HIV test (4th generation) cost in Austin, TX
In Austin-Round Rock-San Marcos, TX, 25 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $50.58 to $1,294.00, with a median of $126.00. The lowest listed price is at Ascension Seton Edgar B Davis — $75.42 less than the median here. Across Texas, the median is $140.83 at 262 hospitals.
- The median here, $126.00, is 50% above the US median of $83.85.
- That is 5.2× Medicare's 2026 national rate for the same service ($24.08).
- Austin, TX ranks 2nd of 4 metro areas in Texas by median, cheapest first.
- 8 of 25 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 25 facilities across 13 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 30, 2026.
Lowest$50.58Ascension Seton Edgar B Davis
Median$126.00half of hospitals charge less
Highest$1,294.00in this market
Difference25.6×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Austin-Round Rock-San Marcos, TX.
median
Lowest $50.58Highest $1,294.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension Seton Edgar B Davis lowest Luling, TX · (830) 875-7000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $50.58 | $140.50 | $8.68–$131.24 | 64% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $51.48 | $143.00 | $8.68–$131.24 | 64% |
| St. David's Round Rock Medical Center Leander, TX · (512) 341-1000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $60.00 | $60.00 | $20.63–$40.44 | — |
| Texas Children's Hospital - Austin Austin, TX · (832) 824-1100 TC HIV TEST, ANTIGEN HIV-1 WITH ANTIBODY HIV-1 & HIV-2, SINGLE ASSAY File of Mar 5, 2026 · source file | $88.44 | $132.00 | $24.08–$125.40 | 33% |
| Ascension Seton Austin, TX HIV-1/O/2, 4TH GENERATION+1 more line at this price File of Jan 1, 2026 · source file | $100.10 | $143.00 | $8.68–$131.24 | 30% |
| Ascension Seton Hays Kyle, TX · (512) 324-5000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $107.91 | $299.75 | $8.68–$179.09 | 64% |
| Ascension Seton Smithville Smithville, TX · (512) 237-3214 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $112.23 | $311.75 | $8.68–$179.09 | 64% |
| Ascension Seton Southwest Austin, TX · (512) 324-9000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $112.23 | $311.75 | $8.68–$179.09 | 64% |
| Dell Seton Medical Center at the University of Tx Austin, TX · (512) 324-7000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $112.23 | $311.75 | $8.68–$179.09 | 64% |
| Ascension Seton Northwest Austin, TX · (512) 324-6000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $112.23 | $311.75 | $8.68–$179.09 | 64% |
| Ascension Seton Medical Center Austin Austin, TX · (512) 324-1000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $112.23 | $311.75 | $8.68–$179.09 | 64% |
| Heart Hosp of Austin Austin, TX Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $126.00 | $126.00 | $20.63–$88.07 | — |
| St. David's Medical Center Manor, TX · (512) 476-7111 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $126.00 | $126.00 | $6.30–$113.40 | — |
| Heart Hosp of Austin at St. David's Round Rock Round Rock, TX Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $126.00 | $126.00 | $6.30–$107.10 | — |
| St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $126.00 | $126.00 | $20.63–$84.92 | — |
| Baylor Scott & White Medical Center - Austin Austin, TX · (512) 654-2100 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 13, 2026 · source file | $140.83 | $234.71 | $12.00–$176.03 | 40% |
| Baylor Scott & White Medical Center - Buda Buda, TX · (737) 999-6200 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 13, 2026 · source file | $140.83 | $234.71 | $12.00–$176.03 | 40% |
| Baylor Scott & White Medical Center - Lakeway Lakeway, TX · (512) 509-0401 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 13, 2026 · source file | $140.83 | $234.71 | $12.00–$211.24 | 40% |
| Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX · (512) 654-6100 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 13, 2026 · source file | $140.83 | $234.71 | $12.00–$211.24 | 40% |
| Baylor Scott & White Emergency Medical Center - Cedar Park Cedar Park, TX · (512) 509-0401 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 3, 2026 · source file | $140.83 | $234.71 | $25.28–$152.56 | 40% |
| Baylor Scott & White Medical Center - Round Rock Round Rock, TX · (512) 509-0401 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Jun 13, 2026 · source file | $140.83 | $234.71 | $12.00–$211.24 | 40% |
| Baylor Scott & White Medical Center - Taylor Taylor, TX · (512) 352-7611 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN File of Oct 30, 2026 · source file | $146.46 | $244.10 | $13.00–$195.28 | 40% |
| Ascension Seton Edgar B Davis Luling, TX · (830) 875-7000 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $214.29 | $595.25 | $8.68–$267.86 | 64% |
| Ascension Seton Austin, TX HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jan 1, 2026 · source file | $218.23 | $311.75 | $8.68–$179.09 | 30% |
| Cornerstone Specialty Hospitals Round Rock Round Rock, TX HIV-1 AG W/HIV-1 & HIV-2 AB File of Apr 1, 2026 · source file | $284.00 | $284.00 | — | — |
| Ascension Cedar Park Cedar Park, TX · (512) 528-7000 HIV1 AG W HIV 1 2 AB+1 more line at this price File of Jan 1, 2026 · source file | $552.48 | $1,534.66 | $8.68–$690.60 | 64% |
| St.davids Surgical Hospital Austin, TX HIV-1AG HIV-1/2AB SINGLE+1 more line at this price File of Sep 1, 2026 · source file | $1,294.00 | $1,294.00 | $24.08–$860.51 | — |
| St. David's North Austin Medical Center Austin, TX · (512) 901-1000 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +1 more line at this price File of Sep 1, 2026 · source file | $1,294.00 | $1,294.00 | $20.63–$1,164.60 | — |
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
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
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
Outpatient: lowest $50.58, median $126.00, highest $1,294.00 — a 25.6× difference within the same market.
As an inpatient, the same code is billed by 18 facilities here, median $120.47. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 17 of 24 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What HIV test (4th generation) is, what the price covers and why prices differ: HIV test (4th generation) explained.