Lyme disease test cost in North Dakota
In North Dakota, 27 hospitals publish a cash price for Lyme disease antibody test: from $13.50 to $228.14, with a median of $65.60. The lowest price is at CHI St Alexius Health (Bismarck). The highest price is 16.9× the lowest.
- The median here, $65.60, is 7% below the US median of $70.40.
- That is 3.9× Medicare's 2026 national rate for the same service ($17.03).
- North Dakota ranks 14th of 51 states by median, cheapest first.
- 6 of 27 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 11, 2026. See them on a map
Lowest$13.50CHI St Alexius Health
Median$65.60half of hospitals charge less
Highest$228.14in North Dakota
Lowest saves$52.10vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| CHI St Alexius Health lowest Bismarck · Bismarck, ND HC LYME MODIFIED 2-TIER TESTING 2ND TIER IGM | $13.50 | $27.00 | Sep 30, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND LYME DISEASE ACUTE REFLEXIVE | $21.46 | $51.09 | Feb 28, 2026 source file |
| CHI Oakes Hospital Oakes · Oakes, ND LYME DISEASE ACUTE REFLEXIVE | $26.57 | $51.09 | Feb 28, 2026 source file |
| Lisbon Area Health Services Lisbon · Lisbon, ND LYME DISEASE ACUTE REFLEXIVE | $28.10 | $51.09 | Sep 30, 2026 source file |
| Mercy Medical Center Williston · Williston, ND LYME DISEASE ACUTE REFLEXIVE | $28.10 | $51.09 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND LYME DISEASE ACUTE REFLEXIVE | $29.64 | $51.09 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND LYME DISEASE ACUTE REFLEXIVE | $30.15 | $51.09 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND LYME DISEASE ACUTE REFLEXIVE | $30.15 | $51.09 | Sep 30, 2026 source file |
| Kenmare Community Hospital Kenmare · Minot, ND LYME AB MODIFIED 2-TIER W/REFLEX, | $40.00 | $50.00 | Apr 1, 2026 source file |
| Trinity Hospitals Minot · Minot, ND LYME AB MODIFIED 2-TIER W/REFLEX, | $40.00 | $50.00 | Apr 1, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN CHG B. BURGDORFERI AB,LYME DISEASE | $42.70 | $70.00 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND CHG B. BURGDORFERI AB,LYME DISEASE | $42.70 | $70.00 | Mar 1, 2026 source file |
| SMP Health - St. Aloisius Harvey · Harvey, ND Lyme Eia Igm | $55.00 | $61.00 | — source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND LYMES IGG IGM 86618 | $65.60 | $82.00 | Mar 4, 2026 source file |
| Sanford Mayville Medical Center Mayville · Mayville, ND LYMES IGG IGM 86618 | $65.60 | $82.00 | Mar 4, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND LYME DISEASE SEROLOGY SERUM 86618.901 | $79.30 | $122.00 | May 1, 2026 source file |
| Jacobson Memorial Hospital Care Center Elgin · Elgin, ND LYMES TOTAL 86618 | $90.00 | $120.00 | Mar 1, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN ND LYME DISEASE SEROLOGY | $92.00 | $115.00 | Jul 16, 2026 source file |
| Essentia Health Fargo Fargo · Fargo, ND-MN LYME DISEASE ANTIBODY | $109.50 | $146.00 | Jan 1, 2026 source file |
| Nelson County Health System Hospital McVille · McVille, ND NC LYME SCREEN - R | $110.00 | $110.00 | Jul 14, 2026 source file |
| Southwest Healthcare Services Bowman · Bowman, ND LYMES DISEASE TOTAL | $117.90 | $131.00 | Oct 16, 2025 source file |
| Unity Medical Center Graften · Graften, ND UM LYME DISEASE AB, WB CONF | $119.00 | $119.00 | Mar 5, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Lyme Disease, Antibodyref | $121.00 | $121.00 | — source file |
| Heart of America Medical Center Rugby · Rugby, ND HA LYME DISEASE | $121.50 | $162.00 | Mar 31, 2026 source file |
| Towner County Medical Center Cando · Cando, ND Tc Lyme Disease Serol | $138.00 | $138.00 | — source file |
| Tioga Medical Center Tioga · Williston, ND Lyme Disease Igg/phl | $180.00 | $180.00 | — source file |
| St. Luke's Hospital Crosby · Crosby, ND SL BORR BURGD LYME DIS | $228.14 | $228.14 | Oct 6, 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 |
|---|---|---|---|
| Devils Lake, ND | 2 | $21.46 | $32.08 |
| Grand Forks, ND-MN | 2 | $42.70 | $67.35 |
| Minot, ND | 2 | $40.00 | $40.00 |
| Williston, ND | 2 | $28.10 | $104.05 |
| Bowman, ND | 1 | $117.90 | $117.90 |
| Bismarck, ND | 1 | $13.50 | $13.50 |
| Cando, ND | 1 | $138.00 | $138.00 |
| Carrington, ND | 1 | $30.15 | $30.15 |
| Crosby, ND | 1 | $228.14 | $228.14 |
| Dickinson, ND | 1 | $30.15 | $30.15 |
| Elgin, ND | 1 | $90.00 | $90.00 |
| Fargo, ND-MN | 1 | $109.50 | $109.50 |
| Graften, ND | 1 | $119.00 | $119.00 |
| Harvey, ND | 1 | $55.00 | $55.00 |
| Hillsboro, ND | 1 | $65.60 | $65.60 |
| Linton, ND | 1 | $121.00 | $121.00 |
| Lisbon, ND | 1 | $28.10 | $28.10 |
| Mayville, ND | 1 | $65.60 | $65.60 |
| McVille, ND | 1 | $110.00 | $110.00 |
| Oakes, ND | 1 | $26.57 | $26.57 |
| Rugby, ND | 1 | $121.50 | $121.50 |
| Valley City, ND | 1 | $29.64 | $29.64 |
| Watford City, ND | 1 | $79.30 | $79.30 |
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
- 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
- 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.