HRHospitalRates.comCompare prices

Procedure price report · Other Laboratory

Blood test for relapsing fever antibodies

CPT 86619the billing code this page is about

A blood test that looks for antibodies to Borrelia species that cause relapsing fever, spread by ticks or lice.

Hospitals typically charge $72 cash for this outpatient procedure — the median across 476 hospitals that filed a usable cash price; the average of the middle 60% is $75. Most fall between $24 and $151 (20th–80th percentile).

Hospitals
476
States
48
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 476 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$15$29$72$131$224

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($15 vs $224).

How the prices are spread

$13 – $19: 63 hospitals$13$19 – $27: 22 hospitals$27 – $38: 73 hospitals$27$38 – $55: 26 hospitals$55 – $79: 78 hospitals$55$79 – $114: 63 hospitals$114 – $164: 64 hospitals$114$164 – $235: 27 hospitals$235 – $337: 9 hospitals$235$337 – $484: 13 hospitals$337median $72price bands are equal on a log scale
Hospitals per price band (438 of 476 — the bands cover the 5th to 95th percentile)
FromToHospitals
$13$1963
$19$2722
$27$3873
$38$5526
$55$7978
$79$11463
$114$16464
$164$23527
$235$3379
$337$48413

By state

The median cash price in each state, against the national median of $72.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $39 across 17 hospitalsWA$39Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $32 across 23 hospitalsIL$32Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $32 across 34 hospitalsNY$32Massachusetts: median $87 across 31 hospitalsMA$87Oregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $34 across 12 hospitalsIA$34Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: 3 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $29 across 45 hospitalsPA$29New Jersey: median $15 across 29 hospitalsNJ$15Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $78 across 43 hospitalsCA$78Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $49 across 15 hospitalsCO$49Nebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $141 across 11 hospitalsAZ$141New Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $24 across 13 hospitalsOK$24Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $107 across 53 hospitalsTX$107Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $72. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ11$141+95%$141 – $141
Texas TX53$107+49%$69 – $151
Massachusetts MA31$87+21%$35 – $142
California CA43$78+8%$78 – $103
Colorado CO15$49−33%$36 – $456
Washington WA17$39−46%$29 – $143
Iowa IA12$34−53%$34 – $34
Illinois IL23$32−55%$19 – $59
New York NY34$32−56%$13 – $58
Pennsylvania PA45$29−60%$11 – $224
Oklahoma OK13$24−67%$24 – $29
New Jersey NJ29$15−80%$13 – $486
Minnesota MN9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Ohio OH3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $72.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care412$69$21 – $142
Children’s8fewer than 20 hospitals
Critical access55$101$37 – $214
Ownership
For-profit64$101$27 – $298
Government44$36$15 – $134
Non-profit367$72$25 – $144
System affiliation
Part of a system408$72$24 – $151
Independent68$71$25 – $172

Cash price vs list price

Median list price (chargemaster)$141
Median cash price$72
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

323 hospitals filed a usable inpatient cash price for this code. The median is $79 and the average of the middle 60% is $89; most fall between $34 and $151.

Cash price percentiles, inpatient, across 323 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$28$39$79$141$188

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($28 vs $188).

Of the 345 hospitals that filed this code inpatient, 323 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

476 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 515 hospitals that filed this code at all gave us
Usable cash price — counted476
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded20
Hospitals that filed this code515

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other Laboratory family.

Hospitals file this code under descriptions such as Hc Borrelia Antibody.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Blood test for relapsing fever antibodies (CPT 86619) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-86619-blood-test-for-relapsing-fever-antibodies