Shoulder X-ray

A shoulder x-ray shows bone: dislocation, fracture, arthritis, and calcium deposits. It is worth knowing that it cannot show a torn rotator cuff, because the tendons are soft tissue — so a normal shoulder film is a common result, and often the first of two imaging bills.

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What it is

The shoulder is a shallow ball-and-socket joint held in place mostly by tendons and muscle rather than by bone, which is why it is both the most mobile joint in the body and the one most likely to come out of its socket. An x-ray is very good at the bone half of that story — whether the ball is sitting in the socket, whether the collarbone or the top of the arm bone is broken, whether the joint has worn down, whether a spur has grown, whether a deposit of calcium has formed in a tendon. It is blind to the tendons themselves. For shoulder pain without an injury, that limitation is the point: the film is taken to rule out the bone causes and to guide whether an ultrasound or MRI is worth doing next.

Why it is done

  • To confirm a dislocation and, after it has been put back, to confirm the ball is seated again
  • To find a fracture of the upper arm bone, the collarbone, or the shoulder blade after a fall or a direct blow
  • To assess arthritis — narrowing of the joint, changes in the bone, spurs
  • To look for a calcium deposit in a tendon, a recognized cause of sudden, severe shoulder pain
  • To rule out bone causes of shoulder pain before deciding whether an MRI or an ultrasound of the tendons is needed

What to expect

The patient usually stands or sits with the back or the side against the imaging plate, and the arm is rotated between exposures so the top of the arm bone is seen from more than one direction. Some views ask for the arm to be held in a position that can be awkward with a painful shoulder. The appointment is short — typically five to ten minutes in the room, with the technologist stepping behind a screen for each exposure. No preparation, no recovery. A radiologist issues the formal report.

Questions worth asking

  • If the film is expected to be normal and an MRI or ultrasound is the test that will actually answer the question, can I get a price for both before agreeing to the first?
  • How many views are being taken, and does the code billed match that number?
  • Is this being ordered in an orthopaedic office with its own machine, or sent to a hospital department with a facility fee attached?
  • Will there be a separate professional charge for the radiologist's reading, on top of the charge for taking the films?
  • If the shoulder is x-rayed again after a reduction or a procedure the same day, is that a second billable study?

What Shoulder X-ray costs by state

Shoulder X-ray prices at hospitals

See every published price for Shoulder X-ray: the full national range, the state and hospital breakdowns, and which hospitals charge the least.

Shoulder X-ray cost — see all prices →

Sources

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