Arthroscopic Shoulder Surgery, Cost of Medical Procedures in the U.S., Orthopedic Surgery

Finding a fair arthroscopic shoulder surgery cost

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The average arthroscopic shoulder surgery cost in the United States is $25,925, though prices can range from $6,900 to $31,650.

One factor that can greatly affect your arthroscopic shoulder surgery cost is whether you have the procedure performed in an inpatient facility, like a hospital, or an outpatient surgery center. Whether or not you can have outpatient surgery for your shoulder depends on your overall health.

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

Based on our data, the target fair price for arthroscopic shoulder surgery is $14,050, whether you have health insurance or not.

  • National Average: $25,925
  • National Range: $6,900 – $31,650+
  • Outpatient Facility Average: $16,150
  • Inpatient Facility Average: $26,875
  • Target Fair Price: $14,050

Below, you’ll learn what factors into the cost of an arthroscopic shoulder surgery, as well as how to find a fair price for your surgery.

Arthroscopic Shoulder Surgery Cost Averages Around the Country

Location Price Range
Los Angeles, CA Arthroscopic Shoulder Surgery Cost Average $5,800 – $15,900
Dallas, TX Arthroscopic Shoulder Surgery Cost Average $3,900 – $10,600
Miami, FL Arthroscopic Shoulder Surgery Cost Average $4,100 – $11,200
New York, NY Arthroscopic Shoulder Surgery Cost Average $4,500 – $12,300
Chicago, IL Arthroscopic Shoulder Surgery Cost Average $4,100 – $11,100
Houston, TX Arthroscopic Shoulder Surgery Cost Average $3,900 – $10,600
Philadelphia, PA Arthroscopic Shoulder Surgery Cost Average $4,400 – $12,000
Washington, DC Arthroscopic Shoulder Surgery Cost Average $4,300 – $11,800
Atlanta, GA Arthroscopic Shoulder Surgery Cost Average $3,700 – $10,200
Phoenix, AZ Arthroscopic Shoulder Surgery Cost Average $4,400 – $11,900

Specific Arthroscopic Shoulder Surgery Procedures and National Cost Averages

Procedure Price Range
Shoulder Repair Surgery Cost Average $6,500 – $41,300
Rotator Cuff Surgery Cost Average $8,400 – $56,200

Which factors affect how much arthroscopic shoulder surgery costs?

Many things can affect the cost of healthcare, regardless of which type of procedure you’re getting. Generally, there are three factors that cause healthcare costs to vary:

  • Facility setting — Where you have your medical procedure done affects the cost. Having arthroscopic shoulder 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 price of arthroscopic shoulder surgery can vary between insurance providers. The change in price largely depends on how much of the procedure your insurance plan will cover, if any at all. If you don’t have health insurance, you can expect to pay for the full cost of the procedure out-of-pocket.
  • Location — The region, state, and even city you live in can affect your arthroscopic shoulder surgery cost. If you live in a rural area with fewer facilities to choose from, you can expect to pay more than you would if you lived in a city with many providers. Traveling for a medical procedure can be a great money-saving option.

Inpatient vs. outpatient facility cost differences

Your arthroscopic shoulder surgery cost will vary greatly between inpatient and outpatient facilities. The national average cost for a shoulder arthroscopy at inpatient facilities is $26,875, while the same procedure at outpatient facilities averaged $16,150.

Insured vs. uninsured cost differences

Insured patients have historically paid less than uninsured patients for arthroscopic shoulder surgery, especially when they stay in-network. When a patient has insurance, they share payment responsibility with their insurance company. For patients who don’t have health insurance, the cost of their arthroscopic shoulder surgery falls on them and, ultimately, costs more.

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

In-network refers to a healthcare provider or facility that has a contracted rate with a health insurance company. This rate is usually much lower than what someone would pay out-of-pocket; in-network providers are almost always cheaper than out-of-network providers. This does not apply to patients who are uninsured—without insurance, you shoulder the full cost of your medical procedure.  

Payment responsibility

Nearly everyone who has arthroscopic shoulder surgery will have to pay some of the cost out-of-pocket. Uninsured patients will be responsible for the total cost of their surgery.

Patients who do have health insurance will be responsible for paying their deductible, copay, and coinsurance amounts. The amount of each of these costs depends on your health plan.

More factors that affect your arthroscopic shoulder surgery cost

  • Prescriptions — A physician may prescribe painkillers or antibiotics post-procedure. To avoid high prescription prices, make sure the prescriptions you receive are covered by your insurance policy. You can also ask if there is a generic version of the same medicine, which can help lower the cost.
  • Additional office visits — In some cases, you may be charged a separate fee for an initial consultation with the surgeon before the surgery. Your doctor will want to see you for follow-ups appointments throughout the first year after your surgery—usually at three, six, and nine months. 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.
  • Physical therapy/rehabilitation — A physical therapy regimen, tailored to the surgical procedures performed, will play a critical role in regaining strength and mobility in the shoulder that was operated on.  The length of time required will vary depending on the extent of the surgery, but your continued effort in rehabilitating your shoulder will contribute to the success of the surgery.

