HIV test (4th generation) cost in Miami, FL
In Miami-Fort Lauderdale-West Palm Beach, FL, 31 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $18.85 to $375.00, with a median of $175.70. The lowest listed price is at Cleveland Clinic Hospital — $156.85 less than the median here. Across Florida, the median is $78.00 at 148 hospitals.
- The median here, $175.70, is 110% above the US median of $83.85.
- That is 7.3× Medicare's 2026 national rate for the same service ($24.08).
- Miami, FL ranks 4th of 4 metro areas in Florida by median, cheapest first.
- 13 of 31 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 31 facilities across 21 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 23, 2026.
Lowest$18.85Cleveland Clinic Hospital
Median$175.70half of hospitals charge less
Highest$375.00in this market
Difference19.9×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 Miami-Fort Lauderdale-West Palm Beach, FL.
median
Lowest $18.85Highest $375.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Cleveland Clinic Hospital lowest Weston, FL · (954) 689-5000 WHIIVF HIV 1&2 AG/AB File of Jun 15, 2026 · source file | $18.85 | $29.00 | $4.02–$26.49 | 35% |
| Coral Gables Hospital Coral Gables, FL · (305) 445-8461 RL HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Aug 31, 2026 · source file | $23.60 | $289.94 | $11.80–$217.46 | 92% |
| Palmetto General Hospital Hialeah, FL · (305) 823-5000 HIV-1 AG W/HIV-1 & HIV-2 AB File of Sep 1, 2026 · source file | $23.60 | $269.23 | $11.80–$269.23 | 91% |
| Hialeah Hospital Hialeah, FL · (305) 693-6100 HIV-1 AG W/HIV-1 & HIV-2 AB+1 more line at this price File of Sep 1, 2026 · source file | $23.60 | $78.48 | $10.03–$78.48 | 70% |
| Larkin Community Hospital Palm Springs Campus Hialeah, FL · (305) 558-2500 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies File of Jan 30, 2026 · source file | $27.30 | $39.00 | $4.24–$172.00 | 30% |
| Larkin Community Hospital South Miami, FL · (305) 284-7500 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies File of Jul 7, 2026 · source file | $28.00 | $40.00 | $2.97–$172.00 | 30% |
| Boca Raton Regional Hospital Boca Raton, FL · (561) 955-4200 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 30, 2026 · source file | $46.15 | $71.00 | $24.08–$71.00 | 35% |
| HCA Florida Kendall Hospital Cutler Bay, FL · (305) 223-3000 HIV-1AG HIV-1/2AB SINGLE File of Sep 1, 2026 · source file | $62.00 | $62.00 | $35.96 | — |
| Boca Raton Regional Hospital Boca Raton, FL · (561) 955-4200 HIV-1 AG / HIV-1,HIV-2 AB EIA File of Mar 30, 2026 · source file | $62.40 | $96.00 | $24.08–$96.00 | 35% |
| Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL · (954) 771-8000 HC Warde Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies File of Mar 31, 2026 · source file | $70.85 | $109.00 | $23.60–$216.00 | 35% |
| Boca Raton Regional Hospital Boca Raton, FL · (561) 955-4200 HIV 1 & 2 (DUO) File of Mar 30, 2026 · source file | $73.45 | $113.00 | $24.08–$113.00 | 35% |
| Mount Sinai Medical Center of Florida Miami Beach, FL · (305) 674-2121 HC HIV 1 2 AG AB4TH GEN. REFLEX+1 more line at this price File of Mar 13, 2026 · source file | $75.31 | $75.31 | $10.50–$1,171.00 | — |
| Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL · (954) 771-8000 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies File of Mar 31, 2026 · source file | $91.00 | $140.00 | $23.60–$216.00 | 35% |
| Cleveland Clinic Hospital Weston, FL · (954) 689-5000 HIV 1&2 ANTIGEN/ANTIBODY File of Jun 15, 2026 · source file | $120.90 | $186.00 | $46.50–$167.40 | 35% |
| Jupiter Medical Center Jupiter, FL · (561) 747-2234 HIV COMBO ANTIGEN/ANTIBODY BY CIA ARUP File of Oct 1, 2025 · source file | $124.00 | $124.00 | — | — |
| HCA Florida Westside Hospital Plantation, FL · (954) 587-5010 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +2 more lines at this price File of Sep 1, 2026 · source file | $147.00 | $147.00 | $24.08–$86.73 | — |
| Jackson Health System Miami, FL · (305) 585-1111 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies+3 more lines at this price File of Oct 23, 2026 · source file | $164.00 | $164.00 | $4.04–$3,997.00 | — |
| HCA Florida Woodmont Hospital Tamarac, FL · (954) 721-2200 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +2 more lines at this price File of Sep 1, 2026 · source file | $164.00 | $164.00 | $14.10–$139.40 | — |
| Memorial Hospital West Pembroke Pines, FL · (954) 436-5000 HC Hiv-1/2 Ag/Ab File of May 27, 2026 · source file | $175.70 | $251.00 | $12.63–$717.95 | 30% |
| Memorial Hospital Miramar Miramar, FL · (954) 538-5000 HC Hiv-1/2 Ag/Ab File of Sep 29, 2026 · source file | $175.70 | $251.00 | $12.63–$717.95 | 30% |
| Memorial Hospital Pembroke Pembroke Pines, FL · (954) 962-9650 HC Hiv-1/2 Ag/Ab File of Sep 29, 2026 · source file | $175.70 | $251.00 | $12.63–$717.95 | 30% |
| Memorial Regional Hospital Hollywood, FL · (954) 987-2000 HC Hiv-1/2 Ag/Ab File of Sep 29, 2026 · source file | $175.70 | $251.00 | $12.63–$717.95 | 30% |
| HCA Florida Palms West Hospital Loxahatchee, FL · (561) 798-3300 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +2 more lines at this price File of Sep 1, 2026 · source file | $182.00 | $182.00 | $24.08–$105.56 | — |
| HCA Florida JFK North Hospital West Palm Beach, FL · (561) 965-7300 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC +2 more lines at this price File of Sep 1, 2026 · source file | $187.00 | $187.00 | $16.08–$550.00 | — |
| HCA Florida JFK Hospital Boynton Beach, FL · (561) 965-7300 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC UNSCHEDULED+2 more lines at this price File of Sep 1, 2026 · source file | $187.00 | $187.00 | $24.08–$110.33 | — |
| HCA Florida Mercy Hospital Miami, FL · (954) 587-5010 HIV-1AG HIV-1/2AB SINGLE+2 more lines at this price File of Sep 1, 2026 · source file | $198.00 | $198.00 | $23.84–$116.82 | — |
| HCA Florida University Hospital Pembroke Pines, FL · (954) 475-4400 HIV-1AG HIV-1/2AB SINGLE+2 more lines at this price File of Sep 1, 2026 · source file | $199.00 | $199.00 | $17.11–$99.50 | — |
| HCA Florida Northwest Hospital Margate, FL · (954) 974-0400 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC UNSCHEDULED+2 more lines at this price File of Sep 1, 2026 · source file | $230.00 | $230.00 | $19.78–$195.50 | — |
| West Kendall Baptist Hospital Miami, FL · (786) 467-2000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.00–$377.00 | 35% |
| Baptist Hospital of Miami Miami, FL · (786) 596-1960 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.16–$377.00 | 35% |
| Doctors Hospital Coral Gables, FL · (786) 308-3000 HIV Abs test (HIV 1 & 2) File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.00–$377.00 | 35% |
| Homestead Hospital Homestead, FL · (786) 243-8000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.00–$377.00 | 35% |
| Bethesda Hospital Boynton Beach, FL · (561) 737-7733 HIV Abs test (HIV 1 & 2) File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.16–$377.00 | 35% |
| South Miami Hospital South Miami, FL · (786) 662-4000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 30, 2026 · source file | $245.05 | $377.00 | $5.00–$377.00 | 35% |
| HCA Florida Aventura Hospital Aventura, FL · (305) 682-7000 HIV-1AG HIV-1/2AB SINGLE File of Sep 1, 2026 · source file | $375.00 | $375.00 | $32.25–$450.00 | — |
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 $18.85, median $175.70, highest $375.00 — a 19.9× difference within the same market.
As an inpatient, the same code is billed by 14 facilities here, median $175.70. 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 21 of 30 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.
3 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 87389 ($79.98). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Hospital | Cash price | File |
|---|---|---|
| Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FLHC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies | $7.31 | file |
| North Shore Medical Center Miami, FLHIV-1 AG W/HIV-1 & HIV-2 AB | $7.43 | file |
| North Shore Medical Center Miami, FLRL HIV-1 AG W/HIV-1 & HIV-2 AB | $7.43 | file |
File Link to the hospital's own price file.