Hip and knee implant prices rise 7.0% - Orthopedic Network News
Hip and knee implant prices rise 7.0% - Orthopedic Network News
Hip and knee implant prices rise 7.0% - Orthopedic Network News
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Volume 12, Number 1<br />
January 2001<br />
<strong>Hip</strong> <strong>and</strong> <strong>knee</strong><br />
<strong>implant</strong> <strong>prices</strong> <strong>rise</strong> <strong>7.0%</strong><br />
Manufacturer list <strong>prices</strong> for hip <strong>and</strong> <strong>knee</strong> <strong>implant</strong>s will increase<br />
7% between 2000 <strong>and</strong> 2001 according to a survey performed by<br />
<strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong>. Porous coated hip systems (socalled<br />
“high dem<strong>and</strong>”) rose 5.7% to an average of $6,550;<br />
medium dem<strong>and</strong> cemented hips rose 6.4% to $4,899, <strong>and</strong> low<br />
dem<strong>and</strong> hips with polyethylene cups rose 6.7% to $2,263 in a<br />
survey of nine manufacturers. Porous coated <strong>knee</strong> <strong>implant</strong>s rose<br />
8.0% to an average of $6,191, cemented <strong>knee</strong> <strong>implant</strong>s, which<br />
are more widely used than porous coated devices, rose 7.9% to<br />
$5,037, <strong>and</strong> low dem<strong>and</strong> <strong>knee</strong> <strong>implant</strong>s, with a polyethylene<br />
tibial component rose 8.3% to $3,623. Partial hip <strong>implant</strong>s,<br />
generally used in elderly fracture cases, rose 7.4% for a bipolar<br />
hip <strong>implant</strong> to $2,577, while low dem<strong>and</strong> endoprostheses rose<br />
5.2% to an average of $1,093 in the survey.<br />
This year’s survey includes nine manufacturers, compared to<br />
last year’s twelve, because of the consolidation of Depuy <strong>and</strong><br />
Johnson & Johnson <strong>and</strong> Howmedica with Osteonics, as well as<br />
the exit of Implex from the direct sales market. Implex’ <strong>implant</strong>s<br />
have been absorbed by Zimmer which will sell their Hedrocel<br />
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<strong>Orthopedic</strong> Implant Price Increases 1991-2001<br />
8.3%<br />
5.7%<br />
4.5%<br />
6.0%<br />
5.0%<br />
4.3%<br />
2.8%<br />
Sources: <strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong> estimates.<br />
8.7%<br />
4.7%<br />
<strong>7.0%</strong><br />
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continued on page 3<br />
<strong>Orthopedic</strong><br />
<strong>Network</strong> <strong>News</strong><br />
www.<strong>Orthopedic</strong><strong>Network</strong><strong>News</strong>.com<br />
A quarterly publication <strong>and</strong> on-line information<br />
service on cost & quality issues in orthopedics<br />
In This Issue<br />
2 Editorial—Revisiting <strong>Orthopedic</strong> Economics<br />
6 Center for Excellence Redux<br />
7 Shoulder <strong>implant</strong> update<br />
10 Sulzer’s Inter-Op acetabular shell recall<br />
11 2000 Subscriber survey<br />
14 Physician Payment Update<br />
15 Gliatech’s ongoing woes<br />
Change in <strong>Hip</strong> <strong>and</strong> Knee Implant Prices, 2000-20011 1 Based on the list <strong>prices</strong> for selected components between the two years for 9 manufacturers. The<br />
