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 Genesis Davenport West Medical Center | Davenport, IA | $42.60 | $4.27 – $4.27 |
| Trinity Medical Center East | Steubenville, OH | $42.66 | $2.11 – $57.62 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $43.20 | $2.65 – $9.74 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $43.20 | $18.55 – $48.60 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $43.20 | $18.55 – $48.60 |
| Providence St Joseph Medical Center | Polson, MT | $43.20 | $5.34 – $13.18 |
| Banner Del Webb Medical Center | Sun City West, AZ | $43.22 | $4.27 – $51.20 |
| Providence St Joseph Hospital Orange | Orange, CA | $43.68 | $3.63 – $8.54 |
| Sanford Wheaton | Wheaton, MN | $44.00 | $13.32 – $49.50 |
| Mercy Hospital Berryville | Berryville, AR | $44.20 | $3.80 – $15.75 |
| Banner Casa Grande Medical Center | Casa Grande, AZ | $44.50 | $4.27 – $48.00 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $44.70 | $1.79 – $92.43 |
| Central Medical Center | Seattle, WA | $44.80 | $3.00 – $3.00 |
| Sanford Canton Inwood Medical Center | Canton, SD | $44.80 | $19.15 – $50.40 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $44.94 | $4.14 – $82.45 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $44.94 | $4.14 – $82.45 |
| Lasting Hope Recovery Center | Omaha, NE | $44.94 | $4.14 – $82.45 |
| CHI Health Immanuel | Omaha, NE | $44.94 | $4.14 – $82.45 |
| CHI Health Lakeside | Omaha, NE | $44.94 | $4.14 – $82.45 |
| CHI Health Midlands | Papillion, NE | $44.94 | $4.14 – $82.45 |
| Mary Immaculate Hospital | Newport News, VA | $45.00 | not published |
| Maryview Hospital | Portsmouth, VA | $45.00 | not published |
| Harbour View Medical Center | Suffolk, VA | $45.00 | not published |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $45.00 | $3.22 – $36.00 |
| Willard Hospital | Willard, OH | $45.00 | not published |
| Ascension Saint Thomas Highlands | Sparta, TN | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas River Park | McMinnville, TN | $45.23 | $3.00 – $16.95 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $45.23 | $3.84 – $16.95 |
| Ascension Saint Thomas Midtown | Nashville, TN | $45.23 | $1.54 – $16.95 |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $45.60 | $3.90 – $41.40 |
| Mercy Hospital Aurora | Aurora, MO | $46.15 | $3.90 – $5.91 |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $47.20 | $30.27 – $53.10 |
| Sanford Luverne Medical Center | Luverne, MN | $47.20 | $14.28 – $53.10 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $47.40 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $47.40 | $8.01 – $44.01 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $47.40 | $18.36 – $20.44 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $47.40 | $4.91 – $25.38 |
| OSF Saint Anthony's Health Center | Alton, IL | $47.40 | $3.63 – $4.36 |
| Parkview Huntington Hospital | Huntington, IN | $47.50 | $4.27 – $8.75 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | $47.50 | $4.27 – $8.75 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $47.52 | $4.27 – $48.00 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $47.52 | $4.27 – $9.61 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $47.52 | $4.27 – $9.61 |
| HSHS St. Vincent Hospital | Green Bay, WI | $47.52 | $4.27 – $9.61 |
| Allina Health Faribault Medical Center | Faribualt, MN | $47.71 | $3.97 – $38.93 |
| Buffalo Hospital | Buffalo, MN | $47.71 | $3.97 – $38.93 |
| Cambridge Medical Center | Cambridge, MN | $47.71 | $3.97 – $38.93 |
| River Falls Area Hospital | River Falls, MN | $47.71 | $3.97 – $85.07 |
| Owatonna Hospital | Owatonna, MN | $47.71 | $3.97 – $38.93 |