HIV test (4th generation) cost in Columbia, MO — inpatient
In Columbia, MO, 2 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation) as an inpatient: from $72.60 to $155.10, with a median of $113.85. The lowest listed price is at Boone Hospital Center — $41.25 less than the median here. Across Missouri, the median is $81.25 at 24 hospitals.
Cash prices at 2 facilities for code 87389, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Apr 1, 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 Columbia, MO.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Boone Hospital Center lowest Columbia, MO · (573) 815-8000 HIV1 AG W HIV1-2 AB EIA | $72.60 | $121.00 | — | 40% | Apr 1, 2026 source file |
| Curators of the University of Missouri Columbia, MO · (573) 882-4141 HIV 1,2 ANTIGEN/ANTIBODY P28625758 | $155.10 | $258.50 | $70.31–$227.48 | 40% | Dec 15, 2025 source file |
| Curators of the University of Missouri Columbia, MO · (573) 882-4141 HIV 1 & 2 ANTIGEN/ANTIBODY P31025758 | $155.10 | $258.50 | $70.31–$227.48 | 40% | Dec 15, 2025 source file |
| Curators of the University of Missouri Columbia, MO · (573) 882-4141 HIV-1/HIV-2 1 RESULT ANTBDY (MTN) P16535110 | $563.40 | $939.00 | $255.41–$826.32 | 40% | Dec 15, 2025 source file |
Inpatient: lowest $72.60, median $113.85, highest $155.10 — a 2.1× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $113.85 — that is the price to compare if you are not being admitted.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.