Washington · Q0091

Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory in Washington

Washington Medicare Avg
$38.70
8% below national avg
National Medicare Avg
$41.89
All states combined
Billed Charge (WA)
$104.70
What providers submit
Est. Commercial (WA)
$90.95
National avg: $93.82
Est. Cash / Self-Pay (WA)
$57.82
Typical self-pay discount

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

2.4K
Services in WA
971
Providers
N/A
Min Payment
N/A
Max Payment

Washington Pricing in Context

In Washington, CPT code Q0091 (Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory) carries an average Medicare payment of $38.70 — 8% below the national benchmark of $41.89. 971 providers across the state submitted claims for this procedure in 2023, performing 2.4K total services. Individual payments in WA 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 Washington is $104.70, 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 Washington sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Codes procedures, the estimated commercial insurance price in Washington lands near $90.95, with self-pay cash prices typically around $57.82. 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 Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory cost in Washington?

The average Medicare payment for Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory in Washington is $38.70, which is 8% below the national average of $41.89. Providers in WA typically bill $104.70 for this procedure.

What does Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory cost with insurance in Washington?

With commercial insurance in Washington, Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory costs an estimated $90.95. Without insurance, the estimated cash price is $57.82. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory in Washington?

971 providers in Washington billed Medicare for Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory in 2023, performing 2.4K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory cheaper in Washington than the national average?

Yes — Screening Papanicolaou Smear; Obtaining, Preparing And Conveyance Of Cervical Or Vaginal Smear To Laboratory costs 8% below the national average in Washington. The state average Medicare payment is $38.70 compared to $41.89 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