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 |
|---|---|---|---|
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $187.00 | $3.65 – $29.26 |
| Baptist Hospital | MIAMI, FL | $196.95 | $3.24 – $272.70 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $196.95 | $4.27 – $272.70 |
| Doctors Hospital | CORAL GABLES, FL | $196.95 | $4.27 – $272.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $196.95 | $4.27 – $272.70 |
| Fishermens Community Hospital | MARATHON, FL | $196.95 | $5.00 – $272.70 |
| Homestead Hospital | HOMESTEAD, FL | $196.95 | $3.24 – $272.70 |
| Mariners Hospital | TAVERNIER, FL | $196.95 | $5.00 – $272.70 |
| West Kendall Baptist Hospital | MIAMI, FL | $196.95 | $4.27 – $272.70 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $197.45 | $3.00 – $9.14 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $198.03 | $3.52 – $18.14 |
| HCA HOUSTON PEARLAND | Pearland, TX | $211.14 | $3.59 – $18.14 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | $218.00 | $3.28 – $4.57 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $225.50 | $3.20 – $33.98 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $234.84 | $4.27 – $7.80 |
| UPMC Community Osteopathic | Harrisburg, PA | $238.80 | $3.90 – $30.35 |
| UPMC Hanover | Hanover, PA | $238.80 | $3.90 – $6.83 |
| UPMC Lititz | Lititz, PA | $238.80 | $3.90 – $6.83 |
| UPMC Memorial | York, PA | $238.80 | $3.90 – $25.02 |
| UPMC Somerset | Somerset, PA | $238.80 | $4.22 – $5.42 |
| UPMC Carlisle | Carlisle, PA | $238.80 | $3.42 – $21.25 |
| Covenant Specialty Hospital | Lubbock, TX | $248.22 | not published |
| Covenant Medical Center | Lubbock, TX | $248.22 | $4.27 – $18.62 |
| Covenant Children's Hospital | Lubbock, TX | $248.22 | $9.35 – $18.62 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $249.75 | $4.23 – $57.12 |
| Redwood City Medical Center | Redwood City, CA | $254.80 | $3.00 – $3.00 |
| Oakland Medical Center | Oakland, CA | $254.80 | $3.00 – $3.00 |
| Sacramento Medical Center | SACRAMENTO, CA | $254.80 | $3.00 – $3.00 |
| San Leandro Medical Center | SAN LEANDRO, CA | $254.80 | $3.00 – $3.00 |
| Santa Clara Medical Center | SANTA CLARA, CA | $254.80 | $3.00 – $3.00 |
| San Rafael Medical Center | SAN RAFAEL, CA | $254.80 | $3.00 – $3.00 |
| Santa Rosa Medical Center | SANTA ROSA, CA | $254.80 | $3.00 – $3.00 |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $254.80 | $3.00 – $3.00 |
| South Sacramento Medical Center | SACRAMENTO, CA | $254.80 | $3.00 – $3.00 |
| Vacaville Medical Center | VACAVILLE, CA | $254.80 | $3.00 – $3.00 |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $254.80 | $3.00 – $3.00 |
| Vallejo Medical Center | VALLEJO, CA | $254.80 | $3.00 – $3.00 |
| Antioch Medical Center | ANTIOCH, CA | $254.80 | $3.00 – $3.00 |
| Fremont Medical Center | FREMONT, CA | $254.80 | $3.00 – $3.00 |
| Fresno Medical Center | FRESNO, CA | $254.80 | $3.00 – $3.00 |
| Roseville Medical Center | ROSEVILLE, CA | $254.80 | $3.00 – $3.00 |
| San Jose Medical Center | SAN JOSE, CA | $254.80 | $3.00 – $3.00 |
| San Francisco Medical Center | SAN FRANCISCO, CA | $254.80 | $3.00 – $3.00 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $255.09 | $2.14 – $16.69 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | $255.52 | $2.45 – $10.50 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | $255.52 | $2.45 – $54.14 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | $258.94 | $3.87 – $52.04 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | $266.00 | $3.71 – $6.19 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | $269.00 | $3.87 – $53.65 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $274.40 | $4.27 – $11.38 |