The seller must replace consigned inventory at no additional cost, the seller/sales representative and a designated hospital employee will be responsible to reconcile the inventory on a scheduled basis, ensuring accuracy. In the event that there is a discrepancy, the facility assumes no responsibility until the dispute is resolved, placing the onus on the seller. If it is determined that a surgeon at the facility did not implant the device since the last reconciliation, the facility will not be responsible for shrinkage.
The construct prices follow:
Anterior Cervical Fusion (1 Plate, 4 Screws): $1,700
Anterior Cervical Interbody: $1,100
Stalif or Zero P Type Devics: $2,800
1 Level Lumbar Fusion: $4,700
Cervical Disc: $3,250
Lumbar Disc: $9,000
Osteo Biologics: 40% off of 2009 List Price (you must provide the price list)
BMP's: 10% Rebate
The agreement is structured for two years, a comprehensive catalog must be presented to the facility, introduction of any new product must be pre-approved by the facility at least 30 days in advance, any product not pre-approved will not be reimbursed. The facility and seller agree that after two years, the price increase will be no more than 3% and that if there is a decrease in Medicare reimbursement pricing will remain unchange if that decrease is less than 5%. In the event that the decrease exceeds 5% pricing will be re-negotiated, meaning paying less.
So the game is on. If this isn't happening in your respective markets, its inevitable that its coming. So, TSB wants to know some of the pricing scenarios that are beginning to surface in various markets throughout the United States. Maybe its time that we tighten our belts because healthcare is in for a ride. What are hospitals in your territory paying for an XLIF, TLIF, Stalif, Zero-P, Cervical and Lumbar Disc, biologics, or BMP's? I've seen the future and it doesn't look good for anyone regardless of where you are in the food chain.