Lyme disease test cost in Virginia
In Virginia, 66 hospitals publish a cash price for Lyme disease antibody test: from $10.00 to $923.10, with a median of $87.50. The lowest price is at Hospital for Extended Recovery (Norfolk) and 10 other hospitals. The highest price is 92.3× the lowest.
- The median here, $87.50, is 24% above the US median of $70.40.
- That is 5.1× Medicare's 2026 national rate for the same service ($17.03).
- Virginia ranks 29th of 51 states by median, cheapest first.
- 13 of 66 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 1, 2026. See them on a map
Lowest$10.00Hospital for Extended Recovery + 10 more
Median$87.50half of hospitals charge less
Highest$923.10in Virginia
Lowest saves$77.50vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hospital for Extended Recovery lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital lowest Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital lowest South Boston · South Boston, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital lowest Charlottesville · Charlottesville, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center lowest Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital lowest Suffolk · Suffolk, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center lowest Harrisonburg · Harrisonburg, VA Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Aml-Lyme Sero Progressive | $25.00 | $50.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC LYME DISEASE AB | $28.29 | $123.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC LYME DISEASE AB | $28.29 | $123.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC LYME DISEASE AB | $28.65 | $191.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC LYME DISEASE AB | $28.65 | $191.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC LYME DISEASE AB | $28.65 | $191.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC LYME DISEASE AB | $28.65 | $191.00 | Mar 23, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Antibody; Borrelia burgdorferi (Lyme disease) | $34.80 | $87.00 | Jul 11, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Lyme Disease Serology | $57.58 | $115.16 | Mar 11, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC So Lyme Disease Total Anitbodies | $63.90 | $213.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC So Lyme Disease Total Anitbodies | $66.60 | $111.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Lyme disease antibody | $67.00 | $134.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Lyme disease antibody | $67.00 | $134.00 | Dec 30, 2024 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB LYME DISEASE AB TOTAL IMMUN | $76.65 | $219.00 | Dec 15, 2025 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB LYME DISEASE AB TOTAL IMMUN | $81.20 | $232.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB LYME DISEASE AB TOTAL IMMUN | $81.20 | $232.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB LYME DISEASE AB TOTAL IMMUN | $81.20 | $232.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB LYME DISEASE AB TOTAL IMMUN | $81.20 | $232.00 | Apr 17, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC So1 Lyme Disease Total Anitbodies | $86.10 | $287.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC So2 Lyme Disease Total Anitbodies | $86.10 | $287.00 | Apr 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA LYME DISEASE TOTAL AB REFLEX I | $87.01 | $124.30 | Mar 25, 2026 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB LYME DISEASE AB TOTAL IMMUN | $87.50 | $250.00 | Dec 15, 2025 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB LYME DISEASE AB TOTAL IMMUN | $87.50 | $250.00 | Dec 15, 2025 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI TOTAL, SERUM | $89.00 | $178.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI IGG CSF | $89.00 | $178.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI TOTAL, SERUM | $89.00 | $178.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI IGG SERUM | $89.00 | $178.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC ANTIBODY BORRELIA BURGDORFERI IGG SERUM | $89.00 | $178.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Antibody Borrelia Burgdorferi Lyme Disease | $91.79 | $152.98 | Jul 1, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC So Lyme Disease Total Anitbodies | $93.60 | $156.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC So Lyme Disease Total Anitbodies | $93.60 | $156.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC So Lyme Disease Total Anitbodies | $93.60 | $156.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC So Lyme Disease Total Anitbodies | $93.60 | $156.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies | $96.60 | $161.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies | $96.60 | $161.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Lyme Disease Total Anitbodies | $96.60 | $161.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Antibody; Borrelia burgdorferi (Lyme disease) | $155.20 | $388.00 | Jul 14, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC B. BURGDORFERI AB(CSF) | $163.49 | $181.65 | Mar 17, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Antibody; Borrelia burgdorferi (Lyme disease) | $179.20 | $448.00 | Jul 10, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Antibody; Borrelia burgdorferi (Lyme disease) | $189.19 | $472.98 | Jul 10, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Antibody; Borrelia burgdorferi (Lyme disease) | $357.15 | $892.87 | Jul 14, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Antibody; Borrelia burgdorferi (Lyme disease) | $406.78 | $1,016.94 | Jul 10, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA Antibody; Borrelia burgdorferi (Lyme disease) | $463.00 | $463.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA LYME DISEASE AB QL | $469.00 | $469.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Antibody; Borrelia burgdorferi (Lyme disease) | $576.00 | $576.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA LYME DISEASE AB QL | $597.00 | $597.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA Antibody; Borrelia burgdorferi (Lyme disease) | $597.00 | $597.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA LYME DISEASE AB QL | $597.00 | $597.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA LYME DISEASE AB QL | $597.00 | $597.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA LYME DISEASE AB QL | $597.00 | $597.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA Antibody; Borrelia burgdorferi (Lyme disease) | $597.00 | $597.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Antibody; Borrelia burgdorferi (Lyme disease) | $632.00 | $632.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Antibody; Borrelia burgdorferi (Lyme disease) | $747.36 | $747.36 | Sep 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV LYME DISEASE AB QL | $923.00 | $923.00 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV Antibody; Borrelia burgdorferi (Lyme disease) | $923.10 | $923.10 | 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 |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $10.00 | $33.79 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $10.00 | $89.00 |
| Richmond, VA | 11 | $86.10 | $597.00 |
| Roanoke, VA | 6 | $63.90 | $81.20 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $81.20 | $576.00 |
| Bluefield, WV-VA | 2 | $76.65 | $216.90 |
| Big Stone Gap, VA | 1 | $28.65 | $28.65 |
| Clintwood, VA | 1 | $28.29 | $28.29 |
| Charlottesville, VA | 1 | $10.00 | $10.00 |
| Danville, VA | 1 | $34.80 | $34.80 |
| Emporia, VA | 1 | $86.10 | $86.10 |
| Galax, VA | 1 | $189.19 | $189.19 |
| Hot Springs, VA | 1 | $87.01 | $87.01 |
| Harrisonburg, VA | 1 | $10.00 | $10.00 |
| Kilmarnock, VA | 1 | $66.60 | $66.60 |
| Kingsport-Bristol, TN-VA | 1 | $28.65 | $28.65 |
| Lebanon, VA | 1 | $28.65 | $28.65 |
| Lexington, VA | 1 | $87.50 | $87.50 |
| Low Moor, VA | 1 | $469.00 | $469.00 |
| Marion, VA | 1 | $28.65 | $28.65 |
| Martinsville, VA | 1 | $179.20 | $179.20 |
| Pennington Gap, VA | 1 | $28.29 | $28.29 |
| South Boston, VA | 1 | $10.00 | $10.00 |
| Suffolk, VA | 1 | $10.00 | $10.00 |
| Staunton-Stuarts Draft, VA | 1 | $25.00 | $25.00 |
| Wytheville, VA | 1 | $406.78 | $406.78 |
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
- 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
- Washington$96.20
- West Virginia$31.50
- Wisconsin$83.11
- Wyoming$93.45
Median cash price across the state's hospitals.