Your arthroscopic shoulder surgery checklist

1. Review your total arthroscopic shoulder surgery cost with your surgeon. Ask them to explain what each cost is for and keep a record. If you get a medical bill that’s higher than you expected, this information will come in handy.
2. Ask your surgeon if they can perform the procedure in an outpatient setting.
3. Check that all providers are in-network. Sometimes a provider who treats you will be out-of-network (this often happens with anesthesiologists). You can avoid this by asking your surgeon whether all of the providers who will treat you are in-network for your insurance.
4. Ask what the typical cost is if the surgeon finds other areas that need to be repaired during your procedure.

Finding a fair price for your arthroscopic shoulder surgery

The national average for an arthroscopic shoulder surgery is $25,925 but the fair price is $14,050. Still feel out of reach? New Choice Health’s Orthopedic Surgery Patient Assist program offers uninsured patients cash pay discounts and special financing options on shoulder surgery. You could pay as low as $10,500 for your shoulder surgery— significant savings!  Learn more about Patient Assist today.

Arthroscopic Shoulder Surgery, Orthopedic Surgery

What is arthroscopic shoulder surgery?

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Arthroscopic shoulder surgery is a procedure used to diagnose and treat issues with pain and immobility around the shoulder joint. During a shoulder arthroscopy, a surgeon uses a small camera to see inside the shoulder joint without making a large incision. The surgeon may repair tendons, remove inflamed or damaged tissue, and shave bone spurs through small incisions made around the joint. For most patients, the surgery will eliminate the sources of their shoulder pain and mobility issues.

Arthroscopic shoulder surgery is usually performed by an orthopedic surgeon. You will be under general or regional anesthesia for the surgery and you will not feel pain. Most shoulder surgeries are outpatient but some physicians may advise an overnight stay. Since it’s less invasive than traditional shoulder surgery, shoulder arthroscopy allows the patient to have a quicker recovery – anywhere from one to six months, depending on the injury and extensiveness of the surgery required. (The recovery for open surgery can take up to nine months to a year.) You should be able to return to work in about a week. However, you will likely need to wear a sling to support your arm for the first month.

Are there alternatives to arthroscopic shoulder surgery?

If your doctor tells you that you need a shoulder arthroscopy, it’s usually because you’ve tried non-surgical treatments (such as ice, heat, stretching, anti-inflammatories, and steroid injections) without success. There are two alternatives to arthroscopic shoulder surgery. However, you’ll want to check with your doctor to see if either is a good option for you.

  • Open shoulder surgery – Arthroscopic shoulder surgery may not offer the visibility required to repair injuries in patients with a great deal of damage in their shoulder. Traditional open surgery, while more invasive than arthroscopy, allows a greater field of view and better access to the bones and tissues in need of treatment. However, this surgery is typically associated with longer, more difficult recovery times.
  • PRP/Stem Cell procedures – Another approach to healing damaged shoulder tissue involves Stem Cell or Platelet-Rich Plasma therapy. Using these biological materials in the injured areas is thought to take advantage of your body’s ability to heal itself. This type of therapy is often used to treat tendonitis.

The type of procedure you get will depend on your personal health and your doctor’s recommendations. If you have questions about your arthroscopic shoulder surgery, you can always ask your doctor why they’re recommending the procedure. Also, if you’re unsure about their recommendations, feel free to get a second opinion.

How can you find a fair price on arthroscopic shoulder surgery?

The price of your arthroscopic shoulder surgery will depend on many factors. These can include the city that you live in, where you choose to have your surgery done, and whether or not you have insurance. New Choice Health has compiled cost information from healthcare facilities across the country to help you determine what you should pay for your surgery. Use our arthroscopic shoulder surgery cost information page to find a fair price for your surgery today.

Arthroscopic Knee Surgery, Orthopedic Surgery

Top 8 arthroscopic knee surgery recovery exercises

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From the repair of a torn meniscus to the treatment of kneecap problems, the reasons for getting arthroscopic knee surgery can vary. After the surgery, your doctor will recommend an arthroscopic knee surgery recovery exercise routine that increases in difficulty as your recovery progresses. As you regain your mobility, you should feel better than you did when enduring knee pain, swelling, and impaired walking. Always follow the specific instructions of your surgeon after an arthroscopic surgery.

The evidence supports exercise for arthroscopic knee surgery recovery

A study released in the Journal of Clinical Medical Research found that “people who have undergone surgery for degenerative meniscus damage, postoperative high repetitive, high dosage medical exercise therapy is an effective treatment alternative compared to no rehabilitation.” 

With this evidence, it becomes clear that exercise is needed to recover from arthroscopic knee surgery. Once you’ve made it through the immediate recovery period, these exercises may promote healing.

Physical activity decreases arthroscopic knee surgery recovery time

There are several exercises commonly recommended by physicians and physical therapists right after arthroscopic knee surgery. Studies investigating the “effectiveness of exercises after hospital discharge…consisting of [exercises focusing on] range of motion, stretching, strengthening, and endurance…have shown a small beneficial effect on pain and function,” according to the Journal of American Physical Therapy Association.

Arthroscopic knee surgery recovery exercise #1: hamstring contractions

Although this move might feel simple, it actually stretches your knee in a number of ways. This exercise is performed when lying down. Because of this, it is recommended for people of all ages and can be performed with ease.

To do this exercise, lie down with your knees bent only about 10 degrees. Do not force your knees to bend. Pull your heels down to the floor and hold for four to five seconds. You will feel your hamstring muscles behind your thighs tighten. Repeat the exercise 10 times. The reason this exercise is beneficial is that movement is minimal but the hamstring is getting worked.

Arthroscopic knee surgery recovery exercise #2: leg raises

Colette Widmer Leu of the University of British Columbia analyzed a number of clinical studies completed within the last 15 years. She found, “early muscular tension of the quadriceps muscle would be important for functional tasks, muscular pump, and prevention of loss of muscular pattern and strength.”

Leg raises are simple. Lie down on your back and bend your uninjured knee. Keep your injured knee/leg straight. Lift your leg about six inches off the ground and hold for a few seconds. Repeat 10 times. Perform this on both sides. The bending exercises your injured knee and the straightening of your leg works your hamstrings.

You’ve likely done leg raises thousands of times, so be sure to remember you are recovering from a surgery. Do not overstrain; the general recommendation is to add weights to your ankle at about one pound a week (stopping at about 5 pounds).

Arthroscopic knee surgery recovery exercise #3: standing leg raises

A natural companion to the leg raise is the standing leg raise. Doctors recommend this for patients with a strong sense of balance, so a great trick is to test your sense of balance prior to the arthroscopic knee surgery.

Applying the same technique as in the last exercise, standing leg raises are about keeping your knee straight. Support yourself against a counter or bar if necessary, especially right after your surgery. Lift your injured leg, keep your knee straight, and return. Repeat 10 times.

Arthroscopic knee surgery recovery exercise #4: toe bends

A final low-impact exercise to help with arthroscopic knee surgery recovery is the toe bend. This is another exercise that does not require you leaving your bed or getting up from the couch! While lying on your back, extend your legs flat in front of you. In the same motion, you should pull your toes toward your body and also brace your knees “firmly against the bed. Hold for ten seconds and repeat 20 times,” recommends the University Hospital Southampton.

Arthroscopic knee surgery recovery exercise #5: step-ups

During your recovery from arthroscopic knee surgery, the exercises that you perform should naturally increase in intensity. Once the swelling is down and pain is controlled, you may want to include a more difficult set of exercises in your workout routine. Exercises #5 through #8 are recommended for your intermediate and advanced stages of recovery.

As you’re ramping up your workout routine, it’s important that you don’t overextend yourself, especially when performing step-ups. This exercise is not complicated but it does test your knee strength.

Find a high step that is about ten inches or so off the ground. Step up on the platform with one leg leading and repeat ten times. Complete the same routine on the other side. As your knee gets stronger, you can increase your number of repetitions or step up on a higher platform to build your strength and stamina.

Arthroscopic knee surgery recovery exercise #6: lateral step-ups

Just as you did step-ups in the previous exercise, you are performing the same movement in this knee surgery recovery workout. Find a high step that is about ten inches off the ground, but instead of stepping up like you would on the stairs move up laterally (or sideways). Perform the movement with your right side leading up and repeat 10 times. You can also increase the height of the platform as you gain strength.

Arthroscopic knee surgery recovery exercise #7: partial squats with support

Using the back of a chair or counter, you can complete a modified squat. Hold on to the chair or counter and make sure your feet are about six or twelve inches back. Slowly bend your knees while you also keep your back straight. Hold for a few seconds. Perform this exercise slowly and do not go into a full squat. Your knees should bend past than 90 degrees.

Arthroscopic knee surgery recovery exercise #8: slow chair sits

Have you done squats before? This exercise follows the same format as a standard squat, except you are recovering from a surgery and should be careful on your injury. All you need is a chair to lower yourself into and you can get started.

Cross your arms across your chest and stand in front of a chair. Slowly lower your body into the chair without using your arms to support yourself. Repeat ten times. Then, as your knee starts to strengthen, you can make the squat more difficult by changing the height of the chair.

Decrease arthroscopic knee surgery recovery time

There are several commonly prescribed exercises that help the muscles and tendons of the knee recover after surgery. Regaining your mobility is one of the most exciting parts of the recovery process. With a set schedule and a commitment to getting better, you might surprise yourself at how fast you can recover from your arthroscopic knee surgery.

Knee surgery causes pain post-surgery but has the long-term effect of relieving a lifelong ailment. Remember to always follow the instructions of your surgeon, especially in the case of mobility and exercise.

Finding a fair cost for your arthroscopic knee surgery

After your arthroscopic knee surgery, you should be focused on your recovery, not worrying about paying your medical bills. New Choice Health offers cash pay discounts and financing options for patients who are uninsured or whose deductibles are unreasonably high. Don’t let high medical costs keep you from getting the surgery that you need. Use New Choice Health’s Orthopedic Surgery Assistance program to find a fair cost for your arthroscopic knee surgery.

Arthroscopic Knee Surgery, Orthopedic Surgery

Common reasons for arthroscopic knee surgery

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There are many reasons for arthroscopic knee surgery, including chronic knee pain and mobility issues. Knee arthroscopies allow the surgeon to see inside the knee joint without making a large incision. Instead, the surgeon uses several small incisions around the joint to insert surgical tools and a thin tube with a camera at the end, called an arthroscope. The camera transmits video to a monitor, which the surgeon uses to guide the operation.

Arthroscopic knee surgeries typically have shorter, less painful recovery times than open knee surgeries. The recovery process will depend on the reason for your knee arthroscopy, but most patients are able to return to full, unrestricted activity levels once their knee has healed. Has your doctor recommended arthroscopic knee surgery? Below, learn about the different reasons for arthroscopic knee surgery, as well as their estimated recovery times.

Arthroscopic knee surgery for a torn ligament

Knee arthroscopy is a minimally-invasive surgical option for patients suffering from torn ligaments in their knee joint. Torn ligaments are one of the most common reasons for arthroscopic knee surgery. Your knee has four ligaments that connect the thigh bone to the shin bone and help stabilize the joint. The majority of injuries to the two collateral ligaments on either side of your knee can be treated without surgery.

However, tears to the cruciate ligaments found inside your knee joint may be more serious. The anterior cruciate ligament (ACL) may require arthroscopic reconstruction surgery after a tear. During this procedure, a surgeon removes the damaged ACL and replaces it with a tendon graft. The tendon is either taken from another part of your knee or from a donor. Small holes are drilled into the thigh and shin bones to position and secure the graft. New ligament tissue will grow around the tendon graft.

Patients typically require physical therapy to regain full strength and mobility in their knee joint after arthroscopic ACL surgery. Recovery can take three to six weeks. However, it may take up to one year for patients to return to rigorous physical activities.

Posterior cruciate ligament tears may also be treated with arthroscopic surgery, but severe PCL injuries are rare.

Arthroscopic knee surgery for a torn meniscus

A torn meniscus is one of the most common reasons that your physician might recommend arthroscopic knee surgery. Your meniscus is a soft cartilage disc that rests between your shin and thigh bones. It acts as a type of “shock absorber” that adds stability to your knee joint. A torn meniscus can be painful and may require surgical treatment. Common symptoms of a meniscus tear are pain, stiffness, and inflammation. The two types of meniscus repair surgery that your physician may recommend are:

  • Meniscectomy—During this arthroscopic procedure, a surgeon removes all or part of the damaged meniscus. Meniscectomy recovery times range from one to two weeks. However, it can take four to eight weeks to return to full strength and mobility in the knee.
  • Meniscus repair—Sometimes, a meniscus tear can be treated with sutures. In an arthroscopic meniscus repair, a surgeon stitches the torn pieces of the meniscus back together. Eligibility for meniscus repair surgery depends on the type and severity of the tear, as well as the overall health of the meniscus. Meniscus repair surgeries typically have longer recovery times than meniscectomies. It can take up to three months to regain full strength and mobility.

No matter which type of surgery your doctor recommends for your torn meniscus, you will probably have to stick to a strict physical therapy regimen during your recovery time. After rehabilitation, most patients are able to return to their normal activity levels.

Other reasons for arthroscopic knee surgery

Aside from the above procedures, there are many more reasons that a physician may recommend this procedure. Additional reasons for arthroscopic knee surgery include:

    • Undiagnosed knee pain—Arthroscopic knee surgery can allow your physician to see any small, loose particles in the knee, as well as gain a clearer view of the meniscus and cartilage to look for any damage. Diagnostic knee arthroscopies are often recommended if the cause of knee pain and immobility is unknown. This procedure can also be used to confirm a diagnosis before starting a treatment plan.
    • Arthritis—Arthritis is inflammation in the joint that can cause pain, stiffness, and swelling. In cases where arthritis symptoms don’t respond to nonsurgical treatment, arthroscopic knee surgery may be recommended. During this procedure, a surgeon may remove and replace damaged cartilage. They may also shave the bones of the thigh and shin to reduce pressure on the knee joint.
    • Swollen synovium—Synovium is the thin lining that surrounds your knee joint. It is responsible for lubricating the cartilage and reducing friction between the bones in your joint. Inflammation in the synovium is typically caused by injury to one of the tendons, bones, or muscles in the knee. Arthroscopic surgery can be used to cut away the swollen or damaged parts of the synovium and reduce knee pain.
    • Baker’s cysts—Baker’s cysts, also called popliteal cysts, are small, fluid-filled bumps that can form on the back of the knee. These cysts commonly occur as a result of an injury to the knee joint. Arthroscopic knee surgery can be used to treat the underlying cause of the Baker’s cyst.

Arthroscopic knee surgery can also be used to remove loose fragments of bone or cartilage, treat fractured kneecaps, shave bone spurs, and remove inflamed or damaged cartilage. All of these arthroscopic knee surgeries may be performed as outpatient procedures, depending on your health and your doctor’s recommendations. Recovery times vary, depending on the procedure, but most patients are back to normal activity levels within six weeks.

How much should you pay for your arthroscopic knee surgery?

There are a variety of reasons for arthroscopic knee surgery and each comes with its own price tag. New Choice Health’s Orthopedic Surgery Assistance program was designed to help uninsured and underinsured patients find affordable prices for the medical procedures that they need. With financing options and cash discounts, you may be able to save as much as $10,000 on your arthroscopic knee surgery. To find the best price for your procedure, learn more about New Choice Health’s Patient Assist program today.

Arthroscopic Knee Surgery, Orthopedic Surgery

What is arthroscopic knee surgery?

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Impaired knees can affect a patient’s life on a daily basis. It can be difficult to live with chronic pain and immobility in your knee joint. When your knee condition starts to impair your ability to perform your normal activities, your doctor may recommend arthroscopic knee surgery.
This surgery is a minimally-invasive procedure that allows doctors to view and treat the source of knee joint pain and immobility. The operation is performed through a series of small incisions, rather than one large incision. Below, learn more about arthroscopic knee surgery and whether it might be the right solution for you.

What happens during arthroscopic knee surgery?

Arthroscopic knee surgery is a procedure used to diagnose problems in the knee such as a torn meniscus, a misaligned patella, fractured knee bones, and more. During surgery, a small incision is made in order to insert a small camera into the patient’s knee. Once the surgeon diagnoses the problem through a monitor, corrections can be made using very small instruments.
Arthroscopic knee surgery is performed by a surgeon and is a very low-risk procedure. Patients will receive either local, regional, or general anesthesia before surgery, which typically lasts about an hour. Recovery time varies based on the damage found during the procedure but patients usually go home the day of surgery.

Are there alternatives to arthroscopic knee surgery?

If your doctor tells you that you need arthroscopic knee surgery, it’s usually because you’ve tried other options without success. There are a few alternatives to arthroscopic knee surgery. However, you’ll want to check with your doctor to see if any are a good option for you.
  • Knee osteotomy – A knee osteotomy is an option for younger patients with minimal knee damage. The surgery is typically used for patients with a knee deformity or damage to only one side of their knee. It offers pain relief by shifting the weight-bearing load off the damaged part of a knee. A knee osteotomy is typically not a permanent solution.
  • Corticosteroid injections – Corticosteroid injections, commonly called cortisone shots, are a non-invasive way to relieve knee pain. These injections help increase natural joint fluid and ease the friction between the bones in your joint. Corticosteroid injections can last up to 6 months or more.
  • Physical therapy – Physical therapy can help strengthen a patient’s knees. By strengthening the muscle around your joint, you may be able to relieve some pressure on the damaged bone or cartilage. A physical therapist may also suggest weight loss to take some of the pressure off compromised knees.
The type of procedure you get will depend on your personal health and your doctor’s recommendations. Feel free to ask your doctor why they’re recommending any procedure. If you’re unsure about their recommendations, feel free to get a second opinion.

How much should you pay for arthroscopic knee surgery?

Your doctor has probably recommended arthroscopic knee surgery because you have been suffering from joint pain or immobility that is affecting your everyday life. Don’t let the high cost of orthopedic surgery keep you from experiencing the pain relief that you need. By learning about the different factors that can affect the cost of your surgery, you can figure out how to find the best price for your procedure. Visit New Choice Health’s arthroscopic knee surgery cost information page to find out how to find a fair price for your surgery today.
MRI

MRI vs. MRA: what’s the difference?

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Magnetic resonance imaging (MRI) is a technology that uses radio waves and magnetic fields to create images of the body’s internal structures and tissues. This diagnostic imaging test allows your physician to gain insight into the condition of your internal organs without subjecting you to the ionizing radiation present in x-rays. MRI waves pass through bone and allow your physician to see the organs, tendons and soft tissues underneath. The images, or scans, taken by the MRI machine are three-dimensional and are displayed on a computer screen.

Sometimes, MRI technology can be used to examine certain blood vessels. This procedure is called a magnetic resonance angiography (MRA). This allows your physician to diagnose and monitor any conditions that affect your blood flow. An MRA may be performed at the same time as an MRI, or it may be performed on its own. Both scans are generally safe, non-invasive procedures. Below, learn some of the key similarities and differences between the two procedures so that you know what to expect for your specific situation.

MRI vs. MRA: uses

MRI scans are used to diagnose and monitor a variety of conditions that affect the soft tissues inside your body. These include:

  • Ligament or tendon injury
  • Multiple sclerosis
  • Eye or inner ear disorders
  • Spinal cord injury
  • Brain conditions or tumors
  • Bone and joint disorders or tumors
  • Heart disease or structural problems in the aorta
  • Tumors or cancer in internal organs

MRA scans focus on the function of your body’s blood vessels (arteries and veins) in your brain, neck, chest, and abdomen. These scans can be used to detect and evaluate:

MRI vs. MRA: preparation

For most MRIs, you will not be asked to make any special preparations. On the day of your procedure, you should be able to eat and drink normally, as well as take your normal medications, unless your doctor tells you otherwise.

For an MRA, preparation instructions can vary by facility. Unless you are given specific guidelines, you should be able to eat and drink normally before your procedure. If you are unsure, contact your physician.

If the area being scanned is above your shoulders, you should avoid wearing any jewelry or make-up. Keeping your hair free of hairpins and hairspray or gel is also recommended, as these may affect your scan.

You should plan on arriving around thirty minutes early to your scan to register and change into a hospital gown, if required. You will be asked to remove all jewelry and metal clothing, as these will respond to the powerful magnets in the MRI machine.

MRI vs. MRA: contrast materials

Depending on the reason for your MRI or MRA, you may need to take contrast materials before your scan. Contrast dyes are a safe drug that is typically administered orally or through an IV. However, you should talk with your doctor about any allergies, especially to shellfish or iodine, before you take your contrast agent. The material may make you feel warm or flushed, but severe allergic reactions are very rare. If you are concerned, don’t hesitate to talk to your technologist. They are trained and equipped to deal quickly with any adverse reactions.

MRI vs. MRA: procedure

MRA and MRI scans are made using the same machine, resembling a small tunnel with openings at both ends. You will be on a small bed that slides into the machine during your scan. Talk to you doctor in advance if you suffer from claustrophobia or PTSD, as they may prescribe medication for your anxiety.

During the scan, you must lie as still as possible to allow the machine to take clear images. The MRI machine may make loud knocking noises as it scans, so patients typically wear earplugs or headphones to protect their ears.

The technologist will be in a separate room with a large window that overlooks the MRI machine. They will be able to see you and communicate with you throughout the entire procedure. Most exams take thirty minutes to two hours. If it is painful for you to lie still for that long, your doctor may prescribe a sedative for you to take before the procedure.

Following your scan, a radiologist will interpret the images taken during the MRI or MRA and send the results to your physician. Your doctor will call you to discuss their findings and your potential treatment options. A follow-up MRI or MRA may be recommended to continue monitoring an abnormality or to assess the success of any treatments.

Need an MRI or an MRA?

In many cases, an MRI or MRA can provide your physician with information that an x-ray or CT scan is unable to capture. Don’t let worry about the high costs associated with these procedures keep you from scheduling your scan. New Choice Health can help you compare healthcare facilities in your area to find the option that works best for you. Use New Choice Health’s cost comparison tool to find the best price for your MRI or MRA today.

MRI

What to expect during your MRI recovery

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Magnetic resonance imaging (MRI) is a diagnostic imaging test used to examine your internal organs and tissues. An MRI uses radio waves and a strong magnetic field to take detailed images of the body’s internal structures. Unlike x-rays and CT scans, MRIs do not use ionizing radiation. This imaging test is noninvasive and can provide your physician with clearer, more detailed images than other tests. Because of this, MRIs are a great tool to diagnose and monitor many medical conditions.

The length of your MRI will vary based on how many scans are needed for your specific situation. Your physician will be able to give you an estimate of how long the procedure will take. Here’s what to expect during your MRI recovery.

MRI recovery: Anesthesia and sedatives

MRIs are generally painless, so most adults do not need anesthesia or sedatives for the procedure. During an MRI, you will be asked to lay still while the machine takes images. If it is uncomfortable or painful for you to lay in one position, or if you suffer from claustrophobia or PTSD, your doctor may prescribe you mild sedative to help you relax. If you are prescribed a sedative for your scan, you will need to plan ahead to have someone drive you home after the procedure.

MRI recovery: Contrast materials

Your physician might recommend an MRI with contrast. Contrast dyes can either be ingested or injected through an IV. These dyes are generally safe drugs that cause certain blood vessels and tissues to show more clearly on the images taken during your scan. This allows the radiologist to see certain internal structures in more detail. The clarity of MRI images with contrast makes for easier diagnosis and monitoring of your condition. After your MRI, these contrast dyes will either be absorbed by your body or passed through your urine or bowel movements.

The most common contrast material used in MRIs is gadolinium. This dye temporarily changes the magnetic properties of the water molecules in your body, which helps increase the quality of the images taken during your MRI. Gadolinium can sometimes have rare but serious, side effects in patients with pre-existing severe kidney problems. You should discuss any kidney conditions with your doctor before scheduling an MRI with contrast. A blood test might be needed to make sure that an MRI with contrast is a safe option for your specific situation.

Side effects of the contrast material are rare but can include pain or burning at the injection site, skin rashes, headaches, low blood pressure, nausea, and lightheadedness. If experienced, these side effects are usually mild and temporary. Likewise, allergic reactions to contrast dyes are rare and usually mild. If you experience any pain or discomfort from the contrast materials, talk to the radiologist performing your MRI. They are well-equipped to deal with any adverse reactions.

MRI recovery: After your scan

MRIs are typically performed as outpatient procedures. In most cases, you will be able to leave the hospital or imaging center immediately after your scan. If you were prescribed a sedative for your MRI, you will need to avoid driving, operating heavy machinery, and drinking alcohol for 24 hours. Otherwise, you may resume your normal activities after your MRI.

If you had an MRI exam with contrast, you shouldn’t have any restrictions to your diet after your scan. However, your doctor might recommend a daily amount of water to help flush the dye from your system. Your doctor might recommend that you stop breastfeeding for a few days while the contrast materials leave your body.

After your scan, a radiologist will interpret the results of your MRI and share their findings with your physician. It may take up to two weeks for your physician to call you with your results. Your doctor will discuss with you the next steps that you should take for your specific situation. In some cases, a follow-up MRI might be necessary to further evaluate an abnormality or to examine a different part of your body. Follow-up exams might also be needed to monitor your condition over time and assess the success of any treatments.

The high price tag of an MRI, especially if you end up needing more than one, may seem daunting. Don’t let the cost of health care keep you from getting the imaging tests that you need. New Choice Health compares cost information across different hospitals and outpatient centers in your area, so you can find a fair price for your procedure. Walk into your MRI with confidence by using New Choice Health’s comparison tool to find the best price for your MRI.

MRI

What to expect from an MRI

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Magnetic resonance imaging (MRI) is a nonsurgical procedure used to obtain internal body images without the use of radiation. The MRI machine uses magnets, radio waves, and a computer to create and display the scans. This imaging test can assist in diagnosing injuries or more serious diseases in the brain, spinal cord, and internal organs. Doctors might suggest an MRI if they suspect muscle tears or more severe conditions such as herniations, tumors, or heart disease. This scan can also be used to monitor certain conditions and determine the effectiveness of current treatment methods.

A radiology technician will perform the scan at a hospital or outpatient imaging facility. Your scan can take 30 minutes to two hours to complete, depending on the reason for the procedure. Most patients are not sedated during the procedure. However, you may be prescribed a mild sedative if it is painful or uncomfortable for you to lay still for long periods of time. Additionally, if you have claustrophobia or PTSD, your doctor might give you medication to help your anxiety. After your MRI, a radiologist will interpret your results and send them to your doctor.

Are there alternatives to an MRI?

If your doctor tells you that you need an MRI, it’s usually because they need to do further investigation to provide an accurate diagnosis. Two common alternatives to this procedure include CT scans or ultrasounds. Ask your doctor if either of these alternatives would be a good option for your specific situation.

  • CT Scan – A CT scan is an alternative test to an MRI but does use radiation. A doctor will use an X-ray machine hooked up to a computer to create a series of internal images of your body.  The computer can then combine the images to create a three-dimensional view of your internal organs and structures. A CT scan can take several minutes whereas an MRI can take an hour or longer.
  • Ultrasound: An ultrasound uses sound waves to provide internal body images. Much like an MRI, an ultrasound does not use radiation. An ultrasound can help examine internal organs and provide diagnoses for muscle and joint injuries and conditions. Also, this scan can be an alternative for patients who might experience anxiety or symptoms of claustrophobia from a closed MRI machine.

The type of test you get will depend on your personal health and your doctor’s recommendations. You can always ask your doctor why they’re recommending any test. If you’re unsure about their recommendations, feel free to get a second opinion.

How much should you pay for an MRI?

The price that you pay for your MRI will vary depending on a variety of factors. These include whether you have health insurance, who you choose to perform your scan, and where you choose to have the procedure done. With all of those variables, it can be difficult to find a fair price for your imaging test. Researching your procedure beforehand could help save you money on your procedure. Visit New Choice Health’s MRI cost page to learn more about how much you should expect to pay for your scan.

 

Lithotripsy

Do you need surgery to remove kidney stones?

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A kidney stone is a hard mineral material that forms in either your kidney or urinary tract. Some kidney stones form because of a kidney infection, others because your body is producing too much of a certain mineral or because your body is experiencing a decrease in urine volume. The size of kidney stones can differ, ranging from a fraction of an inch to several inches. In extreme cases, kidney stones can become as large as the size of your entire kidney. The treatment options to remove kidney stones can vary, depending on their size.

Anyone can develop kidney stones, but there are some variables that cause them to develop in some individuals more than others. Age is one factor. In fact, most kidney stones develop in people between the ages of 20 to 49 years old and, once you’ve had your first stone, it’s more likely that additional ones will form. 40% of the people who get kidney stones have relatives who have them, too. Kidney stones are most common in men, people who are obese, and those that live with diabetes.

How are kidney stones diagnosed?

Some kidney stones are so small that they may not present any symptoms until they pass into your ureter. The pain from a kidney stone usually starts out of nowhere and, as it moves through your body, so will the location and intensity of the pain source. At this point there will be signs to indicate a problem which can include:

  • Severe pain below your ribs, lower abdomen, and groin
  • Fluctuating pain
  • Pink, red or brown urine
  • Nausea and vomiting
  • Persistent need to urinate
  • Fever and chills

If you suspect that you have a kidney stone, make an appointment with your doctor. First, it’s important to prepare yourself with questions about your doctor’s kidney stone removal methods. You have many options to deal with and to prevent a kidney stone. Be sure you understand the pros and cons of each treatment before you decide which kidney stone removal treatment you’ll use.

Here are some sample questions to ask your doctor about removing kidney stones:

  • How long should I wait for my kidney stone to pass on its own?
  • How much water should I drink to help a kidney stone move along faster?
  • What foods should I eat and which ones should I avoid if I have a kidney stone?
  • When is it time to take further medical action?
  • What non-surgical methods for removing kidney stones can you perform and what are their recovery times?
  • What is lithotripsy?

If your doctor suspects that you do have a kidney stone, there are several tests that can help determine your next steps:

  • Blood tests can reveal if there is excess calcium or uric acid in your blood.
  • A 24-hour urine collection test can show if you’re excreting too many stone-forming minerals or too few stone-preventing substances.
  • X-rays and ultrasounds will show the actual kidney stones in your urinary tract.

Can you remove kidney stones without surgery?

Once your doctor determines that you actually do have a kidney stone, you’ll discuss the various methods to help it pass as quickly as possible. While you will experience discomfort during the process, it’s possible and extremely common to pass a kidney stone on your own within 48 hours. If it’s not too painful, your doctor may suggest that you wait it out and do the following things to help pass the kidney stone at home:

  • Adding 2 tablespoons of apple cider vinegar to a glass of water can help dissolve kidney stones. Additionally, it’s known to help ease the pain.
  • Pomegranate juice is not only delicious but it also improves kidney function by flushing stones and toxins from your system.
  • Kidney bean broth is known to dissolve kidney stones. Just cook the beans, strain the liquid and drink it throughout your day.
  • Dandelion root juice stimulates your body’s production of bile which helps eliminate waste, increase urine output, and improve digestion.
  • Drinking 2 to 8 ounces of wheatgrass juice increases your need to urinate which helps to pass kidney stones. Wheatgrass is packed with many nutrients that help cleanse your kidneys.
  • Do NOT drink any alcohol until your stone passes.

If you’re able to successfully pass a kidney stone on your own, you may want to save it to take to your doctor for testing. You can do this by using a strainer every time you urinate until it passes. Delivering your stone for further testing can help him develop a prevention plan for the future.

If your kidney stone becomes lodged, if you’re pregnant, or if the pain becomes too severe, a common procedure called lithotripsy is often used to remove kidney stones from your system.

What is lithotripsy?

Shockwave lithotripsy is the most common treatment to remove kidney stones in the United States. Before the procedure, your doctor will take x-rays or an ultrasound to confirm the exact location of your kidney stone. During lithotripsy, a high-energy sound wave that is placed outside of your body in order to break your kidney stone into little pieces on the inside of your body. The pieces will either pass on their own or your doctor may choose to put a tube (stent) into your ureter to help the process go faster.

After the lithotripsy is over, you should drink a lot of water to help flush out the remaining stones.  This procedure is the most successful when treating small or medium stones. Because it is non-invasive with no cuts made in your skin, recovery from lithotripsy is fast and typically there is no overnight hospital stay.

What are the surgical options to remove kidney stones?

Sometimes, a kidney stone is too large to pass through your system without surgical intervention. When this is the case you’ll be in a lot of pain and be unable to urinate because the stone is blocking its flow. There are several procedures for your doctor to choose from to quickly move you forward in the process.

During a ureteroscopy, your doctor can reach the stone by inserting a thin, flexible scope through your ureter and bladder. It will then be removed by either a basket or by a laser breaking it up. Like a lithotripsy, no cuts are made in your skin and there is typically no overnight hospital stay.

For a larger stone, your doctor may perform a percutaneous nephrolithotomy or nephrolithotripsy. A thin tube will be inserted to either remove or break down your kidney stone. Either of these procedures may be inpatient and can require a 1 or 2-day hospital stay post-procedure.

Open surgery is an option for extremely large kidney stones. Because your physician will need to cut into your side and then your kidney, this surgery requires a longer hospital stay and can take up to 4-6 weeks for a full recovery. Fortunately, with modern technology, open surgery is becoming a less and less necessary treatment.

Most kidney stones will pass on their own. Fortunately, when they don’t, there are treatments to remove larger stones that do not pass easily. If you’ve suffered from kidney stones, you may be at risk of developing more in the future. Because of this, it is extremely important to stay hydrated to help prevent kidney stones from forming. It’s important to talk to your physician, ask questions and prepare to stay healthy before, during and after your kidney stone removal treatment.

Finding a fair price for  your lithotripsy

Did you know the national average cost for lithotripsy is $19,000? New Choice Health takes the guesswork out of healthcare by allowing you to compare facilities and find a fair price to remove kidney stones. Use New Choice Health’s cost comparison tool to make a more informed decision and to save money on lithotripsy today.

Lithotripsy

What is lithotripsy?

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Lithotripsy is a noninvasive procedure often recommended for patients with kidney stones that are too large to pass through the urinary tract. The most common form of this procedure is extracorporeal shockwave lithotripsy (ESWL), which uses high-energy shock waves to treat kidney stones (and sometimes gallbladder or liver stones). During the procedure, the patient lays on a water-filled cushion and the urologist sends targeted shock waves through the cushion to the kidney stones. This crushes the stones into pieces small enough for the patient to easily pass on their own.

The procedure is normally performed by a urologist and takes about an hour to complete. Depending on your physician’s recommendations, you may be given local or general anesthesia. You may also have the option to be sedated, instead of being given anesthesia. Either way, you won’t feel pain during your procedure. Most lithotripsy treatments are outpatient but some physicians may advise an overnight stay, depending on your health and personal situation. The recovery time is usually 1 to 2 days.

Are there alternatives to lithotripsy?

If your doctor tells you that you need lithotripsy, it’s usually because it is the least-invasive procedure that can effectively remove your type of kidney stones. There are two surgical alternatives to lithotripsy, though you’ll want to check with your doctor to see if either is a good option for you.

  • Ureteroscopy — During a ureteroscopy, a thin, flexible scope is guided up the urinary tract to the kidney stone(s). The surgeon breaks up the stone(s) and removes the fragments through the tube. This procedure is commonly recommended when a stone is already out of the kidney and in the urinary tract. It is also used when lithotripsy isn’t an option due to pregnancy, blood clotting disorders, or obesity.
  • Percutaneous Nephrolithotomy/Nephrolithotripsy — In this option, a surgeon makes a small incision in the patient’s back and removes the kidney stones through the opening. During a nephrolithotomy, the surgeon will remove the stones through a tube. During a nephrolithotripsy, the surgeon will use sound waves or a laser to break up the stones. They will then use a small scope to help them remove the pieces. This procedure is an option for patients with kidney stones too large or too stubborn to break up using other methods. Nephrolithotomies and nephrolithotripsies typically take one to two hours and may require an overnight hospital stay.

The type of procedure you get will depend on your personal health and your doctor’s recommendations. Don’t hesitate to ask your doctor why they’re recommending any procedure. If you’re unsure about their recommendations, feel free to get a second opinion.

How much should you pay for your lithotripsy?

Finding accurate information about the cost of your medical procedures isn’t always easy. There are many factors that can affect the price that you will pay for your lithotripsy. Fortunately, New Choice Health has gathered cost data from around the country to help you compare healthcare facilities and figure out what you should pay for your medical procedure. Visit New Choice Health’s lithotripsy cost information page to find out how to find a fair price for your procedure today.