HIV test (4th generation) cost in Seattle, WA — inpatient
In Seattle-Tacoma-Bellevue, WA, 15 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation) as an inpatient: from $14.70 to $164.84, with a median of $78.54. The lowest listed price is at Overlake Medical Center & Clinics — $63.84 less than the median here. Across Washington, the median is $97.30 at 33 hospitals.
Cash prices at 15 facilities across 12 cities for code 87389, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 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 Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Overlake Medical Center & Clinics lowest Bellevue, WA · (425) 688-5000 Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $14.70 | $29.40 | — | 50% | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Hiv-1 Ag W/Hiv 1&2 Ab/Ag Reflex | $19.50 | $39.00 | — | 50% | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $64.05 | $222.18 | $159.97–$166.64 | 71% | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $67.58 | $222.18 | $159.97–$166.64 | 70% | Feb 28, 2026 source file |
| Highline Medical Center Burien, WA · (206) 431-5237 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $67.85 | $222.18 | $95.54–$199.97 | 69% | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $69.73 | $222.18 | $159.97–$166.64 | 69% | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $73.59 | $222.18 | $159.97–$166.64 | 67% | Feb 28, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $78.52 | $222.18 | $62.22–$199.97 | 65% | Feb 28, 2026 source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 HIV-1 AG W/HIV-1 & HIV-2 AB - TECH | $78.54 | $154.00 | $98.64–$123.20 | 49% | — source file |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC HIV-1 AG W/HIV-1 HIV-2 AB | $101.60 | $127.00 | $25.28–$114.30 | 20% | — source file |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Hiv Antigen and Antibody Scn | $142.80 | $142.80 | $35.99–$137.09 | — | — source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | — | 52% | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 IAAD EIA HIV-1 AG W/HIV-1&HIV-2 ANTBDY SINGLE | $149.60 | $187.00 | $18.00–$65.00 | 20% | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ANTI-HIV 1/2 AB & P24 AG | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ANTI-HIV 1/2 AB & P24 AG | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC ANTI-HIV 1/2 AB & P24 AG | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ANTI-HIV 1/2 AB & P24 AG | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $152.16 | $317.00 | — | 52% | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC ANTI-HIV 1/2 AB & P24 AG | $164.84 | $317.00 | — | 48% | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $164.84 | $317.00 | — | 48% | Apr 1, 2026 source file |
Inpatient: lowest $14.70, median $78.54, highest $164.84 — a 11.2× difference within the same market.
As an outpatient, the same code is billed by 15 facilities here, median $78.54 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 8 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is 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 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.