HIV test (4th generation) cost in Richmond, VA
In Richmond, VA, 5 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $148.20 to $266.40, with a median of $148.20. The lowest listed price is at Bon Secours Richmond Community Hospital and 3 other hospitals. Across Virginia, the median is $122.44 at 26 hospitals.
Cash prices at 5 facilities across 4 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 — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Richmond, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Bon Secours Richmond Community Hospital lowest Richmond, VA · (804) 225-1701 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — | 40% | — source file |
| Bon Secours St Marys Hospital of Richmond lowest Richmond, VA · (804) 285-2011 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — | 40% | — source file |
| Bon Secours St Francis Medical Center lowest Midlothian, VA · (804) 594-7400 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — | 40% | — source file |
| Bon Secours Memorial Regional Medical Center lowest Mechanicsville, VA · (804) 764-6000 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — | 40% | — source file |
| Bon Secours Southside Medical Center Petersburg, VA · (804) 765-5000 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $266.40 | $888.00 | — | 70% | — source file |
Outpatient: lowest $148.20, median $148.20, highest $266.40 — a 1.8× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $156.60. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
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.
2 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 87389 ($83.85). 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.
| Bon Secours Southside Medical Center Petersburg, VAHC So Hiv-1 & Hiv-2 Ab | $2.10 | file |
| Bon Secours St Marys Hospital of Richmond Richmond, VAHC So Hiv-1 & Hiv-2 Ab | $4.20 | file |