HIV test (4th generation) cost in California

In California, 190 hospitals publish a cash price for HIV-1/2 antigen and antibody combination blood test (4th generation): from $8.00 to $634.00, with a median of $87.36. The lowest price is at Anaheim Global Medical Center (Anaheim) and 4 other hospitals. The highest price is 79.2× the lowest.

• The median here, $87.36, is 4% above the US median of $83.85.
• That is 3.6× Medicare's 2026 national rate for the same service ($24.08).
• California ranks 27th of 51 states by median, cheapest first.
• 59 of 190 hospitals list a cash price equal to their full list price, with no self-pay discount.

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 87389. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map