Pap smear cost in Virginia
In Virginia, 48 hospitals publish a cash price for Pap test (liquid-based, automated screening with review): from $15.50 to $321.00, with a median of $98.00. The lowest price is at Hospital for Extended Recovery (Norfolk) and 10 other hospitals. The highest price is 20.7× the lowest.
- The median here, $98.00, is 18% above the US median of $83.00.
- That is 3.7× Medicare's 2026 national rate for the same service ($26.61).
- Virginia ranks 34th of 48 states by median, cheapest first.
- 7 of 48 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 1, 2026. See them on a map
Lowest$15.50Hospital for Extended Recovery + 10 more
Median$98.00half of hospitals charge less
Highest$321.00in Virginia
Lowest saves$82.50vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Hospital for Extended Recovery lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital lowest Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital lowest South Boston · South Boston, VA Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital lowest Charlottesville · Charlottesville, VA Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital lowest Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center lowest Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital lowest Suffolk · Suffolk, VA Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center lowest Harrisonburg · Harrisonburg, VA Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital lowest Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | Apr 1, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC CYTOPATHOLOGY CV THINPREP IMAG | $23.40 | $156.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC CYTOPATHOLOGY CV THINPREP IMAG | $23.40 | $156.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC CYTOPATHOLOGY CV THINPREP IMAG | $23.40 | $156.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC CYTOPATHOLOGY CV THINPREP IMAG | $23.40 | $156.00 | Mar 23, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Cytopath c/v auto fluid redo | $53.00 | $106.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Cytopath c/v auto fluid redo | $53.00 | $106.00 | Dec 30, 2024 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc So Cytopath C/V Auto Fluid Redo | $69.55 | $115.92 | Jul 1, 2026 source file |
| Stonesprings Hospital Center Dulles · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $73.44 | $73.44 | Sep 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV 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 | $77.20 | $193.00 | Jul 14, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Thin Prep Pap-Automated Diag | $89.54 | $179.08 | Mar 11, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys | $92.40 | $154.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CYTOPATHOLOGY CERVICAL/VAGINAL AUTO THIN LYR PREP W/SCR MANUAL RESCR PHYS | $98.00 | $196.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CYTOPATHOLOGY CERVICAL/VAGINAL AUTO THIN LYR PREP W/SCR MANUAL RESCR PHYS | $98.00 | $196.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CYTOPATHOLOGY CERVICAL/VAGINAL AUTO THIN LYR PREP W/SCR MANUAL RESCR PHYS | $98.00 | $196.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CYTOPATHOLOGY CERVICAL/VAGINAL AUTO THIN LYR PREP W/SCR MANUAL RESCR PHYS | $98.00 | $196.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC CYTOPATHOLOGY CERVICAL/VAGINAL AUTO THIN LYR PREP W/SCR MANUAL RESCR PHYS | $98.00 | $196.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB PAP THIN PREP IMAGING | $99.05 | $283.00 | Dec 15, 2025 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA 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 | $103.54 | $258.86 | Jul 14, 2026 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA 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 | $105.42 | $263.55 | Jul 10, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA PAP W/RFX TO HR HPV ASC-U 1993 | $132.60 | $189.43 | Mar 25, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Cytopath C/V Auto Fluid Redo | $155.40 | $259.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC So Cytopath C/V Auto Fluid Redo | $155.40 | $259.00 | Apr 1, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA 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 | $160.00 | $400.00 | Jul 11, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA 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 | $175.60 | $439.00 | Jul 10, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA 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 | $217.74 | $544.34 | Jul 10, 2026 source file |
| Lewisgale Medical Center Roanoke · Roanoke, VA 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 | $230.00 | $230.00 | Sep 1, 2026 source file |
| Chippenham Hospital Chesterfield · Richmond, VA 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 | $321.00 | $321.00 | Sep 1, 2026 source file |
| Henrico Doctors Hospital - Forest Mechanicsville · Richmond, VA PAP AUTO W MAN RESCN TLP | $321.00 | $321.00 | Sep 1, 2026 source file |
| Johnston-Willis Hospital Richmond · Richmond, VA 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 | $321.00 | $321.00 | Sep 1, 2026 source file |
| Parham Doctors Hospital Richmond · Richmond, VA 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 | $321.00 | $321.00 | Sep 1, 2026 source file |
| Retreat Doctors Hospital Richmond · Richmond, VA PAP AUTO W MAN RESCN TLP | $321.00 | $321.00 | Sep 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 |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 10 | $15.50 | $15.50 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 10 | $15.50 | $87.60 |
| Richmond, VA | 6 | $92.40 | $321.00 |
| Roanoke, VA | 5 | $99.05 | $99.05 |
| Bluefield, WV-VA | 2 | $99.05 | $101.30 |
| Big Stone Gap, VA | 1 | $23.40 | $23.40 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $99.05 | $99.05 |
| Charlottesville, VA | 1 | $15.50 | $15.50 |
| Danville, VA | 1 | $160.00 | $160.00 |
| Galax, VA | 1 | $217.74 | $217.74 |
| Hot Springs, VA | 1 | $132.60 | $132.60 |
| Harrisonburg, VA | 1 | $15.50 | $15.50 |
| Kingsport-Bristol, TN-VA | 1 | $23.40 | $23.40 |
| Lebanon, VA | 1 | $23.40 | $23.40 |
| Lexington, VA | 1 | $99.05 | $99.05 |
| Marion, VA | 1 | $23.40 | $23.40 |
| Martinsville, VA | 1 | $175.60 | $175.60 |
| South Boston, VA | 1 | $15.50 | $15.50 |
| Suffolk, VA | 1 | $15.50 | $15.50 |
| Wytheville, VA | 1 | $105.42 | $105.42 |
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
- 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
- Washington$91.25
- West Virginia$82.00
- Wisconsin$105.28
- Wyoming$100.41
Median cash price across the state's hospitals.