ALT liver test cost in Nashville, TN
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for ALT (alanine aminotransferase) liver enzyme test: from $21.75 to $40.50, with a median of $40.26. The lowest listed price is at Vanderbilt Wilson County Hospital — $18.51 less than the median here. Across Tennessee, the median is $16.06 at 44 hospitals.
Cash prices at 4 facilities across 4 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 Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN HC ALT/SGPT | $21.75 | $75.00 | $5.02–$60.00 | 71% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 70% | — source file |
| Vanderbilt University Medical Center Nashville, TN HC ALT/SGPT | $40.50 | $75.00 | $3.50–$60.00 | 46% | Oct 1, 2025 source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas Rutherford Hospital Murfreesboro, TN ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 70% | — source file |
| Saint Thomas West Hospital Harding Pk Nashville, TN ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 70% | — source file |
Outpatient: lowest $21.75, median $40.26, highest $40.50 — a 1.9× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $40.26. 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 2 of 4 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.