Pap smear (lab reading) cost in Maryland
In Maryland, 14 hospitals publish a cash price for Pap test lab reading: liquid-based cervical sample, manual screening: from $49.02 to $183.11, with a median of $107.79. The lowest price is at Greater Baltimore Medical Center (Towson). The highest price is 3.7× the lowest.
- The median here, $107.79, is 52% above the US median of $70.94.
- That is 5.3× Medicare's 2026 national rate for the same service ($20.26).
- Maryland ranks 43rd of 50 states by median, cheapest first.
- 2 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 88142. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Greater Baltimore Medical Center lowest Towson · Baltimore-Columbia-Towson, MD HC Pap Thin Layer Manual | $49.02 | $50.02 | Jul 1, 2026 source file |
| UPMC Western Maryland Cumberland · Cumberland, MD-WV THIN PREP | $64.80 | $108.00 | Mar 2, 2026 source file |
| Frederick Health Hospital Frederick · Washington-Arlington-Alexandria, DC-VA-MD-WV PAP SMEAR - THIN PREP | $80.12 | $81.75 | Mar 17, 2025 source file |
| MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD SCRN THINPREP PAP | $85.51 | $87.25 | Apr 1, 2026 source file |
| MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD SCRN THINPREP PAP | $85.67 | $87.42 | Apr 1, 2026 source file |
| MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD SCRN THINPREP PAP | $99.66 | $101.69 | Apr 1, 2026 source file |
| MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV SCRN THINPREP PAP | $105.81 | $107.97 | Apr 1, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC CYTOLOGY THIN PREP MANUAL | $109.77 | $112.01 | Mar 19, 2026 source file |
| MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV SCRN THINPREP PAP | $114.97 | $117.32 | Apr 1, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD SCRN THINPREP PAP | $117.47 | $119.87 | Apr 1, 2026 source file |
| Atlantic General Hospital Berlin · Ocean Pines, MD Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $125.21 | $125.21 | Apr 10, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC CYTOPATH CERV/VAG THIN LAYER | $128.13 | $130.74 | Jan 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD SCRN THINPREP PAP | $130.07 | $132.72 | Apr 1, 2026 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD THIN PREP,DIAGNOSTIC PAP SMEAR | $183.11 | $183.11 | Apr 1, 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 |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 6 | $49.02 | $108.56 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 3 | $80.12 | $105.81 |
| Cumberland, MD-WV | 1 | $64.80 | $64.80 |
| Lexington Park, MD | 1 | $85.51 | $85.51 |
| Ocean Pines, MD | 1 | $125.21 | $125.21 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $183.11 | $183.11 |
| Salisbury, MD | 1 | $109.77 | $109.77 |
What Pap smear (lab reading) is, what the price covers and why prices differ: Pap smear (lab reading) explained.
Pap test lab reading: liquid-based cervical sample, manual screening in other states
- Alabama$40.99
- Alaska$106.47
- Arizona$26.87
- Arkansas$48.50
- California$91.00
- Colorado$152.85
- Connecticut$100.10
- Delaware$124.10
- District of Columbia$156.53, 3 hospitals
- Florida$51.60
- Georgia$51.00
- Hawaii$78.75
- Idaho$90.25
- Illinois$112.50
- Indiana$69.76
- Iowa$64.70
- Kansas$87.35
- Kentucky$60.60
- Louisiana$29.76
- Maine$74.40
- Massachusetts$91.93
- Michigan$77.79
- Minnesota$77.45
- Mississippi$30.38
- Missouri$73.08
- Montana$62.18
- Nebraska$65.33
- Nevada$21.25
- New Hampshire$107.33
- New Jersey$23.30
- New Mexico$74.35
- New York$70.20
- North Carolina$61.25
- North Dakota$102.80
- Ohio$91.00
- Oklahoma$70.20
- Oregon$80.00
- Pennsylvania$61.20
- Puerto Rico$595.00, 1 hospital
- Rhode Island$120.00
- South Carolina$120.75
- South Dakota$69.60
- Tennessee$35.40
- Texas$87.01
- Utah$134.15
- Vermont$134.00
- Virginia$67.78
- Washington$83.20
- West Virginia$50.00
- Wisconsin$90.00
- Wyoming$70.09
Median cash price across the state's hospitals.