diff --git a/RAW_RELEASE_NOTES.md b/RAW_RELEASE_NOTES.md
index de3ae4e5e49b6..a51e3b6ff48dc 100644
--- a/RAW_RELEASE_NOTES.md
+++ b/RAW_RELEASE_NOTES.md
@@ -62,3 +62,5 @@ final version.
   namespace can be used by prepending '@' to a socket path.
 * Added `GEORADIUS_RO` and `GEORADIUSBYMEMBER_RO` to the Redis command splitter whitelist.
 * Added support for trusting additional hops in the X-Forwarded-For request header.
+* Added setting host header value for http health check request.
+
diff --git a/source/common/upstream/health_checker_impl.cc b/source/common/upstream/health_checker_impl.cc
index 1e53bd9b52644..114f0c34d29af 100644
--- a/source/common/upstream/health_checker_impl.cc
+++ b/source/common/upstream/health_checker_impl.cc
@@ -281,7 +281,7 @@ HttpHealthCheckerImpl::HttpHealthCheckerImpl(const Cluster& cluster,
                                              Runtime::Loader& runtime,
                                              Runtime::RandomGenerator& random)
     : HealthCheckerImplBase(cluster, config, dispatcher, runtime, random),
-      path_(config.http_health_check().path()) {
+      path_(config.http_health_check().path()), host_value_(config.http_health_check().host()) {
   if (!config.http_health_check().service_name().empty()) {
     service_name_.value(config.http_health_check().service_name());
   }
@@ -332,7 +332,8 @@ void HttpHealthCheckerImpl::HttpActiveHealthCheckSession::onInterval() {
 
   Http::HeaderMapImpl request_headers{
       {Http::Headers::get().Method, "GET"},
-      {Http::Headers::get().Host, parent_.cluster_.info()->name()},
+      {Http::Headers::get().Host,
+       parent_.host_value_.empty() ? parent_.cluster_.info()->name() : parent_.host_value_},
       {Http::Headers::get().Path, parent_.path_},
       {Http::Headers::get().UserAgent, Http::Headers::get().UserAgentValues.EnvoyHealthChecker}};
 
diff --git a/source/common/upstream/health_checker_impl.h b/source/common/upstream/health_checker_impl.h
index 6d06c37909ab6..021710e0fc506 100644
--- a/source/common/upstream/health_checker_impl.h
+++ b/source/common/upstream/health_checker_impl.h
@@ -232,6 +232,7 @@ class HttpHealthCheckerImpl : public HealthCheckerImplBase {
   }
 
   const std::string path_;
+  const std::string host_value_;
   Optional<std::string> service_name_;
 };
 
diff --git a/test/common/upstream/health_checker_impl_test.cc b/test/common/upstream/health_checker_impl_test.cc
index 8cc72604239d5..fee237521ce17 100644
--- a/test/common/upstream/health_checker_impl_test.cc
+++ b/test/common/upstream/health_checker_impl_test.cc
@@ -49,6 +49,12 @@ envoy::api::v2::core::HealthCheck parseHealthCheckFromJson(const std::string& js
   return health_check;
 }
 
+envoy::api::v2::core::HealthCheck parseHealthCheckFromYaml(const std::string& yaml_string) {
+  envoy::api::v2::core::HealthCheck health_check;
+  MessageUtil::loadFromYaml(yaml_string, health_check);
+  return health_check;
+}
+
 envoy::api::v2::core::HealthCheck createGrpcHealthCheckConfig() {
   envoy::api::v2::core::HealthCheck health_check;
   health_check.mutable_timeout()->set_seconds(1);
@@ -220,6 +226,27 @@ class HttpHealthCheckerImplTest : public testing::Test {
     });
   }
 