2000 average <strong>prices</strong> reported here will differ from those listed in the January 2000 issue of<br />
<strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong> because of the change in components surveyed, as well as the elimination<br />
of Howmedica, Implex, <strong>and</strong> Johnson & Johnson.<br />
2 The average change represents the average percentage increase from 9 manufacturers, not the<br />
percentage change between the two years’ averages.<br />
© 2001 Mendenhall Associates, Inc.<br />
Average<br />
Change<br />
2000 2001 00-01 2<br />
Total hip <strong>implant</strong>s<br />
Porous <strong>Hip</strong> $6,191 $6,550 5.9%<br />
(High-dem<strong>and</strong>)<br />
Cemented <strong>Hip</strong><br />
(Medium-dem<strong>and</strong>) $4,607 $4,899 6.4%<br />
Cemented/poly cup<br />
(Low-dem<strong>and</strong>) $2,122 $2,263 6.7%<br />
Partial hip <strong>implant</strong>s<br />
Bipolar hip<br />
(Medium-dem<strong>and</strong>) $2,408 $2,577 7.4%<br />
Endoprosthesis<br />
(Low-dem<strong>and</strong>) $1,038 $1,093 5.2%<br />
Knee <strong>implant</strong>s<br />
Porous Knee<br />
(High-dem<strong>and</strong>) $5,736 $6,191 8.0%<br />
Cemented Knee<br />
(Medium-dem<strong>and</strong>) $4,664 $5,037 7.9%<br />
Cemented/poly tib<br />
(Low-dem<strong>and</strong>) $3,340 $3,623 8.3%
* Do not currently market<br />
1 Implants formerly sold by Howmedica are now sold by Osteonics.<br />
2 Depuy is a division of Johnson & Johnson<br />
continued from page 1<br />
Coated Coated hip hip hip hip hip<br />
(high (high (high (high (high dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Summary of Implant Prices <strong>and</strong> Price Increases, 1999-2001, by Manufacturer <strong>and</strong> Implant Type<br />
Total <strong>Hip</strong>s Partial hips Knees Price Increases<br />
Cemented Cemented Cemented Cemented Cemented hip hip hip hip hip<br />
(medium<br />
(medium<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Cemented Cemented Cemented Cemented Cemented hip/ hip/ hip/ hip/ hip/<br />
poly poly poly poly poly cup cup cup cup cup<br />
(low (low (low (low (low dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Bipolar Bipolar hip hip hip hip hip<br />
(medium<br />
(medium<br />
(medium<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Endoprosthesis<br />
Endoprosthesis<br />
Endoprosthesis<br />
Endoprosthesis<br />
Endoprosthesis<br />
(low (low (low (low (low dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
cups to their hospital clients, which increased the price about<br />
20-25% from the price charged by Implex in February 2000.<br />
It should be stated that the increases reported are the increases<br />
in manufacturer list <strong>prices</strong>, <strong>and</strong> not necessarily the <strong>prices</strong> paid<br />
by hospitals. Many manufacturers argue that increasing the<br />
<strong>prices</strong> allows them more flexibility in discounting. “Mark them<br />
up, mark them down,” as one puts it, in describing the cycle of<br />
manufacturer price increases followed by subsequent hospital<br />
discounts. The <strong>7.0%</strong> price increase follows an 8.7% manufacturer<br />
