HIV test (4th generation) cost in Lexington, KY
In Lexington-Fayette, KY, 2 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $10.08 to $241.26, with a median of $125.67. The lowest listed price is at University of Kentucky Hospital — $115.59 less than the median here. Across Kentucky, the median is $80.46 at 15 hospitals.
Cash prices at 2 facilities 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 Apr 1, 2026 and Sep 17, 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 Lexington-Fayette, KY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| University of Kentucky Hospital lowest Lexington, KY · (859) 257-2278 Hc Hiv-1,2 Combo Ag/Ab, W/Rflx 2013333-So+ | $10.08 | $25.20 | — | 60% | Apr 1, 2026 source file |
| University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc 418 Hiv-1 Ag W/Comb 1&2 Ab | $19.76 | $49.39 | — | 60% | Apr 1, 2026 source file |
| University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Hiv Antigen/Antibody Screen Stat-So+ | $136.32 | $340.80 | — | 60% | Apr 1, 2026 source file |
| Baptist Health Lexington Lexington, KY · (859) 260-6100 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | $20.47–$653.98 | 25% | Sep 17, 2026 source file |
Outpatient: lowest $10.08, median $125.67, highest $241.26 — a 23.9× difference within the same market.
As an inpatient, the same code is billed by 1 facility here, median $10.08. 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 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.