HIV test (4th generation) cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 26 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $12.69 to $282.00, with a median of $41.76. The lowest listed price is at Henry Ford Health — $29.07 less than the median here. Across Michigan, the median is $49.05 at 59 hospitals.
Cash prices at 26 facilities across 19 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 2, 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 Detroit-Warren-Dearborn, MI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Henry Ford Health lowest Rochester, MI · (248) 652-5000 HIV-1 AG W/HIV-1 & HIV-2 AB | $12.69 | $27.00 | $23.77 | 53% | — source file |
| Henry Ford Health Novi, MI HIV-1,2 SCREEN | $16.24 | $29.00 | $16.25–$28.60 | 44% | — source file |
| Henry Ford Health Southfield, MI · (248) 849-3000 HIV-1,2 SCREEN | $16.24 | $29.00 | $16.25–$28.60 | 44% | — source file |
| Henry Ford Health Rochester, MI · (248) 652-5000 RL HIV-1/O/2 4TH GEN | $22.56 | $48.00 | $23.77–$28.60 | 53% | — source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 HIV ANTIGEN AB SCREEN TST | $24.85 | $49.70 | $13.17–$40.34 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 HIV Rapid Ab I/II - p24 Ag Qual | $31.60 | $63.20 | $13.17–$65.40 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 Hiv I/II Ab. P24 Ag With Reflex | $31.60 | $63.20 | $13.17–$65.40 | 50% | Dec 31, 2025 source file |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB HIV 1/2 AG/AB DIAGNOSTIC 4TH GENERATION, SO | $33.23 | $54.00 | $12.59–$54.81 | 38% | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital Wyandotte, MI HB LAB HIV-1 AG W/ HIV-1&HIV2 ANTBDY | $33.23 | $163.00 | $19.65–$33.23 | 80% | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital Wyandotte, MI HB LAB HIV 1/2 AG/AB DIAGNOSTIC 4TH GENERATION, SO | $33.23 | $54.00 | $12.59–$54.81 | 38% | Jun 28, 2026 source file |
| Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB HIV-1 AG W/ HIV-1&HIV2 ANTBDY | $33.23 | $163.00 | $12.59–$84.68 | 80% | Jun 28, 2026 source file |
| Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB LAB HIV 1/2 AG/AB DIAGNOSTIC 4TH GENERATION, SO | $33.23 | $54.00 | $12.59–$54.00 | 38% | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB HIV 1/2 AG/AB DIAGNOSTIC 4TH GENERATION, SO | $33.23 | $54.00 | $12.59–$54.81 | 38% | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB LAB HIV-1 AG W/ HIV-1&HIV2 ANTBDY | $33.23 | $163.00 | $12.59–$84.68 | 80% | Jun 28, 2026 source file |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB LAB HIV-1 AG W/ HIV-1&HIV2 ANTBDY | $33.23 | $163.00 | $19.65–$33.23 | 80% | Jun 28, 2026 source file |
| Henry Ford Health Detroit, MI · (313) 343-4000 SPECIAL IMMUNOLOGY PROC | $34.16 | $61.00 | $19.62–$61.00 | 44% | — source file |
| Henry Ford Health Detroit, MI · (313) 343-4000 SPECIAL IMMUNOLOGY PROC | $34.16 | $61.00 | $19.62–$61.00 | 44% | — source file |
| Henry Ford Health East China Township, MI · (810) 329-7111 SPECIAL IMMUNOLOGY PROC | $34.25 | $61.16 | $25.10–$61.16 | 44% | — source file |
| Henry Ford Health East China Township, MI · (810) 329-7111 SPECIAL IMMUNOLOGY PROC | $34.25 | $61.16 | $25.10–$61.16 | 44% | — source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Hiv I/II Ab. P24 Ag With Reflex | $36.05 | $72.10 | $13.17–$74.29 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 HIV Rapid Ab I/II - p24 Ag Qual | $36.05 | $72.10 | $13.17–$74.29 | 50% | Dec 31, 2025 source file |
| Henry Ford Health Warren, MI · (586) 573-5000 SPECIAL IMMUNOLOGY PROC | $37.52 | $67.00 | $25.10–$67.00 | 44% | — source file |
| Henry Ford Health Warren, MI · (586) 573-5000 SPECIAL IMMUNOLOGY PROC | $37.52 | $67.00 | $25.10–$67.00 | 44% | — source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Hiv I/II Ab. P24 Ag With Reflex | $46.00 | $92.00 | $13.17–$50.00 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 HIV Rapid Ab I/II - p24 Ag Qual | $46.00 | $92.00 | $13.17–$50.00 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 Hiv I/II Ab. P24 Ag With Reflex | $49.05 | $98.10 | $13.17–$50.00 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 HIV Rapid Ab I/II - p24 Ag Qual | $49.05 | $98.10 | $13.17–$50.00 | 50% | Dec 31, 2025 source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Screen | $62.00 | $62.00 | — | — | — source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Screen | $62.00 | $62.00 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Screen | $62.00 | $62.00 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Screen | $62.00 | $62.00 | — | — | — source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Screen | $62.00 | $62.00 | — | — | — source file |
| VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 HIV I AG HIV I HIV II AB | $236.25 | $315.00 | — | 25% | Apr 6, 2026 source file |
| VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 HIV I AG HIV I HIV II AB | $242.25 | $323.00 | — | 25% | Apr 7, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | 25% | Aug 20, 2026 source file |
| VHS Rehabilitation Institute of Michigan Detroit, MI HIV I AG HIV I HIV II AB | $257.25 | $343.00 | — | 25% | Apr 8, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | 25% | Sep 2, 2026 source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Diagnostic | $258.00 | $258.00 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Diagnostic | $258.00 | $258.00 | — | — | — source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Diagnostic | $258.00 | $258.00 | — | — | — source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Diagnostic | $258.00 | $258.00 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab Diagnostic | $258.00 | $258.00 | — | — | — source file |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp, MI · (248) 937-3370 HIV I AG HIV I HIV II AB | $273.75 | $365.00 | $1.00–$32.86 | 25% | May 20, 2026 source file |
| VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 HIV I AG HIV I HIV II AB | $282.00 | $376.00 | — | 25% | Apr 8, 2026 source file |
Outpatient: lowest $12.69, median $41.76, highest $282.00 — a 22.2× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $62.00. 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 14 of 17 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.