88175

Pap test, automated thin layer preparation; automated system and manual rescreening

Medicare pricing data for 1,048 providers across 49 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, automated thin layer preparation; automated system and manual rescreening (HCPCS code 88175) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.97, but hospitals typically charge $96.86 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.19

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.97, your out-of-pocket cost would be approximately $5.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.97
Average Hospital Charge
$96.86
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$96.86
Medicare Allowed$25.97
Medicare Payment$25.97

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $25.97 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$26$676230+0.4%
Idaho$26$455203+0.4%
Iowa$26$745715+0.4%
Massachusetts$26$109741,476+0.4%
Michigan$26$7012310+0.4%
Missouri$26$10713594+0.4%
Montana$26$592222+0.4%
Nebraska$26$7010119+0.4%
New Mexico$26$1264672+0.4%
Rhode Island$26$78116+0.4%
Puerto Rico$26$2771,156+0.4%
California$26$8112213,760+0.4%
New York$26$1224217,534+0.3%
West Virginia$26$10442,315+0.3%
Wyoming$26$99616+0.3%
Louisiana$26$635623+0.3%
Nevada$26$1166580+0.3%
Florida$26$953112,993+0.3%
Tennessee$26$102516,108+0.3%
North Carolina$26$95225,684+0.2%
Oklahoma$26$6418874+0.2%
Texas$26$906715,080+0.2%
Arizona$26$7841,387+0.2%
Colorado$26$112151,126+0.2%
Kansas$26$9616641+0.2%
Maryland$26$102103,354+0.2%
Ohio$26$78251,741+0.2%
Pennsylvania$26$103111,434+0.1%
New Jersey$26$991417,062+0.0%
Delaware$26$912183-0.0%
Oregon$26$8116666-0.1%
Indiana$26$44391,739-0.1%
Alabama$26$98131,863-0.2%
Arkansas$26$69301,330-0.2%
Georgia$26$1135585-0.3%
New Hampshire$26$651147-0.3%
South Dakota$26$817135-0.3%
South Carolina$26$806229-0.3%
North Dakota$26$114968-0.5%
Washington$26$78241,209-0.5%
Virginia$26$7237204-0.6%
Utah$26$104768-1.0%
Illinois$25$105221,867-1.9%
Wisconsin$25$134212,988-2.3%
Kentucky$25$826576-3.0%
Minnesota$25$82138193-3.2%
Mississippi$25$7337552-3.7%
Connecticut$25$12381,883-4.7%
Maine$23$43218-10.3%

⚠️ 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