Tissue exam koh skin/hair/nails cost at US hospitals
HC Tissue Exam Koh Skin/Hair/Nails · CPT 87220
$3.52
lowest cash price
$47.40
national median
$459.35
highest cash price
775
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3.52–$459.35 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($4.27) → Sep 1, 2026 ($50.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $60.48 | $60.84 | $92.82 |
| Arizona | 23 | $35.05 | $50.31 | $120.40 |
| Arkansas | 11 | $7.14 | $44.20 | $122.85 |
| California | 81 | $8.49 | $43.68 | $326.15 |
| Colorado | 17 | $31.17 | $117.37 | $459.35 |
| Florida | 66 | $9.19 | $85.26 | $305.88 |
| Georgia | 25 | $4.44 | $81.12 | $367.83 |
| Hawaii | 2 | $11.84 | $11.84 | $18.75 |
| Illinois | 46 | $22.11 | $62.64 | $156.80 |
| Indiana | 26 | $43.20 | $81.60 | $289.05 |
| Iowa | 27 | $28.60 | $38.58 | $84.50 |
| Kansas | 11 | $38.35 | $299.24 | $299.24 |
| Kentucky | 11 | $11.07 | $289.05 | $289.05 |
| Louisiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $24.00 | $27.00 | $67.00 |
| Michigan | 27 | $5.89 | $14.17 | $96.00 |
| Minnesota | 18 | $40.90 | $47.71 | $140.80 |
| Mississippi | 8 | $3.52 | $21.16 | $40.11 |
| Missouri | 20 | $9.75 | $53.30 | $55.55 |
| Montana | 2 | $43.20 | $43.20 | $54.40 |
| Nebraska | 13 | $44.94 | $60.18 | $147.71 |
| Nevada | 4 | $21.12 | $23.39 | $114.17 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | $4.27 | $4.70 | $4.70 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 22 | $4.27 | $4.27 | $156.00 |
| North Carolina | 14 | $37.00 | $48.95 | $89.50 |
| North Dakota | 4 | $28.80 | $28.80 | $28.80 |
| Ohio | 60 | $10.01 | $27.60 | $100.80 |
| Oklahoma | 17 | $21.09 | $56.55 | $197.45 |
| Oregon | 11 | $12.75 | $16.50 | $71.23 |
| Pennsylvania | 32 | $17.60 | $37.80 | $238.80 |
| South Carolina | 9 | $52.00 | $72.00 | $187.00 |
| South Dakota | 7 | $40.80 | $47.20 | $72.00 |
| Tennessee | 37 | $4.44 | $7.20 | $90.00 |
| Texas | 103 | $9.28 | $51.30 | $450.00 |
| Virginia | 43 | $6.90 | $45.00 | $397.00 |
| Washington | 32 | $8.40 | $24.05 | $154.70 |
| West Virginia | 6 | $10.00 | $24.50 | $144.50 |
| Wisconsin | 35 | $6.89 | $30.00 | $225.50 |
| Wyoming | 4 | $26.88 | $135.24 | $152.22 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $51.30 | $3.59 – $17.14 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $51.30 | $4.27 – $17.14 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $51.30 | $3.59 – $17.14 |
| New Ulm Medical Center | MN 56073, MN | $51.52 | $3.97 – $59.90 |
| MUSC Health Black River Medical Center | Cades, SC | $52.00 | $2.44 – $11.86 |
| Banner Desert Medical Center | Mesa, AZ | $52.46 | $4.27 – $48.00 |
| Providence St Peter Hospital | Olympia, WA | $52.52 | $3.63 – $23.91 |
| St. Mary Medical Center | Long Beach, CA | $52.89 | $2.50 – $26.75 |
| Mercy Hospital Stoddard | Dexter, MO | $53.30 | $3.84 – $14.95 |
| Adventhealth Sebring | Sebring, FL | $53.72 | $4.38 – $9.70 |
| Banner Thunderbird Medical Center | Glendale, AZ | $54.40 | $4.27 – $48.00 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $54.40 | $4.31 – $13.18 |
| UPMC Hamot | Erie, PA | $55.20 | $3.90 – $8.68 |
| CHI Health Mercy Corning | Corning, IA | $55.20 | $4.27 – $85.26 |
| Mercy Hospital Lincoln | Troy, MO | $55.25 | $4.27 – $6.05 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $55.55 | $4.27 – $17.60 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $55.55 | $4.27 – $17.60 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $55.55 | $4.27 – $17.60 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $55.55 | $4.27 – $17.60 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $55.55 | $4.27 – $17.60 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $55.55 | $4.27 – $17.60 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $55.90 | $3.80 – $5.34 |
| Mercy Hospital Healdton | Healdton, OK | $55.90 | $3.80 – $5.34 |
| MercyOne North Iowa Medical Center | Mason City, IA | $55.90 | $4.14 – $86.00 |
| CHI Health St. Elizabeth | Lincoln, NE | $56.00 | $4.14 – $81.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $56.09 | $3.59 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $56.09 | $3.59 – $84.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $56.09 | $3.59 – $84.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $56.09 | $6.26 – $74.79 |
| CHI Health Missouri Valley | Missouri Valley, IA | $56.35 | $4.27 – $85.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $56.37 | $6.26 – $84.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $56.37 | $3.84 – $84.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $56.37 | $3.59 – $84.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $56.37 | $3.59 – $70.46 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $56.37 | $3.59 – $84.56 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $56.55 | $3.80 – $10.37 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $57.62 | $4.27 – $48.00 |
| Banner Estrella Medical Center | Phoenix, AZ | $58.26 | $4.27 – $48.00 |
| Mercy Hospital Logan County | Guthrie, OK | $58.50 | $3.80 – $32.68 |
| Mercy Hospital Watonga | Watonga, OK | $58.50 | $3.80 – $5.34 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $58.50 | $3.80 – $5.34 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $59.50 | $0.73 – $38.84 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $59.50 | not published |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $59.99 | $4.14 – $60.80 |
| CHI Health St. Francis | Grand Island, NE | $60.18 | $4.14 – $95.88 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $60.20 | $4.27 – $4.27 |
| St Elias Specialty Hospital | Anchorage, AK | $60.48 | $4.14 – $8.51 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $60.66 | $1.53 – $241.74 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $60.72 | $4.27 – $5.55 |
| Providence Seward Hospital | Seward, AK | $60.84 | not published |