HIV test (4th generation) cost in Kentucky
In Kentucky, 71 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $10.08 to $286.20, with a median of $71.82. The lowest price is at University of Kentucky Hospital (Lexington). The highest price is 28.4× the lowest.
- The median here, $71.82, is 14% below the US median of $83.85.
- That is 3.0× Medicare's 2026 national rate for the same service ($24.08).
- Kentucky ranks 15th of 51 states by median, cheapest first.
- 3 of 71 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 11, 2026. See them on a map
Lowest$10.08University of Kentucky Hospital
Median$71.82half of hospitals charge less
Highest$286.20in Kentucky
Lowest saves$61.74vs the median
Hospitals in Kentucky, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| University of Kentucky Hospital lowest Lexington · Lexington-Fayette, KY Hc Hiv-1,2 Combo Ag/Ab, W/Rflx 2013333-So+ | $10.08 | $25.20 | Apr 1, 2026 source file |
| Ohio County Hospital Hartford · Hartford, KY REF HIV-1,2 Combo Ag/Ab Reflex | $17.00 | $34.00 | Jan 12, 2026 source file |
| Baptist Health Deaconess Madisonville Madisonville · Madisonville, KY HC HIV ANTIBODY 1 PLUS 2 | $23.23 | $178.62 | Feb 3, 2026 source file |
| King's Daughters' Medical Center Ashland · Huntington-Ashland, WV-KY-OH HCHG HIV-1 AG/WHIV 1 & 2 AB AG IA (ARUP) | $24.08 | $60.20 | Sep 25, 2026 source file |
| CHI Saint Joseph Berea Nf Berea · Richmond-Berea, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $26.65 | $55.00 | Sep 30, 2026 source file |
| Harrison Memorial Hospital Cynthiana · Cynthiana, KY DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $33.71 | $48.16 | Mar 31, 2026 source file |
| Casey County Hospital Liberty · Liberty, KY ANTIBODY SEROLOGY | $37.60 | $47.00 | Mar 31, 2026 source file |
| The Medical Center at Bowling Green Bowling Green · Bowling Green, KY HIV 1,2 COMBO W/ RFLX | $37.89 | $73.00 | Apr 1, 2026 source file |
| CHI Saint Joseph Flaget Memorial Hospital Bardstown · Louisville/Jefferson County, KY-IN HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $41.36 | $98.00 | Sep 30, 2026 source file |
| Marcum and Wallace Memorial Hospital Irvine · Richmond-Berea, KY HC So Hiv-1 & Hiv-2 Ab | $41.40 | $69.00 | Apr 1, 2026 source file |
| Saint Joseph London London · Corbin, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $43.51 | $124.00 | Sep 30, 2026 source file |
| The Medical Center at Albany Albany · Albany, KY HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | Jul 1, 2024 source file |
| The Medical Center at Caverna Horse Cave · Horse Cave, KY HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | Apr 1, 2026 source file |
| The Medical Center at Russellville Russellville · Russellville, KY HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | Apr 1, 2026 source file |
| The Medical Center at Scottsville Scottsville · Bowling Green, KY HIV 1,2 COMBO W/ RFLX | $43.80 | $73.00 | Apr 1, 2026 source file |
| University of Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HIV1 AG HIV1/2 AB SNGL RST | $45.36 | $189.00 | Jan 1, 2026 source file |
| Jennie Stuart Medical Center Hopkinsville · Clarksville, TN-KY HC HIV ANTIBODY 1 PLUS 2 REF | $48.39 | $156.09 | Feb 12, 2026 source file |
| T J Samson Community Hospital Glasgow · Glasgow, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $53.95 | $83.00 | Oct 21, 2026 source file |
| Tj Health Columbia Columbia · Columbia, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $53.95 | $83.00 | Sep 1, 2026 source file |
| Livingston Hospital and Healthcare Services Salem · Paducah, KY-IL HIV-1/O/2, 4th Generation LC | $58.65 | $97.75 | Aug 25, 2026 source file |
| Rockcastle County Hospital Mount Vernon · Richmond-Berea, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $59.28 | $78.00 | Jul 1, 2026 source file |
| Monroe County Medical Center Tompkinsville · Tompkinsville, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $59.43 | $71.60 | Oct 8, 2026 source file |
| Mercy Health Lourdes Hospital Paducah · Paducah, KY-IL HC So Hiv-1 & Hiv-2 Ab | $60.00 | $100.00 | Apr 1, 2026 source file |
| Norton Audubon Hospital Louisville · Louisville, KY HB HIV RAPID | $61.00 | $305.00 | Feb 11, 2026 source file |
| Norton Brownsboro Hospital Louisville · Louisville/Jefferson County, KY-IN HB HIV-1 AG W/HIV-1 & HIV-2 AB | $61.00 | $305.00 | Feb 11, 2026 source file |
| Norton Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB H1 AG+H1/H2 ABS 1 RESULT | $61.00 | $305.00 | Feb 11, 2026 source file |
| Norton Hospital Louisville · Louisville/Jefferson County, KY-IN HB H1AG+H1/H2ABS | $61.00 | $305.00 | Feb 11, 2026 source file |
| Norton West Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HB HIV-1 AG W/HIV-1 & HIV-2 AB | $61.00 | $305.00 | Feb 11, 2026 source file |
| Norton Women's and Kosair Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB H1AG+H1/H2ABS | $61.00 | $305.00 | Feb 13, 2026 source file |
| St Claire Medical Center Morehead · Morehead, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $61.50 | $82.00 | Jun 18, 2026 source file |
| Meadowview Regional Medical Center Maysville · Maysville, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu | $63.26 | $158.14 | Jul 10, 2026 source file |
| Spring View Hospital Lebanon · Lebanon, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu | $63.89 | $159.73 | Jul 10, 2026 source file |
| Saint Joseph Mount Sterling Mt. Sterling · Mount Sterling, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $64.96 | $172.00 | Sep 30, 2026 source file |
| Saints Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN HIV1 AG HIV1/2 AB SNGL RST | $68.04 | $189.00 | Jan 1, 2026 source file |
| Saint Joseph East Lexington · Lexington-Fayette, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $70.96 | $169.00 | Sep 30, 2026 source file |
| UofL Health -Shelbyville Shelbyville · Louisville/Jefferson County, KY-IN HIV1 AG HIV1/2 AB SNGL RST | $71.82 | $189.00 | Jan 1, 2026 source file |
| Continuing Care Hospital Lexington · Lexington-Fayette, KY HC LAB HIV-1 AG W/HIV-1&2 AB | $74.94 | $169.00 | Sep 30, 2026 source file |
| Deaconess Union County Hospital Morganfield · Morganfield, KY HC HIV ANTIBODY 1 PLUS 2 | $77.08 | $164.00 | Feb 13, 2026 source file |
| Saint Joseph Hospital Lexington · Lexington-Fayette, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $80.26 | $169.00 | Sep 30, 2026 source file |
| AdventHealth Manchester Manchester · Corbin, KY HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $80.46 | $80.46 | Apr 1, 2026 source file |
| Saint Joseph Hospital Nicholasville · Lexington-Fayette, KY HC Lab Hiv-1 Ag W/Hiv-1&2 Ab | $84.21 | $157.00 | Sep 30, 2026 source file |
| UofL Health - Jewish Hospital and Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN HIV1 AG HIV1/2 AB SNGL RST | $85.05 | $189.00 | Jan 1, 2026 source file |
| UofL Health-Louisville – South Hospital Shepherdville · Louisville/Jefferson County, KY-IN HIV1 AG HIV1/2 AB SNGL RST | $85.05 | $189.00 | Jan 1, 2026 source file |
| Carroll County Memorial Hospital Carrollton · Carrollton, KY HIV 1/2 ANTIGEN/ANTIBODY | $103.80 | $173.00 | Aug 17, 2026 source file |
| Pineville Community Health Center Pineville · Middlesborough, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $107.80 | $107.80 | Jan 24, 2026 source file |
| Bluegrass Community Hospital Versailles · Lexington-Fayette, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu | $117.41 | $293.52 | Jul 10, 2026 source file |
| Cumberland County Hospital Burkesville · Burkesville, KY HIV-1/2 4TH GENERATION #91431 | $133.50 | $178.00 | Mar 24, 2026 source file |
| Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu | $134.48 | $336.20 | Jul 10, 2026 source file |
| Fleming County Hospital Flemingsburg · Flemingsburg, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single resu | $145.68 | $364.21 | Jul 10, 2026 source file |
| Murray-Calloway County Public Hospital Murray · Murray, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $158.60 | $244.00 | Sep 9, 2026 source file |
| Knox County Hospital Barbourville · Corbin, KY HIV 4TH GENERAT SERUM W/REFLX | $184.80 | $308.00 | Jan 1, 2026 source file |
| Middlesboro Arh Hospital Middlesboro · Middlesborough, KY HIV 4TH GENERAT SERUM W/REFLX | $225.00 | $375.00 | Jan 1, 2026 source file |
| Whitesburg Arh Hospital Whitesburg · Whitesburg, KY HIV 4TH GENERAT SERUM W/REFLX | $231.60 | $386.00 | Jan 1, 2026 source file |
| Tristar Greenview Regional Hospital Bowling Green · Bowling Green, KY Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $237.50 | $237.50 | Sep 1, 2026 source file |
