HIV test (4th generation) cost in Orlando, FL
In Orlando-Kissimmee-Sanford, FL, 13 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $19.00 to $101.00, with a median of $28.61. The lowest listed price is at HCA Florida Lake Monroe Hospital — $9.61 less than the median here. Across Florida, the median is $78.00 at 148 hospitals.
- The median here, $28.61, is 66% below the US median of $83.85.
- That is 1.2× Medicare's 2026 national rate for the same service ($24.08).
- Orlando, FL has the lowest median of 4 metro areas in Florida with at least 10 hospitals pricing this code.
- 7 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 13 facilities across 8 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Sep 1, 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 Orlando-Kissimmee-Sanford, FL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| HCA Florida Lake Monroe Hospital lowest Casselberry, FL · (407) 321-4500 HIV-1AG HIV-1/2AB SINGLE+2 more lines at this price File of Sep 1, 2026 · source file | $19.00 | $19.00 | $1.37–$68.84 | — |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Hiv Antigen/ Antibody File of Apr 1, 2026 · source file | $19.60 | $49.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Hiv Antigen/ Antibody File of Apr 1, 2026 · source file | $19.60 | $49.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Hiv Antigen/ Antibody File of Apr 1, 2026 · source file | $19.60 | $49.00 | — | 60% |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Hiv Antigen/ Antibody File of Apr 1, 2026 · source file | $19.60 | $49.00 | — | 60% |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Hiv -1/-2 Ag and Ab Screen Referred+1 more line at this price File of Mar 10, 2026 · source file | $22.00 | $22.00 | — | — |
| Orlando Health Orlando, FL · (321) 841-5111 Hb Hiv-1/-2 Ag And Ab Screen-Ref File of Apr 1, 2026 · source file | $28.00 | $70.00 | — | 60% |
| Orlando Health Central Ocoee, FL · (407) 296-1000 Hb Hiv-1/-2 Ag And Ab Screen-Ref File of Apr 1, 2026 · source file | $28.00 | $70.00 | — | 60% |
| Orlando Health St Cloud Hospital Saint Cloud, FL · (407) 892-2135 Hb Hiv-1/-2 Ag And Ab Screen-Ref File of Apr 1, 2026 · source file | $28.00 | $70.00 | — | 60% |
| South Lake Hospital Clermont, FL · (352) 394-4071 Hb Hiv-1/-2 Ag And Ab Screen-Ref File of Apr 1, 2026 · source file | $28.00 | $70.00 | — | 60% |
| Ucf Lake Nona Hospital Orlando, FL · (850) 523-2115 HIV-1P24AG HIV-1/2AB SGL+1 more line at this price File of Sep 1, 2026 · source file | $28.61 | $28.61 | $2.06–$25.75 | — |
| AdventHealth Waterman Tavares, FL · (352) 253-3368 HC HIV 1 & 2 ANTIBODY/ANTIGEN WITH REFLEX DIFF -ARUP File of Apr 1, 2026 · source file | $39.38 | $39.38 | — | — |
| AdventHealth Waterman Tavares, FL · (352) 253-3368 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP File of Apr 1, 2026 · source file | $41.35 | $41.35 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC HIV 1 & 2 ANTIGEN/ANTIBODY 4TH GENERATION WITH REFLEX - QWDL File of Apr 1, 2026 · source file | $44.00 | $44.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP+2 more lines at this price File of Apr 1, 2026 · source file | $63.00 | $63.00 | — | — |
| AdventHealth Waterman Tavares, FL · (352) 253-3368 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN File of Apr 1, 2026 · source file | $73.17 | $73.17 | — | — |
| UF Health Leesburg Hospital Leesburg, FL · (352) 323-5762 UF HIV AB AG COMBO ASSAY+1 more line at this price File of Mar 31, 2026 · source file | $83.60 | $152.00 | $4.24–$26.49 | 45% |
| The Villages Regional Hospital The Villages, FL · (352) 751-8000 HB HIV1 AG HIV1&2 AB+1 more line at this price File of Mar 31, 2026 · source file | $83.60 | $152.00 | $4.24–$126.16 | 45% |
| Oviedo Medical Center Orlando, FL · (615) 850-6055 HIV-1AG HIV-1/2AB SINGLE+2 more lines at this price File of Sep 1, 2026 · source file | $96.32 | $96.32 | $6.94–$66.77 | — |
| HCA Florida Osceola Hospital Orlando, FL · (407) 846-2266 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 | $101.00 | $101.00 | $7.27–$101.00 | — |
| Nemours Childrens Hospital, Florida Orlando, FL · (407) 567-4000 Hiv -1/-2 Ag and Ab Screen S+1 more line at this price File of Mar 10, 2026 · source file | $266.00 | $266.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC DONOR HIV 1 & 2 ANTIGEN/ANTIBODY File of Apr 1, 2026 · source file | $607.00 | $607.00 | — | — |
| AdventHealth Orlando Orlando, FL · (407) 303-1976 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN+1 more line at this price File of Apr 1, 2026 · source file | $656.00 | $656.00 | — | — |
Outpatient: lowest $19.00, median $28.61, highest $101.00 — a 5.3× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $19.60. 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 0 of 6 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.