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Procedure price report · Other diagnostic radiology and related techniques

Sending bone density images for bone texture analysis

CPT 77090the billing code this page is about

The technical work of preparing and transmitting bone density scan data to the service that calculates the trabecular bone score; no interpretation is included.

Hospitals typically charge $148 cash for this outpatient procedure — the median across 278 hospitals that filed a usable cash price; the average of the middle 60% is $153. Most fall between $99 and $269 (20th–80th percentile).

Hospitals
278
States
28
Filings dated
Aug 2025 – 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 278 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
$87$104$148$269$395

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($87 vs $395).

How the prices are spread

$63 – $79: 9 hospitals$63$79 – $99: 44 hospitals$99 – $125: 47 hospitals$99$125 – $156: 44 hospitals$156 – $196: 34 hospitals$156$196 – $246: 11 hospitals$246 – $309: 31 hospitals$246$309 – $387: 12 hospitals$387 – $486: 17 hospitals$387$486 – $609: 3 hospitals$486median $148price bands are equal on a log scale
Hospitals per price band (252 of 278 — the bands cover the 5th to 95th percentile)
FromToHospitals
$63$799
$79$9944
$99$12547
$125$15644
$156$19634
$196$24611
$246$30931
$309$38712
$387$48617
$486$6093

Against Medicare

Medicare pays (OPPS 2026, national rate)$89
Median cash price$148
Cash as a multiple of Medicare1.66×

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 $148.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $112 across 14 hospitalsWI$112Michigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $104 across 15 hospitalsNY$104Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $145 across 12 hospitalsIN$145Ohio: median $395 across 21 hospitalsOH$395Pennsylvania: median $126 across 22 hospitalsPA$126New Jersey: median $98 across 11 hospitalsNJ$98Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $269 across 22 hospitalsCA$269Utah: median $176 across 23 hospitalsUT$176Colorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: no hospital in the corpus filed a usable priceKYWest 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 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: median $152 across 19 hospitalsGA$152Hawaii: no hospital in the corpus filed a usable priceHITexas: median $99 across 37 hospitalsTX$99Florida: median $159 across 13 hospitalsFL$159
Cash price by state, most expensive first. National median $148. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH21$395+168%$151 – $395
California CA22$269+82%$269 – $269
Utah UT23$176+19%$176 – $176
Florida FL13$159+8%$145 – $783
Georgia GA19$152+3%$121 – $277
Indiana IN12$145−2%$127 – $196
Pennsylvania PA22$126−15%$112 – $2,081
Wisconsin WI14$112−24%$74 – $214
New York NY15$104−29%$103 – $104
Texas TX37$99−33%$99 – $99
New Jersey NJ11$98−34%$97 – $104
Illinois IL9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Missouri MO1not 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 $148.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care240$145$99 – $269
Children’s2fewer than 20 hospitals
Critical access35$176$112 – $365
Ownership
For-profit24$129$99 – $277
Government34$121$104 – $228
Non-profit219$151$99 – $269
System affiliation
Part of a system256$151$99 – $277
Independent22$136$107 – $242

Cash price vs list price

Median list price (chargemaster)$286
Median cash price$148
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

190 hospitals filed a usable inpatient cash price for this code. The median is $176 and the average of the middle 60% is $175; most fall between $99 and $356.

Cash price percentiles, inpatient, across 190 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
$99$112$176$291$418

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($99 vs $418).

Of the 220 hospitals that filed this code inpatient, 190 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

278 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 309 hospitals that filed this code at all gave us
Usable cash price — counted278
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded9
Hospitals that filed this code309

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 5, 2026 and September 24, 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 TECHL PREP&TRANSMIS DATA.

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, “Sending bone density images for bone texture analysis (CPT 77090) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77090-sending-bone-density-images-for-bone-texture-analysis