88142

Pap test, manual screening

Medicare pricing data for 641 providers across 39 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Pap test, manual screening (HCPCS code 88142) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.73, but hospitals typically charge $79.67 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.73, your out-of-pocket cost would be approximately $3.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.73
Average Hospital Charge
$79.67
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$79.67
Medicare Allowed$19.73
Medicare Payment$19.73

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $19.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$20$946227+0.6%
Indiana$20$66217+0.6%
Kansas$20$6012276+0.6%
Massachusetts$20$929308+0.6%
Missouri$20$884122+0.6%
Nevada$20$93336+0.6%
New Mexico$20$163414+0.6%
New York$20$88296,744+0.6%
North Carolina$20$6210658+0.6%
Oklahoma$20$561055+0.6%
Pennsylvania$20$949125+0.6%
South Carolina$20$717181+0.6%
Virginia$20$5010296+0.6%
West Virginia$20$791156+0.6%
Wyoming$20$148466+0.6%
Puerto Rico$20$2613799+0.6%
Arizona$20$654134+0.6%
Arkansas$20$561154+0.6%
Connecticut$20$1016165+0.6%
Florida$20$83192,254+0.6%
Maryland$20$8512970+0.5%
Tennessee$20$10317713+0.5%
California$20$881063,700+0.5%
Texas$20$70772,001+0.3%
Iowa$20$668216+0.2%
Colorado$20$9610164+0.1%
Idaho$20$577112+0.1%
Mississippi$20$5610115+0.1%
New Jersey$20$81181,9500.0%
Nebraska$20$70479-0.5%
Hawaii$20$854100-0.6%
Illinois$20$6083705-1.1%
Ohio$20$5313471-1.1%
Minnesota$20$6919402-1.2%
Wisconsin$19$10910167-2.3%
Washington$19$619143-4.2%
Kentucky$19$56417-5.3%
Oregon$19$689143-6.1%
Alabama$15$5121297-25.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber