HIV test (4th generation) cost in Hawaii
In Hawaii, 12 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $185.40 to $259.00, with a median of $195.30. The lowest price is at Kapiolani Medical Center for Women & Children (Honolulu) and 3 other hospitals. The highest price is 1.4× the lowest.
- The median here, $195.30, is 133% above the US median of $83.85.
- That is 8.1× Medicare's 2026 national rate for the same service ($24.08).
- Hawaii ranks 51st of 51 states by median, cheapest first.
- 1 of 12 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 4, 2026. See them on a map
Lowest$185.40Kapiolani Medical Center for Women & Children + 3 more
Median$195.30half of hospitals charge less
Highest$259.00in Hawaii
Lowest saves$9.90vs the median
Hospitals in Hawaii, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Kapiolani Medical Center for Women & Children lowest Honolulu · Urban Honolulu, HI HIV12 AG/AB COMBO | $185.40 | $309.00 | Feb 12, 2026 source file |
| Pali Momi Medical Center lowest Aiea · Urban Honolulu, HI HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | Feb 12, 2026 source file |
| Straub Clinic & Hospital lowest Honolulu · Urban Honolulu, HI HIV12 AG/AB COMBO | $185.40 | $309.00 | Feb 12, 2026 source file |
| Wilcox Memorial Hospital lowest Lihue · Kapaa, HI PERINATAL HIV12 COMBO | $185.40 | $309.00 | Feb 12, 2026 source file |
| Molokai General Hospital Kaunakakai · Kahului-Wailuku, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $193.20 | $276.00 | Feb 16, 2026 source file |
| Queens Medical Center - West Oahu Ewa Beach · Urban Honolulu, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $195.30 | $279.00 | Mar 11, 2026 source file |
| The Queens Medical Center Honolulu · Urban Honolulu, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $195.30 | $279.00 | Mar 11, 2026 source file |
| The Queens Medical Center - Wahiawa Wahiawa · Urban Honolulu, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $195.30 | $279.00 | Mar 9, 2026 source file |
| Kona Community Hospital Kealakekua · Hilo-Kailua, HI HIV 1 AG W HIV 1/2 ABS | $211.90 | $326.00 | Jul 28, 2025 source file |
| Shriners Childrens - Honolulu Honolulu · Urban Honolulu, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $218.10 | $218.10 | Mar 19, 2026 source file |
| Kaiser Foundation Hospital - Moanalua Honolulu · Urban Honolulu, HI IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $229.50 | $306.00 | Apr 1, 2026 source file |
| Queens North Hawaii Community Hospital Waimea · Hilo-Kailua, HI HIV-1 AG W/HIV-1&-2 AB AG IA | $259.00 | $370.00 | Mar 9, 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 |
|---|---|---|---|
| Urban Honolulu, HI | 8 | $185.40 | $195.30 |
| Hilo-Kailua, HI | 2 | $211.90 | $235.45 |
| Kahului-Wailuku, HI | 1 | $193.20 | $193.20 |
| Kapaa, HI | 1 | $185.40 | $185.40 |
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
- Alabama$60.56
- 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
- Idaho$93.00
- Illinois$115.00
- Indiana$59.64
- Iowa$75.90
- Kansas$93.29
- Kentucky$71.82
- Louisiana$49.50
- Maine$51.04
- Maryland$70.24
- Massachusetts$112.00
- Michigan$49.05
- Minnesota$77.68
- Mississippi$40.16
- 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$140.83
- 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.