ALT liver test cost in Cleveland, OH
In Cleveland, OH, 24 hospitals list a cash price for ALT (alanine aminotransferase) liver enzyme test: from $16.80 to $100.25, with a median of $50.10. The lowest listed price is at Metrohealth System — $33.30 less than the median here. Across Ohio, the median is $25.30 at 98 hospitals.
Cash prices at 24 facilities across 20 cities for code 84460, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 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 | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH Hc Act | $16.80 | $48.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH Hc Alt | $17.85 | $51.00 | — | 65% | Apr 1, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH ALT/SGPT | $24.05 | $37.00 | $5.30–$13.61 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH %HCVSUR ALT (SGPT) | $24.05 | $37.00 | $5.30–$13.61 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH %NASH AST | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH %LIVFIB ALANINE AMINO | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 16, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH TRANSFERASE ALANINE AMINO ALT SGPT | $24.05 | $37.00 | $1.10–$15.31 | 35% | Jun 16, 2026 source file |
| Cleveland Clinic Avon Hospital Avon, OH ALT/SGPT | $24.05 | $37.00 | $6.30–$37.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH ALT/SGPT | $24.05 | $37.00 | $5.30–$11.87 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH ALT/SGPT | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Mayfield Heights, OH ALT/SGPT | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Mayfield Heights, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $5.30–$15.38 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH ALT/SGPT | $24.05 | $37.00 | $6.30–$37.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $6.30–$37.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital INC Garfield Heights, OH ALT/SGPT | $24.05 | $37.00 | $6.30–$37.00 | 35% | Jun 15, 2026 source file |
| Marymount Hospital INC Garfield Heights, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $6.30–$37.00 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH ALT/SGPT | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Warrensville Heights, OH ALT/SGPT | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Cleveland Clinic Health System - East Region Warrensville Heights, OH ALANINE AMINOTRANSFERASE, FIBROMETER | $24.05 | $37.00 | $0.95–$13.19 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH ALT/SGPT | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH %LIVFIB ALANINE AMINO | $24.05 | $37.00 | $10.46–$37.00 | 35% | Jun 15, 2026 source file |
| Mercy Health Allen Hospital LLC Oberlin, OH HC Sgpt (Alt) | $49.80 | $83.00 | — | 40% | — source file |
| Mercy Health Regional Medical Center LLC Lorain, OH HC Sgpt (Alt) | $50.40 | $84.00 | — | 40% | — source file |
| Southwest General Health Center Middleburg Heights, OH GPT TRANSMINASE | $55.50 | $74.00 | $2.28–$9.01 | 25% | Jul 1, 2026 source file |
| University Hospitals Health System Cleveland, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $60.75 | $81.00 | $2.51–$72.90 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Cleveland, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $60.75 | $81.00 | $2.51–$72.90 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Westlake, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $2.51–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Parma, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $2.51–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Beachwood, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $2.50–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Chardon, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $2.51–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Elyria, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $5.30–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $3.02–$76.50 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Beachwood, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $63.75 | $85.00 | $2.51–$76.50 | 25% | Jul 14, 2026 source file |
| Mercy Health Allen Hospital LLC Oberlin, OH HC So Sgpt (Alt) | $64.20 | $107.00 | — | 40% | — source file |
| Mercy Health Regional Medical Center LLC Lorain, OH HC So Sgpt (Alt) | $73.20 | $122.00 | — | 40% | — source file |
| University Hospitals Health System Geneva, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $77.25 | $103.00 | $2.51–$92.70 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Conneaut, OH HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $77.25 | $103.00 | $2.51–$97.34 | 25% | Jul 14, 2026 source file |
| Summa Health System Akron, OH Noncdm Charge Record | $100.25 | $100.25 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $16.80, median $50.10, highest $100.25 — a 6.0× difference within the same market.
As an inpatient, the same code is billed by 23 facilities here, median $60.75. 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 12 of 20 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.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 84460 ($36.75). 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.
| Summa Health System Akron, OHHc Alt (Sgpt) | $1.00 | file |