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27 Orthopedics/TJR Seaside Surgery Center Posts Package Pricing for Orthopedic Surgeries — 5 Key Points By Laura Dyrda S easide Surgery Center in Naples, Fla., post- ed all-inclusive package pricing for ortho- pedic surgeries on its website Dec. 20. "No other orthopedic ambulatory surgery center serving the five-county area of Collier, Lee, Charlotte, Hendry and Glades has taken a step in this direction," said the ASC's Co- Founder, CEO and Medical Director Robert Zehr, MD. "We're excited to take the lead in offering bundled, transparent package pricing for four of our most popular procedures." Here are five things to know: 1. e procedure prices posted online in- clude: • Knee arthroscopy: $4,000 • Partial knee replacement: $22,500 • Total knee replacement: $23,700 • Total hip replacement: $24,900 2. e package price for each procedure includes the facility fee, surgeon fee, anesthe- siologist fee and surgical assistant fees. e bundled price also includes hardware, such as implants, and radiology, physical therapy and uncomplicated follow-up. 3. Seaside will apply the bundled pricing for typical cases, but if there is an unforeseen emergency or unknown reason for extended postoperative recovery, the center will assess additional charges. 4. Patients taking advantage of the packaged price must pay upfront in full before surgery. 5. Dr. Zehr developed a companion page on his private practice website to explore whether there would be interest in his center for destination medicine. "It's a critical com- ponent to enticing international patients," he said. "In Southwest Florida, we have the hospitality infrastructure and the natural re- sources to combine with leading orthopedic surgeons and innovative facilities like Seaside to create the perfect environment for medical tourism to thrive." n Dr. Mark Gittins Completes 1st Robotics- assisted Bicruciate-retaining TKR at New Albany Surgery Center: 5 Insights By Eric Oliver M ark Gittins, DO, of Columbus, Ohio-based OrthoNeuro, completed the first robotics- assisted bicruciate-retaining total knee replacement procedure in Ohio at New Albany (Ohio) Surgery Center. Here's what you should know: 1. Dr. Gittins performed the procedure, among the first in the world, Nov. 28. He used the Navio Surgical System to perform the CT-free, robotics-assisted bicruciate total knee arthroplasty pro- cedure. 2. The Navio system assists providers in implanting the Journey II XR implant, which allows patients to retain their anterior cruciate ligament. 3. Dr. Gittins said, "Having used robot- ics-assisted technology for partial knee arthroplasty before, it was easy to un- derstand how the same benefits could translate to total knee arthroplasty. I'm excited for the future of this technology and what it means for my patients." 4. New Albany Surgery Center and Dr. Gittins were among the first in the world to use the Navio system for robotics- assisted total knee arthroplasty as well, performing that procedure in August 2016. 5. The Navio Surgical System is manu- factured by Smith & Nephew. n 10 States With the Highest Average Orthopedic Case Volume per ASC By Laura Dyrda C MS released the ASC Quality Reporting data for the 2018 payment year, with data collected between Jan. 1, 2016 and Dec. 31, 2016. e data covers the average number of procedures in select specialties per state. In the musculoskeletal category, the following procedures are included in the average procedure count per state: • Bone implant removal • Forearm and wrist surgery • Hand and finger surgery • Foot and toe surgery • Shoulder surgery • Shoulder endoscopy • Wrist endoscopy • Knee endoscopy e procedure data covers all surger- ies performed at ASCs and reported through the ASC Quality Reporting program, not just those involving Medicare patients. e 10 states with the most orthopedic procedures per ASC on average are: 1. New York: 1,768 2. New Mexico: 1,613 3. North Carolina: 1,535 4. Iowa: 1,498 5. Rhode Island: 1,411 6. Nevada: 1,402 7. Alabama: 1,389 8. Tennessee: 1,361 9. Maine: 1,343 10. Connecticut: 1,277 Note that data is the average for ASCs statewide. n

