HIV test (4th generation) cost in Urban Honolulu, HI
In Urban Honolulu, HI, 4 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $185.40 to $218.10, with a median of $185.40. The lowest listed price is at Straub Clinic & Hospital and 2 other hospitals. Across Hawaii, the median is $185.40 at 5 hospitals.
Cash prices at 4 facilities across 2 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 Feb 12, 2026 and Feb 12, 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 Urban Honolulu, HI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 PERINATAL HIV12 COMBO | $185.40 | $309.00 | $23.60–$26.49 | 40% | Feb 12, 2026 source file |
| Pali Momi Medical Center lowest Aiea, HI · (808) 486-6000 HIV12 AG/AB COMBO | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Pali Momi Medical Center lowest Aiea, HI · (808) 486-6000 HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Pali Momi Medical Center lowest Aiea, HI · (808) 486-6000 PERINATAL HIV12 COMBO | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children lowest Honolulu, HI · (808) 983-6000 HIV12 AG/AB COMBO | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children lowest Honolulu, HI · (808) 983-6000 HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Kapiolani Medical Center for Women & Children lowest Honolulu, HI · (808) 983-6000 PERINATAL HIV12 COMBO | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 HIV12 AG/AB COMBO | $185.40 | $309.00 | $23.60–$26.49 | 40% | Feb 12, 2026 source file |
| Straub Clinic & Hospital lowest Honolulu, HI · (808) 522-4000 HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | $23.60–$61.11 | 40% | Feb 12, 2026 source file |
| Shriners Childrens - Honolulu Honolulu, HI · (808) 941-4466 HIV-1 AG W/HIV-1&-2 AB AG IA | $218.10 | $218.10 | $16.86–$36.12 | — | — source file |
Outpatient: lowest $185.40, median $185.40, highest $218.10 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $185.40. 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 4 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 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.