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Revision Total Hip Arthroplasty-Reducing Hospital Cost Through Fixed Implant Pricing
Kristopher D Collins1, Kevin K Chen1, Jacob D Ziegler1
1Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
Insights
Revision total hip arthroplasty (THA) implant costs can be significantly reduced. Implementing direct-to-hospital or fixed pricing models offers substantial savings for revision THA procedures.
Area of Science:
- Orthopedic Surgery
- Health Economics
- Medical Device Pricing
Background:
- Revision total hip arthroplasty (THA) involves substantial implant costs.
- Understanding implant pricing is crucial for managing healthcare expenditures.
Purpose of the Study:
- To analyze the cost of revision THA implants.
- To evaluate potential savings from different implant pricing models.
Main Methods:
- Analysis of 153 revision THA cases from an institutional database (9/1/2013-8/31/2014).
- Implant costs were assessed as a percentage of total hospitalization costs.
- Comparison with direct-to-hospital and fixed implant pricing models.
Main Results:
- Revision THA implants constituted 36% of total hospital costs.
- Direct-to-hospital pricing could reduce costs by $8962 per case ($4395 total).
- Fixed implant pricing could reduce costs by $8357 per case ($5000 total).
Conclusions:
- Both direct-to-hospital and fixed implant pricing models can decrease revision implant costs.
- These models offer significant cost-saving opportunities in revision hip arthroplasty.
Background:
A large component of the cost of revision total hip arthroplasty (THA) is the cost of the implants. We examined the pricing of revision THA implants to determine the possible savings of different pricing models.
Methods:
From our institutional database, all revision THAs done from 9/1/2013 to 8/31/2014 were identified. The cost of the implants was analyzed as a percentage of the total cost of the hospitalization and compared to direct to hospital and fixed implant pricing models.
Results:
Of 153 revision THAs analyzed, the cost of implants amounted to 36% of the total hospital cost. The direct to hospital cost and fixed implant pricing models would reduce the cost of an all-component revision to $4395 (saving $8962 per case) and $5000 (saving $8357 per case).
Conclusion:
Both fixed implant pricing and the direct to hospital pricing models would result in a decrease in revision implant costs.