Cost analysis for CPT 77080 — Dxa bone density measurement of hip, pelvis, spine
Average Medicare Payment
$22.01
2023 data
Total Payments (2023)
$60.1M
Services (2023)
2.8M
Price Change (2014–2023)
-32.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $32.63 | $70.4M | 2.3M | — |
| 2015 | $27.27 | $56.1M | 2.2M | -16.4% |
| 2016 | $26.14 | $57.7M | 2.3M | -4.1% |
| 2017 | $25.71 | $60.4M | 2.5M | -1.6% |
| 2018 | $25.98 | $63.1M | 2.6M | +1.1% |
| 2019 | $24.80 | $63.5M | 2.7M | -4.5% |
| 2020 | $24.16 | $49.9M | 2.1M | -2.6% |
| 2021 | $23.26 | $61.3M | 2.7M | -3.7% |
| 2022 | $22.37 | $57.3M | 2.6M | -3.8% |
| 2023 | $22.01 | $60.1M | 2.8M | -1.6% |
The most expensive state pays 4.6x more than the cheapest for this procedure. GU averages $41.55 vs AA at $8.95.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $41.55 | $61.1K | 1.5K | 3 |
| MD | $34.99 | $3.0M | 84.3K | 325 |
| VI | $32.40 | $8.8K | 271 | 1 |
| PR | $31.97 | $88.1K | 2.8K | 63 |
| NJ | $31.32 | $2.7M | 87.4K | 449 |
| DC | $29.48 | $309.7K | 10.5K | 39 |
| NY | $29.26 | $4.7M | 159.0K | 851 |
| NV | $29.05 | $649.8K | 22.4K | 158 |
| CA | $28.44 | $7.3M | 255.9K | 1.2K |
| FL | $28.20 | $5.8M | 204.7K | 1.1K |
| HI | $27.19 | $255.5K | 9.4K | 44 |
| AZ | $27.16 | $1.7M | 62.8K | 223 |
| CO | $26.71 | $1.2M | 44.1K | 299 |
| WY | $26.48 | $123.0K | 4.6K | 29 |
| CT | $24.54 | $754.0K | 30.7K | 198 |
| WA | $23.77 | $1.4M | 58.9K | 319 |
| TX | $22.24 | $4.1M | 185.0K | 1.4K |
| AK | $22.09 | $178.8K | 8.1K | 51 |
| NM | $21.89 | $355.5K | 16.2K | 71 |
| NC | $21.18 | $2.3M | 106.6K | 818 |
| KS | $20.91 | $782.1K | 37.4K | 337 |
| RI | $20.55 | $238.8K | 11.6K | 81 |
| VA | $20.24 | $1.8M | 87.5K | 478 |
| AL | $20.22 | $705.9K | 34.9K | 478 |
| DE | $19.86 | $397.8K | 20.0K | 29 |
| TN | $19.07 | $1.3M | 68.1K | 670 |
| NE | $18.53 | $446.4K | 24.1K | 167 |
| MA | $17.99 | $1.3M | 73.6K | 353 |
| AR | $17.97 | $522.0K | 29.1K | 241 |
| MO | $17.89 | $1.3M | 73.2K | 473 |
| IA | $17.20 | $659.9K | 38.4K | 225 |
| GA | $17.12 | $1.3M | 73.6K | 635 |
| MS | $17.09 | $409.2K | 24.0K | 192 |
| UT | $16.63 | $279.6K | 16.8K | 177 |
| MN | $16.56 | $797.7K | 48.2K | 410 |
| OK | $16.44 | $521.7K | 31.7K | 250 |
| SC | $16.25 | $814.3K | 50.1K | 321 |
| MT | $16.05 | $144.6K | 9.0K | 51 |
| LA | $15.91 | $540.3K | 34.0K | 363 |
| IL | $15.82 | $1.8M | 113.3K | 633 |
| OR | $15.75 | $468.2K | 29.7K | 220 |
| WI | $15.53 | $741.9K | 47.8K | 347 |
| KY | $15.40 | $465.7K | 30.2K | 250 |
| NH | $15.16 | $235.3K | 15.5K | 118 |
| ND | $14.89 | $175.6K | 11.8K | 46 |
| MI | $14.05 | $948.4K | 67.5K | 390 |
| SD | $13.94 | $167.3K | 12.0K | 84 |
| IN | $13.92 | $850.2K | 61.1K | 306 |
| PA | $13.35 | $1.6M | 120.0K | 424 |
| ID | $12.83 | $180.5K | 14.1K | 97 |
| OH | $12.73 | $1.1M | 88.0K | 581 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Patrick Alore | Diagnostic Radiology | CA | $301.4K | 10.7K | $28.06 |
| Steven Mendelsohn | Diagnostic Radiology | NY | $200.2K | 4.3K | $46.53 |
| Robert Krupa | Diagnostic Radiology | FL | $172.0K | 4.9K | $35.06 |
| Guy Bassis | Diagnostic Radiology | NY | $161.2K | 3.5K | $46.56 |
| Omid Bendavid | Diagnostic Radiology | CA | $157.5K | 3.5K | $44.54 |
| Penny Vandestreek | Nuclear Medicine | CA | $157.0K | 3.7K | $42.37 |
| Wendy Whittick | Diagnostic Radiology | FL | $153.4K | 4.0K | $38.39 |
| Frederick Weiland | Nuclear Medicine | CA | $151.1K | 3.6K | $42.36 |
| Jessica Brantley | Physician Assistant | AZ | $147.5K | 4.8K | $31.02 |
| Sergio Dromi | Diagnostic Radiology | FL | $134.3K | 3.5K | $38.35 |
| Donald Loveless | Obstetrics & Gynecology | OK | $126.7K | 3.9K | $32.30 |
| Artin Aharonian | Diagnostic Radiology | MD | $125.5K | 2.8K | $44.20 |
| Gary Williams | Rheumatology | CA | $121.4K | 2.8K | $43.08 |
| Ferris Ginsberg | Diagnostic Radiology | NJ | $121.0K | 3.7K | $32.61 |
| Steven Henderson | Diagnostic Radiology | CA | $115.9K | 2.6K | $44.19 |
| John Melnick | Diagnostic Radiology | NY | $115.9K | 3.3K | $34.76 |
| Stacy Jacobs | Diagnostic Radiology | NY | $113.7K | 2.5K | $46.09 |
| Ulrike Hamper | Diagnostic Radiology | MD | $110.9K | 2.6K | $42.35 |
| David Chen | Diagnostic Radiology | CA | $108.6K | 2.4K | $44.65 |
| Stephen Muehlenbein | Diagnostic Radiology | FL | $108.2K | 2.9K | $37.34 |
The data suggests significant pricing inconsistencies for CPT 77080. With a 4.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 32.5% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.