Radiology, X-Ray

What can you expect from a chest x-ray?

A chest x-ray can show your doctor the inner workings of some of your body’s most vital organs, bones, and tissues. It uses a small dose of ionizing radiation to create a picture of the inside of your chest, including your heart, lungs, chest bones, and blood vessels.

Chest x-rays are the most common x-ray procedure performed in the United States, largely due to their convenience and efficiency. The procedure is fast, painless, and requires little to no preparation, making it an ideal tool for diagnosing chest pain in emergency situations as well as monitoring chest conditions over time.

What can a chest x-ray show?

A lot of vital processes happen inside your chest. It’s the home of your heart and lungs, which are responsible for supplying your entire body with oxygen and blood. A chest x-ray can help your healthcare provider assess how everything’s working and diagnose any medical conditions in that area that may need treatment. They can use the picture to examine:

  • The size and shape of your heart
  • Blood vessels near your heart, including veins, aorta, and pulmonary arteries
  • Calcium deposits in your heart or blood vessels
  • The condition of your lungs
  • The condition of your ribs and spine
  • Internal changes during recovery from chest surgery
  • Pacemaker, defibrillator, or catheter placement

Why might your doctor recommend a chest x-ray?

Your healthcare provider may recommend a chest x-ray if you’re experiencing any symptoms that could be caused by problems in your chest, such as:

  • Difficulty breathing
  • Chest pain
  • Bad or persistent cough
  • Fever

They may also suggest a chest x-ray to monitor any known conditions in your chest, which may include:

  • Recovery from heart, lung, or other surgery
  • Broken ribs or spinal injuries
  • Pneumonia
  • Fluid in your lungs (pulmonary edema)
  • Emphysema
  • Lung cancer
  • Heart failure or other heart conditions
  • Heart abnormalities
  • Placement of medical devices

How should you prepare for your chest x-ray?

You won’t have to do much to prepare for your chest x-ray. Plan to wear comfortable, loose, metal-free fitting clothing to your appointment (although your technician may have you change into a medical gown before your scan). You’ll have to take off your jewelry, glasses, and hairpins before your x-ray, so leave any non-essential accessories at home. Let your doctor know if you have any body piercings, as they may either ask you to remove them or replace your body jewelry with a plastic or acrylic alternative. 

What happens during a chest x-ray?

During the procedure, the x-ray technician will capture images of your chest from different angles. To do this, they’ll have you stand in front of a metal x-ray plate while they use the machine to take pictures. First, you’ll stand with your back to the plate and your hands on your hips while they take x-rays of the front of your chest. Then, you’ll stand with your side to the plate and your hands in the air above your head so the technician can photograph the side of your chest. 

If you cannot stand, the technician may position you lying on a table and take the pictures from there. Whether you’re standing or lying down, the whole process should only take a few minutes. Make sure to stay as still as possible while getting your x-rays taken because any movement can blur the pictures.

You may need to wait in the office while the technician or doctor reviews your images. If they’re blurry, they may have you retake some of the x-rays. Once you’re finished, your images will be sent to a radiologist for review. Then, they’ll send a report to your healthcare provider so they can discuss your results with you.

What are the risks of a chest x-ray?

Chest x-rays carry the same risk as any diagnostic imaging test that uses ionizing radiation. Exposure to radiation carries a slight risk of cancer. However, the dosage used in x-rays is so small that the benefit of an accurate diagnosis significantly outweighs the risk. No radiation stays in your body after the x-ray exam, and no side effects are associated with this procedure.

How can you find a fair price for your chest x-ray?

It can be difficult — bordering on impossible — to find an accurate price for your chest x-ray before you go in for the procedure. You may find some luck asking the facility for a cost estimate, but not always. Even when you get an estimate, it doesn’t always include all the extra fees you may find on your final bill. New Choice Health’s cost comparison tool can help you compare chest x-ray prices from different facilities in your area and choose which one is right for you. Visit our site to get started today!

Radiology, X-Ray

What is an x-ray?

An x-ray is a noninvasive procedure that produces images of the inside of your body. X-rays are quick and painless, and they help medical providers detect and monitor a wide range of conditions. You’re probably already familiar with how x-rays can be used to diagnose broken bones or look for cavities in your teeth. However, their work doesn’t stop there. X-rays can also help your provider look at your heart, lungs, and other internal structures.

X-rays are often performed in hospitals by trained radiologists, but they can also be done at other facilities, including doctors’ offices, urgent care centers, diagnostic imaging facilities, and dentists’ offices.

How does an x-ray work?

X-rays are a type of electromagnetic radiation. They have higher energy than other types of electromagnetic waves, such as visible light, allowing them to pass through objects. X-ray images are taken by passing x-rays through your body onto an x-ray detector (either photographic film or a sensor that makes digital images). 

As the x-rays pass through your body, they’re partially absorbed by your bones and other internal structures. Different types of tissue absorb different amounts of radiation, affecting how clearly they appear in an x-ray image. The denser the tissue, the harder it is for x-rays to pass through, and the brighter it looks in the picture.

Bones are relatively dense, so they absorb more radiation and show up as bright white on the x-ray image. Organs, muscles, fat, and other tissues are less dense, so they show up as shades of gray. The air in your lungs has the least density, so it appears black.

When does a doctor recommend an x-ray?

Your doctor may recommend an x-ray whenever they need to look at your bones, organs, or other internal tissues to diagnose or evaluate a medical condition. Common reasons for x-ray scans include:

  • Breaks, fractures, or infections in bones
  • Arthritis and osteoporosis
  • Dental problems, such as cavities, loose teeth, or abscesses
  • Lung infections and tumors
  • Heart problems 
  • Chest pain
  • Scoliosis
  • Breast cancer
  • Blockages in blood vessels
  • Digestive tract problems
  • Swallowed items

What happens during and after your x-ray?

You probably won’t have to do much — if anything — to prepare for your x-ray. The one exception is if you’re getting an x-ray with contrast. Then, your physician may ask you to avoid food, drink, and certain medications a few hours before your scan. Try to wear loose, comfortable clothing and remove all jewelry before getting your x-ray.

If you’re getting an x-ray with contrast, you’ll get the contrast medium before your start, either by drinking it, having it injected, or receiving it in an enema. Then, when you’re ready for your x-ray, you’ll either lie on a table or stand in front of a flat surface. Your radiographer will aim the x-ray machine at the part of your body that’s being examined. (The machine will look kind of like a tube with a giant light bulb inside.)

The radiographer will tell you how to position your body and ask you to stay still while they capture the pictures. Sometimes, they may take images of the same body part from different angles, so your doctor can get the most complete picture of your condition. You won’t feel the x-ray at all. The process should take only a few minutes unless you get a more complicated procedure, such as an x-ray with contrast.

Are there risks in getting an x-ray?

It’s natural to be concerned about radiation exposure from an x-ray. The level of radiation you’ll be exposed to depends on which part of your body is being examined, but it’s generally low and only lasts a fraction of a second. The National Health Service compares it to the natural radiation you’re exposed to daily from your environment. Their research suggests that an x-ray has less than a 1 in 1,000,000 chance of causing cancer. 

Note: Tell your doctor if you’re pregnant before you get an x-ray. They may recommend an alternate procedure, such as an ultrasound, to avoid exposing your unborn baby to extra radiation.

Contrast mediums used in some x-rays may sometimes cause mild side effects, including itching, a metallic taste, warmness or flushing, nausea, and hives. Severe side effects are rare but may include severe allergic reactions and cardiac arrest.

Your doctor will weigh the potential risks of an x-ray with the diagnostic benefits before making their recommendation. They should be happy to discuss any questions or concerns you have before your x-ray.

What should an x-ray cost?

The national average cost of an x-ray in the U.S. is $125, but the price you pay could differ by hundreds of dollars or more. New Choice Health’s cost comparison tool can help you compare x-ray prices across different facilities in your area so you know you’re getting the best deal. Simply enter your zip code and receive quotes from local healthcare providers so you can compare and save. Click here to get started.

Gastric Sleeve Bariatric Surgery

What’s the difference between gastric sleeve and duodenal switch?

Gastric sleeve and duodenal switch are two types of weight loss surgery. Bariatric procedures like these can help people with obesity or obesity-related health problems lose weight when diet and lifestyle changes aren’t working. There are many options for bariatric surgery, and while your doctor can help you understand the difference between the procedures, the choice is ultimately up to you.

Here, we’ll dig into two popular bariatric surgeries — gastric sleeve and duodenal switch. For each, you’ll learn:

  • What happens during surgery
  • Who qualifies for surgery
  • What you can expect during recovery
  • How much weight you can lose
  • The average cost of the procedure

What happens during gastric sleeve surgery?

During gastric sleeve surgery, also called sleeve gastrectomy, a doctor operates through a series of small incisions in your abdomen. They use a stapler to separate your stomach into two parts, then create a seal along the staple line. They remove the outer section — about 80% of your stomach — leaving a small “sleeve” about the size of a banana.

Gastric sleeve surgery causes weight loss by permanently limiting the amount of food you can eat in one sitting. It also decreases your appetite by reducing your stomach’s ability to create hunger-causing hormones.

What happens during duodenal switch surgery?

Duodenal switch (DS) surgery happens in two parts. First, the surgeon performs a sleeve gastrectomy (described in the previous section). Then, they disconnect the stomach from the small intestine and reattach it farther down. As a result, food goes directly from your stomach to the end of the small intestine, bypassing about 80 to 90% of your small bowel. 

Like gastric sleeve, duodenal switch limits your food intake to help with weight loss. However, it goes a step further by shortening the path through your digestive system and reducing the amount of nutrients and calories your body can absorb from food.

Loop duodenal switch surgery (SADI)

Single anastomosis duodenal switch surgery (SADI), also called a loop duodenal switch, improves on traditional duodenal switch surgery. Both procedures have the same two steps: removing part of the stomach and rerouting the small intestine. However, with loop duodenal switch, the small intestine is only severed in one place, near the stomach. (Traditional DS involves an extra cut farther down the small intestine.) 

SADI causes weight loss just like traditional duodenal switch — by limiting food intake and nutrient absorption. Because it involves fewer alterations to the small intestine (dividing and reconnecting the small intestine in one place instead of two), SADI is associated with a lower risk of complications and malnutrition than DS.

Who qualifies for gastric sleeve and duodenal switch surgery?

Most weight loss surgeries have the same basic qualifications. Patients must either have a body mass index (BMI) of 40 or higher OR have a BMI of 35 to 40 with at least one obesity-related health condition. Those with a BMI of 30 or higher with uncontrollable type 2 diabetes or metabolic syndrome may also qualify for gastric sleeve surgery.

Duodenal switch surgery is a little different. For both traditional and loop duodenal switch surgeries, patients must have a BMI of 50 or higher OR a severe form of obesity-related disease. DS and SADI have the greatest weight loss potential of all bariatric surgeries, but they also have an increased risk of complications. These procedures are recommended when the health benefits outweigh the potential risks.

What is recovery like after gastric sleeve and duodenal switch surgery?

No matter which type of bariatric surgery you have, you’ll need to follow strict guidelines to reintroduce foods into your diet during your recovery. For the first week after your surgery, you’ll be on a clear liquid diet. After that, you’ll slowly add in different food groups, in this order

  1. Non-clear liquids
  2. Pureed foods
  3. Soft foods
  4. Solid foods (normal diet)

Each step of this process may take around a week or more, depending on how your body adjusts after your surgery. Your provider will also recommend taking specific vitamins after your procedure to help make up for your decreased food intake. Even after you’re fully recovered, these vitamins should remain a regular part of your daily routine.

How much weight can you lose with gastric sleeve and duodenal switch?

You’ll need to make healthy lifestyle changes to see the best weight loss results after your surgery. These include cutting out high-calorie snacks, eating nutrient-dense foods, and exercising regularly. With the right effort, patients can typically lose around 60% of their excess weight in the two years following their gastric sleeve surgery. For duodenal switch and SADI, this number is around 80%.

What does gastric sleeve cost compared to duodenal switch?

The average cost of gastric sleeve surgery in the U.S. is $16,750, and duodenal switch surgery is $22,580. However, the actual price you pay could be thousands more. New Choice Health’s Bariatric Surgery Patient Assist Program can help you find a fair price for your procedure, as well as cash pay discounts and financing options that can lower your out-of-pocket costs for the surgery.

Hip Replacement Surgery, Orthopedic Surgery

6 Phases of Your Hip Surgery Recovery Timeline

You may start to feel pain relief almost immediately after your total hip replacement surgery, thanks to the removal of the inflamed and damaged tissue that caused the discomfort. However, complete recovery after your surgery will take some time. As you regain strength and mobility in your hip, you’ll be able to reintroduce different activities into your daily routine. 

Recovery times are different for everyone. How long it takes for your hip joint to recover depends on your age, activity level, and overall health. We created this hip replacement surgery recovery timeline to give people like you an idea of what to expect in the days, weeks, and months after your procedure.

The day of your hip replacement surgery

After your hip replacement surgery, you’ll stay in a recovery room for a few hours while your anesthesia wears off. During this time, your medical team will monitor your pain levels and blood pressure to keep an eye out for any complications. They’ll also give you medication to help prevent infection and blood clots. You’ll need to stick to a liquid diet for the rest of the day. But, there’s a good chance you’ll get to go home the day of your surgery.

1 to 3 days after your hip replacement surgery

You should be able to get out of bed (with help) as soon as the day after your surgery. By day 3, you should be able to go to the bathroom by yourself. From the first days of your recovery, it’s important to try to get up and walk around a few times a day, according to your surgeon’s instructions. Walking after surgery can help strengthen muscles, improve blood and oxygen flow, and speed up the healing process.

During this time, you’ll meet with physical and occupational therapists. Their job is to teach you how to move with your new joint as you recover. They’ll teach you the right way to walk with a cane or walker, if needed, and show you specific exercises that can help you regain the use of your muscles and hip joint.

1 week after your hip replacement surgery

During the first week after surgery, you will need to follow your surgeon’s instructions to prevent infection in your wound. This includes:

  • Taking sponge baths while keeping your incision clean and dry.
  • Reporting any fever, increased redness, or swelling to your doctor right away.

By the end of this week, you’ll probably need less pain medication throughout the day. Make sure to keep up with your physical therapy exercises, as well as any movements your provider recommends to decrease your risk of blood clots.

2 weeks after your hip replacement surgery

Around 10 to 14 days after your surgery, your doctor will remove your stitches or staples. After that, you can start showering normally again. Consider getting a shower seat before your surgery to make bathing easier during your recovery. The two-week mark is also when you should be able to start walking normally (without a cane or walker) after your hip replacement.

4 to 6 weeks after your hip replacement surgery

In the month and a half following your hip replacement, you’ll be able to start introducing more and more activities into your daily routine. If you are off pain medication by this point, your physician may clear you to start driving again. They may also clear you to have sex around 6 weeks after the procedure — as long as you avoid positions that may put a strain on your hip.

As you start feeling better, it’s still crucial that you keep up with your physical therapy exercises and avoid sitting for long periods of time. This is the best way to regain strength and mobility in your hip joint.

12 weeks after your hip replacement surgery and beyond

Around three months after your hip replacement surgery, you should be cleared to return to all of your normal activities. However, it can take up to 6 months to a year to completely recover from the surgery. Throughout the different stages of your recovery, your physical therapist will help by teaching you exercises to improve your range of motion, strengthen your muscles, and restore your balance and flexibility.

How to schedule your hip replacement surgery

When you’re ready to schedule your total hip replacement, your next step is to find a surgeon you trust. Using the New Choice Health Patient Assist program, you can search for top-rated, affordable hip replacement surgeons in your area.

Visit our Orthopedic Surgery Assistance page to learn more.

Hip Replacement Surgery, Orthopedic Surgery

6 Signs You Should Consider Hip Replacement Surgery

When you’re living with chronic pain, it can be hard to keep track of your symptoms over time. Was walking up the stairs harder today than it was yesterday? How long has putting on your shoes been such a challenge? Questions like these can make it difficult to pinpoint the moment that your hip pain and stiffness are severe enough to need surgery.

Hip replacement is a major procedure, but it can be life-changing for patients with severe hip pain and immobility. If you find yourself nodding along with the points in this post, it may be time to ask your doctor if total hip replacement surgery is the right option for you.

1. Your hip pain keeps you from performing daily tasks.

If your hip joint is damaged by arthritis, osteonecrosis, or injury, you may experience pain and a limited range of motion in the joint. Signs that your hip is damaged enough to need surgery may include experiencing difficulty:

  • Standing for a minute or longer, even with support
  • Walking up or down stairs
  • Putting on socks and shoes
  • Standing up from a seated position
  • Walking a normal distance
  • Standing on one leg, even with support

2. You’re having trouble sleeping.

For some people, living with chronic pain means dealing with a cycle of insomnia and fatigue that gets worse over time. In the short term, sleep disruption can lead to increased stress, anxiety, and memory problems. Long-term sleep problems can cause more severe effects, including increased risk of high blood pressure, cardiovascular disease, weight problems, type 2 diabetes, and certain types of cancer. 

Good sleep is crucial to your overall health. Make sure your healthcare provider knows if your hip pain is keeping you up at night.

3. Your mental health is affected.

Even if you’re used to your hip issues, that doesn’t mean that the chronic pain and stiffness aren’t taking a toll on your mental health. Chronic pain can lead to the development of mental health problems, including anxiety and depression. 

Whether or not you decide to get a total hip replacement, you should talk to someone you trust if your hip condition is affecting your mental health. Your physician may even be able to recommend a therapist that specializes in treating the emotional symptoms caused by chronic pain.

4. Treatments aren’t helping.

Hip replacement surgery shouldn’t be your first treatment option for your hip pain. Your provider will recommend non-surgical treatments first. These may include pain medication, anti-inflammatory pills or shots, steroid injections, physical therapy, and weight loss. If you’ve tried different treatments for your hip pain and still haven’t found relief, it may be time to talk to your doctor about hip replacement surgery.

5. The damage is getting worse.

Some conditions, such as arthritis, can cause your symptoms to worsen over time. For example, osteoarthritis may damage the cartilage that cushions the bones in your hip joint and prevents them from rubbing against each other as they move. As you use your hip joint, the cartilage wears out even further. This leads to increased pain and stiffness in your hip. In cases like this, your provider may recommend hip replacement surgery to keep the damage in your joint from getting worse.

6. You’re ready for long-lasting relief.

People who undergo hip replacement surgery typically experience increased mobility, reduced pain, and an overall improvement in their quality of life. Their hip replacement may actually help them live longer too, according to one 2018 study.

Many treatments for hip pain can only provide temporary relief. Steroid injections typically only last for a couple of months. Painkillers may only last a few hours. Hip replacement surgery is an alternative that can provide long-lasting relief. Around 95% of hip replacements still function well after 10 years, and, with proper care, many may last 20 years or more.

Is hip replacement surgery worth it?

Treatments for hip pain and immobility can range from over-the-counter medicines to major surgery. To decide which is right for you, you’ll need to work with your healthcare provider to determine the cause of your pain and the extent of damage to your hip joint. 

For some people, hip replacement surgery is the best option to regain the use of their hip joint. If you’re ready to take the next step and schedule a consultation for your surgery, New Choice Health can help. Our Orthopedic Surgery Patient Assist program pairs patients with qualified surgeons at fair, affordable prices. Click here to learn more and get a free quote for your hip replacement.

Hip Replacement Surgery, Orthopedic Surgery

How much does hip replacement surgery cost?

It’s not always easy to decide whether you should get a hip replacement, especially when the cost of surgery can vary so widely from person to person. Understanding what can affect your “out-of-pocket” price for your hip surgery can help you decide whether the procedure is your best option for long-term pain relief.

What is hip replacement surgery? 

Hip replacement surgery, also called hip arthroplasty, is a potential treatment option when hip pain and immobility keep you from enjoying everyday life. During this procedure, a surgeon removes the damaged bone near the hip joint. Then, they replace it with a prosthesis made of metal and medical-grade plastic. Patients can typically return to their normal activity levels around six weeks after their hip replacement, but it can take six to twelve months to regain full hip strength and mobility.

How much does hip replacement surgery cost?

The average cost of hip replacement surgery in the United States is $39,880, but prices can range from $18,175 to $53,750. 

The biggest factor that affects what you pay for your hip replacement is where you have the procedure. Inpatient facilities, like a hospitals, typically charge more than outpatient surgery centers. Most hip replacement surgeries are inpatient with a hospital stay of one to three days, but an increasing number of outpatient centers now offer hip replacement surgeries for otherwise healthy patients. 

Outpatient centers are just as safe as hospitals and could save you thousands on your medical bill. 

Based on our data, the target fair price for a hip replacement in the United States is $26,710, whether you have health insurance or not.

  • National Average: $39,880
  • National Range: $18,175 – $53,750+
  • Outpatient Facility Average: $27,220
  • Inpatient Facility Average: $43,370
  • Target Fair Price: $26,710

Read on for a breakdown of other factors that can affect the cost of your hip replacement surgery, as well as what you can do to find a fair price for your procedure.

Hip Replacement Surgery Cost Averages Around the United States

Location Price Range
New York, NY Hip Replacement Cost Average $13,800 – $37,900
Miami, FL Hip Replacement Cost Average $12,300 – $33,600
Phoenix, AZ Hip Replacement Cost Average

 

$14,700 – $40,200
Los Angeles, CA Hip Replacement Cost Average $17,200 – $47,300
Philadelphia, PA Hip Replacement Cost Average $13,900 – $38,100
Atlanta, GA Hip Replacement Cost Average $10,900 – $29,900
Houston, TX Hip Replacement Cost Average $11,800 – $32,500
Washington, DC Hip Replacement Cost Average $12,300 – $33,800
Dallas, TX Hip Replacement Cost Average $12,000 – $32,900
Chicago, IL Hip Replacement Cost Average $12,400 – $34,100

Which factors affect how much a hip replacement costs?

No matter which surgery you get, these three factors will influence how much you end up paying for healthcare:

  • Facility setting — Having your hip replacement surgery done in a hospital as an inpatient costs far more than having the same procedure done in an outpatient center. Since inpatient facilities tend to cost more to run, patients end up paying more for care.
  • Insured or uninsured — The cost of hip replacement surgery can vary between insurance providers, depending on how much of the procedure (if any) your insurance plan covers. If you don’t have health insurance, you can expect to pay for the total cost of the surgery out-of-pocket. 
  • Location — The region, state, and city you live in can affect the cost of your hip replacement. If you live in a rural area with fewer facilities to choose from, you’ll likely end up paying more than you would if you lived in a big city with many providers. Traveling for a medical procedure can be a great money-saving option. However, you should keep in mind that most doctors recommend waiting about a month after hip replacement surgery before traveling long distances. 

Is the price of hip replacement surgery different at inpatient and outpatient facilities?

The cost of hip replacement surgery will vary greatly between inpatient and outpatient facilities. The national average hip replacement cost at inpatient facilities is $43,370, while the same procedure averaged only $27,220 at outpatient facilities.

What is the cost of hip replacement surgery with and without insurance?

Insured patients can typically expect to pay less than uninsured patients for hip replacements, especially when they stay in-network. Nearly everyone who has a hip replacement will have to pay some of the cost out-of-pocket. If you have health insurance, including Medicare, you’ll be responsible for paying your deductible, copay, and/or coinsurance amounts. If you’re uninsured, you’ll be responsible for the total cost of your surgery. 

How important is it to find a provider in your health insurance network?

Your health insurance negotiates special rates with certain healthcare providers and facilities. This makes in-network providers almost always cheaper than out-of-network providers.

More factors that affect the cost of a hip replacement:

  • Cost of the implant — Your artificial hip implant makes up a significant part of the total price of your surgery. The cost of your implant can depend on:
    • The implant brand
    • The materials it’s made of (for example, titanium versus stainless steel)
    • Whether it’s customized or off-the-shelf
    • The supplier your facility uses for their implants 
  • Prescriptions — A physician may prescribe painkillers or antibiotics after your hip replacement surgery. You’ll pay less for your prescriptions if they’re covered by your insurance policy. You can also save money by asking if you can get a generic version of the same medicine. 
  • Additional office visits — Sometimes, you may be charged a separate fee for an initial consultation with your surgeon before the procedure. You’ll also need to schedule follow-up appointments after your hip replacement — usually at six weeks, three months, and one year. Patients often see their doctor once a year after that, unless problems arise. Ask if these follow-up visits are included in the total cost of your procedure.
  • Bundled payments — Sometimes, you may be able to ask for your hip surgery costs to be bundled together into one flat rate. For example, when you work with our Patient Assist program, the price you’re quoted includes:
    • The physician’s fees
    • The facility’s fees
    • Anesthesia fees
    • The cost of all materials used during the surgery
    • Any pathology or lab fees incurred if the physician requests that specimens be studied after your surgery
    • Your initial consultation
    • Up to 3 follow-up visits within 90 days of the procedure

Using a service that allows you to bundle your fees can make it easier to budget for the total cost of your surgery.

Are there alternatives to hip replacement surgery?

If your doctor tells you that you need a hip replacement, it’s usually because you’ve tried non-surgical options, such as medication and physical therapy, without success. Alternatives to hip replacement surgery include:

  • Arthroscopic hip surgery — Hip arthroscopy is a minimally-invasive surgery used to repair tendons, remove inflamed or damaged tissue, and shave bone spurs through small incisions made around the joint. This procedure has shorter recovery times than hip replacement surgery. However, it may not help patients whose pain and mobility issues are caused by arthritis. 
  • Hip resurfacing: Like a total hip replacement, hip resurfacing involves implanting an artificial ball and socket into the hip joint. However, in this surgery, the femoral head (top of the thigh bone) isn’t removed completely. Instead, it’s shaved down and covered with a smooth metal covering that acts as the ball in the joint. This surgery is typically only done on younger, more active patients.
  • Subchondroplasty — Subchondroplasty is a newer alternative to joint replacement. It may be an option for patients whose arthritis hasn’t caused too much damage to the bones in the hip joint. During this procedure, a surgeon injects a bone substitute around the weakened bones. Over time, your body gradually replaces the bone substitute with new bone growth. Subchondroplasty has a shorter and easier recovery time than a total hip replacement. Unfortunately, little information is available about the long-term success of the procedure.

If you’re interested in pursuing an alternative to hip replacement surgery, your doctor should be able to walk you through your different options. You should also feel free to ask another physician for a second opinion before making your decision.

Your hip replacement checklist:

  1. Review the total price of your hip replacement with your surgeon. Ask them to explain what each cost is for and keep a record of your conversation. If you get a higher medical bill than you expected, this information will come in handy.
  2. Ask your surgeon if they can perform the procedure in an outpatient setting. 
  3. Make sure that all providers are in-network, including specialists like anesthesiologists.
  4. Ask what the typical cost is if the surgeon finds other areas that need to be repaired during your hip replacement surgery.

Finding a fair price for your hip replacement

The average cost for hip replacement surgery in the U.S. is $39,880, but you may be able to pay much less for your procedure. New Choice Health’s Orthopedic Surgery Assistance program can help you find financing options and discounted pricing that could lower the total cost of your hip replacement surgery to $24,550. 

Click here to learn how you can save money on your procedure today.

Hip Replacement Surgery, Orthopedic Surgery

What happens during hip replacement surgery?

Hip replacement surgery, also called total hip arthroplasty, is a common orthopedic procedure that involves replacing a damaged hip joint with an artificial joint implant. You may consider getting a hip replacement if your hip pain keeps you from doing normal daily activities and nonsurgical treatments aren’t helping. The most common reason to get a total hip replacement is arthritis damage to the hip joint. 

It’s normal to have concerns before any major surgery, even when you’re sure that it’s the best option. Read on for a breakdown of what you can expect from your hip surgery, from the moment you check in to the hospital to when you return home.

(Check out our post on your hip surgery recovery timeline for what you can expect in the days, weeks, and months after your procedure.)

What happens on the day of your total hip replacement?

On the day of your surgery, you’ll check in to the hospital at a scheduled time. Then, you’ll go to your room to take off your regular clothes and put on a hospital gown. Once you’re ready, an anesthesiologist will come in and give you either:

  • A spinal block, which will numb the entire lower half of your body, or
  • General anesthesia, which will put you to sleep for the length of your surgery.

Either way, you won’t feel any pain during your hip replacement procedure. 

After the anesthetic has had time to kick in, the medical team will take you to the room where they’ll perform the surgery. During the procedure, your surgeon will make an incision over your hip and remove the damaged bone and cartilage. Then, they will implant the artificial joint and attach it to the healthy bone left in your hip. The entire hip replacement surgery typically takes about two hours. 

After your surgery, you’ll be taken to a recovery room for a few hours while your anesthesia wears off. During this time, your medical team will monitor your pain level, pulse, and blood pressure. They may give you additional medication as needed.

Many people can go home the same day as their hip replacement surgery. However, some patients with different medical needs may need to stay one or more nights for observation while they heal. 

What are the different types of hip replacement surgery?

The main types of hip replacement surgery are:

  • Total hip replacement: This is the most common type of hip replacement surgery. During a total hip replacement, a surgeon cuts away the diseased or damaged parts of the hip. Then, they replace the entire joint — ball and socket — with an implant made of metal, ceramic, and medical-grade plastic. They attach the artificial socket to your pelvic bone and connect the ball to a metal stem implanted into the top of your thigh bone.
  • Partial hip replacement: Also called a hemiarthroplasty, this procedure involves replacing only one part of the hip joint. In a partial hip replacement, a surgeon replaces the ball of the joint with an artificial ball and stem implanted into the top of the thigh bone. The socket is left alone. Typically, patients who get this surgery have hip pain is caused by a fracture, not arthritis.
  • Hip resurfacing: Like a total hip replacement, hip resurfacing involves implanting an artificial ball and socket into the hip joint. However, in this surgery, the femoral head (top of the thigh bone) isn’t removed completely. Instead, it’s shaved down and covered with a smooth metal covering that acts as the ball in the joint. This surgery is typically only done on younger, more active patients.
  • Hip revision: For some patients, hip replacement surgery isn’t the end of the story. If your artificial hip joint wears out over time or gets damaged by an infection, you may need hip revision surgery to correct the problem. This procedure involves replacing one or both parts of an artificial hip.

Different approaches to hip replacement surgery

Depending on which hip surgery you choose, there are couple of different ways your surgeon may approach your hip replacement procedure:

  • During anterior hip replacement surgery, the surgeon operates through a single large incision on the front of your hip. The incision typically starts at the top of the pelvic bone and ends at the top of the thigh.
  • Posterior hip replacement surgery uses a large, curved incision on the back and side of the hip.
  • Minimally-invasive hip replacement surgery involves one or more smaller incisions instead of a single large one. In this type of procedure, the surgeon often uses the help of x-ray guidance to help position the implant. Minimally-invasive procedures can involve shorter healing times than open surgeries, but they often require specialized surgical skills and equipment.

Which type of hip replacement surgery is right for you?

If you’ve tried physical therapy, steroid shots, and other nonsurgical treatments for your hip pain without success, it may be time to consider hip replacement surgery. Your healthcare provider will take x-rays and assess the extent of your joint damage to help you decide which type of hip replacement surgery is the right option for you.

Once you’re ready to schedule your hip replacement surgery, your next step is to find a surgeon to perform the procedure at a fair, affordable price. The New Choice Health Orthopedic Surgery Assistance program can help connect you with financing options and cash pay discounts that bring down the total price you pay for your hip replacement.

Orthopedic Surgery, Total Knee Replacement Surgery

How much does total knee replacement surgery cost?

Knee replacement surgery, also called total knee arthroplasty, is one of the most common orthopedic procedures in the United States. It may be an option if arthritis in your knee joint is causing you pain and limiting your range of motion. Your knee replacement surgery cost will depend on different factors, such as where you have your surgery and whether you have health insurance.

During this surgery, a physician removes the damaged parts of the bones in your knee and replaces them with an artificial joint made of metal and medical-grade plastic. With proper care, an artificial knee joint may last up to 15 years or more.

What is the average cost of a total knee replacement?

The average cost for total knee replacement surgery in the United States is $32,570, though prices can range from $14,188 to $49,016 or much, much more. 

The total cost of your knee replacement surgery depends on a few different factors, such as whether you get the surgery in an inpatient facility, like a hospital, or an outpatient surgery center. Outpatient orthopedic procedures are associated with lower costs and faster recovery times. Your healthcare provider will help you determine whether you’re a good candidate for outpatient knee surgery. 

Based on our data, the target fair price for total knee arthroplasty, including the cost of the implant, is $24,680, whether you have health insurance or not.

  • National Average: $32,570
  • National Range: $14,188 – $49,016+
  • Outpatient Facility Average: $25,100
  • Inpatient Facility Average: $41,620
  • Target Fair Price: $24,680

Keep reading for our breakdown on what determines the cost of your knee replacement surgery and how you can find the best price for your procedure.

Knee Replacement Surgery Cost Averages Around the Country

These prices do not include the cost of the knee implant, which can add up to $6,000 – $12,000 to the total cost of your surgery.

Location Price Range
Atlanta, GA Knee Replacement Surgery Cost Average $9,800 – $27,000
Houston, TX Knee Replacement Surgery Cost Average $10,700 – $29,300
Los Angeles, CA Knee Replacement Surgery Cost Average

 

$15,600 – $42,800
Miami, FL Knee Replacement Surgery Cost Average $11,100 – $30,300
New York, NY Knee Replacement Surgery Cost Average $12,400 – $34,100
Philadelphia, PA Knee Replacement Surgery Cost Average $12,500 – $34,300
Phoenix, AZ Knee Replacement Surgery Cost Average $13,200 – $36,200
Washington, DC Knee Replacement Surgery Cost Average $11,200 – $30,600
Chicago, IL Knee Replacement Surgery Cost Average $11,200 – $30,700
Dallas, TX Knee Replacement Surgery Cost Average $10,800 – $29,700

Which factors affect how much total knee arthroplasty costs?

Many things can affect the price that you pay for healthcare. The four main factors that will determine the cost of your knee replacement surgery are:

  • Facility setting — The cost of your knee replacement surgery will depend on where you have it done. Getting a knee replacement in a hospital will be significantly more expensive than having it done in an outpatient center. Inpatient facilities tend to cost more to run, so patients end up paying more for care.
  • Insured or uninsured — If you have health insurance, the cost of your total knee replacement can depend on how much of the surgery your insurance plan covers, if any at all. If you don’t have health insurance, you can expect to pay the entire cost of the surgery out-of-pocket.
  • Location — The cost of knee replacement surgery can vary by state, region, and even city. If you live in a rural area with fewer facilities to choose from, you will probably pay more than you would if you lived in a city with many providers. This is why more and more people are choosing to travel to lower-cost areas to save money on medical procedures.
  • Implant selection — Some implant brands are more expensive than others, and the supplier your hospital or surgery center uses can affect the total price you pay for your surgery. The cost of your implant can also depend on the materials it’s made of, as well as whether it’s customized or off-the-shelf.

What is the cost difference between inpatient and outpatient facilities?

Inpatient and outpatient facilities charge very different prices for the same procedures. The national average cost for total knee arthroplasty at inpatient facilities is $41,620, while the same procedure at outpatient surgery centers averages $25,100. 

How much is total knee replacement surgery with or without insurance?

If you’re insured, you can usually expect to pay less for your procedure than an uninsured patient, especially if you stay in-network. This is because health insurance companies negotiate with facilities in their network to get surgeries at a lower cost. If you don’t have health insurance, the cost of surgery falls on you and, ultimately, costs more.

In-network vs. out-of-network cost differences

Before you schedule your surgery, check to confirm whether your surgeon is in-network or out-of-network for your insurance plan. In-network providers will almost always be cheaper than out-of-network providers. This does not apply to patients who are uninsured. Without insurance, you are responsible for the full cost of total knee replacement surgery.

How much does a total knee replacement cost out-of-pocket?

Almost everyone who has knee replacement surgery will have to pay at least part of the cost out-of-pocket. If you’re insured, your out-of-pocket cost will depend on your deductible, copay, and coinsurance amounts. If you’re uninsured, you’ll be responsible for the total cost of your surgery.

What else can affect the cost of total knee replacement surgery?

  • Prescriptions — You may need to take painkillers, blood thinners, or antibiotics after your knee replacement surgery. Medicine can be expensive. You can ensure you’re getting the best price by checking that all your prescriptions are covered by your health insurance. You can also lower the cost by asking for generic versions of your prescriptions. These will be cheaper than name brands.
  • Additional office visits — Sometimes, you may be charged a separate fee for an initial consultation with the surgeon before the surgery. You may also be charged for the follow-up visits you schedule after your procedure. (For knee replacement surgery, you’ll typically check in with your healthcare provider after two weeks, six weeks, three months, and one year.) Ask which, if any, of these follow-up visits are included in the total cost of your procedure.

Are there alternatives to getting a total knee replacement?

Knee replacement surgery is only recommended after you’ve tried nonsurgical treatment options without success. If your doctor recommends this procedure, it’s probably because they think it’s the only way to relieve your knee pain and instability. However, you can always speak to another physician to get a second opinion before committing to surgery.

Nonsurgical alternatives to total knee replacement may include:

  • Physical therapy
  • Low-impact exercise
  • Joint supplements
  • Steroid injections
  • Hyaluronic acid injections
  • Weight loss (if excess weight is contributing to your knee pain)

The goal of these treatments is to reduce knee pain and inflammation and restore your range of motion. You can always ask your doctor if any alternatives to total knee replacement may work for your specific situation. Don’t be afraid to ask questions and talk about your concerns before scheduling surgery.

Your total knee replacement surgery checklist

  1. Review the total cost of your knee replacement surgery with your surgeon, including prescriptions and follow-up visits. Ask them to explain the different charges you’ll be responsible for, and keep a record of their answers in writing. If you get a medical bill that’s higher than you expected, this information will come in handy.  
  2. Ask your surgeon if you can get your knee replacement in an outpatient setting.
  3. Check that all of your providers are in-network for your insurance, not just your main surgeon. Patients are often surprised by fees associated with out-of-network anesthesiologists and other specialists. 
  4. Ask what added costs you may see if the surgeon encounters complications during your procedure.

Finding a fair price for your total knee arthroplasty

The average cost for knee replacement surgery in the U.S. is $32,570, but you may be able to pay significantly less for your procedure. By scheduling your knee replacement through New Choice Health’s Orthopedic Surgery Assistance program, you can find financing options and take advantage of discounted pricing ranging from $21,000 to $29,000.

Orthopedic Surgery, Total Knee Replacement Surgery

What are the different types of knee replacement surgery?

Knee replacement surgery is a common procedure with high rates of success. Your doctor may recommend it if your knee pain and mobility issues aren’t responding to medications and other nonsurgical treatments. Depending on the extent of the damage to your joint, you may either have a partial or total knee replacement (TKR). TKR is the more common of the two procedures, and there are a few different approaches your surgeon may take during the operation that may affect your recovery experience. Read on for a full breakdown of the different types of knee replacement surgery.

What’s the difference between a partial and total knee replacement?

When your knee joint is damaged by arthritis, a knee replacement may be your best option to relieve pain and restore your range of motion. Most people will need a total knee replacement (TKR). This procedure removes and replaces the damaged parts of all three bones in the joint — the femur (thigh bone), tibia (shin bone), and patella (kneecap).

A partial knee replacement, on the other hand, is performed when only one part of the knee is damaged enough to need a prosthetic replacement. The different parts of the knee that may be replaced are the:

  • Medial compartment: The inside of the knee joint, closest to the opposite knee.
  • Lateral compartment: The part of the knee that is on the outside, farthest from the opposite knee.
  • Patellar compartment: The front part of the knee between the thigh bone and the kneecap (patella).

During a partial knee replacement, a surgeon cuts away the damaged tissue and bone from part of the knee joint, preserving the rest of the knee. Then, they attach a prosthetic to that part of the joint with bone cement. Surgeons often use small incisions to perform partial knee replacements, so patients who have this procedure typically experience shorter recovery times.

When is a partial knee replacement recommended?

It is rare for knee pain and immobility to be solved by a partial knee replacement. Only about 5 to 6% of people with arthritic knees are good candidates for this procedure. Those eligible usually:

  • Only experience pain in one part of their knee
  • Are older, thin, and not very physically active
  • Still have a good range of motion in their knee
  • Do not have bad arthritis in the non-painful part of their knee

A partial knee replacement may also be recommended for younger patients (under 65) who have plenty of healthy bone left in their knee joint.

What are the different types of total knee replacement (TKR) surgery?

There are two types of total knee replacement surgery: cruciate-retaining TKR and posterior-stabilized TKR. The main difference between them is how the surgeon treats your posterior cruciate ligament (PCL). Your PCL is one of the bands of tissue that connect your thigh bone to your shin bone. (The other is the anterior cruciate ligament, or ACL.) 

During a cruciate-retaining total knee replacement, the PCL is left intact to help stabilize the artificial knee. Keeping the PCL may help preserve more bone in your knee and reduce the load on the bone cement attaching the artificial knee to the joint. However, this is only an option if your PCL is strong enough to support the new joint. 

During a posterior-stabilized total knee replacement, the PCL is cut and replaced with special components added to the artificial knee. This option can give you a more predictable range and quality of motion for your artificial knee. 

Both types of knee replacement surgery have high rates of long-term success and are associated with similar improvements in knee pain and range of motion. The type of surgery you get will depend on the state of your PCL and your surgeon’s training and experience.

What are the different methods of performing a total knee replacement?

When planning your TKR, your surgeon will recommend either traditional (open) surgery or minimally invasive surgery. Over 85% of all knee replacements are performed traditionally, meaning that the surgeon operates through a single large incision. Typically, this incision will cut into the quadriceps tendon on the front of the knee.

During open knee replacement surgery, the surgeon has a clear view of the joint while they operate. This unobstructed view of the bones in your knee makes it easier for the surgeon to get correct placement and alignment for the artificial knee joint. However, traditional surgery tends to come with longer healing and recovery times than minimally invasive surgeries.

In a minimally invasive knee replacement surgery, the surgeon only makes a small cut in a quadriceps muscle instead of cutting through the tendon. This procedure is more technically challenging than open surgery, and it often requires special tools and training. Minimally invasive knee replacement surgery may not be recommended if you:

  • Are obese or overweight
  • Are very muscular
  • Have severe knee instability or deformity
  • Need a more complex knee replacement

How should you decide between the different types of knee replacement surgery?

The type surgery you get will depend on your surgeon, your medical history, and the health of your knee joint. If you’re still searching for a physician, the New Choice Health Patient Assist program can help. Our partner surgeons are dedicated to providing high-quality medical care at a fair, affordable cost. Visit our Orthopedic Surgery Assistance page to learn more about finding the best price for your knee replacement, no matter which type you need.

Orthopedic Surgery, Total Knee Replacement Surgery

How long does it take to walk after total knee replacement surgery?

After trying physical therapy, medicine, and other treatments for your arthritic knee, you may be considering a total knee replacement. This surgery has helped many find relief from pain and mobility issues that make it hard to do the everyday things they love, such as walking the dog or picking up young grandchildren. 

A knee replacement can make a significant improvement in your daily life, but it may take a while for you to get back to your normal activity levels. Let’s break down what your knee replacement recovery timeline will look like in the days, weeks, and months after your surgery.

What can you expect in the days after your total knee replacement?

During total knee replacement surgery, your surgeon will cut away the damaged bone and tissue from your knee joint . Then, they will implant an artificial joint made of metal and plastic. 

After your surgery, you’ll stay in the hospital for anywhere from a few hours to a few days. During that time, your medical team will monitor your recovery. Typically, they will help you stand and walk with assistance as soon as 12 to 24 hours after your surgery. A physical therapist will show you knee-strengthening exercises that will help with your knee replacement recovery.

When you’re discharged, you will need someone to give you a ride home from the hospital or surgery center. During your first few days at home, you will probably feel more tired than normal. Your job will be to find a balance between staying active and giving your body rest when you need it. Try to avoid sitting in one place for more than an hour at a time.

Preparing your home for your knee replacement recovery

To make your at-home recovery as easy as possible, consider taking the following steps before your surgery:

  • Prepare a place to sleep on the first floor of your home.
  • Pre-order any medical equipment, such as a walker, shower chair, or crutches.
  • Make sure you’re stocked up on ice packs.
  • Ask your friends and family for help with pets, chores, and errands.
  • Place chairs in every room, so you have support when you need a break from standing.
  • Set up a sturdy chair in which you can elevate your leg, such as a recliner.
  • Think of the items you use the most — tissues, glasses, laptop, wastebasket — and make sure they’re within reach of your recovery chair. 
  • Consider installing an adjustable showerhead, shower seat, and non-slip bath mat to make bathing easier.
  • Mount grab bars next to the toilet and in the shower for support.
  • Ask your healthcare provider about any other preparations you should make before your surgery to make your knee replacement recovery easier.

How long does it take to walk after a total knee replacement?

It will take at least three to six weeks for you to return to your normal activities after your knee replacement procedure. You’ll start walking again in stages. For the first few weeks after your surgery, you’ll use a walker. Then, you may switch to crutches or a cane. You should be able to walk on your own again about four to eight weeks after your total knee replacement surgery. 

Your healthcare provider will give you guidelines on resuming different activities after your surgery, but generally, you can expect to be able to:

  • Drive again after six to eight weeks.
  • Go back to work within four to 16 weeks.
  • Resume heavy housework, such as vacuuming and changing bedsheets, after about three months.
  • Lift things 10 pounds or heavier after 12 weeks.
  • Start having sex again after six to eight weeks.

During your knee replacement recovery, it is important to keep up with any physical therapy exercises recommended by your healthcare provider. They will help you strengthen your leg as your knee heals. You should continue to use ice packs and take any prescribed anti-inflammatories or painkillers to help manage pain and swelling during your recovery.

What can you do to extend the life of your artificial knee joint?

Artificial knees, just like real ones, have their limitations. The stress of repeated use can cause a knee replacement to fail over time. When this happens, it’s either because a component of the artificial knee has worn down or the bond between the implant and the bone has weakened. Either way, a knee replacement failure usually means you’ll need another surgery to fix your knee.

To avoid knee replacement failure, you should prioritize caring for your artificial knee, even after you’ve fully recovered. You can help protect your knee implant by:

  • Staying active but avoiding high-impact activities where you could fall or damage your knee, such as skiing, contact sports, and running.
  • Avoiding twisting at your knee.
  • Wearing supportive shoes when you’re walking outdoors.
  • Avoiding kneeling on your new knee until your doctor says it’s okay.
  • Staying at a healthy weight (excess weight can put added strain on your artificial joint).
  • Checking in with your orthopedic physician regularly to monitor the state of your implant.

Because knee replacements have the potential to wear out over time, your healthcare provider will probably recommend waiting until you have exhausted all other options before considering the procedure. When you’re ready to schedule your procedure, you can start searching for a surgeon using the New Choice Health Patient Assist program. To learn more about finding an affordable, high-quality knee replacement surgeon in your area, visit our Orthopedic Surgery Assistance page.