Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk
Medicare pricing data for 592 providers across 34 states
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
Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk (HCPCS code 77089) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.35, but hospitals typically charge $180.77 — a 4.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.35, your out-of-pocket cost would be approximately $8.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $28.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $49 | $100 | 1 | 514 | +20.8% |
| Massachusetts | $47 | $114 | 5 | 211 | +17.6% |
| New Jersey | $47 | $159 | 9 | 1,123 | +15.6% |
| Ohio | $46 | $197 | 2 | 49 | +15.0% |
| New York | $46 | $484 | 32 | 6,144 | +13.3% |
| California | $45 | $217 | 33 | 3,344 | +10.8% |
| Connecticut | $44 | $164 | 13 | 590 | +10.0% |
| Maryland | $41 | $61 | 5 | 1,049 | +2.8% |
| Washington | $41 | $125 | 13 | 391 | +1.3% |
| Montana | $41 | $110 | 3 | 267 | +0.4% |
| Minnesota | $40 | $142 | 21 | 367 | +0.3% |
| Illinois | $40 | $111 | 36 | 2,101 | -0.4% |
| North Dakota | $40 | $198 | 2 | 61 | -1.2% |
| Florida | $40 | $181 | 20 | 4,393 | -1.7% |
| Colorado | $40 | $104 | 21 | 271 | -2.1% |
| Missouri | $39 | $152 | 11 | 2,753 | -2.1% |
| Arizona | $39 | $50 | 7 | 526 | -3.1% |
| Pennsylvania | $39 | $61 | 6 | 286 | -4.3% |
| Texas | $39 | $76 | 129 | 5,452 | -4.4% |
| Wisconsin | $38 | $465 | 25 | 1,535 | -5.0% |
| Michigan | $38 | $81 | 8 | 479 | -5.4% |
| Kentucky | $38 | $101 | 3 | 34 | -5.6% |
| North Carolina | $38 | $96 | 54 | 3,184 | -6.4% |
| New Mexico | $38 | $76 | 14 | 2,030 | -6.6% |
| Kansas | $38 | $73 | 4 | 1,722 | -6.8% |
| South Carolina | $38 | $150 | 10 | 1,840 | -6.9% |
| Arkansas | $37 | $119 | 2 | 2,398 | -7.4% |
| Iowa | $37 | $58 | 37 | 1,415 | -7.6% |
| Utah | $37 | $115 | 1 | 90 | -7.9% |
| Oklahoma | $36 | $90 | 11 | 211 | -10.5% |
| Mississippi | $35 | $135 | 3 | 65 | -12.7% |
| Alabama | $35 | $79 | 27 | 867 | -13.7% |
| South Dakota | $34 | $60 | 3 | 14 | -14.8% |
| Nebraska | $33 | $127 | 11 | 287 | -17.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber