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Procedure price report · Other CT scan

CT bone density scan of the spine or hips

CPT 77078the billing code this page is about

CT scan used to measure bone mineral density at one or more sites of the central skeleton, such as the spine or pelvis.

Hospitals typically charge $326 cash for this outpatient procedure — the median across 566 hospitals that filed a usable cash price; the average of the middle 60% is $357. Most fall between $104 and $812 (20th–80th percentile).

Hospitals
566
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 566 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$86$122$326$597$1,437

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($86 vs $1,437).

How the prices are spread

$35 – $52: 6 hospitals$35$52 – $78: 16 hospitals$78 – $116: 78 hospitals$78$116 – $173: 57 hospitals$173 – $258: 54 hospitals$173$258 – $384: 89 hospitals$384 – $572: 88 hospitals$384$572 – $853: 55 hospitals$853 – $1,272: 33 hospitals$853$1,272 – $1,896: 34 hospitals$1,272median $326price bands are equal on a log scale
Hospitals per price band (510 of 566 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$526
$52$7816
$78$11678
$116$17357
$173$25854
$258$38489
$384$57288
$572$85355
$853$1,27233
$1,272$1,89634

Against Medicare

Medicare pays (OPPS 2026, national rate)$89
Median cash price$326
Cash as a multiple of Medicare3.7×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $326.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $208 across 10 hospitalsWA$208Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $342 across 25 hospitalsIL$342Wisconsin: median $1,448 across 13 hospitalsWI$1,448Michigan: median $120 across 10 hospitalsMI$120New York: median $165 across 40 hospitalsNY$165Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $272 across 21 hospitalsIA$272Indiana: median $111 across 18 hospitalsIN$111Ohio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $97 across 18 hospitalsPA$97New Jersey: median $98 across 12 hospitalsNJ$98Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $812 across 74 hospitalsCA$812Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $296 across 18 hospitalsNE$296Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: median $354 across 19 hospitalsKY$354West Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $69 across 10 hospitalsAZ$69New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,066 across 14 hospitalsKS$1,066Arkansas: median $293 across 10 hospitalsAR$293Tennessee: median $117 across 18 hospitalsTN$117North Carolina: median $246 across 18 hospitalsNC$246South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $251 across 21 hospitalsOK$251Louisiana: median $122 across 10 hospitalsLA$122Mississippi: median $364 across 13 hospitalsMS$364Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $361 across 47 hospitalsTX$361Florida: median $1,217 across 18 hospitalsFL$1,217
Cash price by state, most expensive first. National median $326. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$1,448+344%$1,448 – $1,448
Florida FL18$1,217+273%$178 – $1,217
Kansas KS14$1,066+227%$238 – $2,036
California CA74$812+149%$388 – $1,769
Mississippi MS13$364+12%$166 – $515
Texas TX47$361+11%$300 – $580
Kentucky KY19$354+8%$178 – $605
Illinois IL25$342+5%$127 – $801
Nebraska NE18$296−9%$223 – $468
Arkansas AR10$293−10%$115 – $326
Iowa IA21$272−17%$26 – $467
Oklahoma OK21$251−23%$118 – $442
North Carolina NC18$246−25%$151 – $295
Washington WA10$208−36%$88 – $311
New York NY40$165−50%$104 – $608
Louisiana LA10$122−63%$94 – $158
Michigan MI10$120−63%$86 – $1,448
Tennessee TN18$117−64%$117 – $518
Indiana IN18$111−66%$100 – $279
New Jersey NJ12$98−70%$97 – $104
Pennsylvania PA18$97−70%$88 – $235
Arizona AZ10$69−79%$47 – $107
Maryland MD9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Dakota SD4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $326.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care409$296$100 – $812
Children’s15fewer than 20 hospitals
Critical access140$369$151 – $610
Ownership
For-profit63$468$127 – $1,896
Government95$274$116 – $518
Non-profit406$342$101 – $812
System affiliation
Part of a system467$344$104 – $812
Independent99$299$118 – $709

Cash price vs list price

Median list price (chargemaster)$529
Median cash price$326
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

353 hospitals filed a usable inpatient cash price for this code. The median is $421 and the average of the middle 60% is $462; most fall between $167 and $967.

Cash price percentiles, inpatient, across 353 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$97$218$421$812$1,514

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($97 vs $1,514).

Of the 426 hospitals that filed this code inpatient, 353 gave a usable cash price; 54 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

566 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 672 hospitals that filed this code at all gave us
Usable cash price — counted566
Cash price carrying a plausibility flag — shown on the compare tool, excluded here85
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code672

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other CT scan family.

Hospitals file this code under descriptions such as CT Bone Minerl Density Study 1/> Sits Axial Ske.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “CT bone density scan of the spine or hips (CPT 77078) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77078-ct-bone-density-scan-of-the-spine-or-hips