Mono test cost in Virginia
In Virginia, 66 hospitals publish a cash price for mono test (heterophile antibody, Monospot): from $6.50 to $429.88, with a median of $89.75. The lowest price is at Augusta Health (Fishersville). The highest price is 66.1× the lowest.
- The median here, $89.75, is 60% above the US median of $56.20.
- That is 17.3× Medicare's 2026 national rate for the same service ($5.18).
- Virginia ranks 46th of 51 states by median, cheapest first.
- 13 of 66 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 86308. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 1, 2026. See them on a map
Lowest$6.50Augusta Health
Median$89.75half of hospitals charge less
Highest$429.88in Virginia
Lowest saves$83.25vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Augusta Health lowest Fishersville · Staunton-Stuarts Draft, VA S-Mono | $6.50 | $13.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital Clintwood · Clintwood, VA HC HETEROPHILE ANTI SCREENING | $8.97 | $39.00 | Mar 23, 2026 source file |
| Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC HETEROPHILE ANTI SCREENING | $8.97 | $39.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC HETEROPHILE ANTI SCREENING | $9.15 | $61.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC HETEROPHILE ANTI SCREENING | $9.15 | $61.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC HETEROPHILE ANTI SCREENING | $9.15 | $61.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC HETEROPHILE ANTI SCREENING | $9.15 | $61.00 | Mar 23, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Mono Test | $19.11 | $38.22 | Mar 11, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Mono Spot Test,Agglutination | $21.00 | $35.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Mono Screen Routine | $23.50 | $47.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Mono Screen Routine | $23.50 | $47.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Heterophile antibody screen | $27.00 | $54.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Heterophile antibody screen | $27.00 | $54.00 | Dec 30, 2024 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA RAPID MONO SCREEN WHOLE BLOOD | $34.13 | $48.76 | Mar 25, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Heterophile antibodies; screening | $53.00 | $132.51 | Jul 10, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Mono Spot Test,Agglutination | $57.00 | $95.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Mono Spot Test,Agglutination | $57.00 | $95.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Mono Spot Test,Agglutination | $57.00 | $95.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Mono Spot Test,Agglutination | $57.00 | $95.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Mono Spot Test,Agglutination | $68.46 | $114.10 | Jul 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Heterophile antibodies; screening | $76.00 | $190.00 | Jul 14, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Mono Spot Test,Agglutination | $79.20 | $132.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Mono Spot Test,Agglutination | $79.20 | $132.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Mono Spot Test,Agglutination | $79.20 | $132.00 | Apr 1, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Mono Spot Test,Agglutination | $80.40 | $268.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB MONO TEST | $82.25 | $235.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB MONO TEST | $82.25 | $235.00 | Dec 15, 2025 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Chgl Heterophile Ab | $83.50 | $167.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC HETEROPHILE ANTIBODIES SCREEN | $96.00 | $192.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC HETEROPHILE ANTIBODIES SCREEN | $96.00 | $192.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC HETEROPHILE ANTIBODIES SCREEN | $96.00 | $192.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC HETEROPHILE ANTIBODIES SCREEN | $96.00 | $192.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC HETEROPHILE ANTIBODIES SCREEN | $96.00 | $192.00 | Apr 1, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Heterophile antibodies; screening | $100.00 | $250.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Heterophile antibodies; screening | $100.00 | $250.00 | Jul 10, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Mono Screen Routine | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Heterophile Ab | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Heterophile Ab | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Heterophile Ab | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Mono Screen Routine | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Mono Screen Routine | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl Heterophile Ab | $104.50 | $209.