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 |
|---|---|---|---|
| Sanford Medical Center Mayville | Mayville, ND | $28.80 | $8.72 – $32.40 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $28.88 | $1.62 – $52.23 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $28.88 | $0.73 – $38.85 |
| WILLITS HOSPITAL INC | Willits, CA | $29.70 | $0.73 – $9.62 |
| Covenant Hospital Plainview | Plainview, TX | $29.82 | $4.14 – $4.50 |
| Adventhealth Fish Memorial | Orange City, FL | $29.88 | $4.06 – $8.13 |
| Mercy Primary Care - Bernie | Bernie, MO | $30.00 | $1.77 – $9.27 |
| Inova Alexandria Hospital | Alexandria, VA | $30.00 | $4.27 – $37.75 |
| Inova Fairfax Hospital | Falls Church, VA | $30.00 | $4.27 – $37.75 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $30.00 | $4.27 – $37.75 |
| Inova Loudoun Hospital | Leesburg, VA | $30.00 | $4.27 – $37.75 |
| Inova Mount Vernon Hospital | Alexandria, VA | $30.00 | $4.27 – $37.75 |
| Aurora Baycare Medical Center | Green Bay, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Bay Area | Marinette, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Burlington | Burlington, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Grafton | Grafton, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Kenosha | Kenosha, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | $30.00 | $3.42 – $14.98 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | $30.00 | $3.42 – $14.98 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Summit | Summit, WI | $30.00 | $3.42 – $14.98 |
| Aurora Medical Center Washington County | Hartford, WI | $30.00 | $3.42 – $14.98 |
| Aurora West Allis Medical Center | West Allis, WI | $30.00 | $3.42 – $14.98 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $30.02 | $1.39 – $43.53 |
| St. Michael Medical Center | Silverdale, WA | $30.03 | $4.27 – $52.66 |
| Banner Fort Collins Medical Center | Fort Collins, CO | $31.17 | $4.14 – $60.80 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $31.35 | $4.27 – $4.48 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $31.35 | $4.27 – $4.48 |
| cleveland clinic main campus | Cleveland, OH | $31.85 | $1.10 – $26.10 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $32.34 | $3.63 – $18.96 |
| UPMC Mercy | Pittsburgh, PA | $32.40 | $3.56 – $8.68 |
| UPMC St. Margaret | Pittsburgh, PA | $32.40 | $3.69 – $8.76 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $32.45 | $3.84 – $7.69 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $32.67 | $3.59 – $31.72 |
| UPMC Jameson | New Castle, PA | $33.00 | $4.22 – $8.83 |
| UPMC Northwest | Seneca, PA | $33.00 | $3.87 – $4.61 |
| UPMC Bedford | Everett, PA | $33.00 | $1.54 – $49.50 |
| Tiffin Hospital | Tiffin, OH | $34.20 | not published |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $34.65 | $2.14 – $19.44 |
| Banner Gateway Medical Center | Gilbert, AZ | $35.05 | $4.27 – $48.00 |
| Southern Virginia Medical Center | Emporia, VA | $35.10 | not published |
| Southside Regional Medical Center | Petersburg, VA | $35.10 | not published |
| Adventhealth Waterman | Tavares, FL | $35.25 | $4.27 – $8.62 |
| Banner Heart Hospital | Mesa, AZ | $35.26 | $4.27 – $48.00 |
| UPMC Cole | Coudersport, PA | $35.40 | $2.78 – $47.20 |
| Providence Mount Carmel Hospital | Colville, WA | $35.70 | not published |
| Banner University Medical Center South | Tucson, AZ | $35.91 | $4.27 – $51.20 |
| SSM Health Monroe Hospital | Monroe, WI | $36.30 | $4.27 – $7.47 |