HIV test (4th generation) cost in Alabama
In Alabama, 36 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $16.80 to $12,564.50, with a median of $60.56. The lowest price is at Montgomery Cancer Center (Montgomery). The highest price is 747.9× the lowest.
- The median here, $60.56, is 28% below the US median of $83.73.
- That is 2.5× Medicare's 2026 national rate for the same service ($24.08).
- Alabama ranks 11th of 51 states by median, cheapest first.
- 12 of 36 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 87389. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$16.80Montgomery Cancer Center
Median$60.56half of hospitals charge less
Highest$12,564.50in Alabama
Lowest saves$43.76vs the median
Hospitals in Alabama, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Montgomery Cancer Center lowest Montgomery · Montgomery, AL HIV ANTIGEN/ANTIBODY | $16.80 | $28.00 | Dec 30, 2025 source file |
| Troy Regional Medical Center Troy · Troy, AL AB HIV1/HIV2 SGL ASS | $20.30 | $163.00 | Dec 31, 2024 source file |
| Riverview Regional Medical Center Gadsden · Gadsden, AL Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $24.00 | $190.65 | Sep 1, 2026 source file |
| Marion Regional Medical Center Hamilton · Hamilton, AL HC HIV AB/AG 4TH GEN | $28.81 | $67.00 | Apr 1, 2026 source file |
| North Mississippi Health Services-South Marion Winfield · Winfield, AL HC HIV AB/AG 4TH GEN | $28.81 | $67.00 | Apr 1, 2026 source file |
| Cullman Regional Medical Center Cullman · Cullman, AL HIV 1/2 Antibody and P24 Screen | $28.90 | $60.00 | Jan 19, 2026 source file |
| The Children's Hospital of Alabama Birmingham · Birmingham, AL HC Hiv 1/2 Screen (Arch) | $30.43 | $70.77 | Mar 31, 2026 source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham · Birmingham, AL HC Hiv 1/2 Screen (Arch) | $30.43 | $70.77 | Mar 31, 2026 source file |
| Southeast Health Medical Center Dothan · Dothan, AL DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $31.72 | $79.29 | Nov 4, 2026 source file |
| Tanner Medical Center - East Alabama Wedowee · Wedowee, AL DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $36.00 | $90.00 | Mar 24, 2026 source file |
| Ochsner Choctaw General Butler · Butler, AL HC HIV-1 AG W/ HIV1 AB & HIV2 AB | $37.24 | $49.00 | Apr 1, 2026 source file |
| Baptist Medical Center South Montgomery · Montgomery, AL HIV SCREEN | $43.92 | $73.20 | Dec 30, 2025 source file |
| Medical Center Barbour Eufaula · Eufaula, AL-GA HIV ANTIGEN ANTIBODY | $46.68 | $93.35 | Mar 29, 2026 source file |
| UAB Medical West Bessemer · Birmingham, AL HIV Screen 4Th Gen w/Reflex | $49.50 | $66.00 | Jun 22, 2026 source file |
| Decatur Morgan Hospital West Decatur · Decatur, AL HIV 1&2 ANTIBODIE | $51.10 | $51.10 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Decatur Campus Decatur · Decatur, AL HIV 1&2 ANTIBODIE | $51.10 | $51.10 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Parkway Campus Decatur · Decatur, AL HIV 1&2 ANTIBODIE | $51.10 | $51.10 | Mar 23, 2026 source file |
| Highlands Medical Center Scottsboro · Scottsboro, AL DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $54.78 | $78.26 | May 11, 2026 source file |
| Springhill Memorial Hospital Mobile · Mobile, AL REF HIV COMBO ANTIGEN ANTIBODY BY CIA REFLEX PANEL | $66.34 | $78.05 | Apr 2, 2026 source file |
| Athens Limestone Hospital Athens · Huntsville, AL HIV-1/2 ANTIBODY SCREEN, SERUM | $70.00 | $70.00 | Mar 25, 2026 source file |
| DeKalb Regional Medical Center Fort Payne · Fort Payne, AL HIV-1/2 ANTIBODY SCREEN, SERUM | $70.00 | $70.00 | Aug 20, 2026 source file |
| Floyd Cherokee Medical Center Centre · Centre, AL HC EIA QL HIV-1 HIV-2 ANTIBODY | $70.00 | $140.00 | Oct 30, 2026 source file |
| Monroe County Hospital Monroeville · Monroeville, AL HIV-1/HIV-2 QUALITATIVE RNA | $70.00 | $175.00 | Mar 2, 2026 source file |
| Hale County Hospital Greensboro · Tuscaloosa, AL HIV-1/O/2, 4TH GENERATION, LC | $77.60 | $97.00 | Apr 1, 2026 source file |
