HIV test (4th generation) cost in North Carolina
In North Carolina, 36 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $15.90 to $703.82, with a median of $97.50. The lowest price is at ECU Health Medical Center (Greenville) and 1 other hospital. The highest price is 44.3× 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 24, 2026.
Lowest$15.90ECU Health Medical Center + 1 more
Median$97.50half pay less
Highest$703.82in North Carolina
Lowest saves$81.60vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| ECU Health Medical Center lowest Greenville · Greenville, NC Hiv-Targeted ED Testing | $15.90 | $30.00 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital lowest Washington · Washington, NC Hiv-Targeted ED Testing | $15.90 | $30.00 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Hiv 1&2 Antibody W/ Antigen Eia | $21.33 | $79.00 | — source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| Vidant Chowan Hospital Edenton · Edenton, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| Vidant Duplin Hospital Kenansville · Kenansville, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| Vidant Edgecombe Hospital Tarboro · Rocky Mount, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $60.00 | $120.00 | Jul 16, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $60.00 | $120.00 | Oct 8, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $61.50 | $123.00 | Oct 8, 2025 source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | — source file |
| Duke University Hospital Durham · Durham, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | — source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | — source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $92.00 | $184.00 | Oct 21, 2025 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $97.50 | $195.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $97.50 | $195.00 | Oct 8, 2025 source file |
| Gaston Memorial Hospital Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG HIV-1 AG W HIV-1 & 2 AB EIA | $120.00 | $120.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG HIV-1 AG W HIV-1 & 2 AB EIA | $120.00 | $120.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG HIV-1 AG W HIV-1 & 2 AB EIA | $120.00 | $120.00 | May 11, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $126.00 | $126.00 | Apr 1, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Hiv 4th Gen W/Reflex | $163.10 | $233.00 | Jan 25, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 1, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $172.08 | $344.15 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Sep 15, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC HIV1/2 ANTIBODY/ANTIGEN SCREEN | $703.82 | $703.82 | Apr 1, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $21.33 | $172.08 |
| Winston-Salem, NC | 3 | $61.50 | $92.00 |
| Ahoskie, NC | 1 | $24.64 | $24.64 |
| Albemarle, NC | 1 | $179.50 | $179.50 |
| Asheville, NC | 1 | $126.00 | $126.00 |
| Columbus, NC | 1 | $703.82 | $703.82 |
| Concord, NC | 1 | $172.08 | $172.08 |
| Durham, NC | 1 | $71.55 | $71.55 |
| Durham-Chapel Hill, NC | 1 | $71.55 | $71.55 |
| Edenton, NC | 1 | $24.64 | $24.64 |
| Greensboro-High Point, NC | 1 | $97.50 | $97.50 |
| Greenville, NC | 1 | $15.90 | $15.90 |
| Kenansville, NC | 1 | $24.64 | $24.64 |
| Kill Devil Hills, NC | 1 | $24.64 | $24.64 |
| Murphy, NC | 1 | $163.10 | $163.10 |
| Mount Airy, NC | 1 | $60.00 | $60.00 |
| North Wilkesboro, NC | 1 | $60.00 | $60.00 |
| Raleigh-Cary, NC | 1 | $71.55 | $71.55 |
| Roanoke Rapids, NC | 1 | $24.64 | $24.64 |
| Rocky Mount, NC | 1 | $24.64 | $24.64 |
| Shelby-Kings Mountain, NC | 1 | $172.08 | $172.08 |
| Windsor, NC | 1 | $24.64 | $24.64 |
| Washington, NC | 1 | $15.90 | $15.90 |
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
- 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 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.