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 FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $3.87 – $52.75 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $3.84 – $50.41 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $4.06 – $54.55 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $3.87 – $49.90 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $3.87 – $49.08 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $3.87 – $49.84 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $3.87 – $52.75 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | not published | $3.87 – $52.75 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $4.23 – $56.66 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $3.59 – $18.14 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $3.59 – $21.78 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $3.71 – $18.35 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $3.71 – $18.35 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $3.28 – $19.61 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $4.24 – $17.28 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $4.27 – $19.61 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $3.71 – $19.09 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $1.92 – $12.81 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $1.92 – $12.81 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $1.92 – $12.81 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $1.92 – $12.81 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $1.92 – $12.81 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $1.92 – $12.81 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $4.13 – $4.40 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $2.56 – $16.81 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | not published | $4.27 – $11.19 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $2.56 – $16.81 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $4.27 – $7.33 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $4.27 – $4.70 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $2.44 – $4.70 |
| WellSpan Newberry Hospital | Etters, PA | not published | not published |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $3.84 – $40.44 |
| Gouverneur Hospital | Gouverneur, NY | not published | $4.14 – $55.54 |
| Massena Hospital | Massena, NY | not published | $4.27 – $32.95 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $3.59 – $11.19 |
| Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) | Carmel, IN | not published | $2.65 – $9.74 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $4.27 – $18.94 |
| Parkview Logansport Hospital | Logansport, IN | not published | $4.27 – $9.01 |
| Parkview Bryan Hospital | Bryan, OH | not published | $4.27 – $12.81 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $1.92 – $7.73 |
| Parkwest Medical Center | Knoxville, TN | not published | $1.92 – $7.73 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $1.92 – $7.73 |
| LeConte Medical Center | Sevierville, TN | not published | $1.92 – $7.73 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $1.92 – $7.73 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $1.92 – $7.73 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $2.14 – $22.78 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $4.57 – $6.86 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $1.92 – $7.73 |
| Claiborne Medical Center | Tazewell, TN | not published | $1.92 – $7.73 |
| Roane County Medical Center | Harriman, TN | not published | $1.92 – $7.73 |