DXA bone density scan cost.
What dxa bone density scan costs at 140 US hospitals across 64 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $11 to $2,597 (236× spread). CPT code 77080.
Top 5 cheapest hospitals for bone density scan.
| # | Hospital | Cash price |
|---|---|---|
| 1 |
Jefferson Abington Hospital
Philadelphia, PA
|
$11 to $118 |
| 2 |
John H. Stroger Jr. Hospital
Chicago, IL
|
$18 to $188 |
| 3 |
UT Southwestern Medical Center
Dallas, TX
|
$24 to $239 |
| 4 |
Maimonides Medical Center
Brooklyn, NY
|
$26 to $528 |
| 5 |
Seattle Children's Hospital
Seattle, WA
|
$39 to $775 |
See all 140 hospitals, your insurance, your zip.
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Compare bone density scan prices →What is dxa bone density scan?
DXA bone density scan.
A dual-energy X-ray absorptiometry scan that measures bone density, typically of the hip and spine. Used to diagnose osteoporosis, assess fracture risk, and monitor treatment. 10-15 minutes; very low radiation.
Medicare covers DXA every 24 months for at-risk patients. Some private plans cover at intervals tied to age and risk factors. Cash-pay is sometimes simpler than dealing with frequency limits.
Why prices vary this much.
The same dxa bone density scan on the same equipment can cost 236 times more at one hospital than another. Three reasons.
Chargemasters are arbitrary. The "sticker price" hospitals publish was never designed for consumers. It's a starting number for negotiation with insurance companies, with adjustments stacked on top for decades. Almost no one pays the chargemaster.
Negotiated rates are confidential bilateral contracts. Each insurance company negotiates its own rate with each hospital. Aetna at Hospital A might pay 60% of what Cigna pays at the same hospital for the same code. You see one rate; the hospital sees dozens.
Cash pay is a separate thing entirely. Many hospitals offer a "self-pay" or "cash-pay" rate that's dramatically cheaper than what they'd bill insurance, especially for elective imaging. If you have a high-deductible plan, paying cash and filing for reimbursement (or just eating the cost) can be the cheapest path.
What to ask the hospital before you book.
The four questions that surface hidden costs:
1. "Is the price you're quoting me the all-in price, or just the facility fee?" Hospitals often quote the facility fee and bill the radiologist or anesthesiologist separately on a different invoice.
2. "What's the cash-pay rate vs the rate you'd bill my insurance?" Don't assume insurance is cheaper. For high-deductible plans, cash pay is often the better deal.
3. "If I'm uninsured, do you have a financial assistance policy I qualify for?" Federally-tax-exempt hospitals are required to have one, and it can knock 50-100% off the bill for households under specific income thresholds.
4. "If I get a bill and the price is different than what was quoted, what's your dispute process?" Get the answer before you book, in writing if possible. If the bill comes in higher than the quote, you have leverage.