77085

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment

Medicare pricing data for 3,656 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $14 in Wyoming to $57 in District of Columbia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS code 77085) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.49, but hospitals typically charge $168.41 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.70

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.49, your out-of-pocket cost would be approximately $7.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.49
Average Hospital Charge
$168.41
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$168.41
Medicare Allowed$38.49
Medicare Payment$38.29

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $38.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$57$26516298+47.8%
Alaska$55$85823197+41.9%
Hawaii$54$2594359+40.9%
Rhode Island$54$172442+40.2%
New Jersey$53$2331233,547+37.8%
Puerto Rico$51$53134+33.7%
Maryland$51$179843,609+33.2%
California$50$18328810,001+28.9%
Kansas$48$170131,859+25.1%
Arizona$48$1731184,302+24.7%
South Carolina$47$315291,443+22.6%
Texas$46$2002274,002+20.2%
Idaho$46$13341118+19.6%
Georgia$46$17045875+18.6%
Florida$44$1482165,618+14.8%
Pennsylvania$44$2201033,312+13.4%
Indiana$43$25241413+11.4%
Illinois$43$2451903,072+11.2%
New York$43$20428011,972+11.1%
Iowa$42$16221149+9.5%
Washington$42$18642267+9.1%
Nebraska$42$27211639+8.9%
North Carolina$42$1782436,581+8.5%
Minnesota$42$191963,062+8.0%
Massachusetts$39$128715,734+2.5%
Louisiana$39$101621,693+2.1%
Oklahoma$39$103891,060+1.4%
Connecticut$35$15147697-10.0%
Nevada$34$14246783-10.6%
Arkansas$34$133502,655-11.8%
Oregon$33$110763,561-13.4%
Virginia$31$1031113,140-18.3%
Alabama$31$97351,419-20.2%
Utah$29$9314364-24.3%
Missouri$27$109742,319-29.5%
Colorado$27$110682,883-30.7%
North Dakota$26$10111234-32.8%
New Mexico$24$20713780-38.7%
Wisconsin$22$365983,330-43.7%
Kentucky$21$69651,214-45.8%
Michigan$21$741304,850-46.3%
Ohio$19$1321813,233-49.7%
Tennessee$19$7849799-51.7%
Delaware$18$71151,750-53.9%
Mississippi$17$5222517-55.8%
Maine$16$4818590-59.6%
Vermont$15$22253-61.5%
Montana$15$3213827-62.3%
New Hampshire$15$119413-62.3%
South Dakota$14$4313318-62.6%
Wyoming$14$2233493-63.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber