Maryland · G0476

Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test in Maryland

Maryland Medicare Avg
$34.39
0% above national avg
National Medicare Avg
$34.37
All states combined
Billed Charge (MD)
$131.45
What providers submit
Est. Commercial (MD)
$68.78
National avg: $76.99
Est. Cash / Self-Pay (MD)
$61.94
Typical self-pay discount

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

54
Services in MD
3
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Maryland

Provider Medicare Services
Quest Diagnostics Incorporated Md $34.39 52

Maryland Pricing in Context

In Maryland, CPT code G0476 (Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test) carries an average Medicare payment of $34.39 — 0% above the national benchmark of $34.37. 3 providers across the state submitted claims for this procedure in 2023, performing 54 total services. Individual payments in MD 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 Maryland is $131.45, 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 Maryland 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 Preventive Screening procedures, the estimated commercial insurance price in Maryland lands near $68.78, with self-pay cash prices typically around $61.94. 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 Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test cost in Maryland?

The average Medicare payment for Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test in Maryland is $34.39, which is 0% above the national average of $34.37. Providers in MD typically bill $131.45 for this procedure.

What does Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test cost with insurance in Maryland?

With commercial insurance in Maryland, Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test costs an estimated $68.78. Without insurance, the estimated cash price is $61.94. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test in Maryland?

3 providers in Maryland billed Medicare for Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test in 2023, performing 54 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test cheaper in Maryland than the national average?

No — Infectious Agent Detection By Nucleic Acid (dna Or Rna); Human Papillomavirus (hpv), High-Risk Types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) For Cervical Cancer Screening, Must Be Performed In Addition To Pap Test costs 0% above the national average in Maryland. The state average Medicare payment is $34.39 compared to $34.37 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