ALT liver test cost in North Carolina
In North Carolina, 37 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $4.50 to $117.00, with a median of $44.68. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 26.0× the lowest.
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 Sep 24, 2026.
Lowest$4.50Sentara Albemarle Regional Medical Center
Median$44.68half pay less
Highest$117.00in North Carolina
Lowest saves$40.18vs 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 |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DUKE UNIVERSITY HOSPITAL Raleigh · Raleigh-Cary, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | — source file |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DUKE UNIVERSITY HOSPITAL Durham · Durham, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | — source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Transferase Alanine Amino (Alt) | $18.90 | $70.00 | — source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Sgpt | $25.20 | $36.00 | Jan 25, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $29.00 | $58.00 | Oct 21, 2025 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $30.50 | $61.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $31.00 | $62.00 | Jul 16, 2026 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 |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT | $38.00 | $38.00 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC Alanine Amnio (Alt) (Sgpt)-Ref | $38.64 | $69.00 | Apr 1, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $41.00 | $82.00 | Oct 8, 2025 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 1, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $44.68 | $89.35 | Dec 5, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC TRANSFERASE ALANINE AMINO ALT SGPT | $47.00 | $94.00 | Sep 15, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC Alanine Amnio (Alt) (Sgpt)-Ref | $51.94 | $98.00 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital Washington · Washington, NC Alanine Amnio (Alt) (Sgpt)-Ref | $51.94 | $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 |
| Vidant Chowan Hospital Edenton · Edenton, NC Alanine Amnio (Alt) (Sgpt)-Ref | $54.88 | $98.00 | 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 |
| Vidant Duplin Hospital Kenansville · Kenansville, NC Alanine Amnio (Alt) (Sgpt)-Ref | $56.56 | $101.00 | Apr 1, 2026 source file |
| Vidant Edgecombe Hospital Tarboro · Rocky Mount, NC Alanine Amino (Alt) (Sgpt) | $57.12 | $102.00 | Apr 1, 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 | — source file |
| Gaston Memorial Hospital 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 |
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 | 12 | $44.68 | $44.68 |
| Winston-Salem, NC | 3 | $29.00 | $30.50 |
| Ahoskie, NC | 1 | $54.88 | $54.88 |
| Albemarle, NC | 1 | $47.00 | $47.00 |
| Asheville, NC | 1 | $38.00 | $38.00 |
| Columbus, NC | 1 | $82.85 | $82.85 |
| Concord, NC | 1 | $44.68 | $44.68 |
| Durham, NC | 1 | $18.90 | $18.90 |
| Durham-Chapel Hill, NC | 1 | $18.90 | $18.90 |
| Edenton, NC | 1 | $54.88 | $54.88 |
| Elizabeth City, NC | 1 | $4.50 | $4.50 |
| Greensboro-High Point, NC | 1 | $41.00 | $41.00 |
| Greenville, NC | 1 | $51.94 | $51.94 |
| Kenansville, NC | 1 | $56.56 | $56.56 |
| Kill Devil Hills, NC | 1 | $56.56 | $56.56 |
| Murphy, NC | 1 | $25.20 | $25.20 |
| Mount Airy, NC | 1 | $31.00 | $31.00 |
| North Wilkesboro, NC | 1 | $31.00 | $31.00 |
| Raleigh-Cary, NC | 1 | $18.90 | $18.90 |
| Roanoke Rapids, NC | 1 | $56.56 | $56.56 |
| Rocky Mount, NC | 1 | $57.12 | $57.12 |
| Shelby-Kings Mountain, NC | 1 | $44.68 | $44.68 |
| Windsor, NC | 1 | $38.64 | $38.64 |
| Washington, NC | 1 | $51.94 | $51.94 |
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.
ALT (alanine aminotransferase) liver enzyme test in other states
- Alabama$101.50
- Alaska$48.63
- Arizona$12.60
- Arkansas$23.93
- California$43.12
- Colorado$42.88
- Connecticut$21.90
- Delaware$90.45
- Florida$35.00
- Georgia$36.00
- Hawaii$33.00
- Idaho$24.00
- Illinois$34.52
- Indiana$18.10
- Iowa$36.23
- Kansas$37.05
- Kentucky$66.42
- Louisiana$20.83
- Maine$31.00
- Maryland$6.26
- Massachusetts$25.63
- Michigan$19.05
- Minnesota$36.26
- Mississippi$34.84
- Missouri$37.88
- Montana$29.20
- Nebraska$48.84
- Nevada$57.55
- New Hampshire$32.47
- New Jersey$6.10
- New Mexico$65.26
- New York$22.50
- North Dakota$42.62
- Ohio$25.30
- Oklahoma$32.83
- Oregon$23.25
- Pennsylvania$34.50
- Puerto Rico$8.00
- Rhode Island$32.00
- South Carolina$43.60
- South Dakota$38.00
- Tennessee$16.06
- Texas$37.50
- Utah$66.50
- Vermont$39.06
- Virginia$10.20
- Washington$38.40
- West Virginia$29.00
- Wisconsin$42.25
- Wyoming$24.80
Median cash price across the state's hospitals.