Lab tests CPT 84450 Outpatient

AST liver test cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 12 hospitals list a cash price for AST (aspartate aminotransferase) enzyme test: from $5.00 to $60.60, with a median of $17.03. The lowest listed price is at Sentara Leigh Hospital and 5 other hospitals — $12.03 less than the median here. Across Virginia, the median is $49.70 at 65 hospitals.

The median here, $17.03, is 56% below the US median of $39.09.
That is 3.3× Medicare's 2026 national rate for the same service ($5.18).
Virginia Beach, VA has the lowest median of 2 metro areas in Virginia with at least 10 hospitals pricing this code.
Every hospital here lists a cash price below its full list price.

Cash prices at 12 facilities across 8 cities for code 84450, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 16, 2026; the hospital files themselves were last updated between Mar 11, 2026 and Jul 1, 2026.

Lowest$5.00Sentara Leigh Hospital + 5 more

Median$17.03half of hospitals charge less

Highest$60.60in this market

Difference12.1×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Virginia Beach-Chesapeake-Norfolk, VA-NC.

median

Lowest $5.00Highest $70.80

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Sentara Leigh Hospital lowest Norfolk, VA · (757) 261-6700 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Sentara Princess Anne Hospital lowest Virginia Beach, VA · (757) 507-1520 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Sentara Norfolk General Hospital lowest Norfolk, VA · (757) 388-3000 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Hospital for Extended Recovery lowest Norfolk, VA · (757) 388-3000 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Sentara Virginia Beach General Hospital lowest Virginia Beach, VA · (757) 395-8000 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Sentara Careplex Hospital lowest Hampton, VA · (757) 827-2545 Chgl Ast File of Apr 1, 2026 · source file	$5.00	$10.00	—	50%
Riverside Smithfield Hospital Smithfield, VA SGOT File of Mar 11, 2026 · source file	$29.06	$58.11	—	50%
Riverside Smithfield Hospital Smithfield, VA Ast (Sgot) - Fibro File of Mar 11, 2026 · source file	$31.96	$63.92	—	50%
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 NASH FIBRO-AST File of Mar 17, 2026 · source file	$51.84	$57.60	$5.18–$54.72	10%
Chesapeake General Hospital Chesapeake, VA · (757) 312-8121 Hc Transferase Aspartate Amino Ast Sgot File of Jul 1, 2026 · source file	$55.01	$91.68	—	40%
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC Transferase Aspartate Amino Ast Sgot File of Apr 1, 2026 · source file	$60.60	$101.00	—	40%
Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC Transferase Aspartate Amino Ast Sgot File of Apr 1, 2026 · source file	$60.60	$101.00	—	40%
Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC Transferase Aspartate Amino Ast Sgot File of Apr 1, 2026 · source file	$60.60	$101.00	—	40%
Sentara Virginia Beach General Hospital Virginia Beach, VA · (757) 395-8000 Chgl Sgot(Ast)(Nash)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Sentara Norfolk General Hospital Norfolk, VA · (757) 388-3000 Chgl Ast (Sgot)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Sentara Careplex Hospital Hampton, VA · (757) 827-2545 Chgl Ast (Sgot)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Sentara Princess Anne Hospital Virginia Beach, VA · (757) 507-1520 Chgl Ast (Sgot)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Sentara Leigh Hospital Norfolk, VA · (757) 261-6700 Chgl Sgot(Ast)(Nash)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Hospital for Extended Recovery Norfolk, VA · (757) 388-3000 Chgl Ast (Sgot)+1 more line at this price File of Apr 1, 2026 · source file	$65.50	$131.00	—	50%
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 AST/SGOT File of Mar 17, 2026 · source file	$67.23	$74.70	$5.18–$70.97	10%
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC So Sgot (Ast) File of Apr 1, 2026 · source file	$70.80	$118.00	—	40%
Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC So Sgot (Ast) File of Apr 1, 2026 · source file	$70.80	$118.00	—	40%
Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC So Sgot (Ast) File of Apr 1, 2026 · source file	$70.80	$118.00	—	40%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $5.00, median $17.03, highest $60.60 — a 12.1× difference within the same market.

As an inpatient, the same code is billed by 11 facilities here, median $5.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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 AST liver test is, what the price covers and why prices differ: AST liver test explained.

6 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 84450 ($41.40). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Hospital	Cash price	File
Sentara Virginia Beach General Hospital Virginia Beach, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file
Sentara Leigh Hospital Norfolk, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file
Hospital for Extended Recovery Norfolk, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file
Sentara Norfolk General Hospital Norfolk, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file
Sentara Careplex Hospital Hampton, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file
Sentara Princess Anne Hospital Virginia Beach, VAChgl (Qu) Porphobilinogen, 24 Hr Ur, S/O	$0.50	file

File Link to the hospital's own price file.