+  void setupServiceValidationWithCustomHostValueHC(const std::string& host) {
+    std::string yaml = fmt::format(R"EOF(
+    timeout: 1s
+    interval: 1s
+    interval_jitter: 1s
+    unhealthy_threshold: 2
+    healthy_threshold: 2
+    http_health_check:
+      service_name: locations
+      path: /healthcheck
+      host: {0}
+    )EOF",
+                                   host);
+
+    health_checker_.reset(new TestHttpHealthCheckerImpl(*cluster_, parseHealthCheckFromYaml(yaml),
+                                                        dispatcher_, runtime_, random_));
+    health_checker_->addHostCheckCompleteCb([this](HostSharedPtr host, bool changed_state) -> void {
+      onHostStatus(host, changed_state);
+    });
+  }
+
   void expectSessionCreate() {
     // Expectations are in LIFO order.
     TestSessionPtr new_test_session(new TestSession());
@@ -426,6 +453,51 @@ TEST_F(HttpHealthCheckerImplTest, SuccessServiceCheck) {
   expectSessionCreate();
   expectStreamCreate(0);
   EXPECT_CALL(*test_sessions_[0]->timeout_timer_, enableTimer(_));
+  EXPECT_CALL(test_sessions_[0]->request_encoder_, encodeHeaders(_, true))
+      .WillOnce(Invoke([&](const Http::HeaderMap& headers, bool) {
+        EXPECT_TRUE(headers.Host());
+        EXPECT_TRUE(headers.Path());
+        EXPECT_NE(nullptr, headers.Host());
+        EXPECT_NE(nullptr, headers.Path());
+        EXPECT_EQ(headers.Host()->value().c_str(), std::string("fake_cluster"));
+        EXPECT_EQ(headers.Path()->value().c_str(), std::string("/healthcheck"));
+      }));
+  health_checker_->start();
+
+  EXPECT_CALL(runtime_.snapshot_, getInteger("health_check.max_interval", _));
+  EXPECT_CALL(runtime_.snapshot_, getInteger("health_check.min_interval", _))
+      .WillOnce(Return(45000));
+  EXPECT_CALL(*test_sessions_[0]->interval_timer_, enableTimer(std::chrono::milliseconds(45000)));
+  EXPECT_CALL(*test_sessions_[0]->timeout_timer_, disableTimer());
+  Optional<std::string> health_checked_cluster("locations-production-iad");
+  respond(0, "200", false, true, false, health_checked_cluster);
+  EXPECT_TRUE(cluster_->prioritySet().getMockHostSet(0)->hosts_[0]->healthy());
+}
+
+TEST_F(HttpHealthCheckerImplTest, SuccessServiceCheckWithCustomHostValue) {
+  std::string host = "www.envoyproxy.io";
+  setupServiceValidationWithCustomHostValueHC(host);
+  // requires non-empty `service_name` in config.
+  EXPECT_CALL(runtime_.snapshot_, featureEnabled("health_check.verify_cluster", 100))
+      .WillOnce(Return(true));
+
+  EXPECT_CALL(*this, onHostStatus(_, false)).Times(1);
+
+  cluster_->prioritySet().getMockHostSet(0)->hosts_ = {
+      makeTestHost(cluster_->info_, "tcp://127.0.0.1:80")};
+  cluster_->info_->stats().upstream_cx_total_.inc();
+  expectSessionCreate();
+  expectStreamCreate(0);
+  EXPECT_CALL(*test_sessions_[0]->timeout_timer_, enableTimer(_));
+  EXPECT_CALL(test_sessions_[0]->request_encoder_, encodeHeaders(_, true))
+      .WillOnce(Invoke([&](const Http::HeaderMap& headers, bool) {
+        EXPECT_TRUE(headers.Host());
+        EXPECT_TRUE(headers.Path());
+        EXPECT_NE(nullptr, headers.Host());
+        EXPECT_NE(nullptr, headers.Path());
+        EXPECT_EQ(headers.Host()->value().c_str(), std::string(host));
+        EXPECT_EQ(headers.Path()->value().c_str(), std::string("/healthcheck"));
+      }));
   health_checker_->start();
 
   EXPECT_CALL(runtime_.snapshot_, getInteger("health_check.max_interval", _));