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Mono Screen Routine | $104.50 | $209.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Mono Spot Test,Agglutination | $138.00 | $460.00 | Apr 1, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC MONO SCREENING | $148.35 | $164.83 | Mar 17, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Mono Spot Test,Agglutination | $176.10 | $587.00 | Apr 1, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Heterophile antibodies; screening | $252.00 | $252.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA MONO SCR (HETEROPHILE) | $254.00 | $254.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA MONO SCR (HETEROPHILE) | $260.00 | $260.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA Heterophile antibodies; screening | $260.00 | $260.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA MONO SCR (HETEROPHILE) | $260.00 | $260.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA Heterophile antibodies; screening | $260.00 | $260.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA Heterophile antibodies; screening | $260.00 | $260.00 | Sep 1, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Heterophile antibodies; screening | $263.28 | $658.19 | Jul 10, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Heterophile antibodies; screening | $280.00 | $280.00 | Sep 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Heterophile antibodies; screening | $295.16 | $737.89 | Jul 14, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA MONO SCR (HETEROPHILE) | $303.00 | $303.00 | Sep 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA MONO SCR (HETEROPHILE) | $338.00 | $338.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Heterophile antibodies; screening | $347.76 | $347.76 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV MONO SCR (HETEROPHILE) | $429.78 | $429.78 | Sep 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV MONO SCR (HETEROPHILE) | $429.88 | $429.88 | Sep 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $19.11 | $104.50 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 12 | $27.00 | $96.00 |
| Richmond, VA | 11 | $57.00 | $254.00 |
| Roanoke, VA | 6 | $80.40 | $82.25 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $82.25 | $252.00 |
| Bluefield, WV-VA | 2 | $82.25 | $188.70 |
| Big Stone Gap, VA | 1 | $9.15 | $9.15 |
| Clintwood, VA | 1 | $8.97 | $8.97 |
| Charlottesville, VA | 1 | $23.50 | $23.50 |
| Danville, VA | 1 | $100.00 | $100.00 |
| Emporia, VA | 1 | $176.10 | $176.10 |
| Galax, VA | 1 | $53.00 | $53.00 |
| Hot Springs, VA | 1 | $34.13 | $34.13 |
| Harrisonburg, VA | 1 | $23.50 | $23.50 |
| Kilmarnock, VA | 1 | $21.00 | $21.00 |
| Kingsport-Bristol, TN-VA | 1 | $9.15 | $9.15 |
| Lebanon, VA | 1 | $9.15 | $9.15 |
| Lexington, VA | 1 | $82.25 | $82.25 |
| Low Moor, VA | 1 | $338.00 | $338.00 |
| Marion, VA | 1 | $9.15 | $9.15 |
| Martinsville, VA | 1 | $100.00 | $100.00 |
| Pennington Gap, VA | 1 | $8.97 | $8.97 |
| South Boston, VA | 1 | $83.50 | $83.50 |
| Suffolk, VA | 1 | $104.50 | $104.50 |
| Staunton-Stuarts Draft, VA | 1 | $6.50 | $6.50 |
| Wytheville, VA | 1 | $263.28 | $263.28 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What mono test is, what the price covers and why prices differ: Mono test explained.
Mono test (heterophile antibody, Monospot) in other states
- Alabama$48.80
- Alaska$77.00
- Arizona$74.40
- Arkansas$19.34
- California$102.78
- Colorado$83.00
- Connecticut$39.35
- Delaware$139.44
- District of Columbia$53.33, 3 hospitals
- Florida$170.40
- Georgia$55.57
- Hawaii$55.25
- Idaho$51.60
- Illinois$77.00
- Indiana$77.84
- Iowa$52.00
- Kansas$44.39
- Kentucky$54.24
- Louisiana$23.00
- Maine$35.67
- Maryland$22.99
- Massachusetts$45.00
- Michigan$40.50
- Minnesota$54.12
- Mississippi$32.00
- Missouri$41.35
- Montana$65.55
- Nebraska$67.06
- Nevada$117.53
- New Hampshire$62.40
- New Jersey$11.75
- New Mexico$80.63
- New York$34.43
- North Carolina$82.05
- North Dakota$44.10
- Ohio$53.25
- Oklahoma$41.20
- Oregon$49.60
- Pennsylvania$37.20
- Puerto Rico$23.15
- Rhode Island$46.00
- South Carolina$63.00
- South Dakota$68.80
- Tennessee$37.90
- Texas$85.02
- Utah$166.74
- Vermont$47.67
- Washington$57.20
- West Virginia$35.00
- Wisconsin$55.25
- Wyoming$58.15
Median cash price across the state's hospitals.