price increase between 1999 <strong>and</strong> 2000. Surveys of hospital<br />
subscribers also report significant price increases in their<br />
orthopedic <strong>implant</strong>s (see page 11) in the last several years.<br />
The manufacturers recording the smallest price increases are<br />
those that had the largest ones last year: last year Biomet<br />
reported a 16.3% price increase, this year’s was 3.4%, the<br />
lowest of the surveyed manufacturers. Smith & Nephew<br />
reported a 15.2% increase last year, compared to a 6.2%<br />
increase this year. Encore <strong>Orthopedic</strong>s, meanwhile had a 10.9%<br />
increase last year which was followed by a 10.6% increase this<br />
year, the largest reported by any manufacturer. Sulzer’s 7.9%<br />
increase last year was followed by a 9.1% increase between<br />
2000 <strong>and</strong> 2001.<br />
The introduction of new technology plays a partial role in these<br />
price increases. The “high dem<strong>and</strong>” hip category includes a<br />
cross-linked polyethylene liner, designed to withst<strong>and</strong> wear<br />
Coated Coated Coated <strong>knee</strong> <strong>knee</strong> <strong>knee</strong> <strong>knee</strong> <strong>knee</strong><br />
(high (high (high (high (high dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Cemented Cemented Cemented Cemented Cemented <strong>knee</strong> <strong>knee</strong> <strong>knee</strong> <strong>knee</strong> <strong>knee</strong><br />
(medium<br />
(medium<br />
(medium<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
dem<strong>and</strong>)<br />
Cemented Cemented Cemented Cemented Cemented<br />
<strong>knee</strong>/poly <strong>knee</strong>/poly <strong>knee</strong>/poly <strong>knee</strong>/poly <strong>knee</strong>/poly tibia tibia tibia tibia tibia<br />
(low (low (low (low (low dem<strong>and</strong>)<br />
Average<br />
increase<br />
increase<br />
2000-2001 2000-2001 2000-2001 2000-2001 2000-2001<br />
Average<br />
increase<br />
1999-2000 1999-2000 1999-2000 1999-2000 1999-2000<br />
Zimmer $7,051 $5,254 $5,254 $2,458 $2,830 $834 $6,368 $5,070 $3,789 5.8 5.9<br />
Osteonics 1 $6,780 $4,580 $2,040 $2,400 $1,220 $6,245 $5,084 $3,793 6.7 8.0<br />
DePuy 2 $7,170 $7,170 $5,220 $2,340 $2,455 $740 $6,650 $6,650 $5,315 $4,000 $4,000<br />
8.5 7.2<br />
Smith & Nephew $6,786 $5,240 $2,874 $2,874 $2,848 $725 $6,051 $5,028 $2,993 6.2 15.2<br />
Biomet $6,540 $4,596 $2,397 $2,957 $2,957 $986 $6,650 $6,650 $4,987 * 3.4 16.3<br />
16.3<br />
Wright $6,185 $4,715 $1,945 $2,405 $1,460 $1,460 $6,210 $5,515 $5,515 $3,865 8.0 5.2<br />
Sulzer $6,565 $5,160 $2,050 $2,455 $1,360 $6,145 $5,125 $3,640 9.1 7.9<br />
Exactech $5,720 $4,420 $1,910 $2,560 $1,415 $5,500 $4,385 $3,255 5.2 8.0<br />
Encore $6,150 $4,905 $2,350 $2,280 * $5,900 $4,825 $3,650 10.6 10.6 10.9<br />
Average $6,550 $4,899 $2,263 $2,577 $1,093 $6,191 $5,037 $3,623 7.0 8.7<br />
% Price Increases, 2000-2001, by Manufacturer, Implant Type<br />
* Do not currently market<br />
1 Implants formerly sold by Howmedica are now sold by Osteonics.<br />
2 Depuy is a division of Johnson & Johnson.<br />
Source: Manufacturer published price lists, 2000-2001.<br />
Hedrocel <strong>implant</strong>s sold by Zimmer, previously Implex<br />
