Pap smear cost in North Dakota
In North Dakota, 22 hospitals publish a cash price for Pap test (liquid-based, automated screening with review): from $44.00 to $187.50, with a median of $114.75. The lowest price is at Lisbon Area Health Services (Lisbon). The highest price is 4.3× the lowest.
- The median here, $114.75, is 38% above the US median of $83.00.
- That is 4.3× Medicare's 2026 national rate for the same service ($26.61).
- North Dakota ranks 41st of 48 states by median, cheapest first.
- 2 of 22 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 10, 2026. See them on a map
Lowest$44.00Lisbon Area Health Services
Median$114.75half of hospitals charge less
Highest$187.50in North Dakota
Lowest saves$70.75vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Lisbon Area Health Services lowest Lisbon · Lisbon, ND THINPREP PAP TEST WITH CO-TEST | $44.00 | $80.00 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND THINPREP PAP TEST WITH CO-TEST | $46.40 | $80.00 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND THINPREP PAP TEST WITH CO-TEST | $47.20 | $80.00 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND THINPREP PAP TEST WITH CO-TEST | $47.20 | $80.00 | Sep 30, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND CYTOPATHOLOGY IN PRESERVATIVE | $72.00 | $72.00 | Oct 9, 2026 source file |
| CHI St Alexius Health Bismarck · Bismarck, ND HC PAP SCRN AUTO W MAN RESCRN | $82.00 | $164.00 | Sep 30, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN CYTO CERV THN AUTO 88175 | $84.80 | $106.00 | Mar 4, 2026 source file |
| Mercy Hospital of Devils Lake Devils Lake · Devils Lake, ND THIN PREP PAP SMEAR | $98.28 | $234.00 | Feb 28, 2026 source file |
| Sanford Hillsboro Medical Center Hillsboro · Hillsboro, ND CYTO CERV THN AUTO 88175 | $100.80 | $126.00 | Mar 4, 2026 source file |
| Sanford Mayville Medical Center Mayville · Mayville, ND CYTO CERV THN AUTO 88175 | $100.80 | $126.00 | Mar 4, 2026 source file |
| Garrison Memorial Hospital Garrison · Garrison, ND HC RHC PAP SCRN AUTO W MAN RSC | $113.90 | $170.00 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND HC RHC PAP SCRN AUTO W MAN RSC | $115.60 | $170.00 | Sep 30, 2026 source file |
| Sanford Medical Center Bismarck Bismarck · Bismarck, ND CYTO CERV THN AUTO 88175 | $117.60 | $147.00 | Mar 4, 2026 source file |
| Mercy Medical Center Williston · Williston, ND THIN PREP PAP SMEAR | $127.60 | $232.00 | Sep 30, 2026 source file |
| Jacobson Memorial Hospital Care Center Elgin · Elgin, ND CYTO CERV THN AUTO 88175 | $139.50 | $186.00 | Mar 1, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN ND PAP (CYTOPATHOLOGY) CERVICAL OR VAGINAL | $147.00 | $184.00 | Jul 16, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND CYTO CERV THN AUTO 88175 | $161.85 | $249.00 | May 1, 2026 source file |
| SMP Health - St. Aloisius Harvey · Harvey, ND Gyn Cytology Npl | $169.00 | $188.00 | — source file |
| Southwest Healthcare Services Bowman · Bowman, ND CHG PAP SMEAR THIN PREP IMAGED | $181.80 | $202.00 | Oct 16, 2025 source file |
| CHI Oakes Hospital Oakes · Oakes, ND THIN PREP PAP SMEAR | $182.00 | $350.00 | Feb 28, 2026 source file |
| Linton Regional Medical Center Linton · Linton, ND Pap Test, Automated Thin Layer Prep | $187.00 | $187.00 | — source file |
| Heart of America Medical Center Rugby · Rugby, ND HA CYTOPATHOLOGY W/SCREENING | $187.50 | $250.00 | Mar 31, 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 |
|---|---|---|---|
| Bismarck, ND | 2 | $82.00 | $99.80 |
| Ashley, ND | 1 | $72.00 | $72.00 |
| Bowman, ND | 1 | $181.80 | $181.80 |
| Carrington, ND | 1 | $47.20 | $47.20 |
| Devils Lake, ND | 1 | $98.28 | $98.28 |
| Dickinson, ND | 1 | $47.20 | $47.20 |
| Elgin, ND | 1 | $139.50 | $139.50 |
| Fargo, ND-MN | 1 | $84.80 | $84.80 |
| Garrison, ND | 1 | $113.90 | $113.90 |
| Grand Forks, ND-MN | 1 | $147.00 | $147.00 |
| Harvey, ND | 1 | $169.00 | $169.00 |
| Hillsboro, ND | 1 | $100.80 | $100.80 |
| Linton, ND | 1 | $187.00 | $187.00 |
| Lisbon, ND | 1 | $44.00 | $44.00 |
| Mayville, ND | 1 | $100.80 | $100.80 |
| Oakes, ND | 1 | $182.00 | $182.00 |
| Rugby, ND | 1 | $187.50 | $187.50 |
| Turtle Lake, ND | 1 | $115.60 | $115.60 |
| Valley City, ND | 1 | $46.40 | $46.40 |
| Watford City, ND | 1 | $161.85 | $161.85 |
| Williston, ND | 1 | $127.60 | $127.60 |
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 Carolina$77.32
- 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.