Table 11.
Cost of specific hip implants (NHS costs 2011/12). The figures are based on actual implant costs paid to manufacturers by NHS Wales (7 Trusts) and NHS supply chain (30 Trusts in England), excluding value-added tax (VAT, 20%) and NJR levy costs (£20). £1 is equivalent to 1.22 and to $1.70 (correct as of May 7, 2014)
| Costs (£) | |||
|---|---|---|---|
| Modal | Low | High | |
| Best cemented | |||
| Exeter stem / 28-mm metallic head / flanged Contemporary cup a | 928 | 899 | 1,250 |
| Exeter stem / 32-mm ceramic head / flanged Contemporary cup a | 1,343 | 1,183 | 1,580 |
| Other cemented | |||
| Exeter stem / 26-mm metallic head / hooded Contemporary cup a | 928 | 899 | 1,250 |
| Best hybrid | |||
| Exeter stem / 32-mm metallic head / highly crosslinked polyethylene liner / solid-back Trident shell a | 1,465 | 1,440 | 2,092 |
| Exeter stem / 36-mm ceramic head / ceramic liner / solid-back Trident shell a | 1,780 | 1,780 | 2,619 |
| Other hybrid | |||
| Exeter stem / 28-mm metallic head / conventional polyethylene liner / multi-hole Trident shell a | 1,405 | 1,405 | 2,040 |
| Best cementless | |||
| Corail stem / 28-mm metallic head / conventional polyethylene liner / Pinnacle shell | 1,587 | 1,587 | 2,722 |
| Other cementless | |||
| Corail stem / 36-mm metallic head / metallic liner / Pinnacle shell | 1,791 | 1,703 | 2,924 |
| Corail stem / 36-mm ceramic head / ceramic liner / Pinnacle shell | 2,210 | 2,064 | 3,551 |
| Best resurfacing | |||
| Birmingham Hip Resurfacing using head size ≥ 48 mm a | 1,944 | 1,662 | 2,472 |
| Other resurfacing | |||
| Birmingham Hip Resurfacing using head size < 48 mm a | 1,944 | 1,662 | 2,472 |
Including cement (cemented implants, 4 mixes of Heraeus Palacos R+G at £26.75 per mix; hybrid, 2 mixes of Palacos R+G; resurfacing, 1 mix of Stryker Antibiotic Simplex at £27.72), mixing set (Optivac £44.29, 2 sets for fully cemented), cement restrictor (Hardinge £22.00, not resurfacing). For multi-hole Trident shells, costs of 2 Stryker screws are included (£40 per screw). For Pinnacle shells, the cost of 2 screws for half of the implants is included (£54.05 per screw).
Note: Exeter stems 44/5, 44/6, and all 50 offsets increase cost by £614.27 (< 5% Exeter stems) (Jameson et al. 2012).