Pap smear cost in Washington
In Washington, 46 hospitals publish a cash price for Pap test (liquid-based, automated screening with review): from $15.60 to $193.20, with a median of $91.25. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 12.4× the lowest.
- The median here, $91.25, is 10% above the US median of $83.00.
- That is 3.4× Medicare's 2026 national rate for the same service ($26.61).
- Washington ranks 30th of 48 states by median, cheapest first.
- 1 of 46 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 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$15.60Legacy Salmon Creek Medical Center
Median$91.25half of hospitals charge less
Highest$193.20in Washington
Lowest saves$75.65vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC IGP,RFXCOBAS HPV16/18 ALL PATH | $15.60 | $24.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $20.30 | $29.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Path Ref Miscellaneous | $24.42 | $48.84 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $31.94 | $110.74 | Sep 30, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MN LAB | $32.20 | $46.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $33.60 | $48.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $33.68 | $110.74 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $33.71 | $110.74 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $34.06 | $110.74 | Sep 30, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Cytopat,Cer/Vag,Thin Layer,Man Res,Inter | $36.00 | $40.00 | Aug 10, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $38.61 | $116.57 | Feb 28, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC LIQUID-BASED PAP AUTOMATED | $40.67 | $110.74 | Sep 30, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Pap test, automated thin layer preparation; automated system and manual rescreening | $46.75 | $55.00 | Oct 7, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $48.30 | $69.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC LIQUID-BASED PAP AUTOMATED | $51.45 | $116.57 | Feb 28, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA N/A | $53.58 | $94.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA Pap IG (Image Guided) LC | $63.05 | $97.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $69.16 | $133.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $69.16 | $133.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA CYTOPATH, MAN RESCREEN, UNDER PHYS SUPERV | $80.58 | $158.00 | Jan 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Pap test, automated thin layer preparation | $80.80 | $101.00 | Jun 24, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys | $84.70 | $121.00 | Mar 12, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS # | $90.20 | $164.00 | Jan 1, 2025 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA CYTOPATH C/V AUTO FLUID REDO | $92.30 | $142.00 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $94.90 | $146.00 | Mar 21, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Pap test, automated thin layer preparation; automated system and manual rescreening | $104.40 | $104.40 | Sep 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA CYTP C/V AUTO THIN LYR PRP SCR | $109.79 | $129.17 | Sep 14, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC THIN PREP PAP SMEAR | $113.60 | $142.00 | Mar 26, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA CYTOPATH CERV/VAG THIN LAY PREP;AUTO& MN | $116.80 | $146.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC THIN PREP PAP SMEAR | $119.20 | $149.00 | Mar 26, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS CDM | $129.00 | $172.00 | Oct 23, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER_LC | $136.28 | $234.97 | Apr 14, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Pap test, automated thin layer preparation; automated system and manual rescreening | $139.20 | $174.00 | Oct 27, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Pap test, automated thin layer preparation; automated system and manual rescreening | $148.00 | $185.00 | Aug 6, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA Cytopathology - PAP | $148.95 | $198.60 | Mar 10, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Pap test, automated thin layer preparation; automated system and manual rescreening | $149.04 | $276.00 | Aug 31, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA AUTOMATED PAP REQ MANL REVIE | $154.40 | $193.00 | May 15, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $165.60 | $345.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $165.60 | $345.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS LAB | $165.60 | $345.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS LAB | $165.60 | $345.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $173.55 | $267.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $173.55 | $267.00 | Mar 21, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $179.40 | $345.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $192.50 | $275.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $193.20 | $276.00 | 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 | 17 | $24.42 | $84.70 |
| Spokane-Spokane Valley, WA | 4 | $32.20 | $40.95 |
| Kennewick-Richland, WA | 3 | $53.58 | $90.20 |
| Wenatchee-East Wenatchee, WA | 3 | $36.00 | $104.40 |
| Mount Vernon-Anacortes, WA | 2 | $92.30 | $105.75 |
| Port Townsend, WA | 2 | $139.20 | $143.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $15.60 | $94.58 |
| Aberdeen, WA | 1 | $149.04 | $149.04 |
| Bellingham, WA | 1 | $94.90 | $94.90 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $51.45 | $51.45 |
| Centralia, WA | 1 | $69.16 | $69.16 |
| Ellensburg, WA | 1 | $46.75 | $46.75 |
| Ilwaco, WA | 1 | $129.00 | $129.00 |
| Longview-Kelso, WA | 1 | $173.55 | $173.55 |
| Olympia-Lacey-Tumwater, WA | 1 | $69.16 | $69.16 |
| Port Angeles, WA | 1 | $80.80 | $80.80 |
| Republic, WA | 1 | $109.79 | $109.79 |
| Shelton, WA | 1 | $148.95 | $148.95 |
| Walla Walla, WA | 1 | $20.30 | $20.30 |
| Yakima, WA | 1 | $63.05 | $63.05 |
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
- Virginia$98.00
- West Virginia$82.00
- Wisconsin$105.28
- Wyoming$100.41
Median cash price across the state's hospitals.