HIV test (antibody) Cost by Hospital

HIV test (antibody) is a laboratory test. Prices are from 1908 US hospitals across 52 states, from their machine-readable files.

$80median cash price · 1908 hospitals, 52 statestypically $22–$190 depending on the hospital
≈ 5.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$140
Cash / self-pay
$80
Insurer-negotiated
$21
Medicare pays
$14
$22$190
Median cash $80  ·  Medicare $14  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $80 — about 5.8× the Medicare rate ($14). High vs Medicare. A fair cash price is usually within ~2× Medicare ($27).

💡 Asking for the cash price instead of the $140 list price could save about $61 (43%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Ochsner St Mary Morgan City, LA $12 $14 ★ 2/5 89 min —
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $12 $14 ★ 2/5 — —
Banner Goldfield Medical Center Apache Junction, AZ $13 $15 ★ 5/5 146 min —
El Paso Children's Hospital El Paso, TX $13 $25 — — —
Riverview Regional Medical Center Gadsden, AL $13 $14 ★ 3/5 155 min —
Paradise Valley Hospital National City, CA $13 $14 ★ 3/5 188 min —
Saint Francis Medical Center Lynwood, CA $13 $14 ★ 3/5 238 min —
Garden Grove Hospital & Medical Center Garden Grove, CA $13 $14 ★ 2/5 134 min —
West Anaheim Medical Center Anaheim, CA $13 $14 ★ 2/5 190 min —
Huntington Beach Hospital Huntington Beach, CA $13 $14 ★ 1/5 158 min —
La Palma Intercommunity Hospital La Palma, CA $13 $14 ★ 3/5 204 min —
Chino Valley Medical Center Chino, CA $13 $14 ★ 4/5 174 min —
San Dimas Community Hospital San Dimas, CA $13 $14 ★ 2/5 147 min —
Desert Valley Hospital Victorville, CA $13 $14 ★ 3/5 167 min —
Montclair Hospital Medical Center Montclair, CA $13 $14 ★ 3/5 153 min —
Shasta Regional Medical Center Redding, CA $13 $14 ★ 2/5 156 min —
Southern Regional Medical Center Riverdale, GA $13 $14 ★ 1/5 265 min —
Southeastern Regional Medical Center, Inc Newnan, GA $13 $14 ★ 5/5 — —
Amita Health Resurrection Medical Center Chicago, IL $13 $14 ★ 3/5 186 min —
Monroe Hospital Bloomington, IN $13 $14 ★ 4/5 108 min —
Saint John Hospital Leavenworth, KS $13 $14 ★ 3/5 126 min —
Providence Medical Center Kansas City, KS $13 $14 ★ 3/5 122 min —
Central Maine Medical Center Lewiston, ME $13 $14 ★ 4/5 253 min —
Lake Huron Medical Center Port Huron, MI $13 $14 ★ 4/5 168 min —
Garden City Hospital Garden City, MI $13 $14 ★ 2/5 114 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for HIV test (antibody)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $80; Medicare pays $14.

InsurerHospitalsNegotiated median
Amerigroup 162
$14
$12 – $36
UnitedHealthcare 1271
$14
$11 – $101
Tricare / VA 379
$14
$13 – $92
Medicare 452
$14
$13 – $51
Medicaid 281
$14
$12 – $52
Devoted Health 244
$14
$14 – $15
Independent Health 49
$14
$12 – $16
Highmark 107
$14
$9 – $47
Molina Healthcare 483
$15
$12 – $41
Bright Health 63
$16
$14 – $29
Univera 14
$16
$12 – $20
MVP Health Care 75
$17
$10 – $125
Centene / Ambetter 716
$17
$13 – $128
AmeriHealth 234
$19
$13 – $67
Humana 899
$20
$14 – $152
Kaiser Permanente 203
$26
$12 – $136
Geisinger 51
$26
$14 – $64
Anthem 507
$26
$7 – $103
Harvard Pilgrim 42
$26
$14 – $105
Health Net 246
$27
$13 – $242
SelectHealth 44
$27
$14 – $102
Oscar Health 211
$27
$16 – $116
UPMC Health Plan 84
$27
$14 – $78
Blue Cross Blue Shield 1082
$27
$12 – $128
UCare 59
$31
$14 – $121
Priority Health 37
$31
$8 – $150
Medica 156
$32
$14 – $133
Aetna 1196
$33
$13 – $153
Workers' Comp / No-Fault 120
$34
$15 – $641
Cigna 1007
$42
$11 – $158
AvMed 56
$43
$12 – $203
HealthPartners 177
$45
$14 – $132
EmblemHealth 69
$55
$16 – $169
Coventry 136
$62
$14 – $240
Security Health Plan 50
$65
$14 – $118
Sanford Health Plan 49
$69
$32 – $128
Healthcare Highways 46
$104
$35 – $292
MultiPlan / PHCS network 700
$109
$25 – $297

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
New Jersey$16
Tennessee$41
New York$44
Arizona$45
Rhode Island$46
Iowa$49

Prices by city

Prices by state

Does Medicare cover HIV test (antibody)?

Yes — Medicare generally covers HIV test (antibody). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $14. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $3 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1908 US hospitals across 52 states, the typical (median) cash price is $80, versus a chargemaster (list) price around $140, a median insurer-negotiated rate of $21, a Medicare rate of about $14. Most cash prices fall between $22 and $190 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does HIV test (antibody) cost without insurance?
The median cash (self-pay) price across 1908 US hospitals is $80. Most hospitals fall between $22 and $190. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover HIV test (antibody)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $14). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for HIV test (antibody)?
Medicare pays about $14. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do HIV test (antibody) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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