HIV test (4th generation) cost in Houston, TX
In Houston-Pasadena-The Woodlands, TX, 14 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $21.00 to $165.10, with a median of $21.00. The lowest listed price is at Houston Methodist Cypress Hospital and 8 other hospitals. Across Texas, the median is $145.09 at 98 hospitals.
Cash prices at 14 facilities across 9 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 Mar 5, 2026 and Sep 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 Houston-Pasadena-The Woodlands, TX.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Houston Methodist Cypress Hospital lowest Cypress, TX · (346) 618-1506 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital lowest Nassau Bay, TX · (281) 333-5503 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital lowest Katy, TX HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| The Methodist Hospital lowest Houston, TX · (713) 790-2221 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Willowbrook Hospital lowest Houston, TX · (281) 477-1000 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital lowest Houston, TX · (832) 522-1000 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital lowest Baytown, TX · (281) 420-8600 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital lowest The Woodlands, TX · (936) 270-2000 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital lowest Sugar Land, TX · (281) 274-8000 HC HIV1,2 AG/AB COMBO REFLEX | $21.00 | $42.00 | — | 50% | Apr 1, 2026 source file |
| Hsa St. Joseph Houston, TX · (713) 757-1000 RL HIV-1 AG W/HIV-1 & HIV-2 AB | $23.60 | $508.09 | $12.28–$508.09 | 95% | Sep 1, 2026 source file |
| Hsa St. Joseph Houston, TX · (713) 757-1000 HIV-1 AG W/HIV-1 & HIV-2 AB | $23.60 | $508.09 | $12.28–$508.09 | 95% | Sep 1, 2026 source file |
| Harris Health Taub Loop Houston, TX · (713) 873-2000 4TH GEN HIV-1 AG W/HIV-1 AB, SGL RESULT (LAB3507,LAB3505,LAB3499) | $24.08 | $45.00 | $20.23–$65.41 | 46% | — source file |
| Harris Health Houston, TX 4TH GEN HIV-1 AG W/HIV-1 AB, SGL RESULT (LAB3507,LAB3505,LAB3499) | $24.08 | $45.00 | $20.23–$65.41 | 46% | — source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY | $88.44 | $132.00 | $24.08–$125.40 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY | $88.44 | $132.00 | $24.08–$125.40 | 33% | Mar 5, 2026 source file |
| Texas Children's Hospital Houston, TX · (832) 824-1000 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY | $88.44 | $132.00 | $24.08–$125.40 | 33% | Mar 5, 2026 source file |
| Shriners Childrens Texas Galveston, TX · (409) 770-6600 HIV-1 AG W/HIV-1&-2 AB AG IA | $165.10 | $165.10 | $21.42–$46.23 | — | — source file |
| The Methodist Hospital Houston, TX · (713) 790-2221 HC HIV 1/ 2 FOURTH GENERATION | $173.00 | $346.00 | — | 50% | Apr 1, 2026 source file |
| Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Continuing Care Hospital Katy, TX HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
| Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC HIV 1/ 2 FOURTH GENERATION | $365.50 | $731.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $21.00, median $21.00, highest $165.10 — a 7.9× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $21.00. 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 4 of 5 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.