ALT liver test cost in Cleveland, OH
In Cleveland, OH, 25 hospitals list a cash price for ALT (alanine aminotransferase) liver enzyme test: from $16.80 to $77.25, with a median of $49.80. The lowest listed price is at Metrohealth System — $33.00 less than the median here. Across Ohio, the median is $27.93 at 134 hospitals.
- The median here, $49.80, is 33% above the US median of $37.50.
- That is 9.4× Medicare's 2026 national rate for the same service ($5.30).
- Cleveland, OH ranks 4th of 4 metro areas in Ohio by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Cash prices at 25 facilities across 20 cities for code 84460, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 8, 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 Cleveland, OH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Hc Act File of Apr 1, 2026 · source file | $16.80 | $48.00 | — | 65% |
| Ashtabula County Medical Center Ashtabula, OH · (440) 997-2262 ALT/SGPT File of Sep 8, 2026 · source file | $17.50 | $25.00 | $0.94–$23.50 | 30% |
| Metrohealth System Cleveland, OH · (216) 778-7089 Hc Alt File of Apr 1, 2026 · source file | $17.85 | $51.00 | — | 65% |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 %LIVFIB ALANINE AMINO+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $10.46–$37.00 | 35% |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $6.30–$37.00 | 35% |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$15.38 | 35% |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $6.30–$37.00 | 35% |
| Fairview Hospital Cleveland, OH · (216) 476-7000 ALANINE AMINOTRANSFERASE, FIBROMETER+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$37.00 | 35% |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$37.00 | 35% |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 ALT/SGPT+4 more lines at this price File of Jun 16, 2026 · source file | $24.05 | $37.00 | $5.30–$37.00 | 35% |
| Medina Hospital Medina, OH · (330) 725-1000 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$13.19 | 35% |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$13.19 | 35% |
| Euclid Hospital Euclid, OH · (216) 531-9000 ALT/SGPT+1 more line at this price File of Jun 15, 2026 · source file | $24.05 | $37.00 | $0.95–$13.19 | 35% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Sgpt (Alt) File of Apr 1, 2026 · source file | $49.80 | $83.00 | — | 40% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Sgpt (Alt) File of Apr 1, 2026 · source file | $50.40 | $84.00 | — | 40% |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 GPT TRANSMINASE File of Jul 1, 2026 · source file | $55.50 | $74.00 | $2.28–$9.01 | 25% |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)+1 more line at this price File of Jul 14, 2026 · source file | $60.75 | $81.00 | $2.51–$72.90 | 25% |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $2.51–$76.50 | 25% |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $2.51–$76.50 | 25% |
| Lake West Hospital Willoughby, OH · (440) 953-9600 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $3.02–$76.50 | 25% |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $2.51–$76.50 | 25% |
| University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $5.30–$76.50 | 25% |
| University Hospitals Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $2.50–$76.50 | 25% |
| University Hospitals Ahuja Medical Center Beachwood, OH · (216) 593-5511 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $63.75 | $85.00 | $2.51–$76.50 | 25% |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC So Sgpt (Alt) File of Apr 1, 2026 · source file | $64.20 | $107.00 | — | 40% |
| Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC So Sgpt (Alt) File of Apr 1, 2026 · source file | $73.20 | $122.00 | — | 40% |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $77.25 | $103.00 | $2.51–$92.70 | 25% |
| University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) File of Jul 14, 2026 · source file | $77.25 | $103.00 | $2.51–$97.34 | 25% |
Outpatient: lowest $16.80, median $49.80, highest $77.25 — a 4.6× difference within the same market.
As an inpatient, the same code is billed by 24 facilities here, median $42.40. 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 16 of 22 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 ALT liver test is, what the price covers and why prices differ: ALT liver test explained.