What is the cost of treating non-specific shoulder pain?

Severity Levels of Non-Specific Shoulder Pain

Non-specific shoulder pain can vary greatly in severity, affecting treatment approaches and associated costs. Understanding these severity levels can help patients and healthcare providers make informed decisions about care.

Mild

Mild non-specific shoulder pain is often characterized by:

• Symptoms and risk factors: Slight discomfort, minimal limitation of movement, often triggered by overuse or poor posture
• Diagnosis method: Self-diagnosis or virtual doctor visit
• Imaging/labs: Usually not required
• Treatments: Rest, over-the-counter medications, home exercises

Patients with mild shoulder pain can often manage their symptoms at home, keeping costs low and avoiding unnecessary medical interventions.

Moderate

Moderate non-specific shoulder pain typically involves:

• Symptoms and risk factors: Noticeable pain, some limitation in range of motion, may interfere with daily activities
• Diagnosis method: In-person doctor visit
• Imaging/labs: Possibly X-rays
• Treatments: Prescription medications, physical therapy

At this level, professional medical advice becomes more important, and some diagnostic tests may be necessary to rule out more serious conditions.

Severe

Severe non-specific shoulder pain is characterized by:

• Symptoms and risk factors: Intense pain, significant limitation of movement, inability to perform daily tasks, possible signs of infection or injury
• Diagnosis method: Emergency room visit
• Imaging/labs: X-rays, possibly MRI
• Treatments: Strong prescription medications, advanced physical therapy, possible surgical intervention

Severe cases require immediate attention and more intensive interventions, which can significantly increase treatment costs.

Summary Table: Severity Levels

Understanding these severity levels can help patients gauge the urgency of their condition and anticipate potential costs associated with treatment. It's important to note that individual cases may vary, and professional medical advice should always be sought for persistent or worsening shoulder pain.

Getting a Diagnosis

When it comes to diagnosing non-specific shoulder pain, there are several options available, each with its own cost and time implications. Let's explore these options in detail:

Self-diagnosis

Self-diagnosis is the most cost-effective option, but it's only appropriate for mild cases of shoulder pain.

• Cost: $0
• Time: Immediate
• Appropriate for: Mild cases

While self-diagnosis is free, it's important to note that it carries the risk of misdiagnosis. If symptoms persist or worsen, it's advisable to seek professional medical advice.

Virtual doctor visit

Virtual doctor visits have become increasingly popular, offering a convenient and often cost-effective option for diagnosis.

• Teladoc:
  • With insurance: As low as $0 per visit
  • Without insurance: $89 per visit
• MDLive:
  • With insurance: $0 to $82 for urgent care
  • Without insurance: $82 for urgent care
• Free with OptimalMD membership
• Time: Same day or next day appointment, 15-30 minutes

Virtual doctor visits are appropriate for mild to moderate cases of shoulder pain. They offer a good balance of cost-effectiveness and professional medical advice.

In-person doctor visit

For moderate to severe cases, an in-person doctor visit may be necessary for a more thorough examination.

• Private practice:
  • Without insurance: $150 to $450
  • With insurance: Varies based on copay and deductible, typically $20 to $50 for primary care
• Urgent care center:
  • Without insurance: $100 to $200
  • With insurance: Varies based on copay and deductible, typically $25 to $75
• Heavily discounted with OptimalMD membership
• Time: 1-7 days for appointment, 30-60 minutes

In-person doctor visits are appropriate for moderate to severe cases of shoulder pain, especially when physical examination is necessary.

Emergency room visit

For severe cases or acute injuries, an emergency room visit may be necessary.

• Hospital emergency room:
  • Without insurance: Average $1,220 (2019), range $623 to $3,087
  • With insurance: Average $1,082 (2019), but varies greatly based on insurance plan and coverage
• Not covered by OptimalMD membership
• Time: Several hours, immediate attention

Emergency room visits are appropriate only for severe cases or acute injuries that require immediate medical attention.

Summary Table: Assessment Options

Note: OptimalMD membership ($47/month for family) offers free virtual urgent care and heavily discounted in-person visits, which can significantly reduce costs for mild to moderate cases.

Imaging and Laboratory Tests

Imaging and laboratory tests are crucial components in diagnosing and treating non-specific shoulder pain. The type of test ordered depends on the severity of your condition and your healthcare provider's assessment. Here's a detailed breakdown of common tests, their costs, and efficiency:

X-rays

X-rays are often the first imaging test ordered for shoulder pain. They can reveal bone spurs, arthritis, and other bone-related issues.

Cost summary:

• Hospital: $450 - $1,000+
• Urgent Care Center: $100 - $460
• Imaging Center: Around $100
• OptimalMD: Heavily discounted with OptimalMD membership

With insurance, patients typically pay 10-30% of the total cost, depending on their plan. Some plans may cover X-rays entirely after the deductible is met.

Time: 15-30 minutes for the procedure, results usually available the same day.

MRI (Magnetic Resonance Imaging)

MRIs provide detailed images of soft tissues, making them useful for diagnosing rotator cuff tears, labral tears, and other soft tissue injuries.

Cost summary:

• Hospital: $400 - $12,000+ (average around $1,325)
• Imaging Center: $250 - $3,500+ (average around $1,325)
• OptimalMD: Heavily discounted with OptimalMD membership

With insurance, patients typically pay 10-20% of the total cost after meeting their deductible. Some plans may have a fixed copay for MRI services.

Time: 30-60 minutes for the procedure, results usually available in 1-3 days.

Blood tests (if infection suspected)

Blood tests may be ordered if your healthcare provider suspects an infection or systemic condition contributing to your shoulder pain.

Cost summary:

• Hospital:
  • CBC: $51 (hospital charge), $11 (with insurance)
  • Lipid Panel: $68 (hospital charge), $29 (with insurance)
  • BMP/CMP: $179 (hospital charge), $15 (with insurance)
• Independent Laboratory:
  • CBC: $46 - $125
  • Lipid Panel: $128 - $200
  • BMP/CMP: $318 - $650
• OptimalMD: Free with OptimalMD membership

With insurance, patients typically pay a small copay or nothing at all for routine blood tests after meeting their deductible.

Time: 5-10 minutes for blood draw, results usually available in 1-3 days.

Summary Table: Diagnostics

Note: OptimalMD offers heavily discounted or free services for all these tests with their $47/month family membership.

Prescription Medications

Prescription medications play a crucial role in managing non-specific shoulder pain, especially for moderate to severe cases. The choice of medication depends on the severity of pain, patient history, and potential side effects. Here are some common prescription medications used for shoulder pain, along with their costs and suppliers:

Non-steroidal anti-inflammatory drugs (NSAIDs)

NSAIDs are often the first line of prescription treatment for shoulder pain due to their anti-inflammatory and pain-relieving properties.

1. Celecoxib (Brand name: Celebrex)

• Cash price: $217.07 for 30, 200mg capsules
• With insurance: Copay varies, typically $10-$50
• With discount cards: As low as $8.81 (SingleCare) or $10.76 (GoodRx) for 30, 200mg capsules
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 1-2 hours of the first dose, with full effect in 1-2 days.

1. Meloxicam (Brand name: Mobic)

• Cash price: $130 for 30, 15mg tablets
• With insurance: Copay varies, typically $5-$25
• With discount cards: As low as $3 (SingleCare) or $8.23 (GoodRx) for 30, 15mg tablets
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 30-60 minutes, with full effect in 1-2 days.

Muscle Relaxants

Muscle relaxants can be beneficial when muscle spasms contribute to shoulder pain.

1. Cyclobenzaprine (Brand name: Flexeril)

• Cash price: $14.02 for 10, 10mg tablets
• With insurance: Copay varies, typically $5-$20
• With discount cards: As low as $7.20 (GoodRx) for 10, 10mg tablets
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 1 hour, with full effect in 1-3 days.

1. Methocarbamol (Brand name: Robaxin)

• Cash price: $10 for 30, 500mg tablets
• With insurance: Copay varies, typically $5-$15
• With discount cards: As low as $2 (SingleCare) or $7.38 (GoodRx) for 30, 500mg tablets
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 30 minutes, with full effect in 1-2 days.

Corticosteroids

Corticosteroids are powerful anti-inflammatory medications used for more severe cases of shoulder pain.

1. Methylprednisolone (Brand name: Medrol)

• Cash price: $45 for 21 tablets
• With insurance: Copay varies, typically $10-$30
• With discount cards: As low as $8 (SingleCare) for 21 tablets
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 24 hours, with full effect in 3-5 days.

1. Prednisone (Generic)

• Cash price: $37.82 for 10, 20mg tablets
• With insurance: Copay varies, typically $5-$15
• With discount cards: As low as $4.63 (GoodRx) for 10, 20mg tablets
• OptimalMD: Free with OptimalMD membership

Time to effectiveness: Relief typically begins within 24 hours, with full effect in 3-5 days.

