Interpretation of trabecular bone score (tbs) and report on fracture risk
Medicare pricing data for 589 providers across 37 states
This procedure has a 5.4x markup — hospitals charge $53.41 but Medicare allows only $9.85. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. 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
Interpretation of trabecular bone score (tbs) and report on fracture risk (HCPCS code 77092) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.85, but hospitals typically charge $53.41 — a 5.4x 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 $9.85, your out-of-pocket cost would be approximately $1.97. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $6.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $11 | $139 | 1 | 91 | +10.2% |
| New Jersey | $11 | $25 | 5 | 1,715 | +8.1% |
| New York | $11 | $112 | 60 | 3,637 | +7.6% |
| Washington | $10 | $31 | 7 | 127 | +6.3% |
| Connecticut | $10 | $25 | 13 | 1,821 | +4.7% |
| Indiana | $10 | $33 | 4 | 1,191 | +4.5% |
| Illinois | $10 | $40 | 80 | 9,980 | +3.4% |
| California | $10 | $43 | 14 | 314 | +2.9% |
| Massachusetts | $10 | $46 | 17 | 2,330 | +2.1% |
| Pennsylvania | $10 | $85 | 1 | 23 | +1.5% |
| Texas | $10 | $77 | 45 | 657 | +0.7% |
| Colorado | $10 | $35 | 14 | 1,826 | +0.7% |
| Oregon | $10 | $29 | 3 | 19 | +0.1% |
| South Carolina | $10 | $85 | 2 | 39 | -0.3% |
| Michigan | $10 | $33 | 16 | 567 | -0.6% |
| Montana | $10 | $26 | 1 | 81 | -1.8% |
| Missouri | $10 | $33 | 22 | 907 | -1.9% |
| North Dakota | $10 | $42 | 10 | 840 | -1.9% |
| Florida | $10 | $45 | 11 | 643 | -2.0% |
| Vermont | $10 | $49 | 5 | 2,415 | -2.1% |
| Ohio | $10 | $31 | 3 | 340 | -2.3% |
| Kansas | $10 | $33 | 6 | 39 | -2.4% |
| New Mexico | $10 | $31 | 8 | 509 | -2.4% |
| Nebraska | $10 | $40 | 1 | 71 | -3.0% |
| North Carolina | $10 | $27 | 12 | 532 | -3.4% |
| Arizona | $9 | $106 | 2 | 161 | -3.9% |
| Nevada | $9 | $40 | 1 | 36 | -4.1% |
| Georgia | $9 | $38 | 1 | 15 | -4.2% |
| Minnesota | $9 | $42 | 62 | 5,865 | -4.4% |
| Iowa | $9 | $31 | 8 | 734 | -5.0% |
| Wisconsin | $9 | $141 | 67 | 3,429 | -5.0% |
| Mississippi | $9 | $33 | 2 | 16 | -5.5% |
| Oklahoma | $9 | $68 | 4 | 76 | -5.6% |
| Alabama | $9 | $35 | 16 | 180 | -5.6% |
| Idaho | $9 | $31 | 5 | 23 | -7.3% |
| Utah | $9 | $32 | 34 | 352 | -8.9% |
| South Dakota | $8 | $31 | 13 | 1,931 | -15.5% |
⚠️ 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