ALT liver test cost in Iowa
In Iowa, 83 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $7.20 to $203.00, with a median of $43.55. The lowest price is at Boone County Hospital (Boone). The highest price is 28.2× the lowest.
- The median here, $43.55, is 16% above the US median of $37.50.
- That is 8.2× Medicare's 2026 national rate for the same service ($5.30).
- Iowa ranks 32nd of 51 states by median, cheapest first.
- 8 of 83 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 84460. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$7.20Boone County Hospital
Median$43.55half of hospitals charge less
Highest$203.00in Iowa
Lowest saves$36.35vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Boone County Hospital lowest Boone · Ames, IA Liver enzyme (SGPT), level | $7.20 | $9.00 | Jul 27, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC RHC ALT SGPT | $7.65 | $17.00 | Sep 30, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC RHC ALT SGPT | $8.50 | $17.00 | Sep 30, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $9.60 | $12.00 | Mar 31, 2026 source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA ALT | $12.00 | $40.00 | Feb 15, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Liver enzyme (SGPT), level | $16.00 | $16.00 | Nov 3, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA ALT (SGPT) - Sendout | $18.60 | $31.00 | Mar 31, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC TRANSFERASE; ALANINE AMINO | $23.68 | $29.60 | Aug 25, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA SGPT TRANSAMIN | $26.35 | $31.00 | Apr 24, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Liver enzyme (SGPT), level | $27.20 | $34.00 | Oct 21, 2026 source file |
| Story County Hospital Nevada · Ames, IA TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $27.20 | $34.00 | Mar 30, 2026 source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Alanine Amino (Alt) (Sgpt) | $28.00 | $28.00 | Sep 1, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA ALT (SGPT) /ALL | $29.66 | $37.08 | Jun 29, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Liver enzyme (SGPT), level | $31.20 | $39.00 | Sep 23, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Liver enzyme (SGPT), level | $32.45 | $81.13 | Sep 30, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Alanine aminotransferase | $33.00 | $55.00 | Mar 31, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC TRANSFERASE; ALANINE AMINO | $33.57 | $41.96 | Jan 28, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC TRANSFERASE; ALANINE AMINO | $33.57 | $41.96 | Jan 28, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA ALT (SGPT) /ALL | $33.60 | $60.00 | Mar 26, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA ALANINE AMINO (ALT) (SGPT) | $33.60 | $42.00 | Feb 20, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL ALT (SGPT) | $34.80 | $58.00 | Mar 31, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Liver enzyme (SGPT), level | $35.88 | $69.00 | Oct 19, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA TRANSFERASE; ALANINE AMINO (ALT) (SGPT) | $36.23 | $61.00 | Jun 27, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Liver enzyme (SGPT), level | $36.60 | $61.00 | Aug 20, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Liver enzyme (SGPT), level | $37.80 | $54.00 | Jun 1, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Alt/Sgpt | $38.35 | $59.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $39.20 | $49.00 | Mar 4, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA ALT SGPT - SENDOUT | $40.00 | $40.00 | Aug 11, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Liver enzyme (SGPT), level | $40.80 | $68.00 | Jan 24, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA ALT (SGPT) | $40.80 | $51.00 | Feb 5, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Liver enzyme (SGPT), level | $41.54 | $62.00 | Oct 16, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC TRANSFERASE; ALANINE AMINO | $42.80 | $53.50 | Nov 4, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Alt/Sgpt | $43.55 | $67.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Alt/Sgpt | $43.55 | $67.00 | Mar 31, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA ALT SGPT /ALL | $44.00 | $55.00 | Oct 8, 2024 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA ALT(SGPT) | $47.00 | $72.00 | May 29, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Liver enzyme (SGPT), level | $48.00 | $80.00 | Apr 22, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Liver enzyme (SGPT), level | $48.00 | $64.00 | Oct 23, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Liver enzyme (SGPT), level | $48.60 | $81.00 | Jun 11, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Liver enzyme (SGPT), level | $48.80 | $61.00 | Mar 4, 2026 source file |
| Kossuth Regional Health Center Algona · Algona, IA Liver enzyme (SGPT), level | $48.80 | $61.00 | Jul 16, 2026 source file |
| Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Transferase; alanine amino (ALT) (SGPT) | $50.25 | $67.00 | Mar 31, 2026 source file |
| MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Alt/Sgpt | $50.70 | $78.00 | Mar 31, 2026 source file |
| Hancock County Health System Britt · Britt, IA Liver enzyme (SGPT), level | $51.75 | $69.00 | Oct 20, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB HCV ALT | $52.50 | $75.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB HCV ALT | $52.50 | $75.00 | Mar 11, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Liver enzyme (SGPT), level | $52.53 | $52.53 | Jul 10, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Alt/Sgpt | $52.65 | $81.00 | Mar 31, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $54.32 | $56.00 | Apr 1, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Liver enzyme (SGPT), level | $55.10 | $95.00 | Apr 21, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Liver enzyme (SGPT), level | $58.40 | $73.00 | Jul 27, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Liver enzyme (SGPT), level | $58.50 | $65.00 | Nov 3, 2026 source file |
| Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Liver enzyme (SGPT), level | $58.71 | $103.00 | Oct 8, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA ALT SGpT | $62.25 | $83.00 | Jan 1, 2026 source file |
| Keokuk County Health Center Sigourney · Sigourney, IA ALT/SGPT | $62.30 | $89.00 | Mar 16, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC ALT SGPT | $62.35 | $145.00 | Sep 30, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Liver enzyme (SGPT), level | $65.25 | $87.00 | Oct 20, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Liver enzyme (SGPT), level | $65.80 | $94.00 | Jul 20, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $66.93 | $69.00 | — source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $66.93 | $69.00 | — source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Alt/Sgpt | $67.60 | $104.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Alt/Sgpt | $67.60 | $104.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Alt/Sgpt | $67.60 | $104.00 | Mar 31, 2026 source file |
| MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Alt/Sgpt | $67.60 | $104.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Alt/Sgpt | $67.60 | $104.00 | Mar 31, 2026 source file |
| WinnMed Decorah · Decorah, IA Liver enzyme (SGPT), level | $74.20 | $106.00 | Oct 13, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Liver enzyme (SGPT), level | $75.00 | $75.00 | Sep 14, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Liver enzyme (SGPT), level | $82.00 | $82.00 | Jun 10, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $85.50 | $90.00 | Apr 1, 2026 source file |
| Monroe County Hospital Albia · Albia, IA Liver enzyme (SGPT), level | $99.60 | $166.00 | Sep 9, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Alt/Sgpt | $102.70 | $158.00 | Mar 31, 2026 source file |
