HIV test (4th generation) cost in Washington
In Washington, 58 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $14.70 to $213.35, with a median of $98.03. The lowest price is at Overlake Medical Center & Clinics (Bellevue). The highest price is 14.5× the lowest.
- The median here, $98.03, is 17% above the US median of $83.85.
- That is 4.1× Medicare's 2026 national rate for the same service ($24.08).
- Washington ranks 34th of 51 states by median, cheapest first.
- 4 of 58 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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$14.70Overlake Medical Center & Clinics
Median$98.03half of hospitals charge less
Highest$213.35in Washington
Lowest saves$83.33vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Overlake Medical Center & Clinics lowest Bellevue · Seattle-Tacoma-Bellevue, WA Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $14.70 | $29.40 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $29.70 | $55.00 | Aug 31, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ANTI-HIV 1/2 AB & P24 AG | $32.90 | $47.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA HIV-1 AG W/HIV-1 and HIV-2 AB | $36.48 | $64.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA HIV-1 AG W/HIV-1 and HIV-2 AB | $39.65 | $61.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $42.50 | $50.00 | Oct 7, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $51.35 | $79.00 | Mar 21, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC HIV COMBINED ANTIBODY/ANTIGEN | $57.85 | $89.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $59.80 | $92.00 | Mar 20, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA HIV-1 AG W/HIV-1 & HIV-2 AB | $60.18 | $150.46 | Jul 10, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies | $61.00 | $61.00 | Jan 4, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ANTI-HIV 1/2 AB & P24 AG | $61.60 | $88.00 | Apr 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $73.59 | $222.18 | Feb 28, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $75.38 | $100.50 | Jul 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $76.90 | $266.62 | Sep 30, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HIV-1 AG W/HIV-1 & HIV-2 AB - TECH | $78.54 | $154.00 | Jan 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ANTI-HIV 1/2 AB & P24 AG | $79.80 | $114.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $81.08 | $266.62 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $81.16 | $266.62 | Sep 30, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC ANTI-HIV 1/2 AB & P24 AG | $81.95 | $149.00 | Jan 1, 2025 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $81.99 | $266.62 | Sep 30, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $82.55 | $127.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $91.00 | $140.00 | Mar 21, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA HIV 1/2 Antigen/Antibody Combo | $93.00 | $124.00 | Mar 10, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA HIV SCREEN, 4TH GEN W/RFLX | $96.00 | $120.00 | Dec 2, 2024 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies | $96.80 | $121.00 | Jun 24, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC HIV-1 AG W/HIV-1 & HIV-2 AB | $97.30 | $139.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $97.91 | $266.62 | Sep 30, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $98.00 | $140.00 | Mar 12, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $98.06 | $222.18 | Feb 28, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC HIV-1 AG W/HIV-1 HIV-2 AB | $101.60 | $127.00 | Mar 26, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $101.70 | $113.00 | Aug 10, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $106.64 | $106.64 | May 27, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $107.25 | $165.00 | Mar 21, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $112.80 | $141.00 | Aug 6, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $116.00 | $145.00 | Jun 29, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Hiv-1 ag w/hiv-12 ab ag ia | $120.80 | $151.00 | May 15, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $123.33 | $212.63 | Apr 14, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA IA HIV-1AG W/HIV-1&2 AB | $124.07 | $145.97 | Sep 14, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ANTI-HIV 1/2 AB & P24 AG | $124.60 | $178.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC HIV-1 AG W/HIV-1 HIV-2 AB | $127.20 | $159.00 | Mar 26, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $130.20 | $186.00 | Feb 24, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC ANTI-HIV 1/2 AB & P24 AG | $134.25 | $179.00 | Oct 23, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ANTI-HIV 1/2 AB & P24 AG | $139.30 | $199.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Hiv Antigen and Antibody Scn | $142.80 | $142.80 | Mar 31, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE CDM | $144.96 | $302.00 | Apr 1, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $146.32 | $236.00 | May 18, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA IAAD EIA HIV-1 AG W/HIV-1&HIV-2 ANTBDY SINGLE | $149.60 | $187.00 | Apr 1, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $156.62 | $174.02 | Sep 14, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC ANTI-HIV 1/2 AB & P24 AG | $164.84 | $317.00 | Apr 1, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $170.40 | $213.00 | Oct 27, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC HIV-1 AG W/HIV-1 & HIV-2 AB | $192.40 | $370.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC HIV-1 AG W/HIV-1 & HIV-2 AB | $192.40 | $370.00 | Apr 1, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA HIV-1 AG W/HIV-1&-2 AB AG IA | $206.60 | $206.60 | Mar 18, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $213.35 | $251.00 | Jun 9, 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 18 | $14.70 | $99.80 |
| Spokane-Spokane Valley, WA | 5 | $61.60 | $124.60 |
| Kennewick-Richland, WA | 4 | $36.48 | $71.06 |
| Centralia, WA | 2 | $146.32 | $169.36 |
| Moses Lake, WA | 2 | $61.00 | $83.82 |
| Mount Vernon-Anacortes, WA | 2 | $51.35 | $89.28 |
| Port Townsend, WA | 2 | $112.80 | $141.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $57.85 | $70.20 |
| Pullman, WA | 2 | $116.00 | $164.68 |
| Wenatchee-East Wenatchee, WA | 2 | $101.70 | $111.25 |
| Aberdeen, WA | 1 | $29.70 | $29.70 |
| Bellingham, WA | 1 | $107.25 | $107.25 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $98.06 | $98.06 |
| Davenport, WA | 1 | $156.62 | $156.62 |
| Ellensburg, WA | 1 | $42.50 | $42.50 |
| Friday Harbor, WA | 1 | $59.80 | $59.80 |
| Goldendale, WA | 1 | $96.00 | $96.00 |
| Ilwaco, WA | 1 | $134.25 | $134.25 |
| Longview-Kelso, WA | 1 | $91.00 | $91.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $192.40 | $192.40 |
| Othello, WA | 1 | $75.38 | $75.38 |
| Port Angeles, WA | 1 | $96.80 | $96.80 |
| Republic, WA | 1 | $124.07 | $124.07 |
| South Bend, WA | 1 | $130.20 | $130.20 |
| Shelton, WA | 1 | $93.00 | $93.00 |
| Walla Walla, WA | 1 | $32.90 | $32.90 |
| Yakima, WA | 1 | $39.65 | $39.65 |
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
- Virginia$112.13
- West Virginia$63.75
- Wisconsin$102.50
- Wyoming$72.30
Median cash price across the state's hospitals.