HIV test (4th generation) cost in Iowa
In Iowa, 35 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $23.40 to $293.00, with a median of $83.20. The lowest price is at Jennie Edmundson Memorial Hospital (Council Bluffs). The highest price is 12.5× the lowest.
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 Sep 23, 2026.
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Jennie Edmundson Memorial Hospital lowest Council Bluffs · Omaha, NE-IA HIV-1/2 Ag/Ab Combo - MH/WH/JE | $23.40 | $78.00 | Feb 15, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC RHC HIV1 AG W HIV1 HIV2 AB | $35.04 | $73.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC RHC HIV1 AG W HIV1 HIV2 AB | $35.77 | $73.00 | Feb 28, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC HIV-1 AG W/ HIV-1 & HIV-2 AB | $38.58 | $48.22 | Jan 28, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Mayo Hvcop Infectious Agent Agn Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $49.40 | $76.00 | Mar 31, 2026 source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $59.17 | $61.00 | — source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL HIV Antigen Antibody Combo w/Rfx - Sendout | $76.80 | $128.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $83.20 | $128.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL TESTINGHIV-1/2 Antigen and Antibodies, 4th Generation, with | $83.40 | $139.00 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA TESTINGHIV-1/2 Antigen and Antibodies, 4th Generation, with | $83.40 | $139.00 | Mar 31, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $83.42 | $86.00 | — source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $101.60 | $127.00 | Mar 4, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC HIV1 AG W HIV1 HIV2 AB | $113.82 | $271.00 | Feb 28, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $123.50 | $190.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $123.50 | $190.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $123.50 | $190.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $123.50 | $190.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Mayo Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $123.50 | $190.00 | Mar 31, 2026 source file |
| Winneshiek Medical Center Decorah · Decorah, IA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $126.00 | $180.00 | Jul 17, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $146.90 | $226.00 | Mar 31, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $190.00 | $190.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $190.45 | $293.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $200.85 | $309.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $200.85 | $309.00 | Mar 31, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $293.00 | $293.00 | Mar 31, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 4 | $38.58 | $156.98 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $38.58 | $76.80 |
| Dubuque, IA | 3 | $38.58 | $123.50 |
| Omaha, NE-IA | 3 | $23.40 | $35.77 |
| Waterloo-Cedar Falls, IA | 3 | $38.58 | $200.85 |
| Clinton, IA | 2 | $83.20 | $83.30 |
| Cedar Rapids, IA | 1 | $38.58 | $38.58 |
| Centerville, IA | 1 | $190.00 | $190.00 |
| Corning, IA | 1 | $35.04 | $35.04 |
| Cedar Rapids, IA | 1 | $38.58 | $38.58 |
| Decorah, IA | 1 | $126.00 | $126.00 |
| Elkader, IA | 1 | $123.50 | $123.50 |
| Estherville, IA | 1 | $83.42 | $83.42 |
| Fort Dodge, IA | 1 | $38.58 | $38.58 |
| Grinnell, IA | 1 | $38.58 | $38.58 |
| Marshalltown, IA | 1 | $38.58 | $38.58 |
| Mason City, IA | 1 | $49.40 | $49.40 |
| Muscatine, IA | 1 | $38.58 | $38.58 |
| New Hampton, IA | 1 | $123.50 | $123.50 |
| Oelwein, IA | 1 | $123.50 | $123.50 |
| Rock Rapids, IA | 1 | $59.17 | $59.17 |
| Sheldon, IA | 1 | $101.60 | $101.60 |
| Sioux City, IA-NE-SD | 1 | $38.58 | $38.58 |
What it is
This lab test checks blood for the HIV-1 p24 antigen and for antibodies to HIV-1 and HIV-2 at the same time. Because it detects the antigen, it can find an infection earlier than antibody-only tests and is the standard first test for HIV screening.
What the price covers
The price usually covers the screening test only. The blood draw is often billed separately, and a positive result needs a follow-up confirmation test with its own charge.
HIV-1/2 antigen and antibody combination blood test (4th generation) in other states
- Alabama$175.18
- Alaska$83.85
- Arizona$28.80
- Arkansas$57.60
- California$87.36
- Colorado$43.72
- Connecticut$96.00
- Delaware$171.10
- Florida$73.17
- Georgia$108.50
- Hawaii$185.40
- Idaho$31.55
- Illinois$100.30
- Indiana$58.80
- Kansas$98.80
- Kentucky$80.46
- Louisiana$25.34
- Maine$36.66
- Maryland$68.61
- Massachusetts$89.75
- Michigan$49.05
- Minnesota$46.65
- Mississippi$30.13
- Missouri$81.25
- Montana$79.20
- Nebraska$62.05
- Nevada$46.20
- New Hampshire$103.78
- New Jersey$27.69
- New Mexico$122.80
- New York$74.45
- North Carolina$97.50
- North Dakota$68.14
- Ohio$60.75
- Oklahoma$48.04
- Oregon$74.25
- Pennsylvania$138.45
- Rhode Island$95.00
- South Carolina$99.50
- South Dakota$84.40
- Tennessee$48.79
- Texas$145.09
- Utah$36.07
- Vermont$98.00
- Virginia$122.44
- Washington$97.30
- West Virginia$48.00
- Wisconsin$100.00
- Wyoming$61.34
Median cash price across the state's hospitals.