HIV test (4th generation) cost in Virginia
In Virginia, 26 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $41.40 to $266.40, with a median of $122.44. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 6.4× 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 23, 2026.
Lowest$41.40Dickenson Community Hospital + 1 more
Median$122.44half pay less
Highest$266.40in Virginia
Lowest saves$81.04vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | Mar 23, 2026 source file |
| Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $41.40 | $180.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · 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 |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | — source file |
| Russell County Hospital Lebanon · Lebanon, VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC HIV-1 AG W/HIV-1 & HIV-2 AB EIA ELISA IMCA | $42.15 | $281.00 | — source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $54.00 | $180.00 | — source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $65.10 | $217.00 | — source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA C-Hiv 1 & 2 Antibodies | $69.00 | $138.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $99.00 | $165.00 | — source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HIV 1 & 2 AB SCREEN | $100.55 | $111.72 | Mar 17, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA 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 | $103.60 | $259.00 | — source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $111.07 | $185.12 | — source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Hiv-1 & Hiv-2 Ab | $133.80 | $223.00 | — source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Hiv-1 & Hiv-2 Ab | $133.80 | $223.00 | — source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $140.40 | $234.00 | — source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $148.20 | $247.00 | — source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL | $207.50 | $415.00 | — source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL | $207.50 | $415.00 | — source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL | $207.50 | $415.00 | — source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL | $207.50 | $415.00 | — source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INFECT AG EIA HIV-1 ANT W/HIV-1&2 AB SGL | $207.50 | $415.00 | — source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $266.40 | $888.00 | — source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Richmond, VA | 5 | $148.20 | $148.20 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 5 | $100.55 | $133.80 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 5 | $207.50 | $207.50 |
| Big Stone Gap, VA | 1 | $42.15 | $42.15 |
| Clintwood, VA | 1 | $41.40 | $41.40 |
| Emporia, VA | 1 | $54.00 | $54.00 |
| Kilmarnock, VA | 1 | $99.00 | $99.00 |
| Kingsport-Bristol, TN-VA | 1 | $42.15 | $42.15 |
| Lebanon, VA | 1 | $42.15 | $42.15 |
| Marion, VA | 1 | $42.15 | $42.15 |
| Martinsville, VA | 1 | $103.60 | $103.60 |
| Pennington Gap, VA | 1 | $41.40 | $41.40 |
| Roanoke, VA | 1 | $65.10 | $65.10 |
| Staunton-Stuarts Draft, VA | 1 | $69.00 | $69.00 |
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 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
- Washington$97.30
- West Virginia$48.00
- Wisconsin$100.00
- Wyoming$61.34
Median cash price across the state's hospitals.