ALT liver test cost in Missouri
In Missouri, 64 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $4.06 to $1,093.36, with a median of $48.70. The lowest price is at Missouri Delta Medical Center (Sikeston). The highest price is 269.3× the lowest.
- The median here, $48.70, is 30% above the US median of $37.50.
- That is 9.2× Medicare's 2026 national rate for the same service ($5.30).
- Missouri ranks 36th of 51 states by median, cheapest first.
- 9 of 64 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 8, 2026. See them on a map
Lowest$4.06Missouri Delta Medical Center
Median$48.70half of hospitals charge less
Highest$1,093.36in Missouri
Lowest saves$44.64vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Missouri Delta Medical Center lowest Sikeston · Sikeston, MO 403604 84460 Alanine Amino (ALT) (SGPT)_LC | $4.06 | $16.25 | Aug 7, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Transferase Alanine Amino (Alt) (Sgpt) | $5.00 | $133.09 | Mar 17, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Alanine amino (alt) (sgpt) | $8.70 | $29.00 | Oct 15, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO ALT | $12.15 | $27.00 | Jan 14, 2025 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Alt Sgpt | $14.30 | $22.00 | Jun 10, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Alt Sgpt | $14.30 | $22.00 | Jun 4, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO LIVER ENZYME (SGPT); LEVEL | $15.90 | $26.50 | Jul 1, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO LIVER ENZYME (SGPT); LEVEL | $16.23 | $71.50 | Apr 24, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO ALT (SGPT) | $17.52 | $29.20 | Apr 1, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO LIVER ENZYME (SGPT); LEVEL | $18.02 | $71.50 | Apr 24, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO OUTREACH-SGPT (ALT) | $18.90 | $21.00 | Oct 13, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS ALT SGPT | $19.00 | $70.00 | Jul 9, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO LIVER ENZYME (SGPT); LEVEL | $21.81 | $71.50 | Apr 24, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO ALANINE AMINOTRANSFERASE P28620060 | $21.81 | $36.35 | Dec 15, 2025 source file |
| NKC Health North Kansas City · Kansas City, MO-KS ALANINE AMINOTRANSFERASE | $22.33 | $77.00 | Mar 6, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO LIVER ENZYME (SGPT); LEVEL | $22.81 | $71.50 | Apr 24, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO Alanine Aminotransferase | $27.20 | $34.00 | May 5, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Liver enzyme (SGPT), level | $27.30 | $45.50 | Oct 28, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Alt Sgpt | $28.60 | $44.00 | Jun 10, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS SGPT (ALT) CMH | $29.76 | $62.00 | Apr 1, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO TRANSFERASE ALT SGPT | $29.90 | $46.00 | Oct 8, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Alt Sgpt | $31.85 | $49.00 | Jun 9, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO SGPT-ALTV | $32.00 | $32.00 | Jul 1, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO SGPT (ALT) | $33.60 | $48.00 | Aug 21, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Alt Sgpt | $35.10 | $54.00 | Jun 10, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO ALANINE AMINOTRANSFERASE | $36.75 | $73.50 | May 19, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Alt Sgpt | $39.00 | $60.00 | Jun 10, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Alt Sgpt | $39.65 | $61.00 | Mar 12, 2026 source file |
| Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL ALANINE AMINO (ALT) (SGPT) | $41.50 | $41.50 | Mar 18, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO LIVER ENZYME (SGPT); LEVEL | $41.60 | $52.00 | Mar 25, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO TRANSFERASE ALT | $46.51 | $172.26 | Apr 1, 2026 source file |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights · St. Louis, MO-IL Alanine Aminotransferase (ALT) | $48.40 | $60.50 | Apr 24, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS ALANINE AMINO ALT SGPT 84460 | $49.00 | $70.00 | Apr 7, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS ALT (SGPT) | $50.61 | $126.53 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS ALT (SGPT) | $50.61 | $126.53 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS ALT (SGPT) | $50.61 | $126.53 | Sep 1, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Alt Sgpt | $51.35 | $79.00 | Jun 11, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Sgpt (Alt) | $53.00 | $53.00 | Apr 1, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO ALANINE AMINO (ALT) (SGPT) | $59.50 | $85.00 | Oct 24, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Alt Sgpt | $59.80 | $92.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Alt Sgpt | $59.80 | $92.00 | Jun 10, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO Alt Sgpt | $59.80 | $92.00 | Jun 10, 2026 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO LIVER ENZYME (SGPT); LEVEL | $63.00 | $84.00 | Mar 26, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Alt Sgpt | $64.35 | $99.00 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Alt Sgpt | $70.20 | $108.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Alt Sgpt | $70.20 | $108.00 | Jun 4, 2026 source file |
| Texas County Memorial Hospital Houston · Houston, MO ALTV (TCMH) | $73.33 | $104.75 | Jul 17, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO TRANSFERASE ALT | $74.18 | $309.10 | Apr 1, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $76.50 | $90.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $76.50 | $90.00 | Sep 26, 2025 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO ALT | $82.40 | $82.40 | Apr 1, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Alt Sgpt | $82.55 | $127.00 | Jun 9, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO Alanine Aminotransferase Body Fluid | $85.98 | $409.41 | Apr 1, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Alt Sgpt | $100.10 | $154.00 | Jun 11, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS SGPT | $109.03 | $155.75 | Apr 20, 2026 source file |
| Phelps Health Rolla · Rolla, MO LIVER ENZYME (SGPT); LEVEL | $117.73 | $168.18 | Feb 26, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Liver enzyme (SGPT), level | $123.98 | $154.98 | Feb 2, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS ALT (SGPT) | $276.56 | $276.56 | Sep 1, 2026 source file |
| Lee's Summit Medical Center Lee's Summit · Kansas City, MO-KS ALT (SGPT) | $318.55 | $318.55 | Sep 1, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS ALT (SGPT) | $427.65 | $427.65 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS ALT (SGPT) | $435.02 | $435.02 | Sep 1, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS ALT (SGPT) | $1,093.36 | $1,093.36 | Sep 1, 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 |
|---|---|---|---|
| Kansas City, MO-KS | 11 | $5.00 | $109.03 |
| St. Louis, MO-IL | 7 | $14.30 | $39.00 |
| Joplin, MO-KS | 5 | $31.85 | $50.61 |
| Springfield, MO | 4 | $18.02 | $55.90 |
| Cape Girardeau, MO-IL | 2 | $53.00 | $76.55 |
| Columbia, MO | 2 | $17.52 | $19.66 |
| St. Joseph, MO-KS | 2 | $76.50 | $76.50 |
| Albany, MO | 1 | $76.50 | $76.50 |
| Aurora, MO | 1 | $59.80 | $59.80 |
| Bethany, MO | 1 | $29.90 | $29.90 |
| Branson, MO | 1 | $16.23 | $16.23 |
| Cassville, MO | 1 | $59.80 | $59.80 |
| Clinton, MO | 1 | $15.90 | $15.90 |
| Dexter, MO | 1 | $51.35 | $51.35 |
| Fairfax, MO | 1 | $33.60 | $33.60 |
| Fredericktown, MO | 1 | $18.90 | $18.90 |
| Hermann, MO | 1 | $27.30 | $27.30 |
| Houston, MO | 1 | $73.33 | $73.33 |
| Kirksville, MO | 1 | $74.18 | $74.18 |
| Lamar, MO | 1 | $22.81 | $22.81 |
| Lousiana, MO | 1 | $27.20 | $27.20 |
| Lebanon, MO | 1 | $35.10 | $35.10 |
| Memphis, MO | 1 | $59.50 | $59.50 |
| Milan, MO | 1 | $32.00 | $32.00 |
| Monett, MO | 1 | $21.81 | $21.81 |
| Marshall, MO | 1 | $123.98 | $123.98 |
| Maryville, MO | 1 | $76.50 | $76.50 |
| Moberly, MO | 1 | $46.51 | $46.51 |
| Nevada, MO | 1 | $12.15 | $12.15 |
| Osage Beach, MO | 1 | $8.70 | $8.70 |
| Perryville, MO | 1 | $39.65 | $39.65 |
| Poplar Bluff, MO | 1 | $85.98 | $85.98 |
| Rolla, MO | 1 | $117.73 | $117.73 |
| Ste. Genevieve, MO | 1 | $36.75 | $36.75 |
| Sedalia, MO | 1 | $63.00 | $63.00 |
| Sikeston, MO | 1 | $4.06 | $4.06 |
| Warrensburg, MO | 1 | $82.40 | $82.40 |
| West Plains, MO | 1 | $59.80 | $59.80 |
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
- Iowa$43.55
- 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
- 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.