© 2001 Mendenhall Associates, Inc. <strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong>, Vol 12, No 1, January 2001 3<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Total hips Partial<br />
<strong>Hip</strong>s<br />
Knees<br />
High Med Low Med Low High Med Low Avg<br />
00-01<br />
Zimmer 3.2 2.7 5.7 4.1 3.0 8.9 9.0 8.0 5.8<br />
Osteonics 1 6.3 8.3 5.4 5.7 10.9 10.9 6.0 6.0 7.4 6.7<br />
DePuy 2 Smith &<br />
3.4 8.4 6.1 6.7 5.0 11.2 11.2 11.3 13.5 13.5 8.5<br />
Nephew 7.6 5.1 6.6 6.3 5.1 7.5 5.5 3.9 6.2<br />
Biomet 3.0 3.0 3.1 3.0 3.0 4.0 4.0 * 3.4<br />
Wright 5.0 5.0 5.1 5.0 5.0 10.6 13.7 13.7 9.5 8.0<br />
Sulzer 8.2 8.3 11.7 11.6 9.7 8.0 9.6 9.5 9.1<br />
Exactech 6.5 7.0 3.2 5.6 0.0 7.1 3.1 3.3 5.2<br />
Encore 10.0 10.0 9.8 9.8 13.1 13.1 18.6 18.6 * 8.5 9.3 11.6 10.6<br />
10.6<br />
Average 5.9 6.4 6.7 7.4 5.2 8.0 7.9 8.3 7.0<br />
2/1/2000 2/1/2000 1/1/2001<br />
1/1/2001<br />
Part Part number number Implex Implex Implex price price price Zimmer Zimmer price price % % change<br />
change<br />
Hedrocel cup 22mm<br />
Zimmer 00-7205-040-22 $1,925 $2,425 26.0%<br />
Implex 02-240-22401<br />
Elliptical primary cup 22x46mm<br />
Zimmer: 00-7255-046-22 $1,925 $2,310 20.0%<br />
Implex: 02-242-22461
etter than normal polyethylene, is included in the <strong>prices</strong> of<br />
Depuy, Osteonics, Zimmer, <strong>and</strong> Smith & Nephew. These<br />
polyethylenes typically cost $300-$500 more than “normal”<br />
polyethylenes. These additions have pushed the cost of a porous<br />
coated hip system from DePuy to $7,170, the highest of those<br />
surveyed.<br />
Other hip <strong>and</strong> <strong>knee</strong> technologies have not been factored into the<br />
calculated <strong>prices</strong>, including the metal-on-metal <strong>implant</strong>s sold by<br />
Biomet (M2a), <strong>and</strong> Sulzer Orthopaedics (Metasul). The Biomet<br />
version has a list price of $7,412, <strong>and</strong> the Sulzer version is<br />
$6,865. Soon to be released are more metal-on-metal hips,<br />
ceramic on ceramic hips (Biomet), ceramic on ceramic <strong>knee</strong>s<br />
(Smith & Nephew), mobile bearing <strong>knee</strong>s (DePuy <strong>and</strong> Smith &<br />
Nephew, among others).<br />
A high dem<strong>and</strong>, porous coated hip system ranged in price from<br />
DePuy’s $7,170 for a Prodigy stem with a Marathon crosslinked<br />
polyethylene liner to $5,720 for Exactech’s AcuMatch<br />
porous coated system. Cemented hips ranged in price from<br />
Zimmer’s Versys/Trilogy at $5,254 to Exactech’s Acumatch at<br />
$4,420. Infrequently used low dem<strong>and</strong> hip systems ranged in<br />
price from Smith & Nephew’s Matrix at $2,874 to Exactech’s<br />
AcuMatch with an all poly cup at $1,910.<br />
High dem<strong>and</strong> <strong>knee</strong> <strong>implant</strong>s ranged in price from Biomet’s<br />
Maxim <strong>and</strong> DePuy’s PFC porous at $6,650 to Exactech’s<br />
Optetrak at $5,500. Cemented <strong>knee</strong> systems ranged in price<br />
from Wright’s Advantim at $5,515 to Exactech’s $4,385 for an<br />
Optetrak, <strong>and</strong> low dem<strong>and</strong> <strong>knee</strong>s with an all poly tibia ranged in<br />
price from $4,000 for a Depuy PFC to $2,993 for a Smith &<br />
Nephew Genesis II.<br />
How the Survey was Conducted<br />
Manufacturer 1/1/2000 <strong>prices</strong> 1/1/01 <strong>prices</strong><br />
Zimmer 1/1/2000 1/1/2001<br />
Osteonics 9/1/1999 9/1/2000<br />
DePuy 10/1/1999 10/2/2000<br />
S&N Richards 1/1/2000 1/1/2001<br />
Biomet 12/1/1999 12/4/2000<br />
Wright 1/1/2000 1/1/2001<br />
Sulzer 1/1/2000 1/1/2001<br />
Exactech 1/1/2000 1/1/2001<br />
Encore 1/1/2000 1/1/2001<br />
Manufacturer price lists were obtained, <strong>and</strong> <strong>prices</strong><br />
effective on January 1, 2000, were compared to those<br />
effective on January 1, 2001. This is the tenth annual<br />
survey of hip <strong>and</strong> <strong>knee</strong> <strong>implant</strong>s which has been<br />
conducted by <strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong>. For each<br />
category of <strong>implant</strong> system <strong>and</strong> dem<strong>and</strong> level,<br />
representative components were priced <strong>and</strong> compared<br />
for the time periods. There were approximately 260<br />
components surveyed by <strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong><br />
which were believed to be representative of the most<br />
commonly used systems <strong>and</strong> configuration of systems.<br />
Where possible, <strong>prices</strong> <strong>and</strong> usage were reviewed <strong>and</strong><br />
verified with the manufacturers of the systems.<br />
4 © 2001 Mendenhall Associates, Inc.<br />
“Metal on metal” hip <strong>implant</strong>s<br />
Manufacturer Manufacturer Stem/Cup Stem/Cup<br />
2000 2000 2001 2001 00-01<br />
00-01<br />
Biomet * Bi-Metric ® /M2a TM $7,301 $7,412 1.5%<br />
Sulzer Natural-<strong>Hip</strong> TM /Metasul ® $6,355 $6,865 8.0%<br />
* Biomet’s M2a was introduced in 2000.<br />
Includes coated femur, femoral head, metal liner, <strong>and</strong> acetabular shell<br />
Change in High-Dem<strong>and</strong> Total <strong>Hip</strong> Implant Prices 2000-01*<br />
Manufacturer Manufacturer Stem/Cup Stem/Cup<br />
2000 2000 2000 2001 2001 00-01<br />
00-01<br />
Zimmer Versys/Longevity/Trilogy$6,830 $7,051 3.2%<br />
Osteonics 1 SecurFit HA/Crossfire $6,380 $6,780 6.3%<br />
DePuy2 Prodigy ® /Marathon $6,935 $6,935 $6,935 $7,170 $7,170 $7,170 3.4%<br />
Sm & Nephew Synergy/XLPE/Reflection $6,307 $6,786 7.6%<br />
Biomet Bi-Metric ® /Mall-Head $6,350 $6,540 3.0%<br />
Wright Perfecta/Interseal por $5,890 $6,185 5.0%<br />
Sulzer Natural/Inter-Op $6,065 $6,565 8.2%<br />
Exactech AcuMatch porous $5,370 $5,720 6.5%<br />
Encore Foundation porous $5,592 $6,150 10.0%<br />
10.0%<br />
Average $6,191 $6,550 5.9% 3<br />
* Includes price of porous coated femur, femoral head, porous acetabular shell <strong>and</strong> liner.<br />
Cross-linked polyethylene components are included for Zimmer (Longevity), Depuy<br />
(Marathon), <strong>and</strong> Smith & Nephew.<br />
Change in Medium-Dem<strong>and</strong> <strong>Hip</strong> Implant Prices 2000-01 *<br />
Manufacturer Manufacturer Stem/Cup Stem/Cup<br />
2000 2000 2001 2001 00-01 00-01<br />
00-01<br />
Zimmer Versys/Trilogy $5,115 $5,115 $5,115 $5,254 $5,254 $5,254 2.7%<br />
Osteonics 1 Omnifit/Secur-Fit HA $4,230 $4,580 8.3%<br />
DePuy 2 Endurance/Duraloc $4,815 $5,220 8.4%<br />
