Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode
Medicare pricing data for 2,849 providers across 51 states
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, evaluation of fine needle aspirate, immediate, each additional evaluation episode (HCPCS code 88177) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.57, but hospitals typically charge $99.62 — a 4.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.57, your out-of-pocket cost would be approximately $4.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $18.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $28 | $78 | 2 | 34 | +30.6% |
| Delaware | $28 | $77 | 16 | 438 | +30.2% |
| District of Columbia | $27 | $109 | 7 | 103 | +24.4% |
| California | $24 | $112 | 244 | 5,113 | +11.2% |
| Puerto Rico | $24 | $25 | 12 | 150 | +10.2% |
| Virginia | $23 | $83 | 62 | 1,045 | +7.9% |
| New York | $23 | $100 | 161 | 4,084 | +4.5% |
| Connecticut | $22 | $96 | 48 | 836 | +3.1% |
| Maryland | $22 | $72 | 56 | 728 | +2.1% |
| Hawaii | $22 | $61 | 17 | 493 | +1.9% |
| Arizona | $22 | $76 | 63 | 1,239 | +1.6% |
| New Jersey | $22 | $97 | 77 | 1,598 | +1.2% |
| Washington | $22 | $89 | 74 | 811 | +0.9% |
| Massachusetts | $22 | $104 | 101 | 1,437 | +0.8% |
| Rhode Island | $22 | $51 | 8 | 118 | -0.2% |
| Colorado | $22 | $70 | 82 | 926 | -0.2% |
| New Hampshire | $22 | $103 | 11 | 140 | -0.3% |
| Illinois | $21 | $129 | 201 | 5,175 | -1.2% |
| Montana | $21 | $64 | 15 | 143 | -1.6% |
| Pennsylvania | $21 | $73 | 163 | 2,768 | -1.6% |
| Florida | $21 | $103 | 140 | 1,965 | -1.7% |
| Tennessee | $21 | $78 | 73 | 853 | -1.8% |
| Georgia | $21 | $88 | 99 | 1,951 | -2.0% |
| North Dakota | $21 | $62 | 10 | 207 | -2.5% |
| Texas | $21 | $111 | 208 | 2,754 | -2.6% |
| Wyoming | $21 | $159 | 2 | 71 | -2.9% |
| Minnesota | $21 | $90 | 28 | 339 | -3.0% |
| Ohio | $21 | $110 | 162 | 4,601 | -3.2% |
| Michigan | $21 | $80 | 60 | 1,180 | -3.2% |
| North Carolina | $21 | $73 | 72 | 2,124 | -3.2% |
| Missouri | $21 | $92 | 46 | 487 | -3.5% |
| Vermont | $21 | $109 | 13 | 331 | -3.9% |
| New Mexico | $21 | $92 | 18 | 226 | -4.4% |
| Maine | $21 | $54 | 12 | 119 | -4.5% |
| Mississippi | $21 | $75 | 21 | 306 | -4.7% |
| Utah | $21 | $96 | 22 | 342 | -4.8% |
| Oregon | $21 | $68 | 25 | 487 | -4.9% |
| Wisconsin | $21 | $292 | 44 | 702 | -4.9% |
| Nebraska | $20 | $64 | 21 | 227 | -5.1% |
| South Carolina | $20 | $110 | 40 | 1,415 | -5.3% |
| Louisiana | $20 | $63 | 25 | 193 | -5.9% |
| Kansas | $20 | $41 | 11 | 89 | -5.9% |
| Alabama | $20 | $60 | 27 | 244 | -6.2% |
| Iowa | $20 | $90 | 41 | 1,567 | -6.4% |
| West Virginia | $20 | $73 | 17 | 127 | -6.5% |
| Oklahoma | $20 | $67 | 14 | 174 | -6.8% |
| Indiana | $20 | $111 | 55 | 1,338 | -7.4% |
| Kentucky | $20 | $81 | 43 | 750 | -7.5% |
| Idaho | $20 | $101 | 8 | 85 | -7.6% |
| Arkansas | $20 | $91 | 18 | 240 | -8.9% |
| Nevada | $20 | $76 | 13 | 246 | -9.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber