HIV test (4th generation) cost in Tennessee
In Tennessee, 78 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $17.00 to $1,161.00, with a median of $55.96. The lowest price is at Rhea Medical Center (Dayton). The highest price is 68.3× the lowest.
- The median here, $55.96, is 33% below the US median of $83.73.
- That is 2.3× Medicare's 2026 national rate for the same service ($24.08).
- Tennessee ranks 9th of 51 states by median, cheapest first.
- 12 of 78 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 Oct 31, 2026. See them on a map
Lowest$17.00Rhea Medical Center
Median$55.96half of hospitals charge less
Highest$1,161.00in Tennessee
Lowest saves$38.96vs the median
Hospitals in Tennessee, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Rhea Medical Center lowest Dayton · Dayton, TN HIV 1 & 2 WITH REFELX | $17.00 | $25.00 | Mar 30, 2026 source file |
| Baptist Memorial Hospital-Union City Union City · Union City, TN HIV ANTIGENS W/HIV 1 & 2 AB | $20.00 | $100.00 | Feb 25, 2026 source file |
| Baptist Memorial Hospital-Collierville Collierville · Memphis, TN-MS-AR HIV ANTIGENS W/HIV 1 & 2 AB | $21.84 | $104.00 | Feb 27, 2026 source file |
| Baptist Memorial Hospital-Memphis Memphis · Memphis, TN-MS-AR HIV ANTIGENS W/HIV 1 & 2 AB | $21.84 | $104.00 | Feb 28, 2026 source file |
| Baptist Memorial Hospital-Women's Memphis · Memphis, TN-MS-AR HIV ANTIGENS W/HIV 1 & 2 AB | $21.84 | $104.00 | Feb 27, 2026 source file |
| Baptist Memorial Hospital-Carroll County Huntingdon · Huntingdon, TN HIV ANTIGENS W/HIV 1 & 2 AB | $23.92 | $104.00 | Feb 27, 2026 source file |
| Baptist Memorial Hospital-Tipton Covington · Memphis, TN-MS-AR HIV ANTIGENS W/HIV 1 & 2 AB | $24.96 | $104.00 | Feb 27, 2026 source file |
| Hardin County General Hospital Savannah · Savannah, TN HIV Ag/Ab Combo 1/2 Screen w/ Interp | $30.18 | $79.00 | May 1, 2026 source file |
| Saint Thomas Hospital for Specialty Surgery Nashville · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1 AG W/HIV-1&-2 AB AG IA | $31.30 | — | Apr 14, 2026 source file |
| Starr Regional Medical Center - Athens Athens · Athens, TN 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 | $37.37 | $190.65 | Jul 10, 2026 source file |
| Vanderbilt Bedford Hospital Shelbyville · Shelbyville, TN HC EIA QL HIV-1 & HIV-2 ANTIBOD | $39.73 | $137.00 | Oct 1, 2026 source file |
| Vanderbilt Tullahoma-Harton Hospital Tullahoma · Tullahoma-Manchester, TN HC EIA QL HIV-1 & HIV-2 ANTIBOD | $39.73 | $137.00 | Oct 1, 2026 source file |
| Vanderbilt Wilson County Hospital Lebanon · Nashville-Davidson--Murfreesboro--Franklin, TN HC EIA QL HIV-1 & HIV-2 ANTIBOD | $39.73 | $137.00 | Oct 1, 2026 source file |
| Claiborne Medical Center Tazewell · Tazewell, TN HIV 1&2 WITH REFLEX | $40.04 | $143.00 | Aug 5, 2026 source file |
| Hancock County Hospital Sneedville · Sneedville, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | Mar 23, 2026 source file |
| Johnson County Community Hospital Mountain City · Mountain City, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | Mar 23, 2026 source file |
| Bristol Regional Medical Center Bristol · Kingsport-Bristol, TN-VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Franklin Woods Community Hospital Johnson City · Johnson City, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Greeneville Community Hospital Greeneville · Greeneville, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Hawkins County Memorial Hospital Rogersville · Kingsport-Bristol, TN-VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Holston Valley Medical Center Kingsport · Kingsport-Bristol, TN-VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Indian Path Community Hospital Kingsport · Kingsport-Bristol, TN-VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Johnson City Medical Center Johnson City · Johnson City, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Sycamore Shoals Hospital Elizabethton · Johnson City, TN HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Erlanger Bledsoe Hospital Pikeville · Pikeville, TN HC Hiv 4th Gen W/Reflex | $46.53 | $161.00 | Jan 25, 2026 source file |
| Sumner Regional Medical Center Gallatin · Nashville-Davidson--Murfreesboro--Franklin, TN 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 | $49.03 | $210.45 | Jul 10, 2026 source file |
| Metro Nashville General Hospital Nashville · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1,2 Combo Ag/Ab, w/Rflx. ARUP | $51.00 | $85.00 | Sep 1, 2026 source file |
| Methodist Lebonheur Childrens Hosp Memphis · Memphis, TN-MS-AR HC Ia Hiv-1 W/Hiv-1 & Hiv-2 Ab | $51.04 | $232.00 | Mar 19, 2026 source file |
| Methodist North Hospital Memphis · Memphis, TN-MS-AR HC Ia Hiv-1 W/Hiv-1 & Hiv-2 Ab | $51.04 | $232.00 | Mar 19, 2026 source file |
| Methodist South Hospital Memphis · Memphis, TN-MS-AR HC Ia Hiv-1 W/Hiv-1 & Hiv-2 Ab | $51.04 | $232.00 | Mar 19, 2026 source file |
| Methodist University Hospital Memphis · Memphis, TN-MS-AR HC Ia Hiv-1 W/Hiv-1 & Hiv-2 Ab | $51.04 | $232.00 | Mar 19, 2026 source file |
| Methodist Le Bonheur Germantown Hospital Germantown · Memphis, TN-MS-AR HC Ia Hiv-1 W/Hiv-1 & Hiv-2 Ab | $51.04 | $232.00 | Mar 19, 2026 source file |
| Jackson-Madison County General Hospital Jackson · Jackson, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 5, 2026 source file |
| West Tennessee Healthcare Bolivar Hospital Bolivar · Bolivar, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 2, 2026 source file |
| West Tennessee Healthcare Camden Hospital Camden · Camden, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 2, 2026 source file |
| West Tennessee Healthcare Dyersburg Hospital Dyersburg · Dyersburg, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 2, 2026 source file |
| West Tennessee Healthcare Milan Hospital Milan · Jackson, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 2, 2026 source file |
| West Tennessee Healthcare Volunteer Hospital Martin · Martin, TN HC HIV 1&2 AB SCREEN | $51.30 | $171.00 | Jun 2, 2026 source file |
| CHI Memorial Hospital - Hixson Hixson · Chattanooga, TN-GA HC LAB HIV-1 AG W/HIV-1&2 AB | $54.76 | $185.00 | Feb 28, 2026 source file |
| Riverview Regional Medical Center Carthage · Nashville-Davidson--Murfreesboro--Franklin, TN 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 | $57.15 | $175.30 | Jul 10, 2026 source file |
| Maury Regional Hospital Marshall Medical Center Lewisburg · Lewisburg, TN HIV Ag/Ab Combo 1/2 Screen | $58.22 | $142.00 | Jan 1, 2026 source file |
| Sweetwater Hospital Association Sweetwater · Sweetwater, TN HIV 1/2 AB/AG 91431 EMP | $64.26 | $142.80 | Jul 1, 2026 source file |
| Tristar Hendersonville Medical Center Hendersonville · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $66.82 | $66.82 | Sep 1, 2026 source file |
| Wayne Medical Center Waynesboro · Waynesboro, TN HIV 1/2 Antibody | $68.06 | $166.00 | Jan 1, 2026 source file |
| Leconte Medical Center Sevierville · Sevierville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $69.31 | $239.00 | Aug 5, 2026 source file |
| Morristown Hamblen Hospital Association Morristown · Morristown, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $71.70 | $239.00 | Aug 5, 2026 source file |
| Parkwest Medical Center Knoxville · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $71.70 | $239.00 | Aug 5, 2026 source file |
| Williamson Medical Center Franklin · Nashville-Davidson--Murfreesboro--Franklin, TN HIV 1 & 2 SINGLE RESULT | $74.59 | $132.30 | Aug 1, 2026 source file |
| Cumberland Medical Center Crossville · Crossville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $76.48 | $239.00 | Aug 5, 2026 source file |
| Memorial Health Care System Chattanooga · Chattanooga, TN-GA HC LAB HIV-1 AG W/HIV-1&2 AB | $78.26 | $185.00 | Feb 28, 2026 source file |
| Fort Loudoun Medical Center Lenoir City · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $78.87 | $239.00 | Aug 27, 2026 source file |
| Fort Sanders Regional Medical Center Knoxville · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $78.87 | $239.00 | Aug 5, 2026 source file |
| Methodist Medical Center of Oak Ridge Oak Ridge · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $78.87 | $239.00 | Aug 5, 2026 source file |
| Roane County Medical Center Harriman · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $78.87 | $239.00 | Aug 5, 2026 source file |
| Erlanger Health Chattanooga · Chattanooga, TN-GA HC Hiv 4th Gen W/Reflex | $85.01 | $161.00 | Jan 25, 2026 source file |
| Macon Community Hospital Lafayette · Nashville-Davidson--Murfreesboro--Franklin, TN HIV1/O/2 4TH GENERATION LC | $86.70 | $144.50 | Mar 21, 2026 source file |
| Trousdale Medical Center Hartsville · Nashville-Davidson--Murfreesboro--Franklin, TN 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 | $88.94 | $175.43 | Jul 10, 2026 source file |
| Unity Medical Center Manchester · Tullahoma-Manchester, TN HIV TYPE 1 AND 2 | $98.40 | $123.00 | Feb 27, 2026 source file |
| Houston County Community Hospital Erin · Erin, TN HIV 1/2 4TH GENERATION | $104.86 | $262.14 | Oct 20, 2026 source file |
| DeKalb Community Hospital Smithville · Smithville, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jan 1, 2026 source file |
| Saint Thomas Highlands Hospital Sparta · Cookeville, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jan 1, 2026 source file |
| Saint Thomas River Park Hospital McMinnville · McMinnville, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jan 1, 2026 source file |
| Saint Thomas Rutherford Hospital Murfreesboro · Nashville-Davidson--Murfreesboro--Franklin, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jan 1, 2026 source file |
| Saint Thomas West Hospital Harding Pk Nashville · Nashville-Davidson--Murfreesboro--Franklin, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jan 1, 2026 source file |
| Stones River Hospital Woodbury · Nashville-Davidson--Murfreesboro--Franklin, TN HIV 1-2 4TH GENERATION | $111.00 | $370.00 | Jul 1, 2026 source file |
| Regional One Health Memphis · Memphis, TN-MS-AR 1809040000 - Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab 87389 | $119.80 | $218.61 | Jan 6, 2025 source file |
| Peninsula Hospital Louisville · Knoxville, TN ANTIBODY HIV 1 HIV 2 SINGLE RESUL | $150.57 | $239.00 | Aug 5, 2026 source file |
