ALT liver test cost in Washington
In Washington, 59 hospitals publish a cash price for ALT (alanine aminotransferase) liver enzyme test: from $9.59 to $131.71, with a median of $47.20. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 13.7× the lowest.
- The median here, $47.20, is 26% above the US median of $37.50.
- That is 8.9× Medicare's 2026 national rate for the same service ($5.30).
- Washington ranks 34th of 51 states by median, cheapest first.
- 5 of 59 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care 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 Nov 11, 2026. See them on a map
Lowest$9.59Legacy Salmon Creek Medical Center
Median$47.20half of hospitals charge less
Highest$131.71in Washington
Lowest saves$37.61vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC ALT SGPT | $9.59 | $14.76 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ALANINE AMINO (ALT) (SGPT) | $17.50 | $25.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ALANINE AMINO (ALT) (SGPT) | $17.50 | $25.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $19.95 | $69.16 | Sep 30, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Transferase Alanine Amino (Alt) (Sgpt) | $20.50 | $41.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $21.04 | $69.16 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $21.06 | $69.16 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $21.27 | $69.16 | Sep 30, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $22.03 | $66.50 | Feb 28, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Transferase Alanine Amino (Alt) (Sgpt) | $22.50 | $25.00 | Aug 10, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC ALANINE AMINOTRANSFERASE | $25.40 | $69.16 | Sep 30, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA GPT TRANSAMINASE | $27.03 | $53.00 | Jan 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC ALT(SGPT)-LC | $27.14 | $46.79 | Apr 14, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Transferase Alanine Amino Alt Sgpt | $28.70 | $41.00 | Mar 12, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC ALANINE AMINOTRANSFERASE | $29.35 | $66.50 | Feb 28, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Liver enzyme (SGPT), level | $29.60 | $37.00 | Jun 24, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Liver enzyme (SGPT), level | $29.75 | $35.00 | Oct 7, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ALANINE AMINO (ALT) (SGPT) | $31.50 | $45.00 | Apr 1, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA ALANINE AMINO (ALT) (SGPT) | $32.50 | $81.26 | Jul 10, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA LIVER ENZYME (SGPT); LEVEL | $35.10 | $54.00 | Mar 20, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA LIVER ENZYME (SGPT); LEVEL | $36.40 | $52.00 | Feb 24, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC SGPT (ALT) | $38.40 | $80.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC SGPT (ALT) | $38.40 | $80.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC SGPT (ALT) | $38.40 | $80.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC SGPT (ALT) | $38.40 | $80.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC SGPT (ALT) | $41.60 | $80.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Esrd Alt (Sgpt) | $41.80 | $41.80 | Mar 31, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Liver enzyme (SGPT), level | $43.20 | $54.00 | Jun 29, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA ALANINE AMINO (ALT) (SGPT) | $45.90 | $45.90 | Mar 18, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC ALT (GPT) | $47.20 | $59.00 | Mar 26, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA TRANSFERASE ALANINE ALT SGPT | $48.80 | $61.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC SGPT (ALT) | $50.44 | $97.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC SGPT (ALT) | $50.44 | $97.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Liver enzyme (SGPT), level | $51.00 | $51.00 | Jan 4, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Liver enzyme (SGPT), level | $51.20 | $64.00 | Aug 6, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ALT (SGPT) 84460 | $52.50 | $75.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC SGPT (ALT) | $52.50 | $70.00 | Oct 23, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA LIVER ENZYME (SGPT); LEVEL | $53.95 | $83.00 | Mar 20, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ALT/SGPT | $54.60 | $78.00 | Apr 1, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA LIVER ENZYME (SGPT); LEVEL | $55.25 | $85.00 | Mar 21, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Liver enzyme (SGPT), level | $55.60 | $61.78 | Sep 14, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Alanine amino (alt)(sgpt) | $56.00 | $70.00 | May 15, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Liver enzyme (SGPT), level | $56.23 | $56.23 | May 27, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA TRANSFE ALANINE AMINO ALT SGPT | $57.80 | $68.00 | Sep 14, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Liver enzyme (SGPT), level | $58.90 | $95.00 | May 18, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA Transferase; alanine amino (ALT) (SGPT) LC | $59.28 | $104.00 | Apr 1, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA ALT | $59.48 | $79.30 | Mar 10, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC ALT (GPT) | $61.60 | $77.00 | Mar 26, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Liver enzyme (SGPT), level | $63.38 | $84.50 | Jul 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA Transferase; alanine amino (ALT) (SGPT) LC | $66.95 | $103.00 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA ALT | $68.00 | $85.00 | Dec 2, 2024 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC TRANSFERASE ALANINE AMINO ALT SGPT # | $69.30 | $126.00 | Jan 1, 2025 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA LIVER ENZYME (SGPT); LEVEL | $70.20 | $108.00 | Mar 21, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ALANINE AMINO (ALT) (SGPT) | $71.40 | $102.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Liver enzyme (SGPT), level | $74.80 | $88.00 | Jun 9, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA LIVER ENZYME (SGPT); LEVEL | $83.85 | $129.00 | Mar 21, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Liver enzyme (SGPT), level | $84.00 | $105.00 | Oct 27, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Liver enzyme (SGPT), level | $86.40 | $160.00 | Aug 31, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Liver enzyme (SGPT), level | $131.71 | $131.71 | 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 18 | $19.95 | $27.92 |
| Spokane-Spokane Valley, WA | 5 | $17.50 | $45.90 |
| Kennewick-Richland, WA | 4 | $32.50 | $55.89 |
| Wenatchee-East Wenatchee, WA | 3 | $22.50 | $56.00 |
| Centralia, WA | 2 | $50.44 | $54.67 |
| Moses Lake, WA | 2 | $51.00 | $53.62 |
| Mount Vernon-Anacortes, WA | 2 | $55.25 | $58.42 |
| Port Townsend, WA | 2 | $51.20 | $67.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $9.59 | $31.77 |
| Pullman, WA | 2 | $43.20 | $59.00 |
| Aberdeen, WA | 1 | $86.40 | $86.40 |
| Bellingham, WA | 1 | $70.20 | $70.20 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $29.35 | $29.35 |
| Davenport, WA | 1 | $55.60 | $55.60 |
| Ellensburg, WA | 1 | $29.75 | $29.75 |
| Friday Harbor, WA | 1 | $35.10 | $35.10 |
| Goldendale, WA | 1 | $68.00 | $68.00 |
| Ilwaco, WA | 1 | $52.50 | $52.50 |
| Longview-Kelso, WA | 1 | $83.85 | $83.85 |
| Olympia-Lacey-Tumwater, WA | 1 | $50.44 | $50.44 |
| Othello, WA | 1 | $63.38 | $63.38 |
| Port Angeles, WA | 1 | $29.60 | $29.60 |
| Republic, WA | 1 | $57.80 | $57.80 |
| South Bend, WA | 1 | $36.40 | $36.40 |
| Shelton, WA | 1 | $59.48 | $59.48 |
| Walla Walla, WA | 1 | $17.50 | $17.50 |
| Yakima, WA | 1 | $66.95 | $66.95 |
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
- South Dakota$72.80
- Tennessee$27.60
- Texas$52.87
- Utah$120.30
- Vermont$39.06
- Virginia$50.05
- West Virginia$29.00
- Wisconsin$35.00
- Wyoming$25.08
Median cash price across the state's hospitals.