Pistoia to Alcamo trains might be a good value for money solution: travelling in Italy by train is often rather cheap and faster than taking a bus indeed Trains leave from Pistoia and arrive at Alcamo Diramazione every about 3 hours on average. If travelling with Trenitalia, you need to know the Pistoia to Alcamo train schedule: the first train leaves at 18:12, while the last ride is at 20:44. A Pistoia to Alcamo train cost about 87.95 €. But how long is the train ride from Pistoia to Alcamo? Your journey takes about 20 hours on average.