Pap smear cost in North Carolina
In North Carolina, 36 hospitals publish a cash price for Pap test (liquid-based, automated screening with review): from $15.50 to $354.00, with a median of $77.32. The lowest price is at Sentara Albemarle Regional Medical Center (Elizabeth City). The highest price is 22.8× the lowest.
- The median here, $77.32, is 7% below the US median of $83.00.
- That is 2.9× Medicare's 2026 national rate for the same service ($26.61).
- North Carolina ranks 18th of 48 states by median, cheapest first.
- 4 of 36 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 88175. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$15.50Sentara Albemarle Regional Medical Center
Median$77.32half of hospitals charge less
Highest$354.00in North Carolina
Lowest saves$61.82vs 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) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC CYTOPATH C/V AUTO FLUID REDO | $44.16 | $73.60 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital Elizabethtown · Elizabethtown, NC CYTOPATH C/V AUTO FLUID REDO | $44.16 | $73.60 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC CYTOPATH C/V AUTO FLUID REDO | $44.16 | $73.60 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC CYTOPATH C/V AUTO FLUID REDO | $44.16 | $73.60 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital Fayetteville · Fayetteville, NC CYTOPATH C/V AUTO FLUID REDO | $44.16 | $73.60 | Mar 22, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Pap test, automated thin layer preparation; automated system and manual rescreening | $46.90 | $67.00 | Nov 2, 2026 source file |
| Northern Regional Hospital Mount Airy · Mount Airy, NC Pap Smear,Image Guided #193000 | $47.60 | $70.00 | Nov 12, 2025 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $50.00 | $100.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $53.00 | $106.00 | Oct 30, 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; with screening by automated system and manual rescreening or review, under physician supervision | $53.97 | $134.93 | Jul 10, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Pap Test | $63.00 | $90.00 | Jan 25, 2026 source file |
| Duke University Hospital Durham · Durham, NC Cyto Gyn Smear Auto W Rescrn Dx | $65.88 | $244.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Cyto Gyn Smear Auto W Rescrn Dx | $65.88 | $244.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Cyto Gyn Smear Auto W Rescrn Dx | $65.88 | $244.00 | Apr 1, 2026 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $69.50 | $139.00 | Aug 12, 2025 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Cytopath C/V Auto Fluid Redo | $71.44 | $188.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Cytopath C/V Auto Fluid Redo | $71.44 | $188.00 | Feb 11, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision | $83.20 | $208.00 | Jul 10, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC CO CERV/VAG ATL AUTO/MAN SCRN | $97.20 | $486.00 | Dec 30, 2024 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC 88175 PAP IGP, Aptima HPV, rfx 16/18,45 LC | $117.02 | $167.16 | Sep 1, 2025 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision | $118.40 | $296.00 | Jul 10, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC CYTOPATH CV AUTO FLUID REDO CER VAG | $155.00 | $310.00 | Oct 29, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER AUTO | $159.00 | $159.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER AUTO | $159.00 | $159.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC CHG CYTO: PAP THIN LAYER AUTO | $159.00 | $159.00 | May 11, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE | $354.00 | $354.00 | 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 11 | $155.00 | $155.00 |
| Fayetteville, NC | 3 | $44.16 | $44.16 |
| Raleigh-Cary, NC | 3 | $65.88 | $71.44 |
| Durham-Chapel Hill, NC | 2 | $65.88 | $92.14 |
| Winston-Salem, NC | 2 | $50.00 | $51.50 |
| Asheboro, NC | 1 | $97.20 | $97.20 |
| Albemarle, NC | 1 | $155.00 | $155.00 |
| Anderson Creek, NC | 1 | $44.16 | $44.16 |
| Asheville, NC | 1 | $354.00 | $354.00 |
| Clinton, NC | 1 | $46.90 | $46.90 |
| Durham, NC | 1 | $65.88 | $65.88 |
| Elizabethtown, NC | 1 | $44.16 | $44.16 |
| Elizabeth City, NC | 1 | $15.50 | $15.50 |
| Forest City, NC | 1 | $53.97 | $53.97 |
| Murphy, NC | 1 | $63.00 | $63.00 |
| Mount Airy, NC | 1 | $47.60 | $47.60 |
| Sparta, NC | 1 | $69.50 | $69.50 |
| Shelby-Kings Mountain, NC | 1 | $155.00 | $155.00 |
| Whiteville, NC | 1 | $117.02 | $117.02 |
| Wilson, NC | 1 | $83.20 | $83.20 |
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 is, what the price covers and why prices differ: Pap smear explained.
Pap test (liquid-based, automated screening with review) in other states
- Alabama$35.70
- Alaska$99.30
- Arizona$39.92
- Arkansas$42.25
- California$82.00
- Colorado$177.08
- Connecticut$128.46
- Delaware$213.20, 4 hospitals
- Florida$40.95
- Georgia$46.80
- Hawaii$196.00
- Idaho$102.88
- Illinois$132.48
- Indiana$83.00
- Iowa$79.32
- Kansas$80.15
- Kentucky$48.00
- Louisiana$43.47
- Maine$64.73
- Maryland$70.10
- Massachusetts$106.00
- Michigan$74.22
- Minnesota$85.05
- Mississippi$33.00
- Missouri$74.19
- Montana$79.45
- Nebraska$86.00
- Nevada$29.40, 3 hospitals
- New Hampshire$119.69
- New Jersey$29.27
- New Mexico$93.30
- New York$68.00
- North Dakota$114.75
- Ohio$97.50
- Oklahoma$67.60
- Oregon$90.75
- Pennsylvania$81.81
- Puerto Rico$758.00, 1 hospital
- Rhode Island$120.00
- South Carolina$81.47
- South Dakota$103.20
- Tennessee$38.47
- Texas$75.80
- Utah$130.63
- Vermont$97.02
- Virginia$98.00
- Washington$91.25
- West Virginia$82.00
- Wisconsin$105.28
- Wyoming$100.41
Median cash price across the state's hospitals.