ALT liver test cost in Birmingham, AL
In Birmingham, AL, 5 hospitals list a cash price for ALT (alanine aminotransferase) liver enzyme test: from $20.62 to $876.00, with a median of $331.00. The lowest listed price is at The Children's Hospital of Alabama — $310.38 less than the median here. Across Alabama, the median is $101.50 at 11 hospitals.
Cash prices at 5 facilities across 3 cities for code 84460, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 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 Birmingham, AL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| The Children's Hospital of Alabama lowest Birmingham, AL HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $20.62 | $47.96 | $32.61–$43.16 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $20.62 | $47.96 | $32.61–$43.16 | 57% | — source file |
| The Children's Hospital of Alabama lowest Birmingham, AL HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $20.62 | $47.96 | $28.78 | 57% | — source file |
| Baptist Health Shelby Hospital Alabaster, AL Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $331.00 | $331.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham, AL Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $331.00 | $331.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper, AL Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $331.00 | $331.00 | — | — | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham, AL Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $876.00 | $876.00 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $20.62, median $331.00, highest $876.00 — a 42.5× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $331.00. 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 and 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
ALT is a liver enzyme. A high level in the blood is a sign of liver cell injury from causes such as fatty liver, hepatitis, alcohol or medicines.
What the price covers
The price usually covers running the test. The blood draw (36415) is often billed as a separate line.