Sm&Nephew Spectron/Reflection $4,985 $5,240 5.1%<br />
Biomet Integral/Mall-Head $4,462 $4,596 3.0%<br />
Wright Perfecta IMC $4,490 $4,715 5.0%<br />
Sulzer APR II-T/Inter-Op $4,765 $5,160 8.3%<br />
Exactech Acumatch $4,130 $4,420 <strong>7.0%</strong><br />
Encore Foundation $4,467 $4,905 9.8% 9.8%<br />
9.8%<br />
Average $4,607 $4,899 6.4%<br />
* Includes cemented stem, femoral head, shell, <strong>and</strong> liner unless otherwise noted.<br />
3<br />
1 Osteonics markets the products previously sold by Howmedica.<br />
2 DePuy is a division of Johnson & Johnson<br />
3 Represents average of manufacturer price increases.<br />
<strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong>, Vol 12, No 1, January 2001<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Highest<br />
in group<br />
Lowest<br />
in group
Change in Low-Dem<strong>and</strong> <strong>Hip</strong> Implant Prices 2000-01*<br />
Manufacturer<br />
Manufacturer Manufacturer Stem/Cup Stem/Cup<br />
2000 2000 2001 2001 2001 00-01<br />
00-01<br />
Zimmer Versys ® LD Fx/ZCA $2,325 $2,458 5.7%<br />
Osteonics 1 ODC/ODC $1,935 $2,040 5.4%<br />
DePuy 2 Excel Fx/Endurance $2,205 $2,340 6.1%<br />
Sm & Nephew Matrix/Reflection $2,695 $2,695 $2,874 $2,874 6.6%<br />
Biomet Answer/Bio-clad $2,326 $2,397 3.1%<br />
Wright PDA/Nexus $1,850 $1,945 5.1%<br />
Sulzer Natural DRG/all poly $1,835 $2,050 11.7%<br />
Exactech AcuMatch L-ser/all poly $1,850 $1,910 3.2%<br />
Encore Foundation/poly cup $2,077 $2,350 13.1% 13.1%<br />
13.1%<br />
Average $2,122 $2,263 6.7% 3<br />
* Includes low-dem<strong>and</strong> hip stem, femoral head, <strong>and</strong> an all poly cup.<br />
Change in Bipolar <strong>Hip</strong> Implant Prices 2000-01*<br />
Manufacturer Manufacturer Stem/Cup Stem/Cup<br />
2000 2000 2001 2001 2001 00-01<br />
00-01<br />
Zimmer Versys LD Fx/Multipolar $2,720 $2,830 4.1%<br />
Osteonics 1 ODC/Bipolar $2,270 $2,400 5.7%<br />
DePuy 2 Ultima/Bipolar $2,300 $2,455 6.7%<br />
Sm & Nephew Fracture stem/Universal $2,679 $2,848 6.3%<br />
Biomet Answer/Ringloc $2,870 $2,870 $2,957 $2,957 3.0%<br />
Wright PDA/SLR Bipolar $2,290 $2,405 5.0%<br />
Sulzer Natural DRG/Bipolar $2,200 $2,455 11.6%<br />
Exactech AcuMatch/Bipolar $2,425 $2,560 5.6%<br />
Encore Foundation/Bipolar $1,922 $2,280 18.6% 18.6%<br />
18.6%<br />
Average $2,408 $2,577 7.4% 3<br />
* Includes cemented hip stem, femoral head, <strong>and</strong> a bipolar cup.<br />
Change in Endoprostheses Prices 2000-01*<br />
Manufacturer Manufacturer Stem Stem<br />
2000 2000 2001 2001 2001 00-01<br />
00-01<br />
Zimmer Thompson $810 $834 3.0%<br />
Osteonics 1 ODC fx hip** $1,100 $1,220 10.9% 10.9%<br />
10.9%<br />
DePuy 2 Austin Moore $705 $740 5.0%<br />
Sm & Nephew Moore $690 $725 5.1%<br />
Biomet Bio-Moore ® ** $957 $986 3.0%<br />
Wright PDA/Hemi-head** $1,390 $1,460 $1,460 5.0%<br />
Sulzer Apollo ® /Unipolar** $1,240 $1,360 9.7%<br />
Exactech AcuMatch/Unipolar** $1,415 $1,415 $1,415 0.0%<br />
Average $1,038 $1,093 5.2% 3<br />
* Includes one-piece endoprosthesis unless otherwise noted.<br />
** Two-piece modular endoprosthesis<br />
1 Osteonics markets the products previously sold by Howmedica. <strong>Hip</strong> products shown are formerly<br />
