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Procedure price report · Other diagnostic radiology and related techniques

Bone texture score calculation only

CPT 77091the billing code this page is about

The technical calculation of the trabecular bone score from bone density scan data, without a physician's interpretation or report.

Hospitals typically charge $169 cash for this outpatient procedure — the median across 536 hospitals that filed a usable cash price; the average of the middle 60% is $172. Most fall between $99 and $284 (20th–80th percentile).

Hospitals
536
States
40
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 536 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
$83$104$169$259$395

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($83 vs $395).

How the prices are spread

$58 – $71: 17 hospitals$58$71 – $88: 18 hospitals$88 – $110: 84 hospitals$88$110 – $136: 56 hospitals$136 – $169: 64 hospitals$136$169 – $209: 66 hospitals$209 – $259: 67 hospitals$209$259 – $321: 49 hospitals$321 – $398: 46 hospitals$321$398 – $494: 18 hospitals$398median $169price bands are equal on a log scale
Hospitals per price band (485 of 536 — the bands cover the 5th to 95th percentile)
FromToHospitals
$58$7117
$71$8818
$88$11084
$110$13656
$136$16964
$169$20966
$209$25967
$259$32149
$321$39846
$398$49418

Against Medicare

Medicare pays (OPPS 2026, national rate)$89
Median cash price$169
Cash as a multiple of Medicare1.90×

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 $169.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 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: median $173 across 19 hospitalsMN$173Illinois: median $196 across 33 hospitalsIL$196Wisconsin: median $148 across 26 hospitalsWI$148Michigan: median $120 across 13 hospitalsMI$120New York: median $104 across 27 hospitalsNY$104Massachusetts: median $293 across 11 hospitalsMA$293Oregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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: 7 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $154 across 24 hospitalsIN$154Ohio: median $395 across 31 hospitalsOH$395Pennsylvania: median $350 across 31 hospitalsPA$350New Jersey: median $104 across 18 hospitalsNJ$104Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $269 across 24 hospitalsCA$269Utah: median $169 across 22 hospitalsUT$169Colorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $109 across 12 hospitalsMO$109Kentucky: median $354 across 15 hospitalsKY$354West Virginia: no hospital in the corpus filed a usable priceWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: median $129 across 10 hospitalsTN$129North Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 9 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $92 across 14 hospitalsLA$92Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: median $167 across 21 hospitalsGA$167Hawaii: no hospital in the corpus filed a usable priceHITexas: median $99 across 56 hospitalsTX$99Florida: median $254 across 47 hospitalsFL$254
Cash price by state, most expensive first. National median $169. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH31$395+134%$151 – $395
Kentucky KY15$354+109%$53 – $419
Pennsylvania PA31$350+107%$126 – $1,991
Massachusetts MA11$293+73%$289 – $334
California CA24$269+59%$198 – $269
Florida FL47$254+50%$210 – $299
Illinois IL33$196+16%$70 – $284
Minnesota MN19$173+2%$94 – $227
Utah UT22$1690%$169 – $169
Georgia GA21$167−1%$121 – $277
Indiana IN24$154−9%$145 – $196
Wisconsin WI26$148−12%$112 – $250
Tennessee TN10$129−23%$53 – $129
Michigan MI13$120−29%$103 – $204
Missouri MO12$109−36%$65 – $111
New York NY27$104−38%$103 – $254
New Jersey NJ18$104−39%$97 – $259
Texas TX56$99−41%$99 – $216
Louisiana LA14$92−46%$33 – $119
Oklahoma OK9not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Iowa IA7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Virginia VA1not 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 $169.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care462$163$99 – $293
Children’s1fewer than 20 hospitals
Critical access71$196$121 – $255
Ownership
For-profit38$145$99 – $277
Government64$121$87 – $239
Non-profit432$169$99 – $295
System affiliation
Part of a system493$169$99 – $299
Independent43$162$109 – $214

Cash price vs list price

Median list price (chargemaster)$269
Median cash price$169
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

388 hospitals filed a usable inpatient cash price for this code. The median is $169 and the average of the middle 60% is $182; most fall between $99 and $299.

Cash price percentiles, inpatient, across 388 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
$88$111$169$269$395

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($88 vs $395).

Of the 426 hospitals that filed this code inpatient, 388 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

536 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 575 hospitals that filed this code at all gave us
Usable cash price — counted536
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
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 — excluded12
Hospitals that filed this code575

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 CALCULATION ONLY.

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 calculation only (CPT 77091) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77091-bone-texture-score-calculation-only