Dental implants are expensive, and the state is regulated. How much can the cost be saved?

"Looking forward to the price reduction, but the teeth can't wait, let's talk about it first." Mr. Zhou, who was waiting for the Tianjin Stomatological Hospital, told the reporter of the "Finance and Economics Weekly".

On the last day of the Mid -Autumn Festival holiday, just after 8 o'clock in the morning, this hospital's oral planting department had a lot of patients who came to the doctor, most of the middle -aged people in the age of 40 to 50.

▲ On the morning of September 12, 2022, the Tianjin Stomatological Hospital Planting Department was waiting for the doctor. Photo/"Finance and Economics Weekly" Zhang Shuxia

Mr. Zhou's price reduction refers to a notice issued by the State Medical Insurance Bureau recently. This "Notice on the Special Governance of the Special Governance of the Price of Oral Planting Medical Services and Consumption" is clearly required: oral implants will be mixed, the crowns will be bidded, and dental implants medical services will be regulated by price control, such as medical services for third -level public hospitals The price of the full process of the price is 4,500 yuan a tooth.

With the development of dental medicine, more and more people are solved through dental implants. At the same time, the sayings of "one teeth and one BMW" and "planting teeth are equal to the county's buying a suit" spread widely. The high cost of dental implants will refuse many people.

According to the latest national plan, how much can the total cost of dental implants be reduced, and which implant brands are expected to be included in the collection, when will the price reduction measure benefit people in need?

About 25% under the medical service fee

"At present, we are promoting the implementation of dental implants, and we are promoting landing. The overall price is expected to decline a lot. If you do not have a rush, you can wait." Relevant persons from the Anhui Provincial Medical Insurance Bureau told the Caijing National Weekly reporter.

At present, dental implants are really expensive.

The price list of Tianjin Stomatological Hospital shows that dental implants include implant costs, full porcelain crown costs, and other expenses such as bone implants and upper sinus increases generated according to the patient's own conditions.

Among them, the price range of the implant is 6000-18000 yuan/piece, and the crown price is 3400-6200 yuan/piece. If you choose a personalized base platform, you need to make up the difference of 2500 yuan/piece. In this way, the cost of planting a teeth is mostly more than 10,000 yuan.

"Finance and Economics Weekly" reporters also consulted a number of dental medical institutions in Beijing, Hangzhou and other places. There are more than 4,000 yuan per dental implanted quotation and a height of more than 30,000 yuan. Consumer and surgical costs are not included in bone planting, registration, laboratory, CT and other costs.

In the packed quotation, the medical service fee occupies a big head.

According to the information disclosed by the State Medical Insurance Administration, taking a single conventional planting of public medical institutions in various provinces as an example, the average cost of the medical service section exceeds 6,000 yuan, and the cost of some provinces and cities exceeds 9,000 yuan, which has become an important reason for the preciousness of dental.

Because of this, regulating planting service fees have become one of the main means of "burden reduction" of dental implants.

The above -mentioned "Notice" proposes that the cost of single dental planting service for tertiary public medical institutions is not higher than 4,500 yuan/piece. Public medical institutions below the third level are decreasing with reference to medical service pricing policies in various places, and further clarify that the cost of planting service includes the full planting full plant The process of diagnosis and inspection, biochemical inspection and image inspection fee, implant implant fees, crown setting fees, scanning design modeling fees, excluding fees such as tooth extraction, periodic treatment, root canal therapy, bone planting, and soft tissue transplantation.

This means that after regulation, the average decrease in the price of dental implant medical services is about 25%, and hospitals with a fee of more than 9,000 yuan are expected to decrease by more than half.

High -quality and high -quality price, do not engage in "one knife and cut"

"Whether the dental implants do well, not only depends on the quality of planting consumables, but also the doctor's technology and experience is also very important." Zhan Zhaokun, the attending physician of Ruining Dental, told the reporter of the National Weekly.

It is understood that the dental implants process is complicated. Without special operations such as bone implantation, it is necessary to go through the first diagnosis, laboratory, dental cleaning, planting surgery, wire disassembly, secondary surgery, line removal, sealing, and dental wear, etc. Steps, the entire process has high requirements for doctors' technology and experience.

Therefore, the regulation of dental implants does not perform a single standard of "one -size -fits -all".

In order to fully reflect the technical labor value of oral planting, the State Medical Insurance Bureau's "Notice" clearly states that the medical quality is linked to the level of regulation of price, and encourages "argumenting price, consistent quality and high -quality price".

For example, the national dental medicine center or oral planting specialty is included in the medical institutions of national key clinical specialties, and medical institutions with higher planting power can be relaxed by 10%. For regions with the leading planting technology, the regulation amplitude can be relaxed by 20%.

In other words, if the medical institution meets three relative conditions at the same time, the relaxation quota can be 1800 yuan, and the service fee can float to 6,300 yuan/piece.

According to regulations, the Ninth People's Hospital of Peking University Stomatology Hospital, Sichuan University Huaxi Stomatology Hospital and Shanghai Jiaotong University Medical College are the National Stomatology Center. Essence

According to the National Medical Insurance Bureau, the governance measures for various prices such as medical services, implants, and crowns will be implemented in various provinces from December this year to March next year.

"Maybe after New Year's Day next year, the dental implants will be adjusted in various places." A person from a dental medical institution in Hangzhou told reporters.

▲ On November 3, 2021, in Ren'ai Village, Xialei Town, Chongzuo, Chongzuo, a rural doctor, Zhao Jianbai checked his mouth for the villagers. Xinhua News Agency reporter Cao Yiming needs to note that the direct role of the price control target of the planting service is public medical institutions, and private medical institutions are still pricing in accordance with regulations.

