HIV test (4th generation) cost in Virginia
In Virginia, 54 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $41.40 to $1,105.92, with a median of $112.13. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 26.7× the lowest.
- The median here, $112.13, is 34% above the US median of $83.85.
- That is 4.7× Medicare's 2026 national rate for the same service ($24.08).
- Virginia ranks 42nd of 51 states by median, cheapest first.
- 13 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 1, 2026. See them on a map
Lowest$41.40Dickenson Community Hospital + 1 more
Median$112.13half of hospitals charge less
Highest$1,105.92in Virginia
Lowest saves$70.73vs 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 | Mar 23, 2026 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 | Mar 23, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA C-Hiv 1 & 2 Antibodies | $69.00 | $138.00 | Apr 1, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, 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 | $71.20 | $178.00 | Jul 10, 2026 source file |
| Lewisgale Hospital Pulaski Pulaski · Blacksburg-Christiansburg-Radford, VA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $72.00 | $72.00 | Sep 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Hiv-1 ag w/hiv-1&-2 ab ag ia | $74.00 | $148.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Hiv-1 ag w/hiv-1&-2 ab ag ia | $74.00 | $148.00 | Dec 30, 2024 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Hiv 1/2 Ab/Ag | $74.32 | $148.64 | Mar 11, 2026 source file |
| Lewisgale Hospital Montgomery Christiansburg · Blacksburg-Christiansburg-Radford, VA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $76.00 | $76.00 | Sep 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $85.20 | $213.00 | Jul 14, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB HIV 1 ANTIGENS W/HIV 1 & 2 AB | $96.25 | $275.00 | Dec 15, 2025 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 | Apr 1, 2026 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 | Jul 10, 2026 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 | Jul 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA HIV ABS IMMUNOASSAY 083935 | $113.19 | $161.70 | Mar 25, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-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 | $119.05 | $297.62 | Jul 14, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, 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 | $125.72 | $314.30 | Jul 10, 2026 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 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Hiv-1 & Hiv-2 Ab | $133.80 | $223.00 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA HIV-1AG HIV-1/2AB SINGLE | $200.00 | $200.00 | Sep 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 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 | Apr 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV HIV-1AG HIV-1/2AB SINGLE | $259.29 | $259.29 | Sep 1, 2026 source file |
| Reston Hospital Center Reston · Washington-Arlington-Alexandria, DC-VA-MD-WV Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $259.34 | $259.34 | Sep 1, 2026 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 | Apr 1, 2026 source file |
| Lewisgale Hospital Alleghany Low Moor · Low Moor, VA HIV-1AG HIV-1/2AB SINGLE | $375.00 | $375.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA HIV-1AG HIV-1/2AB SINGLE | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA HIV-1AG HIV-1/2AB SINGLE | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA HIV-1AG HIV-1/2AB SINGLE | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Tricities Hospital Prince George · Richmond, VA Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $1,069.00 | $1,069.00 | Sep 1, 2026 source file |
| Spotsylvania Regional Medical Center Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HIV-1AG HIV-1/2AB SINGLE | $1,105.92 | $1,105.92 | 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 |
|---|---|---|---|
| Richmond, VA | 11 | $148.20 | $1,069.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 11 | $74.00 | $207.50 |
| Roanoke, VA | 6 | $65.10 | $96.25 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 6 | $74.32 | $122.44 |
| Blacksburg-Christiansburg-Radford, VA | 3 | $72.00 | $76.00 |
| Bluefield, WV-VA | 2 | $96.25 | $107.65 |
| Big Stone Gap, VA | 1 | $42.15 | $42.15 |
| Clintwood, VA | 1 | $41.40 | $41.40 |
| Emporia, VA | 1 | $54.00 | $54.00 |
| Galax, VA | 1 | $125.72 | $125.72 |
| Hot Springs, VA | 1 | $113.19 | $113.19 |
| Kilmarnock, VA | 1 | $99.00 | $99.00 |
| Kingsport-Bristol, TN-VA | 1 | $42.15 | $42.15 |
| Lebanon, VA | 1 | $42.15 | $42.15 |
| Lexington, VA | 1 | $96.25 | $96.25 |
| Low Moor, VA | 1 | $375.00 | $375.00 |
| Marion, VA | 1 | $42.15 | $42.15 |
| Martinsville, VA | 1 | $103.60 | $103.60 |
| Pennington Gap, VA | 1 | $41.40 | $41.40 |
| Staunton-Stuarts Draft, VA | 1 | $69.00 | $69.00 |
| Wytheville, VA | 1 | $71.20 | $71.20 |
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 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
- Tennessee$55.96
- Texas$140.83
- Utah$73.71
- Vermont$92.00
- Washington$98.03
- West Virginia$63.75
- Wisconsin$102.50
- Wyoming$72.30
Median cash price across the state's hospitals.