ALT liver test cost in South Dakota
In South Dakota, 19 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $27.00 to $119.00, with a median of $72.80. The lowest price is at Black Hills Surgical Hospital (Rapid City). The highest price is 4.4× the lowest.
- The median here, $72.80, is 94% above the US median of $37.50.
- That is 13.7× Medicare's 2026 national rate for the same service ($5.30).
- South Dakota ranks 49th of 51 states by median, cheapest first.
- 6 of 19 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$27.00Black Hills Surgical Hospital
Median$72.80half of hospitals charge less
Highest$119.00in South Dakota
Lowest saves$45.80vs the median
Hospitals in South Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Black Hills Surgical Hospital lowest Rapid City · Rapid City, SD ALT/SPGT- | $27.00 | $45.00 | Jan 30, 2026 source file |
| Sanford Canton Inwood Medical Center Canton · Sioux Falls, SD-MN TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $34.40 | $43.00 | Mar 4, 2026 source file |
| Sanford Vermillion Hospital Vermillion · Vermillion, SD TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $34.40 | $43.00 | Mar 4, 2026 source file |
| Madison Community Hospital Madison · Madison, SD HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $39.00 | $39.00 | Oct 12, 2026 source file |
| Sanford Clear Lake Medical Center Clear Lake · Clear Lake, SD TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $41.60 | $52.00 | Mar 4, 2026 source file |
| Faulkton Area Medical Center Faulkton · Faulkton, SD ALT/SGPT | $49.50 | $55.00 | Jul 17, 2026 source file |
| Sanford Webster Hospital Webster · Webster, SD TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $68.80 | $86.00 | Mar 4, 2026 source file |
| Brookings Health System Brookings · Brookings, SD ALT SGpT | $72.50 | $145.00 | May 18, 2026 source file |
| Monument Health Rapid City Hospital Rapid City · Rapid City, SD Liver enzyme (SGPT), level | $72.80 | $91.00 | Oct 22, 2026 source file |
| Monument Health Spearfish Hospital Spearfish · Spearfish, SD Liver enzyme (SGPT), level | $72.80 | $91.00 | Oct 20, 2026 source file |
| Monument Health Sturgis Hospital Sturgis · Rapid City, SD Liver enzyme (SGPT), level | $72.80 | $91.00 | Oct 21, 2026 source file |
| Huron Regional Medical Center Huron · Huron, SD ALT | $75.00 | $125.00 | Mar 31, 2026 source file |
| Bennett County Hospital & Nursing Home Martin · Martin, SD ALT (ALANINE SGPT) | $76.00 | $76.00 | Jan 3, 2025 source file |
| Sanford Chamberlain Medical Center Chamberlain · Chamberlain, SD TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $84.00 | $105.00 | Mar 4, 2026 source file |
| Winner Regional Healthcare Center Winner · Winner, SD ALANINE AMINOTRANSFERASE | $88.00 | $88.00 | May 7, 2026 source file |
| Hans P Peterson Memorial Hospital - Cah Philip · Philip, SD Sgpt Alt | $100.00 | $100.00 | Jul 1, 2024 source file |
| Pioneer Memorial Hospital - Cah Viborg · Sioux Falls, SD-MN TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $109.00 | $109.00 | Apr 30, 2026 source file |
| Douglas County Memorial Hospital Armour · Armour, SD ALANINE AMINOTRANSFERASE | $115.20 | $128.00 | Jan 9, 2026 source file |
| Mobridge Regional Hospital Mobridge · Mobridge, SD Liver enzyme (SGPT), level | $119.00 | $119.00 | Nov 4, 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 |
|---|---|---|---|
| Rapid City, SD | 3 | $27.00 | $72.80 |
| Sioux Falls, SD-MN | 2 | $34.40 | $71.70 |
| Armour, SD | 1 | $115.20 | $115.20 |
| Brookings, SD | 1 | $72.50 | $72.50 |
| Chamberlain, SD | 1 | $84.00 | $84.00 |
| Clear Lake, SD | 1 | $41.60 | $41.60 |
| Faulkton, SD | 1 | $49.50 | $49.50 |
| Huron, SD | 1 | $75.00 | $75.00 |
| Madison, SD | 1 | $39.00 | $39.00 |
| Martin, SD | 1 | $76.00 | $76.00 |
| Mobridge, SD | 1 | $119.00 | $119.00 |
| Philip, SD | 1 | $100.00 | $100.00 |
| Spearfish, SD | 1 | $72.80 | $72.80 |
| Vermillion, SD | 1 | $34.40 | $34.40 |
| Webster, SD | 1 | $68.80 | $68.80 |
| Winner, SD | 1 | $88.00 | $88.00 |
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 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
- 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.