| Dch Regional Medical Center Tuscaloosa · Tuscaloosa, AL HIV ANTIGEN/ANTIBODY ASSAY | $84.38 | $168.75 | Mar 26, 2026 source file |
| Fayette Medical Center Fayette · Fayette, AL HIV ANTIGEN/ANTIBODY ASSAY | $84.38 | $168.75 | Mar 26, 2026 source file |
| Bibb Medical Center Centreville · Birmingham, AL HIV 1+2 | $97.15 | $97.15 | Nov 1, 2025 source file |
| East Alabama Medical Center Opelika · Auburn-Opelika, AL LAB 87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $97.35 | $177.00 | Jan 1, 2026 source file |
| Whitfield Regional Hospital Demopolis · Demopolis, AL HIV 4Th Generation | $99.00 | $165.00 | Apr 1, 2026 source file |
| Crenshaw Community Hospital Luverne · Luverne, AL HIV 1/2 AB | $214.70 | $429.39 | Oct 13, 2025 source file |
| Baptist Health Brookwood Hospital Birmingham · Birmingham, AL Hiv Ag Ab Combo/2 | $253.00 | $253.00 | Apr 1, 2026 source file |
| Baptist Health Citizens Hospital Talladega · Talladega-Sylacauga, AL Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $420.10 | $420.10 | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham · Birmingham, AL Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $420.10 | $420.10 | Apr 1, 2026 source file |
| Baptist Health Shelby Hospital Alabaster · Birmingham, AL Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $420.10 | $420.10 | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper · Birmingham, AL Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $420.10 | $420.10 | Apr 1, 2026 source file |
| Red Bay Hospital Red Bay · Russellville, AL OR-MESH DYNMC .6MM 10-11 STD | $12,564.50 | $12,564.50 | Mar 27, 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 |
|---|---|---|---|
| Birmingham, AL | 8 | $30.43 | $175.08 |
| Decatur, AL | 3 | $51.10 | $51.10 |
| Montgomery, AL | 2 | $16.80 | $30.36 |
| Tuscaloosa, AL | 2 | $77.60 | $80.99 |
| Auburn-Opelika, AL | 1 | $97.35 | $97.35 |
| Butler, AL | 1 | $37.24 | $37.24 |
| Centre, AL | 1 | $70.00 | $70.00 |
| Cullman, AL | 1 | $28.90 | $28.90 |
| Demopolis, AL | 1 | $99.00 | $99.00 |
| Dothan, AL | 1 | $31.72 | $31.72 |
| Eufaula, AL-GA | 1 | $46.68 | $46.68 |
| Fayette, AL | 1 | $84.38 | $84.38 |
| Fort Payne, AL | 1 | $70.00 | $70.00 |
| Gadsden, AL | 1 | $24.00 | $24.00 |
| Hamilton, AL | 1 | $28.81 | $28.81 |
| Huntsville, AL | 1 | $70.00 | $70.00 |
| Luverne, AL | 1 | $214.70 | $214.70 |
| Monroeville, AL | 1 | $70.00 | $70.00 |
| Mobile, AL | 1 | $66.34 | $66.34 |
| Russellville, AL | 1 | $12,564.50 | $12,564.50 |
| Scottsboro, AL | 1 | $54.78 | $54.78 |
| Talladega-Sylacauga, AL | 1 | $420.10 | $420.10 |
| Troy, AL | 1 | $20.30 | $20.30 |
| Wedowee, AL | 1 | $36.00 | $36.00 |
| Winfield, AL | 1 | $28.81 | $28.81 |
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 HIV test (4th generation) is, what the price covers and why prices differ: HIV test (4th generation) explained.
HIV-1/2 antigen and antibody combination blood test (4th generation) in other states
- Alaska$113.84
- Arizona$40.99
- Arkansas$48.75
- California$87.36
- Colorado$99.43
- Connecticut$96.00
- Delaware$171.10
- District of Columbia$134.89, 3 hospitals
- Florida$78.00
- Georgia$108.01
- Hawaii$195.30
- Idaho$93.00
- Illinois$115.00
- Indiana$59.64
- Iowa$75.90
- Kansas$93.29
- Kentucky$71.82
- Louisiana$49.50
- Maine$47.25
- Maryland$70.24
- Massachusetts$112.00
- Michigan$49.05
- Minnesota$76.97
- Mississippi$40.00
- Missouri$88.80
- Montana$78.40
- Nebraska$82.08
- Nevada$119.35
- New Hampshire$127.11
- New Jersey$27.69
- New Mexico$102.50
- New York$72.00
- North Carolina$71.55
- North Dakota$116.80
- Ohio$74.10
- Oklahoma$47.32
- Oregon$79.73
- Pennsylvania$141.70
- Puerto Rico$105.43
- Rhode Island$75.50
- South Carolina$97.20
- South Dakota$106.40
- Tennessee$55.96
- Texas$135.73
- Utah$73.71
- Vermont$92.00
- Virginia$112.13
- Washington$98.03
- West Virginia$63.75
- Wisconsin$102.50
- Wyoming$72.30
Median cash price across the state's hospitals.