HIV test (4th generation) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 16 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $57.85 to $212.00, with a median of $89.73. The lowest listed price is at Legacy Mount Hood Medical Center and 4 other hospitals — $31.88 less than the median here. Across Oregon, the median is $79.73 at 46 hospitals.
- The median here, $89.73, is 7% above the US median of $83.85.
- That is 3.7× Medicare's 2026 national rate for the same service ($24.08).
- 1 of 16 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 16 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 18, 2026 and Apr 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 Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 HC HIV COMBINED ANTIBODY/ANTIGEN File of Apr 1, 2026 · source file | $57.85 | $89.00 | — | 35% |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 HC HIV COMBINED ANTIBODY/ANTIGEN+1 more line at this price File of Apr 1, 2026 · source file | $57.85 | $89.00 | — | 35% |
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 HC HIV COMBINED ANTIBODY/ANTIGEN File of Apr 1, 2026 · source file | $57.85 | $89.00 | — | 35% |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 HC HIV COMBINED ANTIBODY/ANTIGEN File of Apr 1, 2026 · source file | $57.85 | $89.00 | — | 35% |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 HC HIV COMBINED ANTIBODY/ANTIGEN File of Apr 1, 2026 · source file | $57.85 | $89.00 | — | 35% |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO File of Apr 1, 2026 · source file | $63.05 | $97.00 | — | 35% |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO File of Apr 1, 2026 · source file | $63.05 | $97.00 | — | 35% |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO File of Apr 1, 2026 · source file | $63.05 | $97.00 | — | 35% |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO File of Apr 1, 2026 · source file | $63.05 | $97.00 | — | 35% |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC RAPID HIV AG/AB COMBO-REFLX TO HIV 4TH GEN ALGO+1 more line at this price File of Apr 1, 2026 · source file | $63.05 | $97.00 | — | 35% |
| Hillsboro Medical Center Hillsboro, OR · (503) 681-1111 Hiv1/Hiv2 Ab P24 Ag Screen File of Mar 23, 2026 · source file | $81.90 | $126.00 | $18.78–$126.00 | 35% |
| Oregon Health & Science University Portland, OR · (503) 494-9000 Hiv1/Hiv2 Ab P24 Ag Screen File of Mar 23, 2026 · source file | $81.90 | $126.00 | $19.26–$126.00 | 35% |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES File of Mar 20, 2026 · source file | $82.55 | $127.00 | $9.63–$78.13 | 35% |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 20, 2026 · source file | $85.15 | $131.00 | $9.63–$78.13 | 35% |
| Kaiser Foundation Hospital - Westside Hillsboro, OR · (971) 310-0100 IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE File of Apr 1, 2026 · source file | $96.90 | $114.00 | $29.00–$94.80 | 15% |
| Kaiser Sunnyside Medical Center Clackamas, OR · (503) 652-2880 IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE File of Apr 1, 2026 · source file | $96.90 | $114.00 | $29.00–$94.80 | 15% |
| Providence Portland Medical Center Portland, OR · (503) 215-1111 HC ANTI-HIV 1/2 AB & P24 AG+1 more line at this price File of Apr 1, 2026 · source file | $99.75 | $133.00 | — | 25% |
| Providence Milwaukie Hospital Milwaukie, OR · (503) 513-8300 HC ANTI-HIV 1/2 AB & P24 AG+1 more line at this price File of Apr 1, 2026 · source file | $99.75 | $133.00 | — | 25% |
| Providence St Vincent Medical Center Portland, OR · (503) 216-1234 HC HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $99.75 | $133.00 | — | 25% |
| Providence Willamette Falls Medical Center Oregon City, OR · (503) 656-1631 HC HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $99.75 | $133.00 | — | 25% |
| Providence Newberg Medical Center Newberg, OR · (503) 537-1555 HC HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $99.75 | $133.00 | — | 25% |
| Shriners Childrens - Portland Portland, OR · (541) 241-5090 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 18, 2026 · source file | $212.00 | $212.00 | $19.26–$84.28 | — |
Outpatient: lowest $57.85, median $89.73, highest $212.00 — a 3.7× difference within the same market.
As an inpatient, the same code is billed by 12 facilities here, median $96.90. 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 2 of 6 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.
12 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 |
|---|---|---|
| Legacy Meridian Park Medical Center Tualatin, ORHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Meridian Park Medical Center Tualatin, ORHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |
| Legacy Mount Hood Medical Center Gresham, ORHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Mount Hood Medical Center Gresham, ORHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |
| Legacy Emanuel Medical Center Portland, ORHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Emanuel Medical Center Portland, ORHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |
| Legacy Emanuel Medical Center Portland, ORHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Emanuel Medical Center Portland, ORHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |
| Legacy Good Samaritan Medical Center Portland, ORHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Good Samaritan Medical Center Portland, ORHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |
| Legacy Salmon Creek Medical Center Vancouver, WAHC HIV 1-2 COMBO RFLX | $5.20 | file |
| Legacy Salmon Creek Medical Center Vancouver, WAHC HIV AB/P24 AG WITH REFLEX | $5.20 | file |