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 |
|---|---|---|---|
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $13.65 | $3.07 – $39.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $13.65 | $3.07 – $39.00 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $13.67 | $4.27 – $16.56 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $13.80 | $4.06 – $8.54 |
| Henry Ford St John Hospital | Detroit, MI | $14.00 | $3.48 – $10.07 |
| Henry Ford River District Hospital | China Township, MI | $14.17 | $4.06 – $10.07 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $14.18 | $3.41 – $30.38 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $14.56 | $4.27 – $8.39 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $14.95 | $3.80 – $15.75 |
| Providence Seaside Hospital | Seaside, OR | $15.00 | not published |
| Rochester General Hospital | Rochester, NY | $15.44 | $3.76 – $5.51 |
| Newark Wayne Community Hospital | Newark, NY | $15.44 | $3.67 – $6.66 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $15.44 | $2.85 – $5.12 |
| Henry Ford Providence Novi Hospital | Novi, MI | $15.68 | $2.48 – $7.68 |
| Henry Ford Warren Hospital | Warren, MI | $15.68 | $4.06 – $10.07 |
| Providence Medford Medical Center | Medford, OR | $16.50 | $3.42 – $8.54 |
| Providence Newberg Medical Center | Newberg, OR | $16.50 | $4.20 – $7.81 |
| Providence Portland Medical Center | Portland, OR | $16.50 | $4.20 – $8.54 |
| Providence St Vincent Medical Center | Portland, OR | $16.50 | $4.20 – $8.54 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $16.50 | $4.20 – $8.54 |
| Providence Milwaukie Hospital | Milwaukie, OR | $16.50 | $4.20 – $8.54 |
| 62-1138045 BMH Union City | Union City, TN | $16.80 | $3.71 – $8.54 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $17.10 | $4.48 – $16.48 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $17.16 | $4.18 – $9.12 |
| St Ritas Medical Center | Lima, OH | $17.40 | not published |
| 26-1214372 NEA Baptist | Jonesboro, AR | $17.48 | $2.47 – $8.54 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $17.49 | $4.27 – $18.32 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | $17.49 | $3.87 – $53.65 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $17.60 | $3.90 – $17.64 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $17.60 | $3.90 – $18.99 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $17.60 | $4.10 – $22.82 |
| WellSpan Good Samaritan Hospital | Lebanon, PA | $17.60 | $4.27 – $22.51 |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $17.60 | $3.90 – $19.39 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $17.60 | $3.90 – $17.64 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $17.60 | $4.27 – $8.97 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $17.60 | $4.27 – $8.97 |
| Kettering Health Dayton (Grandview) | Dayton, OH | $17.60 | $4.27 – $8.97 |
| Soin Medical Center | Beaver Creek, OH | $17.60 | $4.27 – $8.97 |
| Kettering Health Greene Memorial | Xenia, OH | $17.60 | $4.27 – $8.97 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $17.60 | $4.27 – $8.97 |
| Kettering Health Troy | Troy, OH | $17.60 | $4.27 – $8.97 |
| Sunnyside Medical Center | CLACKAMAS, OR | $17.85 | $5.00 – $5.00 |
| Westside Medical Center | HILLSBORO, OR | $17.85 | $5.00 – $5.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $17.99 | $3.73 – $22.66 |
| Virginia Mason Medical Center | Seattle, WA | $18.36 | $2.99 – $13.35 |
| Moanalua Medical Center | HONOLULU, HI | $18.75 | $4.00 – $4.00 |
| MultiCare Valley Hospital | Spokane Valley, WA | $18.80 | $4.27 – $7.74 |
| MultiCare Deaconess Hospital | Spokane, WA | $18.80 | $4.18 – $7.74 |
| akron general | Akron, OH | $18.85 | $0.95 – $26.10 |
| avon hospital | Avon, OH | $18.85 | $0.95 – $26.10 |