HIV test (4th generation) cost in Missouri
In Missouri, 56 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $16.90 to $2,073.21, with a median of $88.80. The lowest price is at Harrison County Community Hospital (Bethany). The highest price is 122.7× the lowest.
- The median here, $88.80, is 6% above the US median of $83.73.
- That is 3.7× Medicare's 2026 national rate for the same service ($24.08).
- Missouri ranks 28th of 51 states by median, cheapest first.
- 8 of 56 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 8, 2026. See them on a map
Lowest$16.90Harrison County Community Hospital
Median$88.80half of hospitals charge less
Highest$2,073.21in Missouri
Lowest saves$71.90vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Harrison County Community Hospital lowest Bethany · Bethany, MO HIV SCREEN, 4TH GENERATION | $16.90 | $26.00 | Oct 8, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $24.00 | $152.60 | Mar 17, 2026 source file |
| Missouri Delta Medical Center Sikeston · Sikeston, MO HIV ANTIGEN/ANTIBODY COMBO | $35.94 | $143.75 | Aug 7, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS HIV 1/2 AB DIFF W REFLEX | $40.00 | $144.00 | Jul 9, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Hiv-1 ag w/hiv-1 & hiv-2 ab | $41.10 | $137.00 | Oct 15, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $47.94 | $211.20 | Apr 24, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $48.75 | $75.00 | Jun 9, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $48.75 | $75.00 | Jun 10, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $49.94 | $62.42 | Feb 2, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS HIV AG AND ANTIBODIES | $51.33 | $177.00 | Mar 6, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO HIV Ag/Ab with Reflex LC | $51.50 | $51.50 | Apr 1, 2026 source file |
| Phelps Health Rolla · Rolla, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $53.01 | $75.73 | Feb 26, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $53.22 | $211.20 | Apr 24, 2026 source file |
| Lee's Summit Medical Center Lee's Summit · Kansas City, MO-KS HIV-1AG HIV-1/2AB SINGLE | $54.93 | $54.93 | Sep 1, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $55.25 | $85.00 | Jun 11, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $55.25 | $85.00 | Jun 11, 2026 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO HIV-1 AG W/HIV-1&-2 AB AG IA | $57.00 | $76.00 | Mar 26, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $64.00 | $80.00 | Mar 25, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $64.42 | $211.20 | Apr 24, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO HIV SCRN 4TH GEN W/RFLX QST 91431 | $65.70 | $146.00 | Jan 14, 2025 source file |
| Cox Barton County Hospital Lamar · Lamar, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $67.37 | $211.20 | Apr 24, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO HIV Ag/Ab Combo 1/2 Screen | $68.00 | $85.00 | May 5, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $70.20 | $108.00 | Jun 10, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO HIV1 AG W HIV1-2 AB EIA | $72.60 | $121.00 | Apr 1, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $76.05 | $117.00 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $81.25 | $125.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $81.25 | $125.00 | Jun 4, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $87.10 | $134.00 | Jun 9, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO HIV 1/2 AB w/p 24 AG | $90.50 | $181.00 | May 19, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $91.65 | $141.00 | Mar 12, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | Jun 10, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | Jun 10, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $101.40 | $169.00 | Oct 28, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $104.00 | $160.00 | Jun 10, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $106.60 | $164.00 | Jun 10, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $110.50 | $130.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $110.50 | $130.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $110.50 | $130.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $110.50 | $130.00 | Sep 26, 2025 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS HIV1 AG W/ HIV 1/2 ABS ONE RES | $115.92 | $289.80 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS HIV1 AG W/ HIV 1/2 ABS ONE RES | $115.92 | $289.80 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS HIV1 AG W/ HIV 1/2 ABS ONE RES | $115.92 | $289.80 | Sep 1, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $117.00 | $180.00 | Jun 4, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO HIV 4TH GENERATION ANTIGEN/ANTIBODY | $119.70 | $133.00 | Oct 13, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $120.00 | $200.00 | Jul 1, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO HIV-1 AG W/HIV-1&-2 AB AG IA | $148.75 | $212.50 | Oct 24, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS HIV AG ABY COMBO | $149.76 | $213.94 | Apr 20, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO HIV-1AG W/ HIV-1 & HIV-2 AB | $150.00 | $150.00 | Jul 1, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS HIV-1/HIV-2 RESLT ANTBDY 87389 | $151.20 | $216.00 | Apr 7, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO HIV 1 & 2 ANTIGEN/ANTIBODY P31025758 | $155.10 | $258.50 | Dec 15, 2025 source file |
| Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL HIV-1 AG W/HIV-1&-2 AB AG IA | $181.90 | $181.90 | Mar 18, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $309.16 | $309.16 | Sep 1, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $330.63 | $330.63 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS HIV-1AG HIV-1/2AB SINGLE | $377.45 | $377.45 | Sep 1, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $2,073.21 | $2,073.21 | 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 |
|---|---|---|---|
| Kansas City, MO-KS | 10 | $24.00 | $150.48 |
| St. Louis, MO-IL | 6 | $48.75 | $105.30 |
| Joplin, MO-KS | 5 | $48.75 | $115.92 |
| Springfield, MO | 4 | $53.22 | $72.62 |
| Columbia, MO | 2 | $72.60 | $113.85 |
| St. Joseph, MO-KS | 2 | $110.50 | $110.50 |
| Albany, MO | 1 | $110.50 | $110.50 |
| Aurora, MO | 1 | $96.85 | $96.85 |
| Bethany, MO | 1 | $16.90 | $16.90 |
| Branson, MO | 1 | $47.94 | $47.94 |
| Cassville, MO | 1 | $96.85 | $96.85 |
| Clinton, MO | 1 | $120.00 | $120.00 |
| Cape Girardeau, MO-IL | 1 | $55.25 | $55.25 |
| Dexter, MO | 1 | $55.25 | $55.25 |
| Fredericktown, MO | 1 | $119.70 | $119.70 |
| Hermann, MO | 1 | $101.40 | $101.40 |
| Lamar, MO | 1 | $67.37 | $67.37 |
| Lousiana, MO | 1 | $68.00 | $68.00 |
| Lebanon, MO | 1 | $70.20 | $70.20 |
| Memphis, MO | 1 | $148.75 | $148.75 |
| Milan, MO | 1 | $150.00 | $150.00 |
| Monett, MO | 1 | $64.42 | $64.42 |
| Marshall, MO | 1 | $49.94 | $49.94 |
| Maryville, MO | 1 | $110.50 | $110.50 |
| Nevada, MO | 1 | $65.70 | $65.70 |
| Osage Beach, MO | 1 | $41.10 | $41.10 |
| Perryville, MO | 1 | $91.65 | $91.65 |
| Rolla, MO | 1 | $53.01 | $53.01 |
| Ste. Genevieve, MO | 1 | $90.50 | $90.50 |
| Sedalia, MO | 1 | $57.00 | $57.00 |
| Sikeston, MO | 1 | $35.94 | $35.94 |
| Warrensburg, MO | 1 | $51.50 | $51.50 |
| West Plains, MO | 1 | $96.85 | $96.85 |
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
- Kentucky$71.82
- Louisiana$49.50
- Maine$47.25
- Maryland$70.24
- Massachusetts$112.00
- Michigan$49.05
- Minnesota$76.97
- Mississippi$40.00
- 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.