AST liver enzyme test Cost by Hospital

AST liver enzyme test is a laboratory test. Prices are from 2308 US hospitals across 52 states, from their machine-readable files.

$38median cash price · 2308 hospitals, 52 statestypically $9–$112 depending on the hospital
≈ 7.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$69
Cash / self-pay
$38
Insurer-negotiated
$11
Medicare pays
$5
$9$112
Median cash $38  ·  Medicare $5  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $38 — about 7.3× the Medicare rate ($5). High vs Medicare. A fair cash price is usually within ~2× Medicare ($10).

💡 Asking for the cash price instead of the $69 list price could save about $31 (45%).

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
Newark Beth Israel Medical Center Newark, NJ $6 $3 ★ 2/5 169 min 14.9%
Clara Maass Medical Center Belleville, NJ $6 $3 ★ 3/5 138 min 16.1%
Robert Wood Johnson University Hospital at Rahway Rahway, NJ $6 $3 ★ 4/5 110 min 14.9%
Trinitas Regional Medical Center Elizabeth, NJ $6 $3 ★ 3/5 203 min 14.3%
Robert Wood Johnson University Hospital New Brunswick, NJ $6 $3 ★ 2/5 197 min 15.5%
Community Medical Center Toms River, NJ $6 $3 ★ 1/5 182 min 15.7%
Robert Wood Johnson University Hospital-Somerset Somerville, NJ $6 $3 ★ 3/5 184 min 14.6%
Jersey City Medical Center Jersey City, NJ $6 $3 ★ 3/5 190 min 16.1%
Monmouth Medical Center Long Branch, NJ $6 $3 ★ 3/5 129 min 16.2%
Cooperman Barnabas Medical Center Livingston, NJ $6 $3 ★ 3/5 120 min 15.9%
Monmouth Medical Center-Southern Campus Lakewood, NJ $6 $3 ★ 3/5 146 min 16.1%
Robert Wood Johnson University Hospital at Hamilton Hamilton, NJ $6 $3 ★ 4/5 174 min 15.6%
Umd Upper Chesapeake Medical Center Bel Air, MD $6 ★ 2/5 240 min 14.5%
Um Upper Chesapeake Behavioral Health Pavilion At Aberdeen, MD $6
Medstar Southern Maryland Hospital Center Clinton, MD $6 $6 ★ 2/5 386 min 15.0%
Banner-University Medical Center South Campus Tucson, AZ $6 $7 ★ 4/5 275 min 14.5%
Medstar Harbor Hospital Baltimore, MD $6 $6 ★ 4/5 208 min 13.7%
Pennsylvania Psychiatric Institute Harrisburg, PA $6 $13
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 Texas Medical Branch Galveston Galveston, TX $6 $5 ★ 3/5 191 min 16.0%
University of Md Medical Center Midtown Campus Baltimore, MD $6 ★ 3/5 246 min 14.4%
Hackensack Meridian Mountainside Medical Montclair, NJ $6 $101 ★ 4/5 234 min 15.1%

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 AST 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: $38; Medicare pays $5.

InsurerHospitalsNegotiated median
Amerigroup 178
$5
$3 – $15
Tricare / VA 458
$5
$5 – $50
Medicare 573
$5
$5 – $33
Medicaid 363
$5
$3 – $41
Independent Health 51
$5
$5 – $5
UnitedHealthcare 1569
$5
$4 – $68
Devoted Health 254
$5
$5 – $6
Highmark 122
$5
$3 – $23
MVP Health Care 82
$6
$5 – $53
Molina Healthcare 592
$6
$5 – $30
Univera 16
$6
$4 – $8
EmblemHealth 62
$6
$5 – $39
Bright Health 65
$6
$5 – $11
Centene / Ambetter 828
$7
$5 – $43
Kaiser Permanente 224
$7
$4 – $78
AmeriHealth 254
$7
$5 – $25
Anthem 601
$7
$4 – $49
UPMC Health Plan 100
$8
$5 – $25
Humana 1100
$8
$5 – $69
Oscar Health 218
$9
$5 – $38
UCare 64
$9
$5 – $52
Geisinger 69
$10
$5 – $26
Blue Cross Blue Shield 1348
$11
$5 – $76
SelectHealth 47
$12
$5 – $63
Priority Health 60
$13
$3 – $52
Workers' Comp / No-Fault 154
$16
$6 – $123
Aetna 1455
$16
$5 – $85
Health Net 318
$17
$5 – $192
Cigna 1219
$19
$5 – $86
Medica 241
$19
$5 – $85
Harvard Pilgrim 57
$21
$5 – $51
HealthPartners 274
$26
$5 – $85
Sanford Health Plan 70
$30
$5 – $84
Security Health Plan 53
$31
$5 – $54
AvMed 61
$42
$6 – $361
Coventry 166
$44
$5 – $125
MultiPlan / PHCS network 890
$48
$13 – $198
Healthcare Highways 49
$107
$16 – $256

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
Rhode Island$13
New Jersey$14
Tennessee$16
Mississippi$20
Alabama$21

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, FL3,647
Fariborz Delbakhsh, M.D.Internal MedicineSummerfield, FL3,148
Michael Tallarico, M.D.Internal MedicineDyer, IN2,163
Ryan Dickert, MDFamily PracticeCrystal River, FL2,086
Neel Shah, M.D.Hematology-OncologyDyer, IN2,082
Peter Tothy, MDHematology-OncologyCrown Point, IN2,013
Eric Hsi, M.D.PathologyRochester, MN1,927
Rick Chatwell, M.D.RheumatologyLincoln, NE1,882
Jim Dickert, DOFamily PracticeCrystal River, FL1,769
Joo-Hyung Lee, MDRheumatologyOrange, CA1,624
Gowri Ramadas, M.D.Hematology-OncologyDyer, IN1,543

Browse doctors by specialty & city →

Does Medicare cover AST liver enzyme test?

Yes — Medicare generally covers AST 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 2308 US hospitals across 52 states, the typical (median) cash price is $38, 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 $9 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 AST liver enzyme test cost without insurance?
The median cash (self-pay) price across 2308 US hospitals is $38. Most hospitals fall between $9 and $112. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover AST 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 AST 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 AST 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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