HIV test (4th generation) cost in Richmond, VA
In Richmond, VA, 11 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $148.20 to $1,069.00, with a median of $1,069.00. The lowest listed price is at Bon Secours St Marys Hospital of Richmond and 3 other hospitals — $920.80 less than the median here. Across Virginia, the median is $112.13 at 54 hospitals.
- The median here, $1,069.00, is 1175% above the US median of $83.85.
- That is 44.4× Medicare's 2026 national rate for the same service ($24.08).
- 6 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 6 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 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 Richmond, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| 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 File of Apr 1, 2026 · source file | $148.20 | $247.00 | — | 40% |
| 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 File of Apr 1, 2026 · source file | $148.20 | $247.00 | — | 40% |
| 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 File of Apr 1, 2026 · source file | $148.20 | $247.00 | — | 40% |
| Bon Secours Richmond Community Hospital lowest Richmond, VA · (804) 225-1701 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single File of Apr 1, 2026 · source file | $148.20 | $247.00 | — | 40% |
| Bon Secours Southside Medical Center Petersburg, VA · (804) 765-5000 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single File of Apr 1, 2026 · source file | $266.40 | $888.00 | — | 70% |
| Retreat Doctors Hospital Richmond, VA · (804) 289-4500 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $1,069.00 | $1,069.00 | $25.04–$962.10 | — |
| Henrico Doctors Hospital - Forest Mechanicsville, VA · (804) 289-4500 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 | $1,069.00 | $1,069.00 | $24.08–$962.10 | — |
| Chippenham Hospital Chesterfield, VA · (804) 483-0000 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 | $1,069.00 | $1,069.00 | $24.08–$962.10 | — |
| Johnston-Willis Hospital Richmond, VA · (804) 483-0000 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 | $1,069.00 | $1,069.00 | $20.95–$962.10 | — |
| Tricities Hospital Prince George, VA · (804) 541-1600 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 | $1,069.00 | $1,069.00 | $24.08–$962.10 | — |
| Parham Doctors Hospital Richmond, VA · (804) 289-4500 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 | $1,069.00 | $1,069.00 | $25.04–$962.10 | — |
Outpatient: lowest $148.20, median $1,069.00, highest $1,069.00 — a 7.2× 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.
Cash or insurance?
At 0 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.
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 |
|---|---|---|
| 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 |