HIV test (4th generation) cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 17 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $50.07 to $1,105.92, with a median of $207.50. The lowest listed price is at Frederick Health Hospital — $157.43 less than the median here. Across District of Columbia, the median is $134.89 at 3 hospitals.
- The median here, $207.50, is 147% above the US median of $83.85.
- That is 8.6× Medicare's 2026 national rate for the same service ($24.08).
- 3 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 17 facilities across 14 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Frederick Health Hospital lowest Frederick, MD · (240) 566-3300 HIV-1 AG HIV-1&2 AB File of Mar 17, 2025 · source file | $50.07 | $51.09 | $50.07–$51.09 | 2% |
| MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 INF AGT AG EIA MULTI HIV 1/2 File of Apr 1, 2026 · source file | $66.13 | $67.48 | $66.13–$67.48 | 2% |
| MedStar Southern Hospital Center Clinton, MD · (301) 868-8000 INF AGT AG EIA MULTI HIV 1/2 File of Apr 1, 2026 · source file | $71.86 | $73.33 | $71.86–$73.33 | 2% |
| Stafford Hospital Stafford, VA · (540) 741-9000 Hiv-1 ag w/hiv-1&-2 ab ag ia File of Dec 30, 2024 · source file | $74.00 | $148.00 | $11.00–$270.00 | 50% |
| Mary Washington Hospital Fredericksburg, VA · (540) 741-1100 Hiv-1 ag w/hiv-1&-2 ab ag ia File of Dec 30, 2024 · source file | $74.00 | $148.00 | $11.00–$270.00 | 50% |
| Fauquier Health Warrenton, VA · (540) 316-5000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu File of Jul 14, 2026 · source file | $85.20 | $213.00 | $30.71 | 60% |
| Children's National Hospital Washington, DC · (202) 476-5000 .HIV Ag/Ab 4th Generation with reflexes (SO) File of Apr 2, 2026 · source file | $90.00 | $180.00 | $24.08–$1,101.39 | 50% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 INF AGT AG EIA MULTI HIV 1 2 File of Apr 1, 2026 · source file | $134.89 | $207.52 | $24.08–$244.30 | 35% |
| Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL File of Apr 1, 2026 · source file | $207.50 | $415.00 | $11.72–$323.70 | 50% |
| Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL File of Apr 1, 2026 · source file | $207.50 | $415.00 | $11.72–$323.70 | 50% |
| Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL File of Apr 1, 2026 · source file | $207.50 | $415.00 | $11.72–$323.70 | 50% |
| Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL File of Apr 1, 2026 · source file | $207.50 | $415.00 | $11.72–$323.70 | 50% |
| Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL File of Apr 1, 2026 · source file | $207.50 | $415.00 | $11.72–$323.70 | 50% |
| MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 INF AGT AG EIA MULTI HIV 1 2 File of Apr 1, 2026 · source file | $229.98 | $353.81 | $24.08–$318.43 | 35% |
| Stonesprings Hospital Center Dulles, VA · (571) 349-4000 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 | $259.29 | $259.29 | $24.08–$184.10 | — |
| Reston Hospital Center Reston, VA · (703) 689-9000 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 | $259.34 | $259.34 | $24.08–$233.41 | — |
| Spotsylvania Regional Medical Center Fredericksburg, VA · (540) 498-4000 HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $1,105.92 | $1,105.92 | $24.08–$995.33 | — |
Outpatient: lowest $50.07, median $207.50, highest $1,105.92 — a 22.1× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $207.50. 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 13 of 17 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.