Lab tests CPT 87536 Outpatient

HIV viral load test cost in York, PA

In York-Hanover, PA, 3 hospitals list a cash price for HIV viral load test (HIV-1 RNA, quantitative): from $354.40 to $474.60, with a median of $474.60. The lowest listed price is at WellSpan Surgery and Rehabilitation Hospital — $120.20 less than the median here. Across Pennsylvania, the median is $474.60 at 62 hospitals.

Cash prices at 3 facilities across 2 cities for code 87536, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$354.40WellSpan Surgery and Rehabilitation Hospital
Median$474.60half pay less
Highest$474.60in this market
Difference1.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in York-Hanover, PA.

median
Lowest $354.40Highest $474.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
WellSpan Surgery and Rehabilitation Hospital lowest York, PA · (717) 812-6100 Detection Test by Nucleic Acid for Hiv-1 Virus, Quantification $354.40 $443.00 $85.10–$429.71 20% —
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UPMC Hanover Hanover, PA · (717) 637-3711 HC RNA REV PROG $474.60 $791.00 $52.00–$688.17 40% —
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UPMC Hanover one side Hanover, PA · (717) 637-3711 HC HIV-1 RNA,QUANT RT PCR $474.60 $791.00 $52.00–$688.17 40% —
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UPMC Memorial York, PA · (717) 843-8623 HC RNA REV PROG $474.60 $791.00 $52.00–$672.35 40% —
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UPMC Memorial one side York, PA · (717) 843-8623 HC HIV-1 RNA,QUANT RT PCR $474.60 $791.00 $52.00–$672.35 40% —
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Outpatient: lowest $354.40, median $474.60, highest $474.60 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $474.60. 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 3 of 3 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

The HIV viral load test measures how much virus is in the blood. It shows how well treatment is working.

What the price covers

The price usually covers running the test. The blood draw (36415) is often billed as a separate line.