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Procedure price report · Other diagnostic radiology and related techniques

Bone density scan of spine or hip with spine fracture check

CPT 77085the billing code this page is about

Low-dose X-ray (DXA) scan of one or more central skeleton sites that also includes imaging to check the spine for vertebral fractures.

Hospitals typically charge $324 cash for this outpatient procedure — the median across 1,443 hospitals that filed a usable cash price; the average of the middle 60% is $335. Most fall between $142 and $592 (20th–80th percentile).

Hospitals
1,443
States
50
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 1,443 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
$104$166$324$514$784

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($104 vs $784).

How the prices are spread

$74 – $96: 38 hospitals$74$96 – $124: 120 hospitals$124 – $160: 117 hospitals$124$160 – $207: 124 hospitals$207 – $268: 140 hospitals$207$268 – $346: 149 hospitals$346 – $447: 175 hospitals$346$447 – $577: 200 hospitals$577 – $746: 135 hospitals$577$746 – $963: 101 hospitals$746median $324price bands are equal on a log scale
Hospitals per price band (1,299 of 1,443 — the bands cover the 5th to 95th percentile)
FromToHospitals
$74$9638
$96$124120
$124$160117
$160$207124
$207$268140
$268$346149
$346$447175
$447$577200
$577$746135
$746$963101

Against Medicare

Medicare pays (OPPS 2026, national rate)$107
Median cash price$324
Cash as a multiple of Medicare3.0×

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 $324.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $333 across 10 hospitalsNH$333Washington: median $378 across 37 hospitalsWA$378Idaho: median $441 across 10 hospitalsID$441Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $175 across 37 hospitalsMN$175Illinois: median $478 across 55 hospitalsIL$478Wisconsin: median $438 across 56 hospitalsWI$438Michigan: median $326 across 53 hospitalsMI$326New York: median $142 across 66 hospitalsNY$142Massachusetts: median $456 across 35 hospitalsMA$456Oregon: median $324 across 30 hospitalsOR$324Nevada: 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: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $146 across 30 hospitalsIA$146Indiana: median $221 across 44 hospitalsIN$221Ohio: median $477 across 99 hospitalsOH$477Pennsylvania: median $345 across 71 hospitalsPA$345New Jersey: median $140 across 35 hospitalsNJ$140Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $683 across 86 hospitalsCA$683Utah: median $469 across 29 hospitalsUT$469Colorado: median $551 across 30 hospitalsCO$551Nebraska: median $269 across 22 hospitalsNE$269Missouri: median $261 across 30 hospitalsMO$261Kentucky: median $293 across 31 hospitalsKY$293West Virginia: median $403 across 13 hospitalsWV$403Virginia: median $374 across 27 hospitalsVA$374Maryland: median $352 across 12 hospitalsMD$352Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $284 across 24 hospitalsAZ$284New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $177 across 30 hospitalsTN$177North Carolina: median $179 across 30 hospitalsNC$179South Carolina: median $599 across 17 hospitalsSC$599Oklahoma: median $24 across 15 hospitalsOK$24Louisiana: median $110 across 27 hospitalsLA$110Mississippi: median $138 across 19 hospitalsMS$138Alabama: median $122 across 10 hospitalsAL$122Georgia: median $104 across 52 hospitalsGA$104Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $365 across 127 hospitalsTX$365Florida: median $428 across 60 hospitalsFL$428
Cash price by state, most expensive first. National median $324. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA86$683+111%$280 – $748
South Carolina SC17$599+85%$224 – $1,136
Colorado CO30$551+70%$330 – $1,507
Illinois IL55$478+48%$110 – $596
Ohio OH99$477+47%$233 – $724
Utah UT29$469+45%$469 – $469
Massachusetts MA35$456+41%$321 – $615
Idaho ID10$441+36%$400 – $441
Wisconsin WI56$438+35%$104 – $523
Florida FL60$428+32%$175 – $749
West Virginia WV13$403+24%$210 – $708
Washington WA37$378+17%$284 – $601
Virginia VA27$374+16%$267 – $835
Texas TX127$365+13%$201 – $657
Maryland MD12$352+9%$263 – $496
Pennsylvania PA71$345+7%$152 – $444
New Hampshire NH10$333+3%$205 – $530
Michigan MI53$326+1%$144 – $485
Oregon OR30$3240%$224 – $619
Kentucky KY31$293−9%$232 – $972
Arizona AZ24$284−12%$212 – $749
Nebraska NE22$269−17%$107 – $525
Missouri MO30$261−19%$171 – $444
Indiana IN44$221−32%$151 – $467
North Carolina NC30$179−45%$146 – $320
Tennessee TN30$177−45%$64 – $286
Minnesota MN37$175−46%$158 – $302
Iowa IA30$146−55%$26 – $241
New York NY66$142−56%$126 – $386
New Jersey NJ35$140−57%$118 – $223
Mississippi MS19$138−57%$78 – $224
Alabama AL10$122−62%$88 – $238
Louisiana LA27$110−66%$69 – $301
Georgia GA52$104−68%$70 – $388
Oklahoma OK15$24−93%$24 – $463
Arkansas AR9not enough hospitals filed a usable price
Connecticut CT9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not 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 $324.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,178$326$142 – $597
Children’s23$514$230 – $1,152
Critical access237$296$142 – $502
Ownership
For-profit157$379$157 – $749
Government165$280$128 – $459
Non-profit1,116$322$142 – $585
System affiliation
Part of a system1,279$330$142 – $592
Independent164$283$139 – $585

Cash price vs list price

Median list price (chargemaster)$538
Median cash price$324
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

1,084 hospitals filed a usable inpatient cash price for this code. The median is $365 and the average of the middle 60% is $365; most fall between $168 and $616.

Cash price percentiles, inpatient, across 1,084 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
$104$192$365$549$794

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($104 vs $794).

Of the 1,172 hospitals that filed this code inpatient, 1,084 gave a usable cash price; 63 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

1,443 of the 3,956 hospitals with a price file in our corpus (36%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,579 hospitals that filed this code at all gave us
Usable cash price — counted1,443
Cash price carrying a plausibility flag — shown on the compare tool, excluded here101
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded34
Hospitals that filed this code1,579

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 September 4, 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 diagnostic radiology and related techniques family.

Hospitals file this code under descriptions such as DXA Bone Density Std 1/> Axl Skel W/Vrt Fx Assmt|PROFESSIONAL COMPONENT.

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, “Bone density scan of spine or hip with spine fracture check (CPT 77085) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77085-bone-density-scan-of-spine-or-hip-with-spine-fracture-check