After cardiac stents, government fixes price range for knee implants surgery

The government has fixed a price range for knee implants from Rs 54,000 to Rs 1.14 lakh which is nearly 70 per cent lower than the current cost of most surgeries.

"Government will not remain a mute spectator and will not allow this illegal and unethical profiteering," Chemicals and Fertilisers Minister Ananth Kumar told a news briefing. According to the government, there are around 1.5 crore to 2 crore patients who require knee implants surgery. Every year 1.2 lakh to 1.5 lakh knee surgeries takes place in India.

It is estimated by World Health Organization (WHO) that by 2020, osteoarthritis is going to be the fourth largest cause of immobility in globally, Kumar informed.

Osteoarthritis

Osteoarthritis (OA) is the most common chronic condition of the joints. OA can affect any joint, but it occurs most often in knees, hips, lower back and neck, small joints of the fingers and the bases of the thumb and big toe. In normal joints, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In OA, the cartilage breaks down, causing pain, swelling and problems moving the joint. 

The government had in February slashed the maximum price of life-saving heart stents implants by up to 85 per cent by capping them at Rs 7,260 for bare metal ones and Rs 29,600 for drug eluting variety.

Also read: Bengaluru: First doctor to conduct more than 1000 minimally invasive knee surgery

Earlier, the average maximum retail price (MRP) for BMS was Rs 45,000 and for DES, it was Rs 1.21 lakh. Kumar said today's decision comes a day after Prime Minister Narendra Modi announced from the Red Fort on the Independence Day that prices of knee surgery would be brought down. Earlier this month, the National Pharmaceutical Pricing Authority had stated that the average trade margin on orthopaedic knee implants was found to be as high as 313 percent.

"After cardiac stents, we have now decided to bring all kinds of knee implants under price control. In our country 1.5 to 2 crore people suffer from knee problems, who need health assistance," Kumar said. "The government will not be a mute spectator to illegal and unethical profiteering," he added.

"Today across the country, private hospitals have increased prices of knee implant surgeries. They are indulging in unethical profiteering. To stop this and give relief to patients, we have taken this decision," he said.

The decision has been taken keeping people's interest and health security of the nation into consideration, Kumar said. The minister warned of stringent action against hospitals, importers, retailers if they charged in excess of the MRP saying that the government would recover excess profit from such knee implants with 18 per cent interest and may also cancel licences of hospitals.

Asked whether industry would be able to recover their costs under the new prices, the minister said: "The MRP has been fixed after taking into account the landed cost and there will be comfortable margins for the industry." Reacting to the development, medical device industry body MTaI said MTaI is reviewing the order from NPPA.

Under the new price regime, the MRP of most widely used complete knee implant (Cobalt-Chromium) has been fixed at Rs 54,720 plus GST, a reduction of 65 per cent from earlier average MRP of Rs 1,58,324. This particular type of knee implant has around 80 per cent market share.

The new MRP of special metal titanium and oxidised zirconium has been fixed at Rs 76,600 plus GST, down 69 percent from an average rate of Rs 2,49,251 earlier.

Also read: Coronary stents prices slashed by 85%: Govt tells Delhi HC 

High flexibility implant will now cost Rs 56,490 plus GST, down 69 per cent from average MRP of Rs 1,81,728 earlier. Special metal and high flexibility knee implants account for another 17 per cent of the market.

Revision implants for second surgery, which patients normally need after 10 years, will now cost Rs 1,13,950 plus, lower by 59 per cent from average MRP of Rs 2,76,869. Lastly, the MRP of specialised implants for cancer and tumour has been fixed at Rs 1,13,950 which used to be priced around Rs 4-9 lakh.