It's important to note that while OptimalMD offers free or heavily discounted medications, the decision to prescribe any medication should be made by a healthcare professional based on the patient's specific condition and medical history. Always consult with a doctor before starting or changing any medication regimen.

Summary Table: Prescription Medications

Note: Prices may vary depending on location, pharmacy, and specific insurance plans. Always consult with a healthcare provider before starting any new medication.

Over-the-Counter Treatments

Over-the-counter (OTC) treatments are often the first line of defense against non-specific shoulder pain, especially for mild to moderate cases. These treatments are generally affordable and easily accessible, making them a popular choice for many patients. Let's explore the various OTC options available, their costs, and effectiveness.

Pain Relievers

Common OTC pain relievers for shoulder pain include acetaminophen, ibuprofen, and naproxen. These medications can provide relief within 30-60 minutes and are typically taken as needed.

1. Acetaminophen (e.g., Tylenol)

Acetaminophen is generally an affordable option for managing shoulder pain. The national average price for a bottle of 100 extra-strength tablets is around $8.86. However, prices can vary significantly depending on the brand, quantity, and where you purchase it.

• Walmart: Extra Strength Tylenol (100 count) - $9.97
• CVS: Store brand acetaminophen (100 count) - $6.79
• Walgreens: Store brand acetaminophen (100 count) - $7.99

Using discount cards like GoodRx can significantly reduce the cost, bringing it down to as low as $3.15 for some formulations.

1. Ibuprofen (e.g., Advil, Motrin)

Ibuprofen is another affordable option for managing shoulder pain. The national average price for a bottle of 100 tablets (200mg) is approximately $7-$10. However, prices can vary based on brand and quantity.

• Walmart: Equate Ibuprofen (100 count, 200mg) - $2.98
• CVS: Store brand Ibuprofen (100 count, 200mg) - $5.49
• Walgreens: Advil (100 count, 200mg) - $11.99

Using discount cards or opting for store brands can significantly reduce costs. For example, GoodRx offers ibuprofen for as low as $4.11.

1. Naproxen (e.g., Aleve)

Naproxen is generally more expensive than acetaminophen or ibuprofen but can be more effective for some individuals. The national average price for a bottle of 100 tablets (220mg) is around $10-$15.

• Walmart: Equate Naproxen Sodium (100 count, 220mg) - $4.48
• CVS: Aleve (100 count, 220mg) - $12.49
• Walgreens: Store brand Naproxen Sodium (100 count, 220mg) - $8.99

Using discount cards can significantly reduce costs. For example, SingleCare offers a discount that brings the price down to $4.52 for 60 tablets of 500mg strength.

Topical Treatments

Topical treatments can provide localized relief for shoulder pain and are available in various forms such as creams, gels, and patches.

1. Creams and Gels

The national average price for topical pain relief creams and gels ranges from $5 to $20, depending on the brand and active ingredients.

• CVS: Maximum Strength Lidocaine Plus Pain Relieving Cream - $9.99
• Walmart: Biofreeze Pain Relief Gel (3 oz) - $11.98
• Walgreens: Voltaren Arthritis Pain Gel (3.53 oz) - $13.49

Many pharmacies offer store brand alternatives that can be significantly cheaper. Some insurance plans may cover certain topical treatments, especially if prescribed by a doctor.

1. Patches

Pain relief patches are another topical option for managing shoulder pain. The national average price for a box of pain relief patches (usually containing 5-10 patches) ranges from $6 to $15.

• Walgreens: Store brand Pain Relieving Patch (6 count) - $5.99
• CVS: Salonpas Pain Relieving Patches (6 count) - $8.29
• Amazon: Icy Hot Medicated Patches (5 count) - $6.97

Many pharmacies offer promotions on these products, such as "Buy 2, get 3rd FREE" deals, which can help reduce costs for regular users.

Supportive Devices

Supportive devices like shoulder braces and compression sleeves can provide immediate support and help manage pain. The national average price for a shoulder brace or compression sleeve ranges from $15 to $50, depending on the quality and features.

• Amazon: Sparthos Shoulder Brace - $19.97
• Walmart: ACE Brand Shoulder Support - $14.97
• CVS: Futuro Comfort Shoulder Support - $30.49

Some insurance plans may cover the cost of supportive devices if prescribed by a doctor. Additionally, using HSA or FSA funds can help offset the cost of these items.

Summary Table: OTCs

This table provides a quick overview of the various OTC treatment options for non-specific shoulder pain, their appropriate use cases, price ranges, and efficiency. Remember that while these treatments can be effective for mild to moderate pain, persistent or severe pain should be evaluated by a healthcare professional.