| West Tennessee Healthcare Henry County Hospital Paris · Paris, TN HIV 1/2 4th Gen Reflex Confirmation | $159.00 | $159.00 | Jun 2, 2026 source file |
| Tristar Stonecrest Medical Center Smyrna · Nashville-Davidson--Murfreesboro--Franklin, TN Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $175.32 | $175.32 | Sep 1, 2026 source file |
| Tristar Summit Medical Center Mt Juliet · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $190.48 | $190.48 | Sep 1, 2026 source file |
| Tristar Horizon Medical Center Dickson · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $203.85 | $203.85 | Sep 1, 2026 source file |
| Tristar Skyline Medical Center Nashville · Nashville-Davidson--Murfreesboro--Franklin, TN Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $302.00 | $302.00 | Sep 1, 2026 source file |
| Tristar Northcrest Medical Center Springfield · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $374.80 | $374.80 | Sep 1, 2026 source file |
| Parkridge Medical Center Chattanooga · Chattanooga, TN-GA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $610.97 | $610.97 | Sep 1, 2026 source file |
| Parkridge Valley Hospital Chattanooga · Chattanooga, TN-GA HIV-1P24AG HIV-1/2AB SGL | $610.97 | $610.97 | Sep 1, 2026 source file |
| Tristar Southern Hills Medical Center Antioch · Nashville-Davidson--Murfreesboro--Franklin, TN Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $923.00 | $923.00 | Sep 1, 2026 source file |
| Tristar Ashland City Medical Center Ashland City · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $1,129.00 | $1,129.00 | Sep 1, 2026 source file |
| Tristar Centennial Medical Center Nashville · Nashville-Davidson--Murfreesboro--Franklin, TN HIV-1AG HIV-1/2AB SINGLE | $1,161.00 | $1,161.00 | 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 |
|---|---|---|---|
| Nashville-Davidson--Murfreesboro--Franklin, TN | 20 | $31.30 | $111.00 |
| Memphis, TN-MS-AR | 10 | $21.84 | $51.04 |
| Knoxville, TN | 6 | $71.70 | $78.87 |
| Chattanooga, TN-GA | 5 | $54.76 | $85.01 |
| Kingsport-Bristol, TN-VA | 4 | $42.15 | $42.15 |
| Johnson City, TN | 3 | $42.15 | $42.15 |
| Jackson, TN | 2 | $51.30 | $51.30 |
| Tullahoma-Manchester, TN | 2 | $39.73 | $69.06 |
| Athens, TN | 1 | $37.37 | $37.37 |
| Bolivar, TN | 1 | $51.30 | $51.30 |
| Camden, TN | 1 | $51.30 | $51.30 |
| Cookeville, TN | 1 | $111.00 | $111.00 |
| Crossville, TN | 1 | $76.48 | $76.48 |
| Dayton, TN | 1 | $17.00 | $17.00 |
| Dyersburg, TN | 1 | $51.30 | $51.30 |
| Erin, TN | 1 | $104.86 | $104.86 |
| Greeneville, TN | 1 | $42.15 | $42.15 |
| Huntingdon, TN | 1 | $23.92 | $23.92 |
| Lewisburg, TN | 1 | $58.22 | $58.22 |
| Mountain City, TN | 1 | $41.40 | $41.40 |
| Martin, TN | 1 | $51.30 | $51.30 |
| McMinnville, TN | 1 | $111.00 | $111.00 |
| Morristown, TN | 1 | $71.70 | $71.70 |
| Pikeville, TN | 1 | $46.53 | $46.53 |
| Paris, TN | 1 | $159.00 | $159.00 |
| Savannah, TN | 1 | $30.18 | $30.18 |
| Smithville, TN | 1 | $111.00 | $111.00 |
| Sneedville, TN | 1 | $41.40 | $41.40 |
| Sweetwater, TN | 1 | $64.26 | $64.26 |
| Sevierville, TN | 1 | $69.31 | $69.31 |
| Shelbyville, TN | 1 | $39.73 | $39.73 |
| Tazewell, TN | 1 | $40.04 | $40.04 |
| Union City, TN | 1 | $20.00 | $20.00 |
| Waynesboro, TN | 1 | $68.06 | $68.06 |
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
- 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
- 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.