Body system
Bones, joints & back procedures
Aches and injuries that get evaluated with imaging and managed with PT or surgery. The DEXA scan is also the standard osteoporosis screen for adults 65 and older.
Procedures
7
in this collection
With data on file
7
0 pending hospital coverage
Hospital-procedure pairs
275
reported across CO
CMS shoppable
1 of 7
on the federal mandate list
Procedures in this collection
MRI of the Knee, Without Contrast
MRI of the knee without injected dye, used to evaluate joint pain, ligament tears, meniscal injury, and other soft-tissue conditions.
CPT 73721·Imaging
$611 – $2,747
39 hospitals · 25th–75th
MRI of the Lumbar Spine, Without Contrast
MRI of the lower back to evaluate disc herniation, stenosis, and nerve compression — a frequent imaging study in adults with chronic back pain.
CPT 72148·Imaging
$595 – $2,689
39 hospitals · 25th–75th
MRI of the Shoulder, Without Contrast
Shoulder MRI used to evaluate rotator cuff tears, labral injuries, and chronic shoulder pain.
CPT 73221·Imaging
$611 – $2,659
39 hospitals · 25th–75th
DEXA Scan (Bone Density)
Dual-energy X-ray absorptiometry to measure bone mineral density. Recommended for women 65+ and men 70+ to screen for osteoporosis.
CPT 77080·ImagingMedicare preventive
$116 – $435
39 hospitals · 25th–75th
Carpal Tunnel Release
Open or endoscopic release of the transverse carpal ligament to relieve median-nerve compression at the wrist.
CPT 64721·Outpatient Surgery
$468 – $3,096
39 hospitals · 25th–75th
Major Joint Replacement of Lower Extremity Without MCC
Inpatient stay for elective hip or knee replacement without major complication or comorbidity. The most common inpatient procedure in adults 65+.
MS-DRG 470·Inpatient SurgeryCMS shoppable
$19,392 – $28,177
42 hospitals · 25th–75th
Physical Therapy Evaluation, Low Complexity
Initial physical therapy evaluation, low complexity. Frequently the entry point for outpatient PT after orthopedic surgery, falls, or chronic pain.
CPT 97161·Therapy
$127 – $261
38 hospitals · 25th–75th