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
778
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 | 23 | $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 | 34 | $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 |
|---|---|---|---|
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $115.92 | $3.59 – $33.86 |
| AdventHealth Parker | Parker, CO | $117.37 | $4.18 – $7.90 |
| AdventHealth Littleton | Littleton, CO | $117.37 | $4.18 – $7.90 |
| AdventHealth Porter | Denver, CO | $117.37 | $4.18 – $7.90 |
| AdventHealth Avista | Louisville, CO | $117.37 | $4.18 – $7.90 |
| AdventHealth Castle Rock | Castle Rock, CO | $117.37 | $4.18 – $7.90 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $118.30 | $4.27 – $15.37 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $118.80 | $3.20 – $34.76 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | $119.00 | $3.71 – $6.19 |
| OSF Saint Anthony Medical Center | Rockford, IL | $119.40 | $4.27 – $14.94 |
| Banner Page Hospital | Page, AZ | $120.40 | $4.27 – $60.80 |
| Mercy Hospital Ozark | River Ozark, AR | $122.85 | $3.80 – $15.75 |
| Mercy Hospital Paris | Academy Paris, AR | $122.85 | $3.80 – $15.75 |
| Mercy Hospital Waldron | Waldron, AR | $122.85 | $3.80 – $15.75 |
| Mercy Hospital Boonville | Booneville, AR | $122.85 | $3.80 – $15.75 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $131.40 | $2.65 – $9.74 |
| UPMC Presbyterian | Pittsburgh, PA | $134.40 | $3.90 – $8.76 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | $134.75 | $4.27 – $6.23 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $135.20 | $4.23 – $20.71 |
| Community Hospital | Torrington, WY | $135.24 | $28.16 – $62.08 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $135.60 | $2.65 – $9.74 |
| OSF Saint Francis Medical Center | Peoria, IL | $135.60 | $4.27 – $9.10 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $137.40 | $2.65 – $9.74 |
| Sanford Westbrook Hospital | Westbrook, MN | $140.80 | $42.61 – $158.40 |
| Sanford Tracy Hospital | Tracy, MN | $140.80 | $42.61 – $158.40 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $142.20 | $2.65 – $9.74 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | $142.20 | $2.65 – $9.74 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $142.20 | $2.65 – $9.74 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $142.20 | $2.65 – $9.74 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $142.20 | $2.65 – $9.74 |
| East Morgan County Hospital | Brush, CO | $143.62 | $26.97 – $62.08 |
| United Hospital Center | Bridgeport, WV | $144.50 | $4.03 – $6.75 |
| Camden Clark Medical Center | Parkersburg, WV | $144.50 | $4.03 – $6.75 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $145.60 | $3.48 – $10.37 |
| Ogallala Community Hospital | Ogallala, NE | $147.71 | $28.16 – $62.08 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | $148.81 | $2.56 – $17.47 |
| Platte County Hospital | Wheatland, WY | $150.93 | $30.72 – $62.08 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $152.00 | $4.27 – $4.36 |
| Washakie Medical Center | Worland, WY | $152.22 | $30.72 – $62.08 |
| Texas Health Hospital Mansfield | Mansfield, TX | $154.42 | $4.27 – $18.94 |
| Providence Holy Family Hospital | Spokane, WA | $154.70 | $4.27 – $18.21 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $156.00 | $2.99 – $43.91 |
| NewYork-Presbyterian Queens | Flushing, NY | $156.00 | $2.99 – $44.36 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $156.00 | $2.99 – $98.53 |
| OSF Holy Family Medical Center | Monmouth, IL | $156.80 | not published |
| Providence St Joseph Hospital Eureka | Eureka, CA | $160.14 | $4.27 – $49.93 |
| Dominican Hospital | Santa Cruz, CA | $160.65 | $4.27 – $303.45 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $167.20 | $3.20 – $42.45 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $180.55 | $3.59 – $17.47 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $187.00 | $3.65 – $30.58 |