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 |
|---|---|---|---|
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $7.20 | $2.14 – $11.56 |
| Holston Valley Medical Center | KINGSPORT, TN | $7.20 | $2.14 – $10.52 |
| Indian Path Community Hospital | KINGSPORT, TN | $7.20 | $2.14 – $10.25 |
| Johnson City Medical Center | JOHNSON CITY, TN | $7.20 | $2.14 – $10.33 |
| Johnston Memorial Hospital | ABINGDON, VA | $7.20 | $2.14 – $10.36 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $7.20 | $2.14 – $10.68 |
| Russell County Hospital | LEBANON, VA | $7.20 | $4.27 – $10.36 |
| Smyth County Community Hospital | MARION, VA | $7.20 | $4.27 – $10.36 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $7.20 | $2.14 – $11.21 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $8.40 | $4.42 – $7.66 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $8.49 | $4.27 – $18.27 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $8.58 | $4.27 – $18.50 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $9.19 | $4.27 – $16.56 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $9.24 | $2.48 – $14.11 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $9.28 | $3.84 – $37.40 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $9.28 | $3.84 – $39.60 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $9.28 | $3.84 – $39.60 |
| St. Joseph Health College Station Hospital | College Station, TX | $9.28 | $3.59 – $37.40 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $9.75 | $3.84 – $15.34 |
| West Virginia University Hospitals | Morgantown, WV | $10.00 | $2.78 – $6.75 |
| Morrow County Hospital | Mount Gilead, OH | $10.01 | $5.54 – $33.75 |
| UPMC Chautauqua | Jamestown, NY | $10.20 | $3.90 – $15.30 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $10.36 | $4.27 – $16.56 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $11.00 | $3.91 – $11.91 |
| Corewell Health Taylor | Taylor, MI | $11.00 | $3.97 – $11.91 |
| Corewell Health Trenton | Trenton, MI | $11.00 | $3.94 – $11.91 |
| Corewell Health Troy | Troy, MI | $11.00 | $3.97 – $11.91 |
| Corewell Health Wayne | Wayne, MI | $11.00 | $3.90 – $11.91 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $11.07 | $3.63 – $28.21 |
| MultiCare Auburn Medical Center | Auburn, WA | $11.20 | $4.18 – $8.37 |
| MultiCare Covington Medical Center | Covington, WA | $11.20 | $4.18 – $8.37 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $11.20 | $4.18 – $8.37 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $11.20 | $4.27 – $18.08 |
| MultiCare Allenmore Hospital | Tacoma, WA | $11.20 | $4.18 – $8.37 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $11.22 | $0.60 – $38.84 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $11.40 | $4.27 – $16.48 |
| Rappahannock General Hospital | Kilmarnock, VA | $11.40 | not published |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $11.40 | $4.27 – $16.48 |
| CHI St. Vincent North | Sherwood, AR | $11.44 | $3.22 – $11.21 |
| Mercy Medical Center Redding | Redding, CA | $11.73 | $3.73 – $11.00 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $11.80 | $0.73 – $57.56 |
| CASTLE MEDICAL CENTER | Kailua, HI | $11.84 | $1.11 – $45.50 |
| Mercy Medical Center Merced | Merced, CA | $11.91 | $4.27 – $21.74 |
| Providence Hood River Memorial Hospital | Hood River, OR | $12.75 | not published |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $12.81 | $0.73 – $42.24 |
| St. Joseph's Behavioral Health Center | Stockton, CA | $13.21 | $2.32 – $18.50 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $13.51 | $3.73 – $11.76 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $13.65 | $3.07 – $39.00 |
| Baylor St Luke's Medical Center | Houston, TX | $13.65 | $3.07 – $39.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $13.65 | $3.07 – $39.00 |