The National Medical Insurance Bureau stated that it is hoped that through the role of public hospitals to play the role of "anchoring", to transmit the control effect of regulatory goals to private medical institutions, and guide high -priced private medical institutions to be aligned with regulatory targets.

In this regard, some private dental medical institutions have expressed their support attitudes.

"There are a lot of teeth among the domestic middle -aged and elderly groups, but the domestic oral plant coverage is low. Under the guidance of benefiting the people's policy, what the company must do is to follow the policy direction and greatly improve the penetration rate." Domestic oral chain institutions Tongmei medical treatment.

Consumption collection, bidding hanging network parallel

In addition to medical service fees, consumables are an important part of dental implants.

According to Zhan Zhaokun, the actual proportion of consumables such as implants, crown crowns and other consumables in the clinic, the actual proportion of the total cost of dental implants is about 40%.

Most of the dental medical institutions change to dental implants quotes with different implant brands.

"Finance and Economics Weekly" reporters interviewed a number of dental medical institutions that most of the tertiary public dental medical institutions chose to use high -end and high -end implants with higher prices, and some private oral clinics chose a wider range Plants also have a low -cost brand of three or four thousand yuan.

For example, at the Department of Oral Plantation of Stomatology Hospital at Peking University, except for bone planting, laboratory, filming and other costs, the cost of planting a dental cost is about 19,000 yuan. A dental implant quotation in a Beijing clinic is 24,000-36,000 yuan/piece. Patients can further choose different levels of implants among a Swedish brand. Plants also provide thousands of yuan of Korean or domestic brand implants.

According to the National Medical Insurance Bureau, at present, public medical institutions purchase 4,000-6000 yuan per set of high-end brand implants, and other plants are 2000-3500 yuan per set.

Because implants are the industrial finished products that are standardized and provided across regions, the State Medical Insurance Bureau decides to refer to the experience of high -value medical consumables such as cardiac stent and artificial joints, and achieve prices by volume exchanges to realize the price reduction of implants.

In terms of specific operations, all provinces are led by Sichuan Province and all provinces to participate in the concentrated volume of the alliance. They require all public medical institutions that provide oral planting services to participate, and mobilize private medical institutions to actively participate.

"At present, Sichuan Province is leading the organization of collecting collection, and our other provinces will participate." The above -mentioned people from the Anhui Provincial Medical Insurance Bureau told reporters.

▲ In a cavity clinic, doctors are replenishing their teeth for patients. Xinhua News Agency reporter Faye Wong Photo

In terms of crown, according to the quotation of many dental medical institutions to the reporter of the National Weekly, a single porcelain crown price is between 3,000 yuan and 7,000 yuan.

Zhan Zhaokun introduced that the crown is generally "tailor -made". The process is that after the implants are planted, the dentist uses a 3D oral panoramic scan to form a 3D three -dimensional imaging of all teeth in the patient's oral cavity. After the crown is done, send it back to the medical institution, and the patient can install it again.

This means that unlike the implants and crown processing and production, the personalized requirements are high, interacting closely with the clinical use, and the strategy of replacement of price replacement is not applicable to the crown.

Therefore, according to the arrangement of the National Medical Insurance Bureau, the crown is mainly based on exploring the bidding network. It is tried by Sichuan Province first to form a reference department of the crown price. Other provinces do a good job of price linkage to promote the prices of the crown and the sun.

The National Medical Insurance Bureau said that most of the crown purchased from third -party processing plants from third -party processing plants is more than 1,000 yuan, and the prices of home -made crown are higher. After bidding, it will decline to a certain extent.

Plant collection plan is discussing and perfect

Regarding dental implants, people are happy to see it, and many people are concerned: Which brands of implants are expected to be included in the collection? How much can the price be reduced?

The National Medical Insurance Administration stated that it will guide Sichuan Province to explore the procurement method that meets the characteristics of implants, fully respect the clinical choice and use habits, and adopt multiple selection methods to provide patients with different levels of implant consumables. Demand better matching.

Regarding issues such as collecting and price reductions, reporters of the "Finance and Economics Weekly" interviewed a number of implant brand manufacturers.

For example, the Swedish Nobel brand planting system is usually more than 20,000 yuan in a single dental quotation of some dental medical institutions. The sales representative of the brand manufacturer Nuo Baoke Trading Co., Ltd. told reporters that there is no experience in domestic high -end implants in China. The company has not received a notice from the relevant departments on the collection of collection and no price adjustment plans.

The Korean implant brand Deng Teng is a brand sold by many private dental medical institutions on e -commerce platforms. After the event, a dental implants are less than 5,000 yuan. Relevant sources of Dengteng Medical Devices said that they have not received the news of participating in the collection.

In contrast, domestic implanted manufacturers have a clearer attitude towards collection.

"Our implant system should participate in the collection, but it is hard to say whether it can be reduced after winning the bid and the price reduction." Domestic implanted manufacturers Weihai Weijie Likang Biological Materials Co., Ltd. sales representative told reporters. Previously, the implants had a small range of pilots. For example, in January of this year, the Ningbo Medical Insurance Bureau of Zhejiang Province launched the first prices of dental implants medical insurance to limit the price of dental implant medical insurance. British, ZDI, No. 1 implant and imported Voli, DIO, SG, etc. In August of this year, Bengbu, Anhui, also carried out a collection of dental implants, incorporated 9 planting brands such as Chuangying, Kangsheng, and ZDI, with an average of 84.17%of the materials costs.

However, the implants incorporated into small -scale pilots are dominated by domestic brands and emerging import brands. There are no so -called high -end implants and clinical brands.

A medical insurance expert involved in the implant collection plan told reporters that the relevant plan is still discussing and improved. Which brands will be included in and how much price reduction will be reduced, which will be affected by many factors such as the market strategy of the enterprise.

Reporter Zhang Yuxia

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