ALT liver enzyme test Cost by Hospital

ALT liver enzyme test is a laboratory test. Prices are from 2300 US hospitals across 52 states, from their machine-readable files.

$39median cash price · 2300 hospitals, 52 statestypically $10–$112 depending on the hospital
≈ 7.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$69
Cash / self-pay
$39
Insurer-negotiated
$11
Medicare pays
$5
$10$112
Median cash $39  ·  Medicare $5  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $39 — about 7.3× the Medicare rate ($5). High vs Medicare. A fair cash price is usually within ~2× Medicare ($11).

💡 Asking for the cash price instead of the $69 list price could save about $30 (44%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
VA Eastern Colorado Healthcare System Aurora, CO $6 $23 ★ 5/5 13.4%
Children's Hospital Colorado Aurora, CO $6 $23
Children's Hospital Colorado-Colorado Springs Colorado Springs, CO $6 $23
Holy Cross Hospital Nogales, AZ $6 $6 141 min
Good Samaritan Hospital Vincennes, IN $6 $6 ★ 2/5 117 min 14.2%
Holy Cross Hospital Silver Spring, MD $6 $6 ★ 2/5 314 min 15.5%
Medstar Good Samaritan Hospital Baltimore, MD $6 $6 ★ 3/5 234 min 14.9%
University of Md Medical Center Midtown Campus Baltimore, MD $6 ★ 3/5 246 min 14.4%
Marion General Hospital Marion, IN $6 $6 ★ 3/5 126 min 14.6%
Marion General Hospital Columbia, MS $6 $6 ★ 1/5 130 min 15.4%
Hospital Pavia Caguas Caguas, PR $6 $5 17.1%
University of Maryland Medical Center Baltimore, MD $6 ★ 3/5 330 min 14.3%
University of Md Charles Regional Medical Center La Plata, MD $6 ★ 3/5 278 min 13.6%
University of Md St Joseph Medical Center Towson, MD $6 ★ 5/5 281 min 13.1%
University of Texas Medical Branch Galveston Galveston, TX $6 $5 ★ 3/5 191 min 16.0%
Hackensack Meridian Mountainside Medical Montclair, NJ $6 $112 ★ 4/5 234 min 15.1%
Jefferson Stratford Hospital Stratford, NJ $6 $6 ★ 2/5 235 min 17.5%
The University Hospital Newark, NJ $6 $45 ★ 1/5 294 min 15.6%
Jefferson Lansdale Hospital Lansdale, PA $6 $6 ★ 3/5 216 min 15.9%
Jefferson Health-Northeast Philadelphia, PA $6 $6 ★ 2/5 290 min 15.4%
Jefferson Einstein Philadelphia Hospital Philadelphia, PA $6 $6 ★ 3/5 269 min 15.4%
Thomas Jefferson University Hospital Philadelphia, PA $6 $6 ★ 3/5 253 min 16.2%
Jefferson Einstein Montgomery Hospital East Norriton, PA $6 $6 ★ 4/5 293 min 15.6%
Ochsner St Mary Morgan City, LA $6 $5 ★ 2/5 81 min 15.4%
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $6 $5 ★ 2/5

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for ALT liver enzyme test

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $39; Medicare pays $5.

InsurerHospitalsNegotiated median
Amerigroup 178
$5
$3 – $11
Tricare / VA 459
$5
$5 – $51
Medicare 576
$5
$5 – $31
Medicaid 365
$5
$3 – $37
Independent Health 51
$5
$5 – $6
UnitedHealthcare 1571
$5
$4 – $67
Devoted Health 255
$6
$5 – $6
Highmark 123
$6
$4 – $24
Molina Healthcare 589
$6
$5 – $30
MVP Health Care 82
$6
$5 – $46
Univera 16
$6
$5 – $8
Bright Health 65
$6
$5 – $11
Centene / Ambetter 830
$7
$5 – $43
Humana 1101
$7
$5 – $67
EmblemHealth 62
$7
$5 – $35
Kaiser Permanente 227
$7
$4 – $78
AmeriHealth 254
$7
$5 – $27
Anthem 601
$8
$4 – $51
UPMC Health Plan 100
$8
$5 – $35
Oscar Health 217
$9
$5 – $40
Geisinger 70
$10
$5 – $27
UCare 64
$10
$5 – $51
Blue Cross Blue Shield 1351
$11
$5 – $79
SelectHealth 48
$12
$5 – $52
Priority Health 60
$13
$4 – $52
Workers' Comp / No-Fault 154
$15
$6 – $106
Aetna 1456
$16
$5 – $83
Medica 241
$16
$5 – $85
Health Net 319
$17
$5 – $169
Cigna 1225
$19
$5 – $84
Harvard Pilgrim 57
$22
$5 – $51
HealthPartners 275
$25
$5 – $86
Sanford Health Plan 69
$29
$5 – $84
Security Health Plan 53
$31
$5 – $58
AvMed 61
$34
$6 – $309
Coventry 167
$46
$5 – $119
MultiPlan / PHCS network 891
$48
$13 – $185
Healthcare Highways 49
$95
$16 – $275

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Maryland$6
New Jersey$10
Rhode Island$13
Tennessee$16
Mississippi$16
Alabama$19

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Mohamad Kassar, M.D.Hematology-OncologyDyer, IN4,956
Alex Dickert, M.D.Family PracticeCrystal River, FL3,643
Fariborz Delbakhsh, M.D.Internal MedicineSummerfield, FL3,149
Michael Tallarico, M.D.Internal MedicineDyer, IN2,163
Ryan Dickert, MDFamily PracticeCrystal River, FL2,097
Neel Shah, M.D.Hematology-OncologyDyer, IN2,082
Peter Tothy, MDHematology-OncologyCrown Point, IN2,014
Jim Dickert, DOFamily PracticeCrystal River, FL1,769
Joo-Hyung Lee, MDRheumatologyOrange, CA1,621
Gowri Ramadas, M.D.Hematology-OncologyDyer, IN1,543
Alan Kivitz, MDRheumatologyDuncansville, PA1,517
Coty Tino, M.D.Family PracticeCrystal River, FL1,498

Browse doctors by specialty & city →

Does Medicare cover ALT liver enzyme test?

Yes — Medicare generally covers ALT liver enzyme test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $5. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $1 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2300 US hospitals across 52 states, the typical (median) cash price is $39, versus a chargemaster (list) price around $69, a median insurer-negotiated rate of $11, a Medicare rate of about $5. Most cash prices fall between $10 and $112 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does ALT liver enzyme test cost without insurance?
The median cash (self-pay) price across 2300 US hospitals is $39. Most hospitals fall between $10 and $112. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover ALT liver enzyme test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $5). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for ALT liver enzyme test?
Medicare pays about $5. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do ALT liver enzyme test prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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