| MercyOne Centerville Medical Center Centerville · Centerville, IA HC Alt/Sgpt | $104.00 | $104.00 | Mar 31, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Liver enzyme (SGPT), level | $120.00 | $160.00 | Sep 2, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Liver enzyme (SGPT), level | $122.20 | $188.00 | Sep 21, 2026 source file |
| MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Alt/Sgpt | $203.00 | $203.00 | Mar 31, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 7 | $27.20 | $47.00 |
| Waterloo-Cedar Falls, IA | 5 | $29.66 | $42.80 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $33.00 | $34.80 |
| Dubuque, IA | 3 | $42.80 | $50.70 |
| Iowa City, IA | 3 | $52.50 | $52.50 |
| Omaha, NE-IA | 3 | $8.50 | $12.00 |
| Ames, IA | 2 | $7.20 | $17.20 |
| Carroll, IA | 2 | $16.00 | $28.77 |
| Clinton, IA | 2 | $18.60 | $35.62 |
| Albia, IA | 1 | $99.60 | $99.60 |
| Algona, IA | 1 | $48.80 | $48.80 |
| Atlantic, IA | 1 | $37.80 | $37.80 |
| Audubon, IA | 1 | $75.00 | $75.00 |
| Belmond, IA | 1 | $48.00 | $48.00 |
| Britt, IA | 1 | $51.75 | $51.75 |
| Cedar Rapids, IA | 1 | $33.57 | $33.57 |
| Centerville, IA | 1 | $104.00 | $104.00 |
| Charles City, IA | 1 | $32.45 | $32.45 |
| Clarinda, IA | 1 | $48.00 | $48.00 |
| Clarion, IA | 1 | $48.60 | $48.60 |
| Corning, IA | 1 | $7.65 | $7.65 |
| Corydon, IA | 1 | $82.00 | $82.00 |
| Cedar Rapids, IA | 1 | $33.57 | $33.57 |
| Decorah, IA | 1 | $74.20 | $74.20 |
| Denison, IA | 1 | $58.40 | $58.40 |
| Elkader, IA | 1 | $67.60 | $67.60 |
| Emmetsburg, IA | 1 | $50.25 | $50.25 |
| Estherville, IA | 1 | $66.93 | $66.93 |
| Fairfield, IA | 1 | $36.60 | $36.60 |
| Fort Dodge, IA | 1 | $42.80 | $42.80 |
| Greenfield, IA | 1 | $120.00 | $120.00 |
| Grinnell, IA | 1 | $42.80 | $42.80 |
| Hampton, IA | 1 | $58.50 | $58.50 |
| Harlan, IA | 1 | $55.10 | $55.10 |
| Harwarden, IA | 1 | $26.35 | $26.35 |
| Iowa Falls, IA | 1 | $52.53 | $52.53 |
| Jefferson, IA | 1 | $33.60 | $33.60 |
| Keosauqua, IA | 1 | $65.80 | $65.80 |
| Lake City, IA | 1 | $44.00 | $44.00 |
| Leon, IA | 1 | $48.80 | $48.80 |
| Manchester, IA | 1 | $33.60 | $33.60 |
| Maquoketa, IA | 1 | $40.00 | $40.00 |
| Marshalltown, IA | 1 | $42.80 | $42.80 |
| Mason City, IA | 1 | $38.35 | $38.35 |
| Muscatine, IA | 1 | $42.80 | $42.80 |
| New Hampton, IA | 1 | $67.60 | $67.60 |
| Oelwein, IA | 1 | $67.60 | $67.60 |
| Orange City, IA | 1 | $31.20 | $31.20 |
| Pella, IA | 1 | $40.80 | $40.80 |
| Rock Rapids, IA | 1 | $66.93 | $66.93 |
| Sac City, IA | 1 | $23.68 | $23.68 |
| Sheldon, IA | 1 | $39.20 | $39.20 |
| Shenandoah, IA | 1 | $122.20 | $122.20 |
| Sigourney, IA | 1 | $62.30 | $62.30 |
| Sioux Center, IA | 1 | $54.32 | $54.32 |
| Sioux City, IA-NE-SD | 1 | $42.80 | $42.80 |
| Spencer, IA | 1 | $62.25 | $62.25 |
| Spirit Lake, IA | 1 | $85.50 | $85.50 |
| Storm Lake, IA | 1 | $9.60 | $9.60 |
| Waukon, IA | 1 | $58.71 | $58.71 |
| Webster City, IA | 1 | $40.80 | $40.80 |
| West Union, IA | 1 | $36.23 | $36.23 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What ALT liver test is, what the price covers and why prices differ: ALT liver test explained.
ALT (alanine aminotransferase) liver enzyme test in other states
- Alabama$27.42
- Alaska$58.34
- Arizona$23.71
- Arkansas$21.08
- California$43.12
- Colorado$59.42
- Connecticut$28.35
- Delaware$90.45
- District of Columbia$60.34, 3 hospitals
- Florida$39.40
- Georgia$31.95
- Hawaii$47.60
- Idaho$32.25
- Illinois$55.00
- Indiana$27.50
- Kansas$34.08
- Kentucky$62.97
- Louisiana$20.10
- Maine$33.88
- Maryland$5.75
- Massachusetts$42.00
- Michigan$24.00
- Minnesota$48.79
- Mississippi$27.20
- Missouri$48.70
- Montana$51.83
- Nebraska$61.50
- Nevada$60.90
- New Hampshire$61.06
- New Jersey$6.10
- New Mexico$72.80
- New York$23.13
- North Carolina$43.50
- North Dakota$40.58
- Ohio$27.93
- Oklahoma$32.60
- Oregon$24.00
- Pennsylvania$36.40
- Puerto Rico$19.41
- Rhode Island$32.00
- South Carolina$45.00
- South Dakota$72.80
- Tennessee$27.60
- Texas$52.87
- Utah$120.30
- Vermont$39.06
- Virginia$50.05
- Washington$47.20
- West Virginia$29.00
- Wisconsin$35.00
- Wyoming$25.08
Median cash price across the state's hospitals.