HIV test (4th generation) cost in Kansas City, MO
In Kansas City, MO-KS, 16 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $24.00 to $2,073.21, with a median of $150.48. The lowest listed price is at St Joseph Medical Center and 2 other hospitals — $126.48 less than the median here. Across Missouri, the median is $88.80 at 56 hospitals.
- The median here, $150.48, is 79% above the US median of $83.85.
- That is 6.2× Medicare's 2026 national rate for the same service ($24.08).
- Kansas City, MO ranks 2nd of 2 metro areas in Missouri by median, cheapest first.
- 9 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 16 facilities across 13 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 23, 2026; the hospital files themselves were last updated between Mar 6, 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 Kansas City, MO-KS.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| St Joseph Medical Center lowest Kansas City, MO · (816) 942-4400 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab File of Mar 17, 2026 · source file | $24.00 | $152.60 | $21.67–$152.60 | 84% |
| Providence Medical Center lowest Kansas City, KS · (913) 596-4000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab File of Mar 17, 2026 · source file | $24.00 | $41.41 | $12.42–$41.41 | 42% |
| Saint John Hospital lowest Leavenworth, KS · (913) 680-6000 Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab File of Mar 17, 2026 · source file | $24.00 | $733.10 | $24.08–$586.48 | 97% |
| Liberty Hospital Liberty, MO · (816) 781-7200 HIV AB/AG SCREEN +2 more lines at this price File of Jul 9, 2026 · source file | $40.00 | $144.00 | $40.18–$117.50 | 72% |
| NKC Health North Kansas City, MO · (816) 691-2000 HIV AG AND ANTIBODIES File of Mar 6, 2026 · source file | $51.33 | $177.00 | $22.32–$144.79 | 71% |
| Lee's Summit Medical Center Lee's Summit, MO · (816) 282-5000 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $54.93 | $54.93 | $7.14–$46.69 | — |
| Overland Park Regional Medical Center Olathe, KS · (913) 541-5000 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $71.91 | $71.91 | $9.35–$53.93 | — |
| Bates County Memorial Hospital Butler, MO · (660) 200-7000 HIV AG ABY COMBO File of Apr 20, 2026 · source file | $149.76 | $213.94 | $24.08–$181.85 | 30% |
| Cass Regional Medical Center Harrisonville, MO · (816) 380-5888 HIV-1/HIV-2 RESLT ANTBDY 87389 File of Apr 7, 2026 · source file | $151.20 | $216.00 | $24.08–$209.30 | 30% |
| Centerpoint Medical Center Independence, MO · (816) 698-7000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $309.16 | $309.16 | $12.99–$278.24 | — |
| AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN+1 more line at this price File of Apr 1, 2026 · source file | $319.39 | $319.39 | — | — |
| AdventHealth Shawnee Mission Shawnee Mission, KS · (913) 676-2152 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN+1 more line at this price File of Apr 1, 2026 · source file | $319.39 | $319.39 | — | — |
| Lafayette Regional Health Center Lexington, MO · (660) 259-2203 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $330.63 | $330.63 | $24.08–$330.63 | — |
| Research Medical Center Kansas City, MO · (816) 276-4000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $377.45 | $377.45 | $12.99–$377.45 | — |
| Menorah Medical Center Overland Park, KS · (913) 498-6000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $443.32 | $443.32 | $12.99–$354.66 | — |
| Belton Regional Medical Center Kansas City, MO · (816) 348-1200 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $2,073.21 | $2,073.21 | $12.99–$1,865.89 | — |
Outpatient: lowest $24.00, median $150.48, highest $2,073.21 — a 86.4× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $150.48. 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 7 of 14 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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 HIV test (4th generation) is, what the price covers and why prices differ: HIV test (4th generation) explained.
2 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 87389 ($79.98). 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.
| Hospital | Cash price | File |
|---|---|---|
| Lakewood Medical Center Kansas City, MOzzBBFS - HSD | $5.50 | file |
| University Health Truman Medical Center Kansas City, MOzzBBFS - HSD | $5.50 | file |