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 |
|---|---|---|---|
| HSHS Holy Family Hospital | GREENVILLE, IL | $62.64 | $4.27 – $10.68 |
| Sanford Canby Medical Center | Canby, MN | $63.20 | $19.13 – $71.10 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $63.53 | $3.59 – $31.72 |
| California Hospital Medical Center | Los Angeles, CA | $63.54 | $4.27 – $103.49 |
| Arizona General Hospital Laveen | Phoenix, AZ | $63.67 | $2.56 – $227.13 |
| Sanford Hospital Webster | Webster, SD | $64.00 | $25.12 – $72.00 |
| Houston Methodist Hospital | Houston, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist West Hospital | Houston, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist Baytown Hospital | Baytown, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist Willowbrook Hospital | Houston, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $64.00 | $4.27 – $8.33 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $64.00 | $4.27 – $17.76 |
| Houston Methodist Continuing Care Hospital | Katy, TX | $64.00 | not published |
| Houston Methodist Cypress Hospital | Cypress, TX | $64.00 | $4.27 – $17.76 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $64.46 | $2.38 – $13.09 |
| Northridge Hospital Medical Center | Northridge, CA | $65.29 | $4.27 – $234.00 |
| CHI Health Nebraska Heart | Lincoln, NE | $65.32 | $4.14 – $116.44 |
| ST HELENA HOSPITAL | Vallejo, CA | $65.40 | $4.27 – $49.31 |
| Reynolds Memorial Hospital | Glen Dale, WV | $65.50 | $2.78 – $6.75 |
| Adventhealth Tampa | Tampa, FL | $65.91 | $4.27 – $9.48 |
| Adventhealth Riverview | Riverview, FL | $65.91 | not published |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $65.91 | $4.27 – $9.48 |
| Adventhealth Carrollwood | Tampa, FL | $65.91 | $4.27 – $9.48 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $66.00 | $2.02 – $79.20 |
| University Hospitals Elyria Medical Center | Elyria, OH | $66.00 | $4.27 – $7.69 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $66.00 | $4.27 – $7.69 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $66.00 | $2.43 – $7.69 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $66.00 | $4.27 – $7.69 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $66.00 | $4.27 – $7.69 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $66.00 | $4.27 – $8.54 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $66.00 | $4.27 – $7.69 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $66.00 | $4.27 – $79.20 |
| Waldo County General Hospital | Belfast, ME | $67.00 | $3.46 – $50.25 |
| Sanford Sheldon Medical Center | Sheldon, IA | $68.00 | $24.23 – $76.50 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $68.64 | $3.63 – $8.54 |
| Arizona General Hospital Mesa | Mesa, AZ | $68.67 | $2.56 – $227.13 |
| St Francis Medical Center | Midlothian, VA | $69.60 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $69.60 | not published |
| Richmond Community Hospital | Richmond, VA | $69.60 | not published |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $69.84 | $27.07 – $29.78 |
| UPMC Horizon-Greenville | Greenville, PA | $70.20 | $3.82 – $8.01 |
| St Mary's Hospital | Richmond, VA | $70.20 | not published |
| Chandler Regional Medical Center | Chandler, AZ | $70.22 | $2.38 – $14.28 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $70.35 | $4.27 – $11.38 |
| UPMC Muncy | Muncy, PA | $70.80 | $4.22 – $6.65 |
| UPMC Williamsport | Williamsport, PA | $70.80 | $4.22 – $4.99 |
| MUSC Health Florence Medical Center | Florence, SC | $71.00 | $2.44 – $4.70 |
| Emory Decatur Hospital | Decatur, GA | $71.00 | $3.20 – $9.05 |
| Emory Hillandale Hospital | Lithonia, GA | $71.00 | $3.20 – $9.05 |