Procedures

When non-specific shoulder pain persists despite conservative treatments, various procedures may be recommended. Here, we'll explore the costs and time commitments associated with physical therapy, corticosteroid injections, and arthroscopic surgery.

Physical Therapy

Physical therapy is often the first line of procedural intervention for non-specific shoulder pain. It typically involves a series of sessions over several weeks.

The national average cost for a physical therapy session ranges from $30 to $400, with most sessions falling in the $50 to $155 range for those paying without insurance. With insurance, out-of-pocket costs typically range from $20 to $60 per session.

Here are some specific examples:

• FYZICAL Therapy & Balance Centers:
  • With insurance: Varies based on plan, typically lower out-of-pocket costs
  • Without insurance: Discounted private pay rates available, typically less than $150 per session
  • High-deductible plans: Less than $150 per session
• ATI Physical Therapy:
  • Without insurance: $120 per hour
  • With insurance: Varies based on plan

Time estimate: Physical therapy typically involves 30-60 minute sessions, 2-3 times per week, for 4-8 weeks.

Corticosteroid Injections

Corticosteroid injections can provide relief for moderate to severe shoulder pain. The national average cost for a corticosteroid injection ranges from $19 to $1,484, depending on the specific procedure and location. For shoulder pain, the cost typically falls in the range of $100 to $1,000.

Here are some specific examples:

• OrthoNeuro (Columbus, OH):
  • Cash price: $250 (includes initial physician visit, injection, and x-rays)
  • With insurance: Varies based on plan
• Florida Spine and Pain Center:
  • Cash price: $688 - $1,204 (depending on facility type)
  • With insurance: Varies based on plan

Time estimate: The injection procedure itself typically takes 15-30 minutes, with relief often felt within 2-3 days.

Arthroscopic Surgery

For severe cases of non-specific shoulder pain that don't respond to other treatments, arthroscopic surgery might be recommended. This is typically a last resort due to its invasive nature and higher cost.

The national average cost for arthroscopic shoulder surgery is $25,925. However, this can vary widely depending on the specific procedure, location, and whether it's performed in a hospital or outpatient setting.

Here are some specific examples:

• Bravera Health (Florida):
  • Cash price: Not specified, but similar procedures range from $5,508 to $12,853
  • With insurance: Varies based on plan, Medicare average patient cost is $889
• NewChoice Health (Online healthcare marketplace):
  • Fair price: $14,050
  • Range: $6,900 to $31,650 (depending on facility and location)
  • With insurance: Varies based on plan

Time estimate: The surgery itself typically takes 1-2 hours, but full recovery can take 4-6 months.

Summary Table: Procedures

Remember, these prices are estimates and can vary based on location, specific provider, and individual circumstances. Always consult with your healthcare provider and insurance company for the most accurate cost information for your situation.

Optimizing for Cost

When seeking the most cost-effective treatment for non-specific shoulder pain, consider the following strategies for each severity level:

Mild Severity

1. Self-diagnosis using reputable online resources
2. Over-the-counter pain relievers (generic acetaminophen or ibuprofen)
3. Home exercises and stretches found on free, trusted websites
4. Avoid unnecessary doctor visits or imaging tests

Moderate Severity

1. Start with a virtual doctor visit to determine if an in-person visit is necessary
2. If prescribed medication, ask for generic alternatives
3. Request physical therapy exercises to do at home instead of in-office visits
4. Use telemedicine for follow-up appointments when possible

Severe Severity

1. Visit an urgent care center instead of the emergency room if the pain is severe but not life-threatening
2. Compare costs of imaging centers if MRI is required
3. Ask about outpatient procedures instead of inpatient when applicable
4. Inquire about payment plans or financial assistance programs

General Cost-Saving Tips

• Check if your insurance offers free nurse hotlines for initial guidance
• Look for patient assistance programs for prescription medications
• Consider joining a prescription savings program for discounts on medications
• Explore community health centers or sliding scale clinics for reduced-cost care

By following these cost-optimizing strategies, patients can potentially save significant amounts on their non-specific shoulder pain treatment while still receiving appropriate care for their condition. Remember that while cost is important, it should not come at the expense of receiving necessary medical attention, especially for severe cases.

Optimizing for Efficiency

When time is of the essence, optimizing your non-specific shoulder pain treatment for efficiency can help you recover faster and minimize disruption to your daily life. Here are strategies for each severity level that prioritize quick diagnosis and treatment:

Mild Shoulder Pain

1. Self-diagnosis using reputable online resources or symptom checkers
2. Virtual doctor consultation for quick professional advice
3. Start with over-the-counter NSAIDs and topical treatments immediately
4. Begin a home exercise program using readily available online resources

Time saved: Potentially days or weeks compared to waiting for in-person appointments

Moderate Shoulder Pain

1. Schedule a same-day or next-day in-person doctor visit
2. Request X-rays during the initial visit if the doctor deems necessary
3. Fill any prescribed medications immediately after the appointment
4. Begin physical therapy as soon as possible, ideally within 1-2 days of diagnosis

Time saved: Up to a week or more compared to waiting for separate imaging appointments and delayed treatment initiation

Severe Shoulder Pain

1. Visit the emergency room for immediate attention and comprehensive evaluation
2. Complete all necessary imaging (X-rays, MRI) during the ER visit if possible
3. Receive immediate treatment, such as pain medication or corticosteroid injections
4. Schedule follow-up appointments and any necessary procedures before leaving the ER

Time saved: Potentially weeks compared to scheduling separate specialist visits and imaging appointments

General Efficiency Tips

• Choose healthcare providers with on-site imaging capabilities to avoid separate appointments
• Opt for electronic prescriptions sent directly to your pharmacy
• Consider telemedicine follow-up appointments when appropriate
• Use patient portals for quick communication with your healthcare team

By prioritizing efficiency in your treatment plan, you can potentially reduce recovery time and return to normal activities sooner. However, it's important to balance speed with thorough and appropriate care to ensure the best long-term outcomes for your shoulder health.

Balancing Cost and Efficiency

When treating non-specific shoulder pain, finding the right balance between cost and efficiency is crucial for optimal care. This section provides strategies that balance cost and efficiency for each severity level:

Mild Non-Specific Shoulder Pain

• Start with self-diagnosis and over-the-counter treatments
• If symptoms persist, consider a virtual doctor visit for professional advice
• Follow up with recommended home exercises and affordable supportive devices

Moderate Non-Specific Shoulder Pain

• Begin with an in-person doctor visit for accurate diagnosis
• Opt for generic prescription medications when possible
• Consider a combination of at-home exercises and limited physical therapy sessions

Severe Non-Specific Shoulder Pain

• Seek immediate medical attention through an emergency room visit
• Pursue necessary imaging (X-rays, MRI) as recommended by healthcare providers
• Balance the cost of intensive treatments (e.g., surgery) with their long-term benefits and potential to prevent future complications

Key considerations for balancing cost and efficiency across all severity levels:

• Prioritize early intervention to prevent condition worsening and potential higher costs
• Utilize telemedicine options when appropriate to save time and money
• Explore generic medication options and compare prices at different pharmacies
• Invest time in learning and consistently performing recommended exercises at home
• Discuss payment plans or financial assistance options with healthcare providers
• Consider the long-term cost savings of addressing the issue properly versus temporary fixes

By carefully weighing the costs and time investments of various treatment options against their potential benefits, patients can create a balanced approach to managing non-specific shoulder pain that is both cost-effective and efficient in addressing their specific needs.

Conclusion

Non-specific shoulder pain treatment costs can vary widely depending on the severity of the condition and the chosen treatment path. This article has explored various options for diagnosis, imaging, medications, and procedures, along with their associated costs and time investments.

Key takeaways include:

1. Severity matters: The cost and complexity of treatment increase with the severity of the shoulder pain.
2. Multiple treatment options: From self-care to surgery, there's a range of treatments available for non-specific shoulder pain.
3. Cost vs. efficiency trade-offs: Often, the most cost-effective options may not be the most time-efficient, and vice versa.
4. Importance of proper diagnosis: While it may seem costly upfront, getting an accurate diagnosis can save money and time in the long run by ensuring appropriate treatment.
5. Insurance considerations: Treatment costs can vary significantly based on insurance coverage, so it's essential to understand your policy.
6. Generic alternatives: Opting for generic medications when available can significantly reduce costs without compromising effectiveness.
7. Preventive care: Investing in proper ergonomics and exercise can help prevent shoulder pain, potentially saving on future treatment costs.

Remember, while cost is an important factor, it shouldn't be the only consideration when treating non-specific shoulder pain. Always consult with a healthcare professional to determine the most appropriate treatment plan for your individual situation, balancing cost, efficiency, and overall health outcomes.

By understanding the various treatment options and their associated costs, patients can make more informed decisions about their care, potentially optimizing both their health and their finances.