HIV test (4th generation) cost in North Carolina
In North Carolina, 54 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 $71.55. The lowest price is at ECU Health Beaufort Hospital (Washington) and 1 other hospital. The highest price is 44.3× the lowest.
- The median here, $71.55, is 15% below the US median of $83.85.
- That is 3.0× Medicare's 2026 national rate for the same service ($24.08).
- North Carolina ranks 14th of 51 states by median, cheapest first.
- 5 of 54 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$15.90ECU Health Beaufort Hospital + 1 more
Median$71.55half of hospitals charge less
Highest$703.82in North Carolina
Lowest saves$55.65vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| ECU Health Beaufort Hospital lowest Washington · Washington, NC Hiv-Targeted ED Testing | $15.90 | $30.00 | Apr 1, 2026 source file |
| ECU Health Medical Center lowest Greenville · Greenville, 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 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $22.42 | $59.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $22.42 | $59.00 | Feb 11, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC 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 | $24.00 | $60.00 | Jul 10, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC 91431 Hiv-1/2 Ag/Ab Differentiation S/Rflx-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| ECU Health 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 |
| ECU Health 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 |
| ECU Health 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 |
| 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 |
| 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 |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC HIV 1,2 Combo Ag/Ab | $36.18 | $134.00 | Dec 31, 2025 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC HIV-1 AG W/HIV-1&-2 AB AG IA | $40.13 | $66.88 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC HIV-1 AG W/HIV-1&-2 AB AG IA | $40.13 | $66.88 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC HIV-1 AG W/HIV-1&-2 AB AG IA | $40.13 | $66.88 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC HIV-1 AG W/HIV-1&-2 AB AG IA | $40.13 | $66.88 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC HIV-1 AG W/HIV-1&-2 AB AG IA | $40.13 | $66.88 | Mar 22, 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 |
| Northern Regional Hospital Mount Airy · Mount Airy, NC HIV Antibody, Lc#083935 | $60.34 | $88.74 | Nov 12, 2025 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC HIV-1 AG W/HIV-1 & HIV-2 AB | $61.81 | $154.53 | Jul 8, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $62.50 | $125.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $64.00 | $128.00 | Oct 30, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $67.90 | $97.00 | Nov 2, 2026 source file |
| Duke University Hospital Durham · Durham, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Hiv 1&2 Antibody W/ Antigen Eia | $71.55 | $265.00 | Apr 1, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC 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 | $77.60 | $194.00 | Jul 10, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $84.50 | $169.00 | Aug 12, 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 |
| High Point Regional Health High Point · Greensboro-High Point, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $102.50 | $205.00 | Oct 30, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC 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 | $102.80 | $257.00 | Jul 10, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $103.00 | $206.00 | Oct 30, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC HIV ANTIBODIES 4TH GENERATION | $104.40 | $522.00 | Dec 30, 2024 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC Panel 083935 LC | $112.35 | $160.49 | Sep 1, 2025 source file |
| Harris Regional Hospital Sylva · Sylva, NC 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 | $115.35 | $288.37 | Jul 10, 2026 source file |
| CaroMont Regional Medical Center - Gastonia 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 HIV1WB - 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 | $179.50 | $359.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $179.50 | $359.00 | Oct 29, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC EIA QL HIV-1 HIV-2 ANTIBODY | $288.50 | $577.00 | Oct 28, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $703.82 | $703.82 | Apr 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 13 | $21.33 | $179.50 |
| Fayetteville, NC | 3 | $40.13 | $40.13 |
| Raleigh-Cary, NC | 3 | $22.42 | $22.42 |
| Winston-Salem, NC | 3 | $64.00 | $97.50 |
| Durham-Chapel Hill, NC | 2 | $71.55 | $74.58 |
| Mount Airy, NC | 2 | $60.34 | $61.42 |
| Ahoskie, NC | 1 | $24.64 | $24.64 |
| Asheboro, NC | 1 | $104.40 | $104.40 |
| Albemarle, NC | 1 | $179.50 | $179.50 |
| Anderson Creek, NC | 1 | $40.13 | $40.13 |
| Asheville, NC | 1 | $126.00 | $126.00 |
| Clinton, NC | 1 | $67.90 | $67.90 |
| Columbus, NC | 1 | $703.82 | $703.82 |
| Durham, NC | 1 | $71.55 | $71.55 |
| Edenton, NC | 1 | $24.64 | $24.64 |
| Elizabethtown, NC | 1 | $40.13 | $40.13 |
| Forest City, NC | 1 | $24.00 | $24.00 |
| Greensboro-High Point, NC | 1 | $102.50 | $102.50 |
| Greenville, NC | 1 | $15.90 | $15.90 |
| Hickory-Lenoir-Morganton, NC | 1 | $61.81 | $61.81 |
| Kenansville, NC | 1 | $24.64 | $24.64 |
| Kill Devil Hills, NC | 1 | $24.64 | $24.64 |
| Laurinburg, NC | 1 | $288.50 | $288.50 |
| Murphy, NC | 1 | $163.10 | $163.10 |
| North Wilkesboro, NC | 1 | $60.00 | $60.00 |
| Roanoke Rapids, NC | 1 | $24.64 | $24.64 |
| Rocky Mount, NC | 1 | $24.64 | $24.64 |
| Sparta, NC | 1 | $84.50 | $84.50 |
| Sylva, NC | 1 | $115.35 | $115.35 |
| Shelby-Kings Mountain, NC | 1 | $179.50 | $179.50 |
| Whiteville, NC | 1 | $112.35 | $112.35 |
| Windsor, NC | 1 | $24.64 | $24.64 |
| Washington, NC | 1 | $15.90 | $15.90 |
| Wilson, NC | 1 | $102.80 | $102.80 |
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$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 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.