AST liver enzyme test Cost by Hospital

AST liver enzyme test is a laboratory test. Prices are from 2323 US hospitals across 52 states, from their machine-readable files.

$38median cash price · 2323 hospitals, 52 statestypically $9–$114 depending on the hospital
≈ 7.4× 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$114
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 7.4× 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%).

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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
Medstar Southern Maryland Hospital Center Clinton, MD $6 $6 ★ 2/5 356 min —
Banner-University Medical Center South Campus Tucson, AZ $6 $7 ★ 4/5 260 min —
Medstar Harbor Hospital Baltimore, MD $6 $6 ★ 4/5 212 min —
Pennsylvania Psychiatric Institute Harrisburg, PA $6 $13 — — —
Holy Cross Hospital Nogales, AZ $6 $6 — 144 min —
Good Samaritan Hospital Vincennes, IN $6 $6 ★ 2/5 119 min —
Holy Cross Hospital Silver Spring, MD $6 $6 ★ 2/5 314 min —
Medstar Good Samaritan Hospital Baltimore, MD $6 $6 ★ 3/5 247 min —
University of Texas Medical Branch Galveston Galveston, TX $6 $5 ★ 3/5 190 min —
University of Md Medical Center Midtown Campus Baltimore, MD $6 — ★ 3/5 243 min —
Shore Medical Center Somers Point, NJ $6 $5 ★ 3/5 148 min —
Hackensack Meridian Mountainside Medical Montclair, NJ $6 $101 ★ 4/5 229 min —
Jefferson Stratford Hospital Stratford, NJ $6 $5 ★ 2/5 215 min —
Centrastate Medical Center Freehold, NJ $6 $6 ★ 4/5 219 min —
The University Hospital Newark, NJ $6 $27 ★ 1/5 307 min —
Jefferson Lansdale Hospital Lansdale, PA $6 $6 ★ 3/5 234 min —
Jefferson Health-Northeast Philadelphia, PA $6 $5 ★ 2/5 316 min —
Jefferson Einstein Philadelphia Hospital Philadelphia, PA $6 $5 ★ 3/5 268 min —
Thomas Jefferson University Hospital Philadelphia, PA $6 $6 ★ 3/5 236 min —
Jefferson Einstein Montgomery Hospital East Norriton, PA $6 $5 ★ 4/5 297 min —
Banner-University Medical Center Tucson Campus Tucson, AZ $6 $6 ★ 3/5 311 min —
Marion General Hospital Marion, IN $6 $6 ★ 3/5 132 min —
Marion General Hospital Columbia, MS $6 $6 ★ 1/5 126 min —
McBride Orthopedic Hospital Oklahoma City, OK $6 $20 — 57 min —
Hospital Pavia Caguas Caguas, PR $6 $8 — — —

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.

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 180
$5
$3 – $15
Tricare / VA 460
$5
$5 – $50
Medicare 582
$5
$5 – $33
Medicaid 368
$5
$3 – $41
Devoted Health 258
$5
$5 – $6
Independent Health 51
$5
$5 – $5
UnitedHealthcare 1601
$5
$4 – $68
Highmark 125
$5
$3 – $23
MVP Health Care 83
$6
$5 – $52
Molina Healthcare 599
$6
$5 – $30
Univera 16
$6
$4 – $8
Bright Health 66
$6
$5 – $11
Centene / Ambetter 849
$7
$5 – $43
Kaiser Permanente 225
$7
$4 – $78
EmblemHealth 75
$7
$5 – $58
AmeriHealth 255
$7
$5 – $25
UPMC Health Plan 103
$8
$5 – $25
Humana 1114
$8
$5 – $69
Anthem 620
$8
$4 – $50
Oscar Health 232
$9
$5 – $39
UCare 65
$10
$5 – $52
Geisinger 69
$10
$5 – $26
Blue Cross Blue Shield 1354
$11
$5 – $76
SelectHealth 47
$12
$5 – $63
Priority Health 60
$13
$3 – $52
Aetna 1483
$16
$5 – $85
Health Net 321
$16
$5 – $192
Workers' Comp / No-Fault 155
$17
$6 – $119
Cigna 1244
$19
$5 – $86
Medica 243
$20
$5 – $85
Harvard Pilgrim 57
$21
$5 – $51
HealthPartners 275
$26
$5 – $85
Sanford Health Plan 72
$30
$5 – $84
Security Health Plan 53
$31
$5 – $54
AvMed 63
$41
$6 – $361
Coventry 170
$43
$5 – $122
MultiPlan / PHCS network 906
$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
New Jersey$10
Rhode Island$13
Tennessee$16
New York$18
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 2323 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 $114 — 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 2323 US hospitals is $38. Most hospitals fall between $9 and $114. 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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