Chautauqua Jamestown · Jamestown-Dunkirk, NY LYME DIS AB W/RFLX TO IMMUNOA $42.00 $70.00 —
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Highland Hospital Rochester · Rochester, NY HB Antibody Borrelia Burgdorferi Lyme Disease $45.05 — Jul 1, 2026
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Strong Memorial Hospital Rochester · Rochester, NY HB Antibody Borrelia Burgdorferi Lyme Disease $45.05 — Jul 1, 2026
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St Johns Episcopal Hospital Far Rockaway · New York-Newark-Jersey City, NY-NJ LYME DISEASE ANTIBODY $45.41 $53.42 Apr 7, 2026
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Clifton-Fine Healthcare Star Lake · Massena-Ogdensburg, NY LYME DISEASE SEROLOGY W RFX $45.61 $45.61 Mar 31, 2026
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Aurelia Osborn Fox Memorial Oneonta · Oneonta, NY HC Lyme Disease Serology Eval $45.93 $170.10 Jan 1, 2026
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Cobleskill Regional Hospital Cobleskill · Albany-Schenectady-Troy, NY HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 Jan 1, 2026
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Little Falls Hospital Little Falls · Utica-Rome, NY HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 Jan 1, 2026
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Mary Imogene Bassett Hospital Cooperstown · Oneonta, NY HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 Jan 1, 2026
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OConnor Hospital Delhi · Delhi, NY HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 Jan 1, 2026
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Crouse Hospital Syracuse · Syracuse, NY CH LYME CONFIRMATION. $51.00 $51.00 May 19, 2026
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Maimonides Medical Center Brooklyn · New York-Newark-Jersey City, NY-NJ LYME DIS SERUM ABS $54.00 $54.00 Apr 1, 2026
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Nicholas H. Noyes Memorial Hospital Dansville · Rochester, NY HB Antibody Borrelia Burgdorferi Lyme Disease $54.00 — Jan 1, 2026
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Alice Hyde Medical Center Malone · Malone, NY HC - LYME AB $60.00 $60.00 Sep 8, 2026
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Clifton Springs Hospital And Clinic Clifton Springs · Rochester, NY HC LYME ANTIBODY $61.62 $94.80 Apr 1, 2026
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Newark-Wayne Community Hospital Newark · Rochester, NY HC LYME ANTIBODY $61.62 $94.80 Apr 1, 2026
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Rochester General Hospital Rochester · Rochester, NY HC LYME ANTIBODY $61.62 $94.80 Apr 1, 2026
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United Memorial Medical Center Batavia · Batavia, NY HC LYME ANTIBODY $61.62 $94.80 Apr 1, 2026
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Chsli St Joseph Hospital Bethpage · New York-Newark-Jersey City, NY-NJ HC LYME TITER PX1 FOR Q#36942 $62.85 $78.00 Feb 19, 2026
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Good Samaritan Hospital Medical Center West Islip · New York-Newark-Jersey City, NY-NJ HC LYME TITER $62.85 $168.00 Feb 19, 2026
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Mercy Medical Center Rockville Centre · New York-Newark-Jersey City, NY-NJ HC LYME TITER PX1 FOR Q#36942 $62.85 $78.00 Feb 19, 2026
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St. Catherine of Siena Medical Center Smithtown · New York-Newark-Jersey City, NY-NJ HC LYME TITER $62.85 $168.00 Feb 19, 2026
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St. Francis Hospital Roslyn · New York-Newark-Jersey City, NY-NJ HC LYME ANTIBODY SB $62.85 $168.00 Feb 19, 2026
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St Josephs Hospital Health Center Syracuse · Syracuse, NY HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific $64.35 $99.00 Mar 31, 2026
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Guthrie Cortland Medical Center Cortland · Cortland, NY Ab; Lyme's Disease $66.72 $83.40 Mar 31, 2026
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Gouverneur Hospital Gouverneur · Massena-Ogdensburg, NY HC LYME ANTIBODY $69.24 $106.52 Apr 1, 2026
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Nathan Littauer Hospital Gloversville · Gloversville, NY LYME DISEASE AB (IMMUNOBLOT)R4 $73.22 $91.52 Mar 4, 2026
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The Unity Hospital of Rochester Rochester · Rochester, NY HC LYME ANTIBODY $75.84 $94.80 Apr 1, 2026
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Canton-Potsdam Hospital Potsdam · Massena-Ogdensburg, NY HC LYME ANTIBODY $82.10 $126.31 Apr 1, 2026
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Westfield Memorial Hospital Westfield · Jamestown-Dunkirk, NY HC LYME DISEASE AB $89.70 $115.00 Oct 28, 2026
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St. James Hospital Hornell · Corning, NY HB Antibody Borrelia Burgdorferi Lyme Disease $90.00 — Jan 1, 2026
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Slhs Massena Massena · Massena-Ogdensburg, NY HC LYME ANTIBODY $93.18 $143.36 Apr 1, 2026
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Arnot Ogden Medical Center Elmira · Elmira, NY HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 Mar 27, 2026
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Cayuga Medical Center at Ithaca Ithaca · Ithaca, NY HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 Mar 27, 2026
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Ira Davenport Memorial Hospital Bath · Corning, NY HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 Mar 27, 2026
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Schuyler Hospital Montour Falls · Montour Falls, NY HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 Mar 27, 2026
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St. Joseph's Hospital Campus Elmira · Elmira, NY HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 Mar 27, 2026
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Montefiore Medical Center Bronx · New York-Newark-Jersey City, NY-NJ CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $97.52 $149.12 Sep 28, 2026
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Stony Brook Southampton Hospital Southampton · New York-Newark-Jersey City, NY-NJ LYME DISEASE ANTIBODY $102.18 $102.18 Jun 17, 2026
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Kaleida Health Buffalo · Buffalo-Cheektowaga, NY Aphag Igg $107.00 $107.00 Apr 1, 2026
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HealthAlliance Hospital Kingston · Kingston, NY LYME DISEASE ANTIBODY $112.00 $112.00 Jun 24, 2026
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Margaretville Memorial Hospital Margaretville · Margaretville, NY LYME DISEASE ANTIBODY $112.00 $112.00 Jun 24, 2026
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Brooks Memorial Hospital Dunkirk · Jamestown-Dunkirk, NY Lyme $121.00 $121.00 Apr 1, 2026
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Cuba Memorial Hospital Cuba · Cuba, NY Lyme Csf $121.00 $121.00 Apr 1, 2026
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Elizabethtown Community Hospital Elizabethtown · Elizabethtown, NY HC - LYME CNS INFECTION IGG SCREEN, CSF $125.00 $125.00 Apr 28, 2026
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Memorial Hospital for Cancer and Allied Diseases New York · New York-Newark-Jersey City, NY-NJ HC Lyme Serology, Serum $157.00 $157.00 Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison · New York-Newark-Jersey City, NY-NJ HC Lyme Serology, Serum $157.00 $157.00 Dec 1, 2025
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Roswell Park Cancer Institute Buffalo · Buffalo-Cheektowaga, NY Lyme Total Abs $164.57 $164.57 Apr 1, 2026
