Prices at 29 hospitals in Alabama, from their machine-readable files. Here the median cash price is $21 — 46% below the US median ($38), roughly 4.0× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Riverview Regional Medical Center | Gadsden, AL | $5 | $5 | ★ 3/5 | 160 min | 15.7% |
| Cullman Regional Medical Center | Cullman, AL | $6 | $51 | ★ 2/5 | 158 min | 16.6% |
| Coosa Valley Medical Center | Sylacauga, AL | $9 | $38 | ★ 3/5 | 122 min | 15.1% |
| St. Vincent's East | Birmingham, AL | $10 | $8 | ★ 3/5 | 156 min | 14.6% |
| St Vincent's Birmingham | Birmingham, AL | $10 | $8 | ★ 3/5 | 245 min | 15.3% |
| St Vincent's St Clair | Pell City, AL | $10 | $8 | ★ 3/5 | 156 min | 15.8% |
| St Vincent's Chilton | Clanton, AL | $10 | $8 | — | 164 min | 14.8% |
| Marion Regional Medical Center | Hamilton, AL | $14 | $9 | ★ 3/5 | 103 min | 14.8% |
| Northwest Medical Center | Winfield, AL | $14 | $8 | ★ 4/5 | 134 min | 13.8% |
| Tanner Medical Center-East Alabama | Wedowee, AL | $16 | $5 | — | 94 min | 14.6% |
| Grove Hill Memorial Hospital | Grove Hill, AL | $17 | $6 | — | 162 min | — |
| Usa Health HCA Providence Hospital, Llc | Mobile, AL | $19 | $9 | ★ 3/5 | 200 min | 14.4% |
| Russellville Hospital | Russellville, AL | $21 | $32 | ★ 4/5 | 103 min | 16.3% |
| The Children's Hospital of Alabama | Birmingham, AL | $21 | $39 | — | — | — |
| Springhill Medical Center | Mobile, AL | $21 | $4 | ★ 3/5 | 146 min | 15.6% |
| Red Bay Hospital | Red Bay, AL | $21 | $4 | — | 131 min | 15.0% |
| Usa Health University Hospital | Mobile, AL | $25 | $5 | ★ 2/5 | 214 min | 15.7% |
| Usa Health Children's & Women's Hospital | Mobile, AL | $25 | $5 | — | — | — |
| Ochsner Choctaw General | Butler, AL | $25 | $9 | — | 121 min | — |
| Southeast Health Medical Center | Dothan, AL | $31 | $5 | ★ 4/5 | 217 min | 15.1% |
| Bibb Medical Center | Centreville, AL | $37 | $4 | — | 126 min | 14.7% |
| Medical Center Barbour | Eufaula, AL | $43 | $5 | — | 170 min | — |
| Northeast Alabama Regional Medical Center | Anniston, AL | $52 | $5 | ★ 1/5 | 232 min | 15.7% |
| The East Alabama Healthcare Authority | Opelika, AL | $52 | $47 | ★ 3/5 | 202 min | 14.4% |
| Eamc-Lanier | Valley, AL | $52 | $47 | — | — | — |
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 June 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.
Price comparison (median)
Typical cash price here is $21 — about 4.0× 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 $38 list price could save about $17 (46%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
By city
AST liver enzyme test cost in other states
All AST liver enzyme test prices (national) → · All hospitals in Alabama →