ALT liver test cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 16 hospitals list a cash price for ALT (alanine aminotransferase) liver enzyme test: from $44.68 to $330.50, with a median of $65.95. The lowest listed price is at Carolinas Medical Center-Northeast and 7 other hospitals — $21.27 less than the median here. Across North Carolina, the median is $44.68 at 37 hospitals.
Cash prices at 16 facilities across 13 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 Dec 1, 2025 and Sep 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$84.88 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$84.88 | 50% | Dec 1, 2025 source file |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$84.88 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$80.42 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $16.98–$89.35 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$86.67 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$82.20 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$84.88 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$82.20 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$82.20 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$80.42 | 50% | Dec 4, 2025 source file |
| Carolinas Rehabilitation lowest Belmont, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | $5.41–$82.20 | 50% | Dec 5, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC TRANSFERASE ALANINE AMINO (ALT) | $87.21 | $323.00 | $28.36–$209.95 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Transferase Alanine Amino (Alt) | $87.21 | $323.00 | $93.99–$111.44 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Transferase Alanine Amino (Alt) | $87.21 | $323.00 | $93.99–$111.44 | 73% | — source file |
| Gaston Memorial Hospital Gastonia, NC CHG ALT SGPT | $117.00 | $117.00 | $2.88–$111.15 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC CHG ALT SGPT | $117.00 | $117.00 | $2.88–$111.15 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC CHG ALT SGPT | $117.00 | $117.00 | $2.88–$111.15 | — | May 11, 2026 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB TRANSFERASE ALANINE AMINO/ALT (SGPT) | $125.00 | $250.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB TRANFSERASE ALANINE AMINO/ALT FIBROSURE (SEND OUT) | $125.00 | $250.00 | — | 50% | Apr 1, 2026 source file |
| Amisub of South Carolina Rock Hill, SC TRANSAMINASE-SGPT (ALT) | $135.00 | $180.00 | $1.00–$180.00 | 25% | Sep 1, 2026 source file |
| Amisub of South Carolina Fort Mill, SC TRANSAMINASE-SGPT (ALT) | $135.00 | $180.00 | $1.00–$180.00 | 25% | Apr 15, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB TRANSFERASE ALANINE AMINO/ALT (SGPT) | $330.50 | $661.00 | — | 50% | Apr 1, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB TRANFSERASE ALANINE AMINO/ALT FIBROSURE (SEND OUT) | $330.50 | $661.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $44.68, median $65.95, highest $330.50 — a 7.4× difference within the same market.
As an inpatient, the same code is billed by 16 facilities here, median $65.95. 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 11 of 14 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
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.