STD test cost in Washington without insurance
In Washington, the median cash price for Chlamydia test is $134.13 across 59 hospitals, from $9.75 to $281.00. The lowest is at Legacy Salmon Creek Medical Center (Vancouver). The US median is $98.75.
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.
STD tests are lab tests, and each infection is usually its own code: chlamydia and gonorrhea are often run on the same urine sample or swab but billed as two tests. The listed price covers the lab test only; the visit, the sample collection or blood draw, and any confirmation test after a positive result are billed separately.
Collected Nov 11, 2026 One price per hospital: its lowest outpatient cash price for the code
STD test prices in Washington by type
Add up the codes you need: a common screening set is chlamydia (87491, used in the state table), gonorrhea (87591), HIV (87389) and syphilis (86592), while hepatitis C (86803) and high-risk HPV (87624) are separate tests. Each row is one test, not a panel.
| Procedure | Hospitals | Range | Median | US median |
|---|---|---|---|---|
| Chlamydia test Chlamydia test by nucleic acid amplification (NAAT, PCR-type) · code 87491 | 59 | $9.75–$281.00 | $134.13 | $98.75 |
| Gonorrhea test Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) · code 87591 | 59 | $9.75–$314.63 | $129.79 | $97.55 |
| HIV test (4th generation) HIV-1/2 antigen and antibody combination blood test (4th generation) · code 87389 | 58 | $14.70–$213.35 | $98.03 | $83.85 |
| Syphilis test (RPR) Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result · code 86592 | 58 | $2.93–$400.14 | $32.22 | $32.50 |
| Hepatitis C antibody test Hepatitis C antibody blood test (screening) · code 86803 | 59 | $7.75–$215.90 | $89.60 | $78.40 |
| HPV test HPV test for high-risk types, one combined (pooled) result · code 87624 | 47 | $19.18–$240.24 | $140.80 | $108.55 |
| HIV antibody test HIV-1 and HIV-2 antibody test · code 86703 | 41 | $9.41–$395.47 | $85.95 | $70.49 |
| Hepatitis B test Hepatitis B surface antigen (HBsAg) test · code 87340 | 59 | $7.09–$283.50 | $75.75 | $61.20 |
| Hepatitis C RNA test Hepatitis C viral load (HCV RNA) test · code 87522 | 58 | $29.41–$1,027.20 | $335.35 | $202.46 |
| Trichomoniasis test Trichomonas test (NAAT) · code 87661 | 56 | $13.86–$427.04 | $109.82 | $89.60 |
| Herpes (HSV-2) blood test Herpes blood test, HSV-2 antibody · code 86696 | 57 | $6.56–$238.00 | $88.00 | $66.08 |
| Herpes (HSV-1) blood test Herpes blood test, HSV-1 antibody · code 86695 | 57 | $6.56–$255.50 | $69.12 | $58.67 |
| HIV viral load test HIV viral load test (HIV-1 RNA, quantitative) · code 87536 | 54 | $58.50–$791.70 | $385.86 | $276.38 |
| Hepatitis panel Acute hepatitis panel (hepatitis A, B and C) · code 80074 | 58 | $32.12–$495.19 | $246.95 | $241.28 |
Outpatient cash prices in Washington. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.
Lowest Chlamydia test prices in Washington
- Legacy Salmon Creek Medical Center, Vancouver$9.75
- Overlake Medical Center & Clinics, Bellevue$14.55
- Virginia Mason Medical Center, Seattle$19.38
- Providence St Joseph Hospital, Chewelah$33.60
- Providence St Mary Medical Center, Walla Walla$33.60
STD test cost by metro area in Washington
STD test cost in other states
- Alabama
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- South Carolina
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- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- West Virginia
- Wisconsin
- Wyoming
Paying cash: what to do
- Check your local health department or a Title X family planning clinic, which offer free or sliding-fee STD testing in many areas.
- Ask whether chlamydia and gonorrhea will be billed as two tests or as one combined price, and whether the visit fee is included.
- Ask what the follow-up test costs if a screen is positive, since HIV, syphilis and hepatitis C screening results are confirmed with a second test.