Osteonics; Knee products shown are formerly Howmedica. Osteonics also sells their Scorpio <strong>knee</strong>s,<br />
formerly marketed by Osteonics.<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Change in Porous Knee Implant Prices 2000-01 *<br />
Manufacturer Manufacturer Femur/Tibia Femur/Tibia 2000 2000 2001 2001 00-01<br />
00-01<br />
Zimmer NexGen ® porous CR $5,850 $6,368 8.9%<br />
Osteonics 1 Duracon ® porous $5,890 $6,245 6.0%<br />
DePuy 2 PFC ® porous CR $5,980 $6,650 $6,650 11.2%<br />
11.2%<br />
Sm & Nephew Genesis II CR $5,631 $6,051 7.5%<br />
Biomet Maxim ® porous5 $6,392 $6,392 $6,392 $6,650 $6,650 4.0%<br />
Wright Axiom ® porous $5,615 $6,210 10.6%<br />
Sulzer Natural ® II porous $5,690 $6,145 8.0%<br />
Exactech Optetrak ® porous $5,135 $5,500 7.1%<br />
Encore Foundation porous $5,440 $5,900 8.5%<br />
Average $5,736 $6,191 8.0%<br />
* Includes price of porous-coated femur, porous tibia, tibial insert, <strong>and</strong> all poly patella unless<br />
otherwise noted.<br />
3<br />
5 Includes extension stem<br />
Change in Cemented Knee Implant Prices 2000-01*<br />
Manufacturer Manufacturer Femur/Tibia Femur/Tibia<br />
2000 2000 2001 2001 00-01<br />
00-01<br />
Zimmer NexGen Option CR $4,650 $5,070 9.0%<br />
Osteonics 1 Duracon cemented $4,795 $5,084 6.0%<br />
DePuy 2 PFC cemented CR $4,775 $5,315 11.3%<br />
Sm & Nephew Genesis II cemented CR $4,766 $5,028 5.5%<br />
Biomet Maxim Anat. Ilok $4,795 $4,987 4.0%<br />
Wright Advantim cemented $4,850 $4,850 $4,850 $5,515 $5,515 $5,515 13.7%<br />
13.7%<br />
Sulzer Natural II cemented $4,675 $5,125 9.6%<br />
Exactech Optetrak cemented $4,255 $4,385 3.1%<br />
Encore Foundation cemented $4,415 $4,825 9.3%<br />
Average $4,664 $5,037 7.9% 3<br />
* Includes non-coated femur <strong>and</strong> tibia, insert <strong>and</strong> poly patella unless otherwise noted<br />
Change in Low-Dem<strong>and</strong> Knee Implant Prices 2000-01*<br />
Manufacturer Manufacturer Femur/Tibia Femur/Tibia<br />
2000 2000 2001 2001 00-01<br />
00-01<br />
Zimmer NexGen option/poly CR $3,507 $3,789 8.0%<br />
Osteonics1 Duracon/all poly $3,532 $3,532 $3,532 $3,793 7.4%<br />
DePuy 2 PFC / all poly CR $3,525 $4,000 $4,000 $4,000 13.5%<br />
13.5%<br />
Sm & Nephew Genesis II/all poly CR $2,881 $2,993 3.9%<br />
Wright Advantim/all poly $3,530 $3,865 9.5%<br />
Sulzer Apollo/all poly $3,325 $3,640 9.5%<br />
Exactech Optetrak/all poly $3,150 $3,255 3.3%<br />
Encore Foundation/all poly $3,270 $3,650 11.6%<br />
Average Average<br />
$3,340 $3,340 $3,340 $3,623 $3,623 8.3%<br />
8.3%<br />
* Includes non-coated femur, all-poly tibia, <strong>and</strong> poly patella.<br />
© 2001 Mendenhall Associates, Inc. <strong>Orthopedic</strong> <strong>Network</strong> <strong>News</strong>, Vol 12, No 1, January 2001 5<br />
8.3% 3<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
Highest<br />
in group<br />
Lowest<br />
in group<br />
2 DePuy is a division of Johnson & Johnson. <strong>Hip</strong> products shown are predominately DePuy, PFC <strong>knee</strong>s were<br />
formerly marketed by Johnson & Johnson. DePuy also sells AMK <strong>and</strong> LCS <strong>knee</strong>s.<br />
3 Represents average of manufacturer price increases.
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