ALT liver enzyme test cost in Virginia

Prices at 41 hospitals in Virginia, from their machine-readable files. Here the median cash price is $60 — 54% above the US median ($39), roughly 11.3× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Dickenson Community Hospital Clintwood, VA $9 $12 — 109 min —
Lee County Community Hospital Pennington Gap, VA $9 $9 — 109 min —
Russell County Hospital Lebanon, VA $9 $6 ★ 4/5 130 min —
Smyth County Community Hospital Marion, VA $9 $6 ★ 3/5 141 min —
Johnston Memorial Hospital Abingdon, VA $9 $6 ★ 3/5 192 min —
Lonesome Pine Hospital Big Stone Gap, VA $9 $6 ★ 4/5 131 min —
Rappahannock General Hospital Kilmarnock, VA $21 — ★ 4/5 137 min —
Mary Washington Hospital Fredericksburg, VA $28 $7 ★ 3/5 176 min —
Stafford Hospital, Llc Stafford, VA $28 $7 ★ 4/5 179 min —
Bon Secours St Francis Medical Center Midlothian, VA $34 — ★ 3/5 128 min —
Bon Secours Southside Medical Center Petersburg, VA $46 — ★ 2/5 137 min —
Carilion Medical Center Roanoke, VA $50 $89 ★ 3/5 272 min —
Carilion New River Valley Medical Center Christiansburg, VA $50 $89 ★ 4/5 211 min —
Carilion Franklin Memorial Hospital Rocky Mount, VA $50 $89 ★ 4/5 191 min —
Carilion Tazewell Community Hospital Tazewell, VA $50 $90 — 139 min —
Carilion Giles Community Hospital Pearisburg, VA $50 $89 ★ 4/5 138 min —
Carilion Stonewall Jackson Hospital Lexington, VA $50 $89 ★ 3/5 198 min —
Bon Secours Richmond Community Hospital Richmond, VA $50 — — 111 min —
Fauquier Hospital Warrenton, VA $58 $7 ★ 3/5 162 min —
Childrens Hospital of the Kings Daughters Inc Norfolk, VA $60 $47 — — —
Bon Secours Maryview Medical Center Portsmouth, VA $61 — ★ 3/5 164 min —
Bon Secours Harbour View Medical Center Suffolk, VA $63 — — — —
Sovah Health Danville Danville, VA $67 — ★ 2/5 202 min —
Bon Secours Southampton Memorial Hospital Franklin, VA $71 — ★ 3/5 152 min —
Mary Immaculate Hospital Newport News, VA $71 — ★ 4/5 174 min —

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 October 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)

Chargemaster (list price)
$143
Cash / self-pay
$60
Insurer-negotiated
$25
Medicare pays
$5
$9$313
Median cash $60  ·  Medicare $5  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $60 — about 11.3× 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 $143 list price could save about $83 (58%).

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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.

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ALT liver enzyme test cost in other states

All ALT liver enzyme test prices (national) → · All hospitals in Virginia →