HIV test (4th generation) cost in Ann Arbor, MI
In Ann Arbor, MI, 2 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $36.40 to $92.65, with a median of $64.53. The lowest listed price is at St Joseph Mercy Chelsea — $28.13 less than the median here. Across Michigan, the median is $43.10 at 76 hospitals.
Cash prices at 2 facilities across 2 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Ann Arbor, MI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St Joseph Mercy Chelsea lowest Chelsea, MI · (734) 475-3911 HC Warde Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $36.40 | $56.00 | $13.16–$66.15 | 35% | Mar 31, 2026 source file |
| St Joseph Mercy Chelsea Chelsea, MI · (734) 475-3911 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $44.20 | $68.00 | $13.16–$68.00 | 35% | Mar 31, 2026 source file |
| Forest Health Medical Center Ypsilanti, MI · (734) 547-4700 HIV 1 ANTIGEN WITH HIV 1 & 2 AB | $92.65 | $92.65 | $1.00–$64.86 | — | — source file |
Outpatient: lowest $36.40, median $64.53, highest $92.65 — a 2.5× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $64.53. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This lab test checks blood for the HIV-1 p24 antigen and for antibodies to HIV-1 and HIV-2 at the same time. Because it detects the antigen, it can find an infection earlier than antibody-only tests and is the standard first test for HIV screening.
What the price covers
The price usually covers the screening test only. The blood draw is often billed separately, and a positive result needs a follow-up confirmation test with its own charge.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 87389 ($87.15). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| University of Michigan Health Ann Arbor, MIHC-Lab-Hiv 1/2 Ag Ab W Rflx to Diff and Tma | $7.20 | file |