ALT liver test cost in Maryland
In Maryland, 15 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $3.00 to $48.23, with a median of $5.75. The lowest price is at UPMC Western Maryland (Cumberland). The highest price is 16.1× the lowest.
- The median here, $5.75, is 85% below the US median of $37.50.
- That is 1.1× Medicare's 2026 national rate for the same service ($5.30).
- Maryland has the lowest median of 51 states with at least 5 hospitals pricing this code.
- 2 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
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 Oct 29, 2026. See them on a map
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| UPMC Western Maryland lowest Cumberland · Cumberland, MD-WV SGPT (ALT) | $3.00 | $5.00 | Mar 2, 2026 source file |
| Frederick Health Hospital Frederick · Washington-Arlington-Alexandria, DC-VA-MD-WV SGPT (ALT) | $4.01 | $4.09 | Mar 17, 2025 source file |
| MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD TRANSFERASE ALANINE AMINO | $4.27 | $4.36 | Apr 1, 2026 source file |
| MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD TRANSFERASE ALANINE AMINO | $4.28 | $4.37 | Apr 1, 2026 source file |
| Greater Baltimore Medical Center Towson · Baltimore-Columbia-Towson, MD HC Alt | $4.56 | $4.65 | Jul 1, 2026 source file |
| MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV TRANS ;ALAN AMINO(ALT/SGPT) | $5.29 | $5.40 | Apr 1, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC ALT (SGPT) | $5.49 | $5.60 | Mar 19, 2026 source file |
| MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV TRANSFERASE ALANINE AMINO | $5.75 | $5.87 | Apr 1, 2026 source file |
| MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD TRANS ;ALAN AMINO(ALT/SGPT) | $5.83 | $5.95 | Apr 1, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD TRANS ;ALAN AMINO(ALT/SGPT) | $5.87 | $5.99 | Apr 1, 2026 source file |
| Atlantic General Hospital Berlin · Ocean Pines, MD Transferase; alanine amino (ALT) (SGPT) | $6.26 | $6.26 | Apr 10, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $6.42 | $6.55 | Jan 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD TRANS ;ALAN AMINO(ALT/SGPT) | $6.51 | $6.64 | Apr 1, 2026 source file |
| Mt. Washington Pediatric Hospital Baltimore · Baltimore-Columbia-Towson, MD ALT-SGPT | $7.39 | $7.54 | Nov 5, 2025 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD TRANSFERASE,ALANINE AMINO (ALT) | $48.23 | $48.23 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 7 | $4.28 | $5.87 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 3 | $4.01 | $5.29 |
| Cumberland, MD-WV | 1 | $3.00 | $3.00 |
| Lexington Park, MD | 1 | $4.27 | $4.27 |
| Ocean Pines, MD | 1 | $6.26 | $6.26 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $48.23 | $48.23 |
| Salisbury, MD | 1 | $5.49 | $5.49 |
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
- Iowa$43.55
- Kansas$34.08
- Kentucky$62.97
- Louisiana$20.10
- Maine$33.88
- 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.