HIV test (4th generation) cost in Philadelphia, PA
In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 21 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $24.00 to $597.73, with a median of $129.78. The lowest listed price is at Roxborough Memorial Hospital and 1 other hospital — $105.78 less than the median here. Across Pennsylvania, the median is $141.70 at 98 hospitals.
- The median here, $129.78, is 55% above the US median of $83.85.
- That is 5.4× Medicare's 2026 national rate for the same service ($24.08).
- Philadelphia, PA has the lowest median of 2 metro areas in Pennsylvania with at least 10 hospitals pricing this code.
- 8 of 21 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 21 facilities across 17 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 25, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 21, 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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Roxborough Memorial Hospital lowest Philadelphia, PA · (215) 483-9900 Hc Eia Hiv-1/Hiv-2 Screen - 87389 - 30200255 File of Sep 1, 2026 · source file | $24.00 | $54.30 | $16.29–$54.30 | 56% |
| Lower Bucks Hospital lowest Bristol, PA · (215) 785-9200 Hc Eia Hiv-1/Hiv-2 Screen - 87389 - 30200255 File of Sep 1, 2026 · source file | $24.00 | $315.00 | $19.26–$252.00 | 92% |
| Paoli Hospital Paoli, PA · (610) 648-1000 Hc Hiv 1&2 Ab Screen File of Apr 1, 2026 · source file | $49.20 | $123.00 | — | 60% |
| Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Hiv 1&2 Ab Screen File of Apr 1, 2026 · source file | $49.20 | $123.00 | — | 60% |
| Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Hiv 1&2 Ab Screen File of Apr 1, 2026 · source file | $49.20 | $123.00 | — | 60% |
| The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Hiv 1&2 Ab Screen File of Apr 1, 2026 · source file | $49.20 | $123.00 | — | 60% |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies File of Mar 31, 2026 · source file | $68.25 | $105.00 | $24.08–$473.55 | 35% |
| Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 HIV 1/2 AG/Ab File of Sep 21, 2026 · source file | $68.33 | $113.87 | $24.08–$70.05 | 40% |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Hiv -1/-2 Ag and Ab Screen Referred+1 more line at this price File of Mar 10, 2026 · source file | $88.00 | $88.00 | — | — |
| St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies+1 more line at this price File of Mar 31, 2026 · source file | $114.40 | $176.00 | $23.60–$261.85 | 35% |
| Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 HIV 1 AG with HIV 1/HIV 2 AB SCREEN File of Mar 24, 2026 · source file | $129.78 | $129.78 | $20.80–$109.53 | — |
| Inspira Medical Center Mullica Hill Mullica Hill, NJ · (856) 363-1000 HIV 1 AG with HIV 1/HIV 2 AB SCREEN File of Mar 24, 2026 · source file | $129.78 | $129.78 | $20.80–$109.53 | — |
| Inspira Health Center Woodbury Woodbury, NJ HIV 1 AG with HIV 1/HIV 2 AB SCREEN File of Mar 24, 2026 · source file | $129.78 | $129.78 | $20.80–$109.53 | — |
| Inspira Medical Center Mannington Salem, NJ HIV 1 AG with HIV 1/HIV 2 AB SCREEN File of Mar 24, 2026 · source file | $129.78 | $129.78 | $20.80–$109.53 | — |
| St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies+1 more line at this price File of Mar 31, 2026 · source file | $138.45 | $213.00 | $21.30–$213.97 | 35% |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies+1 more line at this price File of Mar 31, 2026 · source file | $198.90 | $306.00 | $24.02–$306.00 | 35% |
| Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies File of Mar 31, 2026 · source file | $198.90 | $306.00 | $24.08–$473.55 | 35% |
| Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 19, 2026 · source file | $203.50 | $203.50 | $20.48–$43.80 | — |
| Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies File of Mar 31, 2026 · source file | $210.60 | — | $24.02–$247.17 | — |
| Union Hospital of Cecil County Elkton, MD · (410) 392-7009 HIV AG/HIV1&HIV2 AB DIAGNOSTIC File of Apr 1, 2026 · source file | $264.89 | $264.89 | — | — |
| Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Hiv -1/-2 Ag and Ab Screen S+1 more line at this price File of Mar 10, 2026 · source file | $273.00 | $273.00 | — | — |
| St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 HB HIV-1 AG W/HIV-1 & HIV-2 AB File of Feb 26, 2026 · source file | $513.90 | $571.00 | $24.08–$472.90 | 10% |
| St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 HB HIV-1 AG W/HIV-1 & HIV-2 AB File of Feb 26, 2026 · source file | $513.90 | $571.00 | $24.08–$3,139.50 | 10% |
| The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Hiv- 1/2 Antibody Scrn File of Dec 31, 2025 · source file | $597.73 | $597.73 | $36.86–$537.96 | — |
Outpatient: lowest $24.00, median $129.78, highest $597.73 — a 24.9× difference within the same market.
As an inpatient, the same code is billed by 17 facilities here, median $129.78. 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 8 of 15 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 HIV test (4th generation) is, what the price covers and why prices differ: HIV test (4th generation) explained.
6 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 |
|---|---|---|
| Virtua West Jersey Hospital - Marlton Voorhees, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |
| Virtua Willingboro Hospital Willinboro, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |
| Virtua West Jersey Hospital - Voorhees Voorhees, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |
| Virtua West Jersey Hospital - Voorhees Voorhees, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |
| Virtua Memorial Hospital Mount Holly, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |
| Virtua Our Lady of Lourdes Camden, NJHC Hiv 1 and 2 Antibody With P24 Antigen Labcorp | $3.80 | file |