Lab tests
HIV test (antigen/antibody, 4th gen) cost in California
HIV test (antigen/antibody, 4th gen) is a lab test. Many labs sell tests directly to the public for a flat cash price, often far below hospital prices.
Typical cash price
In California
From 282 hospital and 2 clinic prices in California.
Nationwide typical: $76.20 (most listed prices $23.21–$215).
Usually included: the facility fee.
Cheapest in California
Total price
HIV test (antigen/antibody, 4th gen)
The facility fee
How totals are compared
Every total covers the same bundle: the facility fee. Where a hospital does not publish a part, the typical published amount is added and the total is marked estimated.
In California, from 284 providers. Most listed prices: $5.58–$276.
Cheapest totals nearby
- $3.81
- $3.85
- $3.85
- Kern Valley Healthcare DistrictHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$3.81est. $3.81 total
Doctor fees are billed separately.
Source: Kern Valley Healthcare District price file · checked Oct 2026 - $3.85est. $3.85 total
Doctor fees are billed separately.
Source: Adventist Health Tulare price file · checked Oct 2026 - $3.85est. $3.85 total
Doctor fees are billed separately.
Source: Hanford Community Hospital price file · checked Oct 2026 - $3.85est. $3.85 total
Doctor fees are billed separately.
Source: Reedley Community Hospital price file · checked Oct 2026 - Community Hospital San BernardinoHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$3.91est. $3.91 total
Doctor fees are billed separately.
Source: Community Hospital San Bernardino price file · checked Oct 2026 - $3.92est. $3.92 total
Doctor fees are billed separately.
Source: French Hospital price file · checked Oct 2026 - $4.05est. $4.05 total
Doctor fees are billed separately.
Source: Adventist Health Delano price file · checked Oct 2026 - $4.05est. $4.05 total
Doctor fees are billed separately.
Source: Ukiah Adventist Hospital price file · checked Oct 2026 - St. John's Camarillo HospitalHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$4.15est. $4.15 total
Doctor fees are billed separately.
Source: St. John's Camarillo Hospital price file · checked Oct 2026 - $4.28est. $4.28 total
Doctor fees are billed separately.
Source: Arroyo Grande Hospital price file · checked Oct 2026 - $4.30est. $4.30 total
Doctor fees are billed separately.
Source: St. Mary Medical Center price file · checked Oct 2026 - St. John's Regional Medical CenterHIV-1/HIV-2 antigen and antibody test (4th generation)Facility fee only$4.38est. $4.38 total
Doctor fees are billed separately.
Source: St. John's Regional Medical Center price file · checked Oct 2026
Common questions
Do I need a doctor's order?
In most states, direct-to-consumer labs can sell many tests without a separate doctor visit. Some states and some tests still require an order.
Is the blood draw included?
Usually yes for lab stores and booking sites. Hospitals sometimes bill the draw (venipuncture) separately.
Why are prices so different?
Each hospital and clinic sets its own cash price. Hospitals publish prices because federal rules require it; clinics and booking sites set prices to compete. The same service can cost several times more at one place than at another nearby.
Can I pay cash if I have insurance?
Yes. You can choose to self-pay. A cash price is often lower than what you would pay before meeting your deductible. Cash payments may not count toward your deductible, so check with your plan. Our cash vs. insurance tool can help you decide.
What is a Good Faith Estimate?
If you are uninsured or paying cash, providers must give you a Good Faith Estimate of the cost on request. If your final bill is $400 or more above the estimate, you can dispute it.