Ohio · 88174

Pap Test, Automated Thin Layer Preparation; Automated System in Ohio

Ohio Medicare Avg
$24.81
0% above national avg
National Medicare Avg
$24.79
All states combined
Billed Charge (OH)
$59.37
What providers submit
Est. Commercial (OH)
$52.10
National avg: $55.54
Est. Cash / Self-Pay (OH)
$34.93
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.8K
Services in OH
3
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Ohio

Provider Medicare Services
Tsao, Lawrence MD $24.81 1.8K

Ohio Pricing in Context

In Ohio, CPT code 88174 (Pap Test, Automated Thin Layer Preparation; Automated System) carries an average Medicare payment of $24.81 — 0% above the national benchmark of $24.79. 3 providers across the state submitted claims for this procedure in 2023, performing 1.8K total services. Individual payments in OH ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Ohio is $59.37, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Ohio sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in Ohio lands near $52.10, with self-pay cash prices typically around $34.93. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Pap Test, Automated Thin Layer Preparation; Automated System cost in Ohio?

The average Medicare payment for Pap Test, Automated Thin Layer Preparation; Automated System in Ohio is $24.81, which is 0% above the national average of $24.79. Providers in OH typically bill $59.37 for this procedure.

What does Pap Test, Automated Thin Layer Preparation; Automated System cost with insurance in Ohio?

With commercial insurance in Ohio, Pap Test, Automated Thin Layer Preparation; Automated System costs an estimated $52.10. Without insurance, the estimated cash price is $34.93. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Pap Test, Automated Thin Layer Preparation; Automated System in Ohio?

3 providers in Ohio billed Medicare for Pap Test, Automated Thin Layer Preparation; Automated System in 2023, performing 1.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Pap Test, Automated Thin Layer Preparation; Automated System cheaper in Ohio than the national average?

No — Pap Test, Automated Thin Layer Preparation; Automated System costs 0% above the national average in Ohio. The state average Medicare payment is $24.81 compared to $24.79 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial