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 |
|---|---|---|---|
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $36.40 | $4.14 – $56.00 |
| ADVENTIST HEALTH DELANO | Delano, CA | $36.60 | $1.38 – $28.11 |
| Adventhealth Hendersonville | Hendersonville, NC | $37.00 | $4.27 – $10.66 |
| UPMC McKeesport | Mckeesport, PA | $37.80 | $3.96 – $8.76 |
| UPMC Altoona | Altoona, PA | $37.80 | $3.90 – $50.40 |
| Orange County Anaheim Medical Center | Anaheim, CA | $37.96 | $3.00 – $3.00 |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $37.96 | $3.00 – $3.00 |
| Downey Medical Center | Downey, CA | $37.96 | $3.00 – $3.00 |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $37.96 | $3.00 – $3.00 |
| Riverside Medical Center | RIVERSIDE, CA | $37.96 | $3.00 – $3.00 |
| South Bay Medical Center | HARBOR CITY, CA | $37.96 | $3.00 – $3.00 |
| San Marcos Medical Center | SAN MARCOS, CA | $37.96 | $3.00 – $3.00 |
| West Los Angeles Medical Center | LOS ANGELES, CA | $37.96 | $3.00 – $3.00 |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $37.96 | $3.00 – $3.00 |
| Panorama Medical Center | PANORAMA CITY, CA | $37.96 | $3.00 – $3.00 |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $37.96 | $3.00 – $3.00 |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $37.96 | $3.00 – $3.00 |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $37.96 | $3.00 – $3.00 |
| Lincoln Health | Damariscotta, ME | $38.00 | $3.46 – $28.50 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $38.35 | $3.80 – $23.34 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $38.58 | $4.27 – $25.41 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $38.58 | $3.50 – $38.58 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $38.58 | $4.27 – $19.43 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $38.58 | $4.27 – $14.18 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $38.58 | $4.27 – $42.77 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $38.58 | $4.27 – $23.15 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $38.58 | $3.64 – $31.34 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $38.58 | $4.27 – $18.90 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $38.58 | $3.50 – $21.27 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $38.58 | $3.50 – $19.77 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $38.58 | $4.27 – $40.99 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $38.58 | $4.27 – $18.08 |
| Banner Boswell Medical Center | Sun City, AZ | $39.13 | $4.27 – $51.20 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $39.56 | $4.27 – $48.00 |
| 64-0881013 MBMC Jackson | Jackson, MS | $40.11 | $2.50 – $11.96 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $40.26 | $1.27 – $16.80 |
| Mercy Hospital Carthage | Carthage, MO | $40.30 | $3.80 – $15.81 |
| Sanford Vermillion Hospital | Vermillion, SD | $40.80 | $15.05 – $45.90 |
| Abbott Northwestern Hospital | MN 55407, MN | $40.90 | $3.97 – $14.31 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $40.90 | $3.97 – $10.88 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $40.90 | $3.97 – $30.90 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $41.30 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $41.31 | $0.73 – $9.62 |
| Yavapai Regional Medical Center (East) | Prescott, AZ | $41.56 | $4.27 – $8.50 |
| Southampton Medical Center | Franklin, VA | $41.70 | not published |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $41.76 | $10.60 – $58.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $41.80 | $3.20 – $8.24 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $41.80 | $4.27 – $8.64 |
| SSM Health Ripon Community Hospital | Ripon, WI | $41.80 | $4.27 – $8.64 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $42.35 | $4.27 – $8.10 |