CPT 86618 · 1,699 hospitals reporting

Analysis for antibody borrelia burgdorferi (lyme disease bacteria)

The same procedure costs $50.49 at one hospital and $1,648 at another — a 33× spread for what's billed under the same code. Median: $104.

Cheapest published

$50.49

464 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,699 hospitals

$104

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$1,648

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

500 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH	TX	$316	$104	$8.52	$269	5 insurers
MADISON MEMORIAL HOSPITAL	ID	$123	$105	—	—	5 insurers
MADISON HOSPITAL	MN	$123	$105	—	—	5 insurers
UNITY HOSPITAL	NY	$130	$104	—	—	0 insurers
UNITY MEDICAL CENTER	TN	$130	$104	—	—	0 insurers
HAYWOOD REGIONAL MEDICAL CENTER	NC	$263	$105	—	—	2 insurers
SIDNEY HEALTH CENTER	MT	$170	$105	—	—	5 insurers
MERCY HOSPITAL	CA	$259	$104	—	—	5 insurers
CENTURA HEALTH-ST ANTHONY HOSPITAL	CO	$259	$104	—	—	5 insurers
YALE-NEW HAVEN HOSPITAL	CT	$175	$103	—	—	5 insurers
UCHEALTH HIGHLANDS RANCH HOSPITAL	CO	$352	$106	—	—	5 insurers
INTEGRIS HEALTH PONCA CITY	OK	$134	$106	—	—	5 insurers
COMMUNITY HOSPITAL, LLC	OK	$134	$106	—	—	5 insurers
INTEGRIS COMMUNITY HOSPITAL - COUNCIL CROSSING	OK	$134	$106	—	—	5 insurers
MAINEHEALTH MID COAST HOSPITAL	ME	$106	$106	—	—	5 insurers
AMBERWELL ATCHISON ASSOCIATION	KS	$147	$103	$40	—	4 insurers
RINGGOLD COUNTY HOSPITAL	IA	$114	$103	—	—	1 insurers
NORTHWEST TEXAS HOSPITAL	TX	$266	$106	—	—	5 insurers
PEACEHEALTH SOUTHWEST MEDICAL CENTER	WA	$164	$107	—	—	5 insurers
GOSHEN HOSPITAL	IN	$146	$102	—	—	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$261	$102	—	—	3 insurers
BETHESDA HOSPITAL EAST	FL	$165	$107	—	—	5 insurers
PEACEHEALTH UNITED GENERAL MEDICAL CENTER	WA	$156	$101	—	—	1 insurers
ALLEGHANY MEMORIAL HOSPITAL	NC	$215	$108	—	—	1 insurers
RAINBOW BABIES AND CHILDRENS HOSPITAL	OH	$135	$101	—	—	1 insurers
DAHL MEMORIAL HEALTHCARE ASSOCIATION INC	MT	$108	$108	—	—	3 insurers
CAPITAL HEALTH REGIONAL MEDICAL CENTER	NJ	$271	$108	—	—	1 insurers
WARD MEMORIAL HOSPITAL	TX	$155	$109	—	—	0 insurers
BOCA RATON REGIONAL HOSPITAL	FL	$167	$109	—	—	5 insurers
HARRISON MEMORIAL HOSPITAL	KY	$155	$109	—	—	5 insurers
ESSENTIA HEALTH DULUTH	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH SANDSTONE	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH ADA	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH HOLY TRINITY HOSPITAL	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH MOOSE LAKE	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH FOSSTON	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH DEER RIVER	MN	$135	$99.76	—	—	5 insurers
ESSENTIA HEALTH	ND	$135	$99.76	—	—	5 insurers
LEGENT SURGICAL HOSPITAL PLANO	TX	$199	$99.5	—	—	4 insurers