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Corning Hospital Corning · Corning, NY Ab; Lyme's Disease $165.78 $207.22 Mar 31, 2026
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Rome Memorial Hospital Rome · Utica-Rome, NY Lyme disease antibody $166.73 $413.00 Aug 11, 2026
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Mid Hudson Regional Hospital Poughkeepsie · Kiryas Joel-Poughkeepsie-Newburgh, NY LYME DISEASE ANTIBODY $204.00 $204.00 Jul 28, 2026
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Westchester Medical Center Valhalla · New York-Newark-Jersey City, NY-NJ LYME DISEASE ANTIBODY $204.00 $204.00 Jul 28, 2026
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Samaritan Medical Center Watertown · Watertown-Fort Drum, NY BORRELIABURGDORFERI ABY $231.00 $231.00 Feb 2, 2026
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St Johns Riverside Hospital Park Care Pavillion Yonkers · New York-Newark-Jersey City, NY-NJ LYME DISEASE ANTIBODY $233.75 $275.00 Mar 27, 2026
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New York Community Hospital of Brooklyn Brooklyn · New York-Newark-Jersey City, NY-NJ LYME BORRELIA BURG. AB $263.77 $263.77 Apr 1, 2026
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Montefiore Mount Vernon Hospital Mount Vernon · New York-Newark-Jersey City, NY-NJ HC LYME DISEASE ANTIBODY $265.85 $409.00 Sep 28, 2026
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Champlain Valley Physicians Hospital Medical Center Plattsburgh · Plattsburgh, NY HC - LYME DISEASE AB, CSF $266.00 $266.00 Apr 28, 2026
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Bon Secours Community Hospital Port Jervis · Kiryas Joel-Poughkeepsie-Newburgh, NY LYMIGM $271.00 $271.00 Jun 29, 2026
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Good Samaritan Hospital Suffern · New York-Newark-Jersey City, NY-NJ Tick-borne Disease Ab Profile LC $271.00 $271.00 Jun 29, 2026
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St Anthony Community Hospital Warwick · Kiryas Joel-Poughkeepsie-Newburgh, NY 86618 - Lyme IgG II $271.00 $271.00 Jun 30, 2026
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New York Eye and Ear Infirmary of Mount Sinai New York · New York-Newark-Jersey City, NY-NJ LYME DISEASE $273.24 $303.60 Apr 1, 2026
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Sunnyview Rehab Hospital Schenectady · Albany-Schenectady-Troy, NY HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg $321.10 $494.00 Mar 31, 2026
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Brooklyn Hospital Center at Downtown Campus Brooklyn · New York-Newark-Jersey City, NY-NJ LYME DISEASE ANTIBODY $326.92 $326.92 Jul 27, 2026
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Stony Brook University Hospital Stony Brook · New York-Newark-Jersey City, NY-NJ ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $334.00 $334.00 Jun 10, 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
New York-Newark-Jersey City, NY-NJ 43 $17.03 $39.20
Rochester, NY 10 $20.44 $49.52
Buffalo-Cheektowaga, NY 9 $21.67 $30.00
Albany-Schenectady-Troy, NY 4 $33.15 $39.54
Kiryas Joel-Poughkeepsie-Newburgh, NY 4 $13.50 $237.50
Massena-Ogdensburg, NY 4 $45.61 $75.67
Corning, NY 3 $90.00 $94.13
Jamestown-Dunkirk, NY 3 $42.00 $89.70
Syracuse, NY 3 $33.45 $51.00
Utica-Rome, NY 3 $31.20 $45.93
Elmira, NY 2 $94.13 $94.13
Oneonta, NY 2 $45.93 $45.93
Auburn, NY 1 $29.18 $29.18
Batavia, NY 1 $61.62 $61.62
Cuba, NY 1 $121.00 $121.00
Cortland, NY 1 $66.72 $66.72
Delhi, NY 1 $45.93 $45.93
Elizabethtown, NY 1 $125.00 $125.00
Gloversville, NY 1 $73.22 $73.22
Ithaca, NY 1 $94.13 $94.13
Kingston, NY 1 $112.00 $112.00
Malone, NY 1 $60.00 $60.00
Margaretville, NY 1 $112.00 $112.00
Montour Falls, NY 1 $94.13 $94.13
Monticello, NY 1 $8.14 $8.14
Penn Yan, NY 1 $20.44 $20.44
Plattsburgh, NY 1 $266.00 $266.00
Warsaw, NY 1 $28.51 $28.51
Wellsville, NY 1 $40.00 $40.00
Watertown-Fort Drum, NY 1 $231.00 $231.00
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.