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 |
|---|---|---|---|
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $2.29 – $23.06 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $3.99 – $9.61 |
| Texas Health Hospital Rockwall | Rockwall, TX | not published | $3.59 – $8.37 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | not published | $3.59 – $8.37 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | not published | $3.59 – $8.37 |
| Covenant Health Hobbs Hospital | Hobbs, NM | not published | $4.27 – $5.98 |
| Marion General Hospital | Marion, OH | not published | $4.27 – $4.44 |
| Doctors Hospital | Columbus, OH | not published | $4.27 – $16.01 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $4.18 – $37.46 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $4.27 – $6.92 |
| Adventhealth Zephyrhills | Zephyrhills, FL | not published | $4.27 – $9.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $23.13 – $26.79 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | not published | $4.06 – $4.48 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $4.06 – $8.74 |
| Sanford Medical Center Bismarck | Bismarck, ND | not published | $4.06 – $8.74 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $4.06 – $4.48 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $4.06 – $4.48 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $50.05 – $50.05 |
| Healdsburg Hospital | Healdsburg, CA | not published | $4.27 – $19.92 |
| Queen of The Valley Medical Center | Napa, CA | not published | $4.27 – $44.03 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $4.18 – $6.92 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale, WI | not published | $4.14 – $7.65 |
| Southeastern Medical Center | Cambridge, OH | not published | $4.27 – $4.44 |
| Grant Medical Center | Columbus, OH | not published | $4.27 – $16.01 |
| Berger Hospital | Circleville, OH | not published | $4.27 – $4.27 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $4.18 – $6.92 |
| Stephens Memorial Hospital | Norway, ME | not published | $4.27 – $8.82 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $3.20 – $18.92 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $2.56 – $16.81 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $3.20 – $18.92 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $3.20 – $15.48 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $3.59 – $16.81 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $4.27 – $4.48 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $3.84 – $16.95 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | not published | $5.83 – $10.07 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $3.87 – $15.43 |
| Pen Bay Medical Center | Rockport, ME | not published | $4.27 – $8.82 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $3.87 – $15.43 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $3.16 – $8.69 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $4.27 – $18.29 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | not published | $4.27 – $6.40 |
| Dublin Methodist Hospital | Dublin, OH | not published | $4.27 – $16.01 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $3.84 – $16.44 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $4.18 – $25.57 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $4.18 – $25.83 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $4.18 – $24.30 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $4.18 – $24.79 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $4.27 – $13.98 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $4.27 – $6.92 |
| Adventhealth Dade City | Dade City, FL | not published | $4.27 – $9.68 |