Pap smear (lab reading) cost in North Carolina
In North Carolina, 42 hospitals publish a cash price for Pap test lab reading: liquid-based cervical sample, manual screening: from $12.50 to $230.16, with a median of $61.25. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 18.4× the lowest.
- The median here, $61.25, is 14% below the US median of $70.94.
- That is 3.0× Medicare's 2026 national rate for the same service ($20.26).
- North Carolina ranks 14th of 50 states by median, cheapest first.
- 3 of 42 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 88142. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$12.50Sentara Albemarle Regional Medical Center
Median$61.25half of hospitals charge less
Highest$230.16in North Carolina
Lowest saves$48.75vs 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 (Qu) 88142 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | $12.50 | $25.00 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC Cyto Gyn Thin Prep Manual Dx | $23.76 | $88.00 | Apr 1, 2026 source file |
| ECU Health Bertie Hospital Windsor · Windsor, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| ECU Health Edgecombe Hospital Tarboro · Rocky Mount, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $24.64 | $44.00 | Apr 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC CYTOPATH C/V THIN LAYER | $33.77 | $56.28 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC CYTOPATH C/V THIN LAYER | $33.77 | $56.28 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC CYTOPATH C/V THIN LAYER | $33.77 | $56.28 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC CYTOPATH C/V THIN LAYER | $33.77 | $56.28 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC CYTOPATH C/V THIN LAYER | $33.77 | $56.28 | Mar 22, 2026 source file |
| Duke University Hospital Durham · Durham, NC Cyto Gyn Thin Prep Manual Dx | $42.93 | $159.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Cyto Gyn Thin Prep Manual Dx | $42.93 | $159.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Cyto Gyn Thin Prep Manual Dx | $42.93 | $159.00 | Apr 1, 2026 source file |
| ECU Health Beaufort Hospital Washington · Washington, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $49.82 | $94.00 | Apr 1, 2026 source file |
| ECU Health Medical Center Greenville · Greenville, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $49.82 | $94.00 | Apr 1, 2026 source file |
| ECU Health Chowan Hospital Edenton · Edenton, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $52.64 | $94.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital Kenansville · Kenansville, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $52.64 | $94.00 | Apr 1, 2026 source file |
| ECU Health North Hospital Roanoke Rapids · Roanoke Rapids, NC 15095 Cytopath C/V Thin Layer-Ref-Qu | $52.64 | $94.00 | Apr 1, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Pap test, manual screening | $58.10 | $83.00 | Nov 2, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC CYTOPATH CERV VAG THIN LAYER | $60.00 | $120.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC CYTOPATH CERV VAG THIN LAYER | $62.50 | $125.00 | Oct 30, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC CYTOPATH CERV VAG THIN LAYER | $66.00 | $132.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC CYTOPATH CERV VAG THIN LAYER | $70.00 | $140.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC CYTOPATH CERV VAG THIN LAYER | $71.00 | $142.00 | Oct 30, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC CYTOPATH CERV VAG THIN LAYER | $80.00 | $160.00 | Oct 30, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC ThinPrep Pap Test, Cytology PG | $80.77 | $115.38 | Sep 1, 2025 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC CYTOPATH CERV VAG THIN LAYER | $137.00 | $274.00 | Oct 29, 2026 source file |
| Harris Regional Hospital Sylva · Sylva, NC Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $145.26 | $363.15 | Jul 10, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER | $159.00 | $159.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER | $159.00 | $159.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER | $159.00 | $159.00 | May 11, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $230.16 | $575.39 | Jul 10, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $23.76 | $137.00 |
| Fayetteville, NC | 3 | $33.77 | $33.77 |
| Winston-Salem, NC | 3 | $66.00 | $70.00 |
| Ahoskie, NC | 1 | $24.64 | $24.64 |
| Albemarle, NC | 1 | $137.00 | $137.00 |
| Anderson Creek, NC | 1 | $33.77 | $33.77 |
| Clinton, NC | 1 | $58.10 | $58.10 |
| Durham, NC | 1 | $42.93 | $42.93 |
| Durham-Chapel Hill, NC | 1 | $42.93 | $42.93 |
| Edenton, NC | 1 | $52.64 | $52.64 |
| Elizabethtown, NC | 1 | $33.77 | $33.77 |
| Elizabeth City, NC | 1 | $12.50 | $12.50 |
| Forest City, NC | 1 | $230.16 | $230.16 |
| Greensboro-High Point, NC | 1 | $80.00 | $80.00 |
| Greenville, NC | 1 | $49.82 | $49.82 |
| Kenansville, NC | 1 | $52.64 | $52.64 |
| Kill Devil Hills, NC | 1 | $24.64 | $24.64 |
| Mount Airy, NC | 1 | $62.50 | $62.50 |
| North Wilkesboro, NC | 1 | $60.00 | $60.00 |
| Raleigh-Cary, NC | 1 | $42.93 | $42.93 |
| Roanoke Rapids, NC | 1 | $52.64 | $52.64 |
| Rocky Mount, NC | 1 | $24.64 | $24.64 |
| Sylva, NC | 1 | $145.26 | $145.26 |
| Shelby-Kings Mountain, NC | 1 | $137.00 | $137.00 |
| Whiteville, NC | 1 | $80.77 | $80.77 |
| Windsor, NC | 1 | $24.64 | $24.64 |
| Washington, NC | 1 | $49.82 | $49.82 |
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 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
- Maryland$107.79
- 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 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.