HIV test (4th generation) cost in Sacramento, CA
In Sacramento-Roseville-Folsom, CA, 14 hospitals list a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $11.54 to $299.00, with a median of $169.68. The lowest listed price is at Marshall Medical Center — $158.14 less than the median here. Across California, the median is $87.36 at 190 hospitals.
- The median here, $169.68, is 102% above the US median of $83.85.
- That is 7.0× Medicare's 2026 national rate for the same service ($24.08).
- Sacramento, CA ranks 4th of 5 metro areas in California by median, cheapest first.
- 5 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 14 facilities across 8 cities for code 87389, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Feb 19, 2026 and Sep 30, 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 Sacramento-Roseville-Folsom, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Marshall Medical Center lowest Placerville, CA · (530) 622-1441 RF ANTIBDY; HIV-1 & HIV-2, SNGL ASSAY File of Feb 19, 2026 · source file | $11.54 | $20.26 | $10.33–$48.16 | 43% |
| Mercy General Hospital Sacramento, CA · (916) 453-4453 IA HIV1 AG W HIV1 HIV2 AB File of Sep 30, 2026 · source file | $39.88 | $216.00 | $20.26–$216.00 | 82% |
| Mercy San Juan Medical Center Carmichael, CA · (916) 537-5000 IA HIV1 AG W HIV1 HIV2 AB File of Sep 30, 2026 · source file | $48.66 | $216.00 | $20.26–$216.00 | 77% |
| Methodist Hospital of Sacramento Sacramento, CA · (916) 423-6010 IA HIV1 AG W HIV1 HIV2 AB File of Sep 30, 2026 · source file | $52.29 | $216.00 | $20.26–$216.00 | 76% |
| Woodland Memorial Hospital Woodland, CA · (530) 662-3961 IA HIV1 AG W HIV1 HIV2 AB File of Sep 30, 2026 · source file | $54.66 | $216.00 | $20.26–$216.00 | 75% |
| Marshall Medical Center Placerville, CA · (530) 622-1441 HC HIV COMBO AG/AB File of Feb 19, 2026 · source file | $68.94 | $121.01 | $24.08–$108.91 | 43% |
| Mercy Hospital of Folsom Folsom, CA · (916) 983-7400 IA HIV1 AG W HIV1 HIV2 AB File of Sep 30, 2026 · source file | $80.60 | $216.00 | $20.26–$216.00 | 63% |
| Kaiser Foundation Hospital - Sacramento Sacramento, CA · (916) 973-5000 IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE File of Apr 1, 2026 · source file | $169.68 | $303.00 | $22.00–$70.00 | 44% |
| Kaiser Foundation Hospital - Roseville Roseville, CA · (916) 784-4000 IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE File of Apr 1, 2026 · source file | $169.68 | $303.00 | $22.00–$70.00 | 44% |
| Kaiser Foundation Hospital - South Sacramento Sacramento, CA · (916) 688-2000 IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE File of Apr 1, 2026 · source file | $169.68 | $303.00 | $22.00–$70.00 | 44% |
| Shriners Childrens - Northern California Sacramento, CA · (916) 453-2000 HIV-1 AG W/HIV-1&-2 AB AG IA File of Mar 19, 2026 · source file | $250.40 | $250.40 | $14.79–$536.00 | — |
| Sutter Roseville Medical Center Roseville, CA · (916) 781-1000 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $299.00 | $299.00 | — | — |
| Sutter Auburn Faith Hospital Auburn, CA · (530) 888-4500 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $299.00 | $299.00 | — | — |
| Sutter Davis Hospital Davis, CA · (530) 757-5108 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $299.00 | $299.00 | — | — |
| Sutter Medical Center, Sacramento Sacramento, CA · (916) 454-2222 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB+1 more line at this price File of Apr 1, 2026 · source file | $299.00 | $299.00 | — | — |
Outpatient: lowest $11.54, median $169.68, highest $299.00 — a 25.9× difference within the same market.
As an inpatient, the same code is billed by 13 facilities here, median $169.68. 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 7 of 10 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.