Sounds like you had a great conversation with Dr. Pritchett. Congrats!
Just a caution: surgeons don't really rebut the approaches of other surgeons. They typically focus on their own experience, their own thinking and their own philosophy of how to perform sucessful surgery.
Survivorship data is a bear because surgeons update the devices they use. The current generation of ceramic on highly cross-linked polyethylene is showing really low wear rates at around 15 years, according to two surgeons (including the one I chose) that I consulted. Beyond that, it's guesswork. My surgeon is hopeful that the device will last 30 years or so ... But he won't go any further than that. I think he let slip that he thinks I won't need a revision, but he's going beyond the current longetivity record.
I think it's extremely important to feel safe and "right" about your surgeon/surgery choice. Notice I said "feel." You want to feel right and good in addition to logically doing background. There's nothing worse than "compromising" on the surgery of this sort or going into a surgery not feeling right and then later running into problems. You end up second guessing yourself.
Hey, I don't know your insurance situation. But I did want to give you a warning. The phrase "out of pocket maximum" just isn't true in the way that a patient thinks. I've read many many stories of people getting hit with huge bills based misunderstanding this language (understandably so, the language is deliberately incomplete).
In the vast majority of cases, insurance companies do not include "out of network" services as part of their out of pocket maximum. So if the surgeon you choose is not in your insurance network, you run into major problems.
And then things get weirder. Insurance companies often say we cover 60 percent or 70 percent of out of network services. That's 60 percent of the maximum fee the insurance company has set. And sometimes (I want to say most times) companies set that maximum fee at a ridiculously low level--sometimes lower than the fee they pay to in network doctors. So the patient is responsible for all costs above the allowed billing rate that the insurance company has.
Out of pocket maximum means as long as you're using services billed at or below the level the company has set as maximum reimbursement. But no hip surgeon charges such low fees.
I was on a forum with a guy who went to an expensive surgeon (world famous) who didn't take insurance. He thought oh well, my plan will cover 80 percent of the out of network cost. So he calculated the numbers, thinking he would have to pay for the 20 percent ... and 20 perent of 20K was about four thousand dollars, which he was good with. And the plan had an out-of-pocket maximu, so he was feeling good. Wrong. His insurance company capped out of network billings at something like $4,000 ... so the guy was on the hook for the remaining $16K, which was far beyond the adversited maximum out of pocket expense.
Best solution: see if Dr. Pritchett is part of your insurance network. His staff should be able to figure that out. And hey, sometimes people are willing to pay more to get the surgeon they want.