Pap smear (lab reading) cost in Washington
In Washington, 31 hospitals publish a cash price for Pap test lab reading: liquid-based cervical sample, manual screening: from $22.50 to $188.30, with a median of $83.20. The lowest price is at Confluence Health Hospital (Wenatchee). The highest price is 8.4× the lowest.
- The median here, $83.20, is 17% above the US median of $70.94.
- That is 4.1× Medicare's 2026 national rate for the same service ($20.26).
- Washington ranks 31st of 50 states by median, cheapest first.
- 1 of 31 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 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$22.50Confluence Health Hospital
Median$83.20half of hospitals charge less
Highest$188.30in Washington
Lowest saves$60.70vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Confluence Health Hospital lowest Wenatchee · Wenatchee-East Wenatchee, WA HC Cytopath Cerv/Vag Thin Layer----Pbb | $22.50 | $25.00 | Aug 10, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN LAB | $24.00 | $50.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA GC by Nucleic Acid Amplification | $31.92 | $56.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN LAB | $35.70 | $51.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA N/A | $38.35 | $59.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | $42.00 | $60.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PAP-THIN PREP SCREENING | $44.80 | $64.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Pap test, manual screening | $46.40 | $58.00 | Aug 6, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC PAP MANUAL TO LABCORP | $54.94 | $94.72 | Apr 14, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA CYTOPATH C/V THIN LAYER | $60.45 | $93.00 | Mar 21, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $60.90 | $87.00 | Mar 12, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA CYTOPATH,CERV/VAG,COLLCT IN PRESERV/AUTO THIN LAYER | $61.20 | $120.00 | Jan 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | $64.40 | $92.00 | Apr 1, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Pap test, manual screening | $75.20 | $94.00 | Jun 29, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC CYTOPATH C/V THIN LAYER | $79.50 | $106.00 | Jun 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Pap test, manual screening | $83.20 | $104.00 | Jun 24, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PAP-THIN PREP SCREENING | $105.05 | $191.00 | Jan 1, 2025 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC CYTOPATHOLOG PAPSMEAR THINPREP | $105.60 | $132.00 | Mar 26, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC CYTOPATHOLOG PAPSMEAR THINPREP | $105.60 | $132.00 | Mar 26, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Pap test, manual screening | $110.40 | $138.00 | Oct 27, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA CYTOPATHOLOGY SMEARS THIN LAYER | $110.40 | $138.00 | Apr 1, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Pap test, manual screening | $112.35 | $112.35 | Sep 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN CDM | $113.25 | $151.00 | Oct 23, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC PAP-THIN PREP SCREENING | $126.72 | $264.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC PAP-THIN PREP SCREENING | $126.72 | $264.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC PAP-THIN PREP SCREENING | $126.72 | $264.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Pap test, manual screening | $132.60 | $156.00 | Oct 7, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Cytopath c/v thin layer | $134.40 | $168.00 | May 15, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN LAB | $137.28 | $264.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC PAP-THIN PREP SCREENING | $147.00 | $210.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PAP-THIN PREP SCREENING | $188.30 | $269.00 | Apr 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 | 10 | $24.00 | $108.00 |
| Spokane-Spokane Valley, WA | 4 | $42.00 | $54.60 |
| Kennewick-Richland, WA | 3 | $31.92 | $105.05 |
| Wenatchee-East Wenatchee, WA | 3 | $22.50 | $112.35 |
| Port Townsend, WA | 2 | $46.40 | $78.40 |
| Bellingham, WA | 1 | $60.45 | $60.45 |
| Ellensburg, WA | 1 | $132.60 | $132.60 |
| Ilwaco, WA | 1 | $113.25 | $113.25 |
| Mount Vernon-Anacortes, WA | 1 | $105.60 | $105.60 |
| Othello, WA | 1 | $79.50 | $79.50 |
| Port Angeles, WA | 1 | $83.20 | $83.20 |
| Pullman, WA | 1 | $75.20 | $75.20 |
| Walla Walla, WA | 1 | $35.70 | $35.70 |
| Yakima, WA | 1 | $38.35 | $38.35 |
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 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
- West Virginia$50.00
- Wisconsin$90.00
- Wyoming$70.09
Median cash price across the state's hospitals.