HIV test (4th generation) cost in Missouri
In Missouri, 24 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $24.00 to $181.90, with a median of $81.25. The lowest price is at St Joseph Medical Center (Kansas City). The highest price is 7.6× 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 25, 2026.
Lowest$24.00St Joseph Medical Center
Median$81.25half pay less
Highest$181.90in Missouri
Lowest saves$57.25vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| St Joseph Medical Center lowest 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 |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $48.75 | $75.00 | — source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $48.75 | $75.00 | — 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 |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO HIV Ag/Ab Combo | $50.00 | $103.00 | Dec 1, 2024 source file |
| NKC Health North Kansas City · Kansas City, MO-KS HIV AG AND ANTIBODIES | $51.33 | $177.00 | Mar 6, 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 | — source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $55.25 | $85.00 | — source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $70.20 | $108.00 | — 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 | — source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $81.25 | $125.00 | — source file |
| Mercy Hospital Springfield Ozark · Springfield, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $81.25 | $125.00 | — source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $87.10 | $134.00 | — source file |
| Mercy Perry Perryville · Perryville, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $91.65 | $141.00 | — source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | — source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | — source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $96.85 | $149.00 | — source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $104.00 | $160.00 | — source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $106.60 | $164.00 | — 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 |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Hiv-1 Ag W Hiv-1 & 2 Ab Ia | $117.00 | $180.00 | — 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 | — source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| St. Louis, MO-IL | 6 | $48.75 | $105.30 |
| Joplin, MO-KS | 3 | $48.75 | $87.10 |
| Columbia, MO | 2 | $72.60 | $113.85 |
| Kansas City, MO-KS | 2 | $24.00 | $37.66 |
| Springfield, MO | 2 | $81.25 | $81.25 |
| Aurora, MO | 1 | $96.85 | $96.85 |
| Cassville, MO | 1 | $96.85 | $96.85 |
| Cape Girardeau, MO-IL | 1 | $55.25 | $55.25 |
| Dexter, MO | 1 | $55.25 | $55.25 |
| Lebanon, MO | 1 | $70.20 | $70.20 |
| Marshall, MO | 1 | $49.94 | $49.94 |
| Perryville, MO | 1 | $91.65 | $91.65 |
| Warrensburg, MO | 1 | $50.00 | $50.00 |
| West Plains, MO | 1 | $96.85 | $96.85 |
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
- Iowa$83.20
- 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
- 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.