| Baptist Health Corbin Corbin · Corbin, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 25, 2026 source file |
| Baptist Health Hardin Elizabethtown · Elizabethtown, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 25, 2026 source file |
| Baptist Health LaGrange La Grange · Louisville/Jefferson County, KY-IN Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 25, 2026 source file |
| Baptist Health Lexington Lexington · Lexington-Fayette, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 28, 2026 source file |
| Baptist Health Louisville Louisville · Louisville/Jefferson County, KY-IN Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 25, 2026 source file |
| Baptist Health Paducah Paducah · Paducah, KY-IL Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 28, 2026 source file |
| Baptist Health Richmond Richmond · Richmond-Berea, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $241.26 | $321.68 | Sep 28, 2026 source file |
| Harlan Arh Hospital Harlan · Harlan, KY HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | Jan 1, 2026 source file |
| Highlands Arh Regional Medical Center Prestonsburg · Pikeville, KY HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | Jan 1, 2026 source file |
| Paintsville Arh Hospital Paintsville · Paintsville, KY HIV 4TH GENERAT SERUM W/REFLX | $243.60 | $406.00 | Jan 1, 2026 source file |
| Tug Valley Appalachian Regional Healthcare Regional Medical Center South Williamson · Pikeville, KY HIV 4TH GENERAT SERUM W/REFLX | $252.60 | $421.00 | Jan 1, 2026 source file |
| Hazard Appalachian Regional Healthcare Regional Medical Center Hazard · Hazard, KY HIV 4TH GENERAT SERUM W/REFLX | $255.00 | $425.00 | Jan 1, 2026 source file |
| Breckinridge Memorial Hospital Hardinsburg · Hardinsburg, KY Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $256.00 | $512.00 | Jul 16, 2026 source file |
| Arh Our Lady of the Way Martin · Pikeville, KY HIV 4TH GENERAT SERUM W/REFLX | $260.40 | $434.00 | Jan 1, 2026 source file |
| McDowell Arh Hospital MC Dowell · Pikeville, KY HIV 4TH GENERAT SERUM W/REFLX | $260.40 | $434.00 | Jan 1, 2026 source file |
| Mary Breckinridge Arh Hospital Hayden · Hayden, KY HIV 4TH GENERAT SERUM W/REFLX | $286.20 | $477.00 | Jan 1, 2026 source file |
| Morgan County Arh Hospital West Liberty · West Liberty, KY HIV 4TH GENERAT SERUM W/REFLX | $286.20 | $477.00 | Jan 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 |
|---|---|---|---|
| Louisville/Jefferson County, KY-IN | 13 | $41.36 | $61.00 |
| Lexington-Fayette, KY | 8 | $10.08 | $82.24 |
| Corbin, KY | 4 | $43.51 | $132.63 |
| Pikeville, KY | 4 | $243.60 | $256.50 |
| Richmond-Berea, KY | 4 | $26.65 | $50.34 |
| Bowling Green, KY | 3 | $37.89 | $43.80 |
| Paducah, KY-IL | 3 | $58.65 | $60.00 |
| Middlesborough, KY | 2 | $107.80 | $166.40 |
| Albany, KY | 1 | $43.80 | $43.80 |
| Burkesville, KY | 1 | $133.50 | $133.50 |
| Carrollton, KY | 1 | $103.80 | $103.80 |
| Columbia, KY | 1 | $53.95 | $53.95 |
| Cynthiana, KY | 1 | $33.71 | $33.71 |
| Clarksville, TN-KY | 1 | $48.39 | $48.39 |
| Elizabethtown, KY | 1 | $241.26 | $241.26 |
| Flemingsburg, KY | 1 | $145.68 | $145.68 |
| Glasgow, KY | 1 | $53.95 | $53.95 |
| Hardinsburg, KY | 1 | $256.00 | $256.00 |
| Harlan, KY | 1 | $243.60 | $243.60 |
| Hartford, KY | 1 | $17.00 | $17.00 |
| Hayden, KY | 1 | $286.20 | $286.20 |
| Hazard, KY | 1 | $255.00 | $255.00 |
| Horse Cave, KY | 1 | $43.80 | $43.80 |
| Huntington-Ashland, WV-KY-OH | 1 | $24.08 | $24.08 |
| Lebanon, KY | 1 | $63.89 | $63.89 |
| Liberty, KY | 1 | $37.60 | $37.60 |
| Louisville, KY | 1 | $61.00 | $61.00 |
| Maysville, KY | 1 | $63.26 | $63.26 |
| Morehead, KY | 1 | $61.50 | $61.50 |
| Morganfield, KY | 1 | $77.08 | $77.08 |
| Madisonville, KY | 1 | $23.23 | $23.23 |
| Mount Sterling, KY | 1 | $64.96 | $64.96 |
| Murray, KY | 1 | $158.60 | $158.60 |
| Paintsville, KY | 1 | $243.60 | $243.60 |
| Russellville, KY | 1 | $43.80 | $43.80 |
| Tompkinsville, KY | 1 | $59.43 | $59.43 |
| West Liberty, KY | 1 | $286.20 | $286.20 |
| Whitesburg, KY | 1 | $231.60 | $231.60 |
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
- Hawaii$195.30
- Idaho$93.00
- Illinois$115.00
- Indiana$59.64
- Iowa$75.90
- Kansas$93.29
- 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.