ALT liver test cost in North Carolina
In North Carolina, 55 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $4.50 to $117.00, with a median of $43.50. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 26.0× the lowest.
- The median here, $43.50, is 16% above the US median of $37.50.
- That is 8.2× Medicare's 2026 national rate for the same service ($5.30).
- North Carolina ranks 31st of 51 states by median, cheapest first.
- 5 of 55 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 11, 2026. See them on a map
Lowest$4.50Sentara Albemarle Regional Medical Center
Median$43.50half of hospitals charge less
Highest$117.00in North Carolina
Lowest saves$39.00vs the median
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center lowest Elizabeth City · Elizabeth City, NC Chgl Alt | $4.50 | $9.00 | Apr 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC ALANINE AMINO (ALT) (SGPT) | $8.84 | $14.73 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC ALANINE AMINO (ALT) (SGPT) | $8.84 | $14.73 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC ALANINE AMINO (ALT) (SGPT) | $8.84 | $14.73 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC ALANINE AMINO (ALT) (SGPT) | $8.84 | $14.73 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC ALANINE AMINO (ALT) (SGPT) | $8.84 | $14.73 | Mar 22, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Alt (Sgpt), Serum | $15.64 | $23.00 | Nov 12, 2025 source file |
| Duke University Hospital Durham · Durham, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | Apr 1, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Transferase; alanine amino (ALT) (SGPT) | $22.95 | $57.37 | Jul 10, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $23.00 | $46.00 | Aug 12, 2025 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Sgpt | $25.20 | $36.00 | Jan 25, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Alanine Amino (Alt) (Sgpt) | $25.84 | $68.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Alanine Amino (Alt) (Sgpt) | $25.84 | $68.00 | Feb 11, 2026 source file |
| Harris Regional Hospital Sylva · Sylva, NC Transferase; alanine amino (ALT) (SGPT) | $28.50 | $71.26 | Jul 10, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC SGPT | $30.00 | $150.00 | Dec 30, 2024 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $31.00 | $62.00 | Oct 8, 2025 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $31.00 | $62.00 | Oct 8, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $32.00 | $64.00 | Oct 30, 2026 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $32.50 | $65.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $33.00 | $66.00 | Oct 30, 2026 source file |
| Iredell Memorial Hospital Statesville · Charlotte-Concord-Gastonia, NC-SC Alanine Aminotransferase | $34.02 | $126.00 | Dec 31, 2025 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT | $38.00 | $38.00 | Apr 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Transferase; alanine amino (ALT) (SGPT) | $38.00 | $95.00 | Jul 10, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC Alanine Amnio (Alt) (Sgpt)-Ref | $38.64 | $69.00 | Apr 1, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $40.50 | $81.00 | Oct 28, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $43.50 | $87.00 | Oct 30, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Oct 29, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC Alanine Amnio (Alt) (Sgpt)-Ref | $51.94 | $98.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC Alanine Amnio (Alt) (Sgpt)-Ref | $51.94 | $98.00 | Apr 1, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC 84460 | $54.25 | $77.49 | Sep 1, 2025 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC Alanine Amnio (Alt) (Sgpt)-Ref | $54.88 | $98.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC Alanine Amnio (Alt) (Sgpt)-Ref | $54.88 | $98.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC Alanine Amino (Alt) (Sgpt) | $56.56 | $101.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC Alanine Amnio (Alt) (Sgpt)-Ref | $56.56 | $101.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC Alanine Amnio (Alt) (Sgpt)-Ref | $56.56 | $101.00 | Apr 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC Alanine Amino (Alt) (Sgpt) | $57.12 | $102.00 | Apr 1, 2026 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC ALANINE AMINO (ALT) (SGPT) | $64.24 | $160.60 | Jul 8, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Transferase; alanine amino (ALT) (SGPT) | $66.80 | $167.00 | Jul 10, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Liver enzyme (SGPT), level | $79.10 | $113.00 | Nov 2, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC ALT (SPGT) SERUM/PLASMA | $82.85 | $82.85 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Transferase Alanine Amino (Alt) | $87.21 | $323.00 | Apr 1, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG ALT SGPT | $117.00 | $117.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG ALT SGPT | $117.00 | $117.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG ALT SGPT | $117.00 | $117.00 | May 11, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 13 | $34.02 | $47.00 |
| Fayetteville, NC | 3 | $8.84 | $8.84 |
| Raleigh-Cary, NC | 3 | $18.90 | $25.84 |
| Winston-Salem, NC | 3 | $31.00 | $32.00 |
| Durham-Chapel Hill, NC | 2 | $18.90 | $42.85 |
| Mount Airy, NC | 2 | $15.64 | $24.07 |
| Ahoskie, NC | 1 | $54.88 | $54.88 |
| Asheboro, NC | 1 | $30.00 | $30.00 |
| Albemarle, NC | 1 | $47.00 | $47.00 |
| Anderson Creek, NC | 1 | $8.84 | $8.84 |
| Asheville, NC | 1 | $38.00 | $38.00 |
| Clinton, NC | 1 | $79.10 | $79.10 |
| Columbus, NC | 1 | $82.85 | $82.85 |
| Durham, NC | 1 | $18.90 | $18.90 |
| Edenton, NC | 1 | $54.88 | $54.88 |
| Elizabethtown, NC | 1 | $8.84 | $8.84 |
| Elizabeth City, NC | 1 | $4.50 | $4.50 |
| Forest City, NC | 1 | $22.95 | $22.95 |
| Greensboro-High Point, NC | 1 | $43.50 | $43.50 |
| Greenville, NC | 1 | $51.94 | $51.94 |
| Hickory-Lenoir-Morganton, NC | 1 | $64.24 | $64.24 |
| Kenansville, NC | 1 | $56.56 | $56.56 |
| Kill Devil Hills, NC | 1 | $56.56 | $56.56 |
| Laurinburg, NC | 1 | $40.50 | $40.50 |
| Murphy, NC | 1 | $25.20 | $25.20 |
| North Wilkesboro, NC | 1 | $31.00 | $31.00 |
| Roanoke Rapids, NC | 1 | $56.56 | $56.56 |
| Rocky Mount, NC | 1 | $57.12 | $57.12 |
| Sparta, NC | 1 | $23.00 | $23.00 |
| Sylva, NC | 1 | $28.50 | $28.50 |
| Shelby-Kings Mountain, NC | 1 | $47.00 | $47.00 |
| Whiteville, NC | 1 | $54.25 | $54.25 |
| Windsor, NC | 1 | $38.64 | $38.64 |
| Washington, NC | 1 | $51.94 | $51.94 |
| Wilson, NC | 1 | $38.00 | $38.00 |
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
- 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 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.