HIV test (4th generation) cost in Cleveland, OH
In Cleveland, OH, 25 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $65.25 to $174.60, with a median of $107.90. The lowest listed price is at UH Cleveland Medical Center — $42.65 less than the median here. Across Ohio, the median is $74.10 at 125 hospitals.
- The median here, $107.90, is 29% above the US median of $83.85.
- That is 4.5× Medicare's 2026 national rate for the same service ($24.08).
- Cleveland, OH ranks 4th of 4 metro areas in Ohio by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Cash prices at 25 facilities across 20 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 8, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Cleveland, OH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| UH Cleveland Medical Center lowest Cleveland, OH · (216) 844-1000 HC HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Jul 14, 2026 · source file | $65.25 | $87.00 | $8.62–$121.91 | 25% |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Hiv 1/Hiv 2 Combo Ag/Ab File of Apr 1, 2026 · source file | $73.85 | $211.00 | — | 65% |
| University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $87.00 | $116.00 | $8.62–$109.62 | 25% |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $87.00 | $116.00 | $8.62–$104.40 | 25% |
| University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.62–$106.20 | 25% |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.62–$106.20 | 25% |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $24.08–$106.20 | 25% |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.62–$106.20 | 25% |
| University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $11.37–$106.20 | 25% |
| Lake West Hospital Willoughby, OH · (440) 953-9600 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $13.73–$106.20 | 25% |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC HIV-1 AG W/HIV-1 & HIV-2 AB File of Jul 14, 2026 · source file | $88.50 | $118.00 | $8.62–$106.20 | 25% |
| Ashtabula County Medical Center Ashtabula, OH · (440) 997-2262 WHIIVF HIV 1&2 AG/AB+1 more line at this price File of Sep 8, 2026 · source file | $92.40 | $132.00 | $4.25–$124.08 | 30% |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 WHIIVF HIV 1&2 AG/AB+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $0.95–$166.00 | 35% |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 HIV 1&2 ANTIGEN/ANTIBODY+3 more lines at this price File of Jun 16, 2026 · source file | $107.90 | $166.00 | $46.94–$166.00 | 35% |
| Medina Hospital Medina, OH · (330) 725-1000 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $0.95–$78.18 | 35% |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $46.94–$166.00 | 35% |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 WHIIVF HIV 1&2 AG/AB+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $0.95–$166.00 | 35% |
| Fairview Hospital Cleveland, OH · (216) 476-7000 %HEXP HIV 1&2 AG/AB+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $0.95–$166.00 | 35% |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $46.94–$166.00 | 35% |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $46.94–$166.00 | 35% |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $14.20–$166.00 | 35% |
| Euclid Hospital Euclid, OH · (216) 531-9000 HIV 1&2 ANTIGEN/ANTIBODY+2 more lines at this price File of Jun 15, 2026 · source file | $107.90 | $166.00 | $0.95–$166.00 | 35% |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 HIV1 / HIV2 File of Jul 1, 2026 · source file | $112.50 | $150.00 | $48.00–$150.00 | 25% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC So Hiv-1 & Hiv-2 Ab File of Apr 1, 2026 · source file | $168.00 | $280.00 | — | 40% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single File of Apr 1, 2026 · source file | $172.80 | $288.00 | — | 40% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single File of Apr 1, 2026 · source file | $174.60 | $291.00 | — | 40% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC So Hiv-1 & Hiv-2 Ab File of Apr 1, 2026 · source file | $177.60 | $296.00 | — | 40% |
Outpatient: lowest $65.25, median $107.90, highest $174.60 — a 2.7× difference within the same market.
As an inpatient, the same code is billed by 24 facilities here, median $100.15. 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 18 of 22 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.