AST liver test cost in Fresno, CA
In Fresno, CA, 4 hospitals list a cash price for AST (aspartate aminotransferase) enzyme test: from $45.36 to $79.20, with a median of $52.40. The lowest listed price is at Kaiser Foundation Hospital - Fresno — $7.04 less than the median here. Across California, the median is $45.36 at 103 hospitals.
Cash prices at 4 facilities across 3 cities for code 84450, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jul 30, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Fresno, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Kaiser Foundation Hospital - Fresno lowest Fresno, CA · (559) 448-4500 TRANSFERASE ASPARTATE AMINO AST SGOT | $45.36 | $81.00 | $5.00–$15.00 | 44% | — source file |
| Fresno Community Hospital and Medical Center Clovis, CA · (559) 324-4000 SGOT (AST) | $52.40 | $65.49 | $4.41–$72.04 | 20% | Jun 15, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 SGOT (AST) | $52.40 | $65.49 | $4.41–$72.04 | 20% | Jun 18, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 SGOT (AST) | $52.40 | $65.49 | $4.41–$72.04 | 20% | Jun 16, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 SGOT (AST) | $52.40 | $65.49 | $4.41–$72.04 | 20% | Jun 18, 2026 source file |
| Madera Community Hospital Madera, CA · (559) 706-8226 Liver enzyme (SGOT), level | $79.20 | $132.00 | $4.14–$5.94 | 40% | Jul 30, 2026 source file |
Outpatient: lowest $45.36, median $52.40, highest $79.20 — a 1.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $52.40. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 2 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
AST is an enzyme found in the liver, muscles and heart. It is measured together with ALT to look for liver injury, and the ratio between them gives clues to the cause.
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.