Lyme disease test cost in Washington
In Washington, 55 hospitals publish a cash price for Lyme disease antibody test: from $17.10 to $252.20, with a median of $96.20. The lowest price is at Overlake Medical Center & Clinics (Bellevue). The highest price is 14.7× the lowest.
- The median here, $96.20, is 37% above the US median of $70.40.
- That is 5.6× Medicare's 2026 national rate for the same service ($17.03).
- Washington ranks 34th of 51 states by median, cheapest first.
- 5 of 55 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. 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$17.10Overlake Medical Center & Clinics
Median$96.20half of hospitals charge less
Highest$252.20in Washington
Lowest saves$79.10vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Overlake Medical Center & Clinics lowest Bellevue · Seattle-Tacoma-Bellevue, WA Hc Lyme, Total Ab Test/Reflex | $17.10 | $34.20 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $18.20 | $26.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC LYME IGG/IGM | $34.12 | $52.50 | Apr 1, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA LYME DISEASE ANTIBODY | $46.95 | $117.38 | Jul 10, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC Ab Borrelia Burgdorferi | $51.27 | $99.00 | Sep 30, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $54.12 | $54.12 | May 27, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $55.26 | $191.58 | Sep 30, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $58.26 | $191.58 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $58.32 | $191.58 | Sep 30, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC LYME (B.BURGDORFERI) AB CSF | $58.80 | $84.00 | Apr 1, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $58.92 | $191.58 | Sep 30, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $62.79 | $191.58 | Sep 30, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Antibody Borrelia Burgdorferi Lyme Disease | $63.70 | $91.00 | Mar 12, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Lyme Disease Antibody | $64.80 | $72.00 | Aug 10, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $65.00 | $100.00 | Mar 21, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC C6 B BURGDORFI LYME | $70.35 | $191.58 | Sep 30, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Analysis for antibody Borrelia burgdorferi | $70.40 | $88.00 | Jun 24, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $71.20 | $89.00 | Oct 27, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC LYME ANTIBODY | $80.00 | $100.00 | Mar 26, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $80.80 | $101.00 | Aug 6, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $81.05 | $81.05 | Sep 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC C6 B BURGDORFI LYME | $81.31 | $184.21 | Feb 28, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC LYME, TOTAL AB TEST/REFLEX | $87.22 | $150.38 | Apr 14, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC LYME DISEASE ANTIBODY - CSF | $89.28 | $186.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $89.28 | $186.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC LYME DISEASE ANTIBODY - CSF | $89.28 | $186.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC LYME DISEASE ANTIBODY - CSF | $89.28 | $186.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $96.20 | $148.00 | Mar 20, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC LYME DISEASE ANTIBODY - CSF | $96.72 | $186.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $96.90 | $114.00 | Jun 9, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC LYME DISEASE ANTIBODY - IGG-IGM | $98.70 | $141.00 | Apr 1, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $101.40 | $156.00 | Mar 21, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Lyme Disease Serology CSF | $102.80 | $102.80 | Mar 31, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $106.60 | $164.00 | Mar 20, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC LYME DISEASE ANTIBODY - IGG-IGM | $107.25 | $195.00 | Jan 1, 2025 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA LYME DISEASE ANTIBODY | $109.85 | $169.00 | Mar 21, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $112.20 | $132.00 | Oct 7, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC LYME DISEASE ANTIBODY | $114.75 | $153.00 | Oct 23, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA ANTIBODY BORELLIA BUFGDORFEN (LYME) | $116.00 | $145.00 | Apr 1, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA Lyme Disease Total Antibody With Reflex to Immunoassay LC | $117.83 | $157.10 | Mar 10, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA LYME DISEASE ANTIBODY | $130.70 | $130.70 | Mar 18, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA Lyme Disease Total Antibody w/Reflex to Immunoassay LC | $132.24 | $232.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC LYME ANTIBODY | $132.80 | $166.00 | Mar 26, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC LYME DISEASE ANTIBODY | $135.20 | $260.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $138.60 | $198.00 | Apr 1, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $138.88 | $224.00 | May 18, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $149.58 | $277.00 | Aug 31, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LAB | $159.60 | $228.00 | Apr 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA B.BURGDORFERI AB LYME DISEASE | $163.20 | $192.00 | Sep 14, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Analysis for antibody Borrelia burgdorferi | $184.00 | $184.00 | Jan 4, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Lyme disease antibody | $200.80 | $251.00 | May 15, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $210.00 | $280.00 | Jul 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC LYME DISEASE ANTIBODY - CSF | $222.60 | $318.00 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA LYME DISEASE ANTIBODY | $232.00 | $290.00 | Dec 2, 2024 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA Lyme, Total Ab Test/Reflex LC | $252.20 | $388.00 | Apr 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 18 | $17.10 | $75.18 |
| Spokane-Spokane Valley, WA | 5 | $58.80 | $138.60 |
| Kennewick-Richland, WA | 4 | $46.95 | $102.98 |
| Wenatchee-East Wenatchee, WA | 3 | $64.80 | $81.05 |
| Moses Lake, WA | 2 | $54.12 | $119.06 |
| Mount Vernon-Anacortes, WA | 2 | $101.40 | $117.10 |
| Port Townsend, WA | 2 | $71.20 | $76.00 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $34.12 | $70.36 |
| Aberdeen, WA | 1 | $149.58 | $149.58 |
| Bellingham, WA | 1 | $65.00 | $65.00 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $81.31 | $81.31 |
| Centralia, WA | 1 | $138.88 | $138.88 |
| Ellensburg, WA | 1 | $112.20 | $112.20 |
| Friday Harbor, WA | 1 | $96.20 | $96.20 |
| Goldendale, WA | 1 | $232.00 | $232.00 |
| Ilwaco, WA | 1 | $114.75 | $114.75 |
| Longview-Kelso, WA | 1 | $109.85 | $109.85 |
| Olympia-Lacey-Tumwater, WA | 1 | $135.20 | $135.20 |
| Othello, WA | 1 | $210.00 | $210.00 |
| Port Angeles, WA | 1 | $70.40 | $70.40 |
| Pullman, WA | 1 | $96.90 | $96.90 |
| Republic, WA | 1 | $163.20 | $163.20 |
| Shelton, WA | 1 | $117.83 | $117.83 |
| Walla Walla, WA | 1 | $18.20 | $18.20 |
| Yakima, WA | 1 | $252.20 | $252.20 |
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
- Virginia$87.50
- West Virginia$31.50
- Wisconsin$83.11
- Wyoming$93.45
Median cash price across the state's hospitals.