HIV test (4th generation) cost in Washington
In Washington, 33 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $9.69 to $206.60, with a median of $97.30. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 21.3× 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.
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $9.69 | $14.91 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics 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 |
| 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 |
| 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 | — 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 | — 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 |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $64.05 | $222.18 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $67.58 | $222.18 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $67.85 | $222.18 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $69.73 | $222.18 | Feb 28, 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 |
| Enumclaw Regional Hospital Association Enumclaw · Seattle-Tacoma-Bellevue, WA HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX | $78.52 | $222.18 | Feb 28, 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 | — 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 |
| 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 | — source file |
| 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 | — 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 |
| Harrison 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 | — 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 | — source file |
| 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 | — source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ANTI-HIV 1/2 AB & P24 AG | $112.77 | $161.10 | Apr 1, 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 |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC HIV-1 AG W/HIV-1 HIV-2 AB | $127.20 | $159.00 | — source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Hiv Antigen and Antibody Scn | $142.80 | $142.80 | — 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 / 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 |
| 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 |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC HIV-1 AG W/HIV-1 & HIV-2 AB | $164.84 | $317.00 | Apr 1, 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 | — source file |
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 | 15 | $14.70 | $78.54 |
| Spokane-Spokane Valley, WA | 4 | $61.60 | $96.28 |
| Mount Vernon-Anacortes, WA | 2 | $51.35 | $89.28 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $9.69 | $46.12 |
| Bellingham, WA | 1 | $107.25 | $107.25 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $98.06 | $98.06 |
| Centralia, WA | 1 | $192.40 | $192.40 |
| Friday Harbor, WA | 1 | $59.80 | $59.80 |
| Kennewick-Richland, WA | 1 | $97.30 | $97.30 |
| Longview-Kelso, WA | 1 | $91.00 | $91.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $192.40 | $192.40 |
| Port Townsend, WA | 1 | $112.80 | $112.80 |
| Walla Walla, WA | 1 | $32.90 | $32.90 |
| Wenatchee-East Wenatchee, WA | 1 | $101.70 | $101.70 |
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
- Virginia$122.44
- West Virginia$48.00
- Wisconsin$100.00
- Wyoming$61.34
Median cash price across the state's hospitals.