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Procedure price report · Other diagnostic radiology and related techniques

Bone texture score from a bone density scan, with report

CPT 77089the billing code this page is about

Analysis of bone microarchitecture (trabecular bone score) using images from a bone density scan, including the calculation plus a physician's interpretation and written fracture-risk report.

Hospitals typically charge $189 cash for this outpatient procedure — the median across 150 hospitals that filed a usable cash price; the average of the middle 60% is $247. Most fall between $89 and $662 (20th–80th percentile).

Hospitals
150
States
31
Filings dated
Aug 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 150 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
$50$123$189$504$1,253

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($50 vs $1,253).

How the prices are spread

$35 – $52: 10 hospitals$35$52 – $77: 9 hospitals$77 – $114: 10 hospitals$77$114 – $168: 37 hospitals$168 – $249: 28 hospitals$168$249 – $369: 10 hospitals$369 – $546: 4 hospitals$369$546 – $809: 17 hospitals$809 – $1,198: 4 hospitals$809$1,198 – $1,775: 9 hospitals$1,198median $189price bands are equal on a log scale
Hospitals per price band (138 of 150 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$5210
$52$779
$77$11410
$114$16837
$168$24928
$249$36910
$369$5464
$546$80917
$809$1,1984
$1,198$1,7759

By state

The median cash price in each state, against the national median of $189.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $168 across 12 hospitalsWA$168Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $123 across 10 hospitalsMN$123Illinois: median $1,418 across 10 hospitalsIL$1,418Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: 2 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: median $201 across 14 hospitalsOH$201Pennsylvania: median $1,991 across 10 hospitalsPA$1,991New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $127 across 22 hospitalsCA$127Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $238 across 10 hospitalsCO$238Nebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $662 across 13 hospitalsFL$662
Cash price by state, most expensive first. National median $189. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA10$1,991+954%$881 – $2,353
Illinois IL10$1,418+651%$682 – $1,775
Florida FL13$662+251%$251 – $662
Colorado CO10$238+26%$73 – $278
Ohio OH14$201+6%$201 – $201
Washington WA12$168−11%$154 – $236
California CA22$127−33%$127 – $127
Minnesota MN10$123−35%$94 – $123
Michigan MI9not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
New York NY2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $189.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care119$177$85 – $662
Children’s11fewer than 20 hospitals
Critical access19fewer than 20 hospitals
Ownership
For-profit7fewer than 20 hospitals
Government14fewer than 20 hospitals
Non-profit128$189$117 – $662
System affiliation
Part of a system134$198$117 – $662
Independent16fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$227
Median cash price$189
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

107 hospitals filed a usable inpatient cash price for this code. The median is $201 and the average of the middle 60% is $254; most fall between $127 and $662.

Cash price percentiles, inpatient, across 107 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
$48$127$201$662$1,775

The most expensive tenth of hospitals charges at least 37× what the cheapest tenth charges ($48 vs $1,775).

Of the 122 hospitals that filed this code inpatient, 107 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

150 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 178 hospitals that filed this code at all gave us
Usable cash price — counted150
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded2
Hospitals that filed this code178

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 TBS DXA CAL W/I&R FX RISK.

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 texture score from a bone density scan, with report (CPT 77089) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77089-bone-texture-score-from